Recommended

Dietary Elimination Of Children With Food Prote...

Food Allergy Competencies Of Dietitians In The ...

0 votes
Dietary Elimination Of Children With Food Protein Induced Gastrointestinal Allergy – Micronutrient Adequacy With And Without A Hypoallergenic Formula?
Author: Rosan Meyer, Claire De Koker, Robert Dziubak, Heather Godwin, Gloria Dominguez-ortega And Neil Shah
Publisher: Derivative Works
8 pages
One time payment: €0.00
Required subscription: Free
Type of publication: Article
ISBN/ISSN: 2045-7022
DOI: 10.1186/2045-7022-4-31
Follow this publisher

Share this publication:

Description:

Background: The cornerstone for management of Food protein-induced gastrointestinal allergy (FPGIA) is dietaryexclusion; however the micronutrient intake of this population has been poorly studied. We set out to determinethe dietary intake of children on an elimination diet for this food allergy and hypothesised that the type of elimination diet and the presence of a hypoallergenic formula (HF) significantly impacts on micronutrient intake.Method: A prospective observational study was conducted on children diagnosed with FPIGA on an exclusion diet who completed a 3 day semi-quantitative food diary 4 weeks after commencing the diet. Nutritional intake where HF was used was compared to those without HF, with or without a vitamin and mineral supplement (VMS).

Results: One-hundred-and-five food diaries were included in the data analysis: 70 boys (66.7%) with median age of 21.8 months [IQR: 10 - 67.7]. Fifty-three children (50.5%) consumed a HF and the volume of consumption was correlated to micronutrient intake. Significantly (p <0.05) more children reached their micronutrient requirements if a HF was consumed. In those without a HF, some continued not to achieve requirements in particular for vitamin D and zinc, in spite of VMS.

Conclusion: This study points towards the important micronutrient contribution of a HF in children with FPIGA.Children, who are not on a HF and without a VMS, are at increased risk of low intakes in particular vitamin D andzinc. Further studies need to be performed, to assess whether dietary intake translates into actual biologicaldeficiencies.

About the publisher:

We are a publishing house devoted to reuse CC-BY licensed published materials.

 

Using CC-BY licenses:

YOU ARE FREE TO:

  • Adapt — remix, transform, and build upon the material
  • for any purpose, even commercially.
  • The licensor cannot revoke these freedoms as long as you follow the license terms.

UNDER THE FOLLOWING TERMS:

  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others
    from doing anything the license permits.

NOTICES:

  • You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
  • No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.

Select a payment method