儿童食物过敏的个体化营养管理策略

doi:10.11852/zgetbjzz2024-1220

中国儿童保健杂志 ›› 2024, Vol. 32 ›› Issue (11): 1169-1172.DOI: 10.11852/zgetbjzz2024-1220

儿童食物过敏的个体化营养管理策略

李东丹, 吴捷

国家儿童医学中心首都医科大学附属北京儿童医院消化科,临床营养科,北京 100045

收稿日期:2024-10-09 修回日期:2024-10-14 发布日期:2024-11-04 出版日期:2024-11-10
通讯作者: 吴捷,E-mail: wujie@bch.com.cn
作者简介:李东丹(1988-),女,主治医师,硕士,主要研究方向为炎性肠病、肝病、食物过敏等。
基金资助:
国家重点研发计划(2023YFC2706503);高层次公共卫生技术人才建设项目培养计划(学科带头人-02-04)

Individualized nutritional management strategies for food allergy in children

LI Dongdan, WU Jie

Department of Gastroenterology,Department of Clinical Nutrition,Beijing Children's Hospital,Capital Medical University, National Center for Children's Health,Beijing 100045,China

Received:2024-10-09 Revised:2024-10-14 Online:2024-11-10 Published:2024-11-04
Contact: WU Jie, E-mail: wujie@bch.com.cn

摘要/Abstract

摘要： 近年来食物过敏发生率呈上升趋势,对儿童健康、生长发育及生活质量造成了重大影响。尽管儿童食物过敏的规范诊治水平不断提高,营养状态的监测及评估也日益受到重视,但临床工作中仍存在较多营养问题。因此,为确保食物过敏儿童达到最佳营养状态,建议对其进行个体化、规范化管理,需考虑患儿年龄、免疫介导方式、过敏食物种类及数量、营养状态、饮食行为等因素,并由过敏科医生、营养科医生及家长共同参与,并定期随访,监测效果。

关键词: 食物过敏, 营养, 儿童

Abstract: In recent years, the incidence of food allergies has shown an upward trend, significantly impacting children's health, growth and development, as well as their quality of life. Despite the continuous improvement in the standardized diagnosis and treatment of food allergies in children, and the increasing attention paid to the monitoring and assessment of nutritional status, there are still many nutritional issues in clinical practice.Therefore, to ensure optimal nutrition for children with food allergies, it is recommended to adopt individualized and standardized management that takes into account factors such as the child's age, immune-mediated mechanisms, types and quantities of allergic foods, nutritional status, and dietary behaviors. This management should involve collaboration among allergists, dietitians, and parents, with regular follow-ups and monitoring of outcomes.

Key words: food allergy, nutrition, children

中图分类号:

R179

李东丹, 吴捷. 儿童食物过敏的个体化营养管理策略[J]. 中国儿童保健杂志, 2024, 32(11): 1169-1172.

LI Dongdan, WU Jie. Individualized nutritional management strategies for food allergy in children[J]. Chinese Journal of Child Health Care, 2024, 32(11): 1169-1172.

