Pediatric rheumatology

The Ecological Relationship Between Food Access and Disease Activity in Canadian Children Newly Diagnosed With Juvenile Idiopathic Arthritis

J RheumatolPublished Cross-sectional and longitudinal ecological registry study

Authors' conclusion

Obesity was linked to higher disease activity and reduced access to healthy food in chain grocery stores. However, greater access to both healthy and unhealthy food was associated with lower disease activity, possibly reflecting the general benefits of urban living.

Study context

Population
Children newly diagnosed with juvenile idiopathic arthritis (JIA) (2017–2021), Canadian Alliance of Pediatric Rheumatology Investigators (CAPRI) Registry, Canada
Participants
641 children
Exposure
Neighborhood food accessibility vs disease activity and weight
Outcome
Overweight or obese (BMI > 85th percentile) prevalence and access to chain grocery stores
Follow-up
Enrollment
Methodological detailsCAPRI Registry, neighborhood-level food accessibility linked by postal code, Spearman rho correlations, Mann-Whitney U test, mixed-effects linear regression
  • CAPRI Registry
  • Neighborhood-level food accessibility linked by postal code
  • Spearman rho correlations
  • Mann-Whitney U test
  • Mixed-effects linear regression

Main finding

As reported in the abstract

enrollment
Overweight or obese (BMI > 85th percentile)
21.9%
Overweight or obese lived in areas with less access to chain grocery stores vs underweight or healthy BMI
P = 0.02

Observational data: associations, not effects.

Original publication

The Ecological Relationship Between Food Access and Disease Activity in Canadian Children Newly Diagnosed With Juvenile Idiopathic Arthritis. J Rheumatol. Published 15 May 2026. doi:10.3899/jrheum.2025-1200

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