Food and dietary supplement expenditures associated with dietary self-management among women with endometriosis: A cross-sectional study in Hungary.
5 affiliations
- 1Corvinus University of Budapest, Center for Foreign Language Education and Research, 8 Fővám Square, Budapest 1093, Hungary.
- 2Semmelweis University, Department of Obstetrics and Gynecology, 27 Baross Street, Budapest 1088, Hungary.
- 3Hospital St. John of God, Department of Gynecology- Center for Endometriosis, 1 Johannes-von-Gott-Platz, Vienna 1020, Austria.
- 4University of Oxford, Oxford Endometriosis CaRe Centre, Nuffield Department of Women's and Reproductive Health, John Radcliffe Hospital, Headington, Oxford OX39DU, UK.
- 5University of Edinburgh, Centre for Reproductive Health, Institute for Regeneration and Repair, Edinburgh BioQuarter, 4-5 Little France Drive, Edinburgh EH16 4UU, UK.
Abstract
Objective
To compare the financial burden of special diets and dietary supplement use in women with and without endometriosis.Methods
This cross-sectional, mobile health app-based survey in Hungary (December 2023-August 2024; 90% response rate) evaluated 1645 women aged 14-45 years (524 with endometriosis, 1121 without). Primary outcomes were monthly household food and individual supplement expenditures. Secondary outcomes included diet adherence and supplement use.Results
Women with endometriosis, particularly those following special diets, reported significantly higher food and supplement spending than reference participants (p < 0.01). Despite smaller households (mean 2.49 vs. 2.95 persons, p < 0.01), more spent over €400/month on food than in the reference group (30% vs. 24%; median €301-€400 vs. €251-€300). Women with endometriosis were more than twice as likely to report supplement costs exceeding €35/month (22% vs. 9%; median €16-€25 vs. €6-€15; p < 0.01). Diet adherence and supplement use were also significantly higher (p < 0.01). After controlling for relevant sociodemographic characteristics, endometriosis status remained significantly associated with food expenditure (B = -0.19, β = -0.08, p = 0.02) and supplement expenditure (B = -0.52, β = -0.2, p < 0.01).Conclusions
Endometriosis is associated with greater financial burden from dietary self-management. These findings highlight the need for evidence-based nutritional guidance and consideration of economic impact in care.
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BibTeX
@article{balpataki2026food,
title = {{Food and dietary supplement expenditures associated with dietary self-management among women with endometriosis: A cross-sectional study in Hungary.}},
author = {Linda Balpataki and Dora B Balogh and Gernot Hudelist and Christian M Becker and Andrew W Horne and Dominika Miklos and Nandor Acs and Attila Bokor},
journal = {Preventive medicine reports},
year = {2026},
month = sep,
doi = {10.1016/j.pmedr.2026.103652},
url = {https://europepmc.org/article/MED/42898086},
note = {CC BY},
}
RIS
TY - JOUR
TI - Food and dietary supplement expenditures associated with dietary self-management among women with endometriosis: A cross-sectional study in Hungary.
AU - Linda Balpataki
AU - Dora B Balogh
AU - Gernot Hudelist
AU - Christian M Becker
AU - Andrew W Horne
AU - Dominika Miklos
AU - Nandor Acs
AU - Attila Bokor
PY - 2026
DA - 2026/09/28
JO - Preventive medicine reports
DO - 10.1016/j.pmedr.2026.103652
UR - https://europepmc.org/article/MED/42898086
AB - Objective To compare the financial burden of special diets and dietary supplement use in women with and without endometriosis.Methods This cross-sectional, mobile health app-based survey in Hungary (December 2023-August 2024; 90% response rate) evaluated 1645 women aged 14-45 years (524 with endometriosis, 1121 without). Primary outcomes were monthly household food and individual supplement expenditures. Secondary outcomes included diet adherence and supplement use.Results Women with endometriosis, particularly those following special diets, reported significantly higher food and supplement spending than reference participants (p < 0.01). Despite smaller households (mean 2.49 vs. 2.95 persons, p < 0.01), more spent over €400/month on food than in the reference group (30% vs. 24%; median €301-€400 vs. €251-€300). Women with endometriosis were more than twice as likely to report supplement costs exceeding €35/month (22% vs. 9%; median €16-€25 vs. €6-€15; p < 0.01). Diet adherence and supplement use were also significantly higher (p < 0.01). After controlling for relevant sociodemographic characteristics, endometriosis status remained significantly associated with food expenditure (B = -0.19, β = -0.08, p = 0.02) and supplement expenditure (B = -0.52, β = -0.2, p < 0.01).Conclusions Endometriosis is associated with greater financial burden from dietary self-management. These findings highlight the need for evidence-based nutritional guidance and consideration of economic impact in care.
SN - 2211-3355
ER -