Feeding difficulties in children with food protein‐induced gastrointestinal allergies

Meyer, Rosan; Rommel, Nathalie; Oudenhove, Lukas Van; Fleming, Catharine; Dziubak, Robert; Shah, Neil

doi:10.1111/jgh.12593

Cited by 50 publications

(87 citation statements)

References 42 publications

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“…Gastrointestinal disorders (e.g., irritable bowel syndrome) and inflammatory bowel diseases (e.g., Crohn's disease) are a heterogeneous group of CIs that affect the gastrointestinal tract and digestive system. Children with gastrointestinal disorders and inflammatory bowel diseases tend to have feeding and eating problems (e.g., low variety and volume of intake, food refusal, gagging/vomiting) that can extend after treatment of the disorder (Field, Garland, & Williams, ; Mackner & Crandall, ; Meyer et al, ; Mukkada et al, ). The literature provides consistent evidence that children with EDs have a high rate of gastrointestinal disorders and inflammatory bowel diseases (see Table ).…”

Section: Resultsmentioning

confidence: 99%

Are children with chronic illnesses requiring dietary therapy at risk for disordered eating or eating disorders? A systematic review

Conviser

Fisher

McColley

2018

Intl J Eating Disorders

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Section: Resultsmentioning

confidence: 99%

Are children with chronic illnesses requiring dietary therapy at risk for disordered eating or eating disorders? A systematic review

Conviser

Fisher

McColley

2018

Intl J Eating Disorders

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“…De hecho, las dificultades en la alimentación se encontraron en un tercio de aquellos con diagnóstico de alergia alimentaria, siendo más frecuentes el rechazo a los alimentos y el apetito selectivo (datos de Gastronutriped que no se muestran). En este sentido, desde hace aproximadamente cuatro décadas otros investigadores han reportado la aparición de trastornos en la alimentación de pacientes con alergia alimentaria (27). En concordancia con los hallazgos de este estudio, Harris, et al, encontraron que los lactantes con alergia alimentaria era el grupo que presentaba estas dificultades con mayor frecuencia (28), y Mukkadda señaló que 16,5 % de los niños con enfermedades gastrointestinales eosinofílicas, entre ellas la alergia alimentaria, tenían alteraciones en la alimentación (29).…”

Section: Discussionunclassified

Profile of gastrointestinal diseases in a pediatric gastroenterology center in Colombia: 15 years of follow-up

2017

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Introducción. El perfil de las enfermedades gastrointestinales cambia permanentemente a nivel mundial y local, lo cual incide en la sospecha diagnóstica y el manejo médico.Objetivo. Establecer los principales diagnósticos en una unidad de gastroenterología, hepatología y nutrición pediátrica de Bogotá entre 2009 y 2013 y compararlos con los hallazgos de la misma unidad en los dos quinquenios previos (1997 a 2006).Materiales y métodos. Se hizo un estudio descriptivo retrospectivo. Se revisaron las historias clínicas para extraer los diagnósticos. Los datos de los quinquenios previos se tomaron de los archivos institucionales. Se hizo un análisis univariado y se calcularon las frecuencias absolutas y relativas para las variables cualitativas, y las medidas de tendencia central y de dispersión para las cuantitativas.Resultados. Se consultaron los diagnósticos de 1.171 pacientes, 51,8 % (607) de ellos de sexo masculino, y 64 % (753) menores de cinco años de edad. Los principales diagnósticos fueron: estreñimiento crónico funcional (33,9 %), alergia alimentaria (23,5 %), trastornos de la conducta alimentaria (5,5 %), enfermedad por reflujo gastroesofágico (4,1 %), enfermedad ácido-péptica (4,1 %), diarrea persistente (3,8 %) y fibrosis quística (3,4 %). Al comparar este último período con los anteriores,se observó un descenso de la enfermedad acido-péptica, en tanto que el estreñimiento, que estaba en segunda posición, ascendió al primer lugar. La alergia alimentaria, que no se registró entre los primeros diez diagnósticos en los periodos previos, apareció en segundo lugar en este último.Conclusiones. En el último quinquenio, el estreñimiento fue el primer diagnóstico gastrointestinal, seguido por la alergia alimentaria, lo cual concuerda con la tendencia mundial. Por ello, es fundamental aplicar los algoritmos de diagnóstico, así como ofrecer tratamiento oportuno y programas de prevención.

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“…Studies of feeding difficulties and food allergy have typically been conducted on children with complex gastrointestinal allergies , or in children who also have an underlying comorbidity , therefore the participants are not necessarily reflective of the ‘typical’ infant with CMA. Meyer et al.…”

Section: Discussionmentioning

confidence: 99%

Fussy eating and feeding difficulties in infants and toddlers consuming a cows’ milk exclusion diet

Maslin

Dean

Arshad

et al. 2015

Pediatric Allergy Immunology

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Background Cows’ milk allergy (CMA) is the most common infant food allergy in the United Kingdom, requiring a strict exclusion diet. Feeding difficulties and fussy eating are also very common problems in young children and can negatively influence feeding and dietary intake in an infant with CMA. The aim of this study was to compare the levels of fussy eating and feeding difficulties in two groups of young children: a group consuming an exclusion diet for CMA and a control group of children consuming an unrestricted diet. Method Participants were recruited from allergy and health visitor clinics on the Isle of Wight. Parents completed a number of questionnaires about their child's feeding behaviour. Results One hundred and twenty‐six participants (mean age 13 months) were recruited. Participants consuming an exclusion diet for CMA had significantly higher scores for both fussy eating and feeding difficulties (p < 0.05), although overall both groups were within the normal range. A number of symptoms were found to be positively moderately correlated with higher feeding difficulty score (p < 0.05). A higher consumption of milk/milk substitute consumed per day was positively correlated to both feeding difficulties and fussy eating (p < 0.05). Conclusion Participants consuming an exclusion diet for CMA have higher scores for feeding difficulties and fussy eating than those consuming an unrestricted diet; however, the majority of participants’ scores were within the normal range and did not affect the growth.

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Feeding difficulties in children with food protein‐induced gastrointestinal allergies

Abstract: Clinical manifestations like vomiting, constipation, rectal bleeding, weight loss, and the presence of extra-intestinal manifestations in addition to the number of foods avoided are in our FPIGA population linked to feeding difficulties.

Cited by 50 publications

References 42 publications

Are children with chronic illnesses requiring dietary therapy at risk for disordered eating or eating disorders? A systematic review

Are children with chronic illnesses requiring dietary therapy at risk for disordered eating or eating disorders? A systematic review

Profile of gastrointestinal diseases in a pediatric gastroenterology center in Colombia: 15 years of follow-up

Fussy eating and feeding difficulties in infants and toddlers consuming a cows’ milk exclusion diet

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