Persistent Food Allergy and Food Allergy Coexistent with Eczema Is Associated with Reduced Growth in the First 4 Years of Life

Beck, Cara; Koplin, Jennifer J.; Dharmage, Shyamali C.; Wake, Melissa; Gurrin, Lyle C.; McWilliam, Vicki; Tang, Mimi L.K.; Sun, Cong; Foskey, Rebecca; Allen, Katrina J.; Robertson, Colin F.; Hill, David R.C.; Vuillermin, Peter; Osborne, Nicholas J.; Mathers, Megan; Peters, Rachel L.; Dang, Thanh; Tey, Dean; Robinson, Marnie; Zurzolo, G.; Thiele, Leone; Czech, H; Shaw, Holly; Anderson, Deