Individualized nutritional management strategies for food allergy in children

LI Dongdan; WU Jie

doi:10.11852/zgetbjzz2024-1220

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Chinese Journal of Child Health Care ›› 2024, Vol. 32 ›› Issue (11) : 1169-1172. DOI: 10.11852/zgetbjzz2024-1220

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Individualized nutritional management strategies for food allergy in children

LI Dongdan, WU Jie

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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.

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food allergy / nutrition / children

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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 https://doi.org/10.11852/zgetbjzz2024-1220

References

[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.