参考文献

[1] Loh WY,Tang MLK.The epidemiology of food allergy in the global context[J].Int J Environ Res Public Health,2018,15(9):2043.
[2] Peters RL, Krawiec M, Koplin JJ, et al.Update on food allergy[J].Pediatr Allergy Immunol,2021,32(4):647-657.
[3] Vandenplas Y,Broekaert IJ,Domellöf M,et al.An ESPGHAN position paper on the diagnosis, management, and prevention of cow's milk allergy[J].J Pediatr Gastroenterol Nutr, 2023. doi: 10.1097/MPG.0000000000003897.
[4] Giovannini M, D"Auria E, Caffarelli C, et al.Nutritional management and follow up of infants and children with food allergy: Italian Society of Pediatric Nutrition/Italian Society of Pediatric Allergy and Immunology Task Force Position Statement[J].Ital J Pediatr,2014,40:1.
[5] 陈同辛, 洪莉, 王华, 等.中国婴儿轻中度非IgE介导的牛奶蛋白过敏诊断和营养干预指南[J].中华实用儿科临床杂志, 2022, 37(4):241-250.
Chen TX, Hong L, Wang H, et al.Guidelines for diagnosis and nutritional intervention of mild to moderate non-IgE mediated cow's milk protein allergy in Chinese infants[J].Chin J Appl Clin Pediatr, 2022, 37(4): 241-250. (in Chinese)
[6] Muraro A, de Silva D,Halken S,et al.Managing food allergy: GA2LEN guideline[J].World Allergy Organ J, 2022,15(9):100687.
[7] Flammarion S, Santos C, Guimber D,et al.Diet and nutritional status of children with food allergies[J].Pediatr Allergy Immunol, 2011,22(2):161-165.
[8] Kotchetkoff ECDA, Oliveira LCLD, Sarni ROS.Elimination diet in food allergy: Friend or foe[J].J Pediatr(Rio J), 2024, 100(Suppl 1):65-73.
[9] Christie L, Hine RJ, Parker JG, et al. Food allergies in children affect nutrient intake and growth[J]. J Am Diet Assoc, 2002, 102(11):1648-1651.
[10] Meyer R, Wright K, Vieira MC,et al.International survey on growth indices and impacting factors in children with food allergies[J].J Hum Nutr Diet,2019, 32(2):175-184.
[11] Rosow R,Virkud YV, Martin VM,et al.Longitudinal assessment of early growth in children with IgE- and non-IgE-mediated food allergy in a healthy infant cohort[J]. Ann Allergy Asthma Immunol,2023,131(3):362-368.
[12] Hill SA, Nurmatov U, Dunngalvin A, et al. Feeding difficulties in children with food allergies: An EAACI task force report[J].Pediatr Allergy Immunol,2024, 35(4):e14119.
[13] Lee S. IgE-mediated food allergies in children: Prevalence, triggers, and management[J].Korean J Pediatr, 2017, 60(4):99-105.
[14] Skypala IJ, Reese I,Durban R,et al.Food allergy—A holistic approach to dietary management. A joint EAACI Research & Outreach Committee and INDANA review[J].Pediatr Allergy Immunol, 2023, 34(9):e14019.
[15] Saarinen KM, Pelkonen AS, Mäkelä MJ, et al. Clinical course and prognosis of cow's milk allergy are dependent on milk-specific IgE status[J].J Allergy Clin Immunol,2005,116(4):869-875.
[16] Venter C, Roth-Walter F, Vassilopoulos EA.Dietary management of IgE and non-IgE-mediated food allergies in pediatric patients[J].Pediatr Allergy Immunol,2024, 35(3):e14100.
[17] Wood RA, Sicherer SH, Vickery BP, et al.The natural history of egg allergy in an observational cohort[J].J Allergy Clin Immunol,2013, 131(3):805-812.
[18] Turkalj M,Gospić AM,Džidić IV,et al.Food Allergen Immunotherapy in the Treatment of Patients with IgE-Mediated Food Allergy[J].Medicina,2024,60(1):121
[19] Al-Iede M,Sarhan L,Alshrouf MA,et al.Perspectives on Non-IgE-Mediated Gastrointestinal Food Allergy in Pediatrics: A review of current evidence and guidelines[J].J Asthma Allergy,2023, 14:16:279-291.
[20] Nowak-Węgrzyn A, Katz Y, Mehr SS, et al.Non-IgE-mediated gastrointestinal food allergy[J].J Allergy Clin Immunol,2015,135(5):1114-24.
[21] Labrosse R, Graham F, Caubet JC. Non-IgE-mediated gastrointestinal food allergies in children: An update[J].Nutrients, 2020, 12(7):2086.
[22] Leech SC, Ewan PW, Skypala IJ, et al. BSACI 2021 guideline for the management of egg allergy[J].Clin Exp Allergy,2021,51:1262-1278.
[23] Hicks A,Fleischer D,Venter C.The future of cow's milk allergy-milk ladders in IgE-mediated food allergy[J].Front Nutr,2024,28:11:1371772.
[24] Yang F, Zhao X, Liu W,et al.Positive rate of wheat allergens in the Chinese allergic population: a systematic review and meta-analysis[J].Sci Rep,2023, 13(1):10579.
[25] Patel N, Samant H.Wheat Allergy[M].Treasure Island (FL): Stat Pearls Publishing, 2024.
[26] Ricci G,Andreozzi L,Cipriani F, et al.Wheat allergy in children: A comprehensive update[J].Medicina, 2019, 55(7):400.
[27] Warren CM,Aktas ON,Manalo L,et al.The epidemiology of multi-food allergy in the United States-A population-based study[J].Ann Allergy Asthma Immunol,2023,130(5):637-648.
[28] Meyer R, de Koker C, Dziubak R, et al. Malnutrition in children with food allergies in the UK[J].J Hum Nutr Diet, 2014, 27(3):227-235.
[29] Berry MJ, Adams J, Voutilainen H,et al. Impact of elimination diets on growth and nutritional status in children with multiple food allergies[J].Pediatr Allergy Immunol,2015, 26(2).
[30] Crespo JB, Domingo MV, Arauzo NH,et al.Real life study of the use of omalizumab for pediatric patients with multiple food allergies[J].Allergol Immunopathologia, 2021, 49(2):15-22.
[31] Maslin K, Dean T, Arshad SH, et al.Fussy eating and feeding difficulties in infants and toddlers consuming a cows' milk exclusion diet[J].Pediatr Allergy Immunol,26(6):503-508.
[32] Marrs T, Jo JH, Perkin MR, et al.Gut microbiota development during infancy: Impact of introducing allergenic foods[J].J Allergy Clin Immunol,2021,147(2):613-621.
[33] Maslin K, Venter C, Mackenzie H,et al.Comparison of nutrient intake in adolescents and adults with and without food allergies[J].J Hum Nutr Diet,2018,31(2):209-217.
[34] Sicherer SH, Warren CM, Dant C, et al. Food allergy from infancy through adulthood[J].J Allergy Clin Immunol Pract, 2020, 8(6):1854-1864.
[35] GoldingMA, Batac Ayel LR,Gunnarsson NV,et al.The burden of food allergy on children and teens: A systematic review[J].Pediatr Allergy Immunol, 2022,33(3):e13743.

