The Effects of Dietary Counseling on Children with Food Allergy: A Prospective, Multicenter Intervention Study

被引：67

作者：

Canani, Roberto Berni ^{[1
,2
]}

Leone, Ludovica ^{[1
,2
]}

D'Auria, Enza ^{[3
]}

Riva, Enrica ^{[3
]}

Nocerino, Rita ^{[1
,2
]}

Ruotolo, Serena ^{[1
,2
]}

Terrin, Gianluca ^{[4
]}

Cosenza, Linda ^{[1
,2
]}

Di Costanzo, Margherita ^{[1
,2
]}

Passariello, Annalisa ^{[1
,2
]}

Coruzzo, Anna ^{[1
,2
]}

Agostoni, Carlo ^{[5
]}

Giovannini, Marcello ^{[3
]}

Troncone, Riccardo ^{[1
,2
]}

机构：

[1] Univ Naples Federico II, Dept Translat Med Sci, Pediat Sect, I-80131 Naples, Italy

[2] Univ Naples Federico II, European Lab Invest Food Induced Dis, I-80131 Naples, Italy

[3] Univ Milan, San Paolo Hosp, Dept Pediat, Milan, Italy

[4] Univ Roma La Sapienza, Dept Womens Hlth & Terr Med, I-00185 Rome, Italy

[5] Univ Milan, Dept Maternal & Pediat Sci, Fdn IRCCS C Granda Osped Maggiore Policlin, Milan, Italy

来源：

JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS | 2014年 / 114卷 / 09期

关键词：

Dietitian; Elimination diet; Fatty acids; Nutritional status; Cow's milk allergy; COWS MILK ALLERGY; EURO-GROWTH REFERENCES; NUTRITIONAL-STATUS; NUTRIENT INTAKE; MALNUTRITION; TOLERANCE; INFANTS; WEIGHT;

D O I：

10.1016/j.jand.2014.03.018

中图分类号：

R15 [营养卫生、食品卫生]; TS201 [基础科学];

学科分类号：

100403 ;

摘要：

Although dietary counseling is generally recommended in children with food allergy (FA), its effect on the nutritional status of these patients has not yet been evaluated. Our nonrandomized multicenter prospective intervention study was undertaken to investigate the effects of dietary counseling on children with FA. Anthropometric data, dietary intakes, and laboratory biomarkers of nutritional status were evaluated in children with FA (aged 6 to 36 months) before and after dietary counseling, by multidisciplinary teams composed of pediatricians, dietitians, and nurses. Ninety-one children with FA (49 boys and 42 girls; mean age 18.9 months, 95% CI 16.5 to 21.3) were evaluated; 66 children without FA (41 boys and 25 girls; mean age 20.3 months, 95% CI 17.7 to 22.8) served as controls providing baseline values only. At enrollment, energy and protein intakes were lower in children with FA (91 kcal/kg/day, interquartile range [IQR]=15.1, minimum=55.2, maximum=130.6; and 2.2 g/kg/day, IQR=0.5, minimum=1.5, maximum=2.7, respectively) than in children without FA (96 kcal/kg/day, IQR=6.1, minimum=83.6, maximum=118.0; and 4.6 g/kg/day, IQR=1.2, minimum=2.0, maximum=6.1, respectively; P<0.001). A weight to length ratio <2 standard deviations was more frequent in children with FA than in children without FA (21% vs 3%; P<0.001). At 6 months following dietary counseling, the total energy intake of children with FA was similar to the baseline values of control children. Dietary counseling also resulted in a significant improvement of their anthropometric and laboratory biomarkers of nutritional status. The results of our study support the crucial role of dietary counseling in the clinical management of children with FA.

引用

页码：1432 / 1439

页数：8

共 29 条

[1] Fatty acid deficiency profile in children with food allergy managed with elimination diets [J].