儿童食物过敏的个体化营养管理策略

Individualized nutritional management strategies for food allergy in children

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	梁雁, 罗小平. 遗传代谢病的治疗进展[J]. 中国儿童保健杂志, 2024, 32(9): 929-933.
[2]	王雯雷, 张俊, 厚磊, 张荣, 夏木斯叶·木依都力, 董言, 者炜, 沙吾拉西·热加甫, 方萍, 阿迪拉·苏力旦. 新疆7～17岁儿童青少年超重肥胖和血压关系的关联研究[J]. 中国儿童保健杂志, 2024, 32(9): 953-957.
[3]	林崟, 刘军霞, 张林, 颜崇淮. 上海市0~6岁儿童血砷水平与体格生长的关系[J]. 中国儿童保健杂志, 2024, 32(9): 969-973.
[4]	王爱, 周冰倩, 于健, 曹虹. 儿童青少年骨健康的评估及其影响因素[J]. 中国儿童保健杂志, 2024, 32(9): 980-983.
[5]	夏嘉苓, 官计, 方悦, 黄迎春, 刘颖, 李凡, 吉木尔呷木. 儿童家庭饮食环境的研究进展[J]. 中国儿童保健杂志, 2024, 32(9): 984-988.
[6]	孙艳会, 李杨方. 儿童语言发育迟缓临床特征及诊治研究进展[J]. 中国儿童保健杂志, 2024, 32(9): 999-1003.
[7]	谢婷婷, 裴梓贻, 张悦. 音乐疗法在儿童康复中的应用研究进展[J]. 中国儿童保健杂志, 2024, 32(9): 1004-1007.
[8]	陈秀锦, 蒋晓兰, 陈红夷, 王琪, 陈俊霖. 0～6岁儿童维生素D水平的影响因素及其与维生素K1和K2的相关性分析[J]. 中国儿童保健杂志, 2024, 32(9): 1014-1018.
[9]	张霆. 儿童早期发育的表观遗传运动调控机制的认识进展[J]. 中国儿童保健杂志, 2024, 32(8): 821-825.
[10]	鹿文英, 柏品清, 徐划萍, 任亚萍, 胡卉, 解辉. 运动及行为干预改善儿童超重和肥胖效果评价[J]. 中国儿童保健杂志, 2024, 32(8): 832-837.
[11]	苏比努尔·沙依提, 高雯颖, 郭心宇, 任姿锦, 李蕴伶, 张莹. 喀什地区维吾尔族学龄期哮喘儿童的运动状况及影响因素[J]. 中国儿童保健杂志, 2024, 32(8): 838-843.
[12]	程轲, 王宝西, 王春晖, 宋丽佳, 习颖, 郭薇, 杨茜, 兰莉. 5~14岁儿童青少年体成分与骨密度的关联[J]. 中国儿童保健杂志, 2024, 32(8): 844-849.
[13]	张旭彤, 李娜, 吴娟娟, 陈欣月, 赵南洋, 陈黎明, 戴泰鸣. 贵州省12岁儿童口腔健康相关生活质量及影响因素[J]. 中国儿童保健杂志, 2024, 32(8): 862-867.
[14]	陈瑜洁, 李晓南. 行为干预在儿童肥胖管理中的应用进展[J]. 中国儿童保健杂志, 2024, 32(8): 875-880.
[15]	刘璐洁, 徐东, 尹春燕, 肖延风. 儿童肥胖代谢组学的研究进展[J]. 中国儿童保健杂志, 2024, 32(8): 881-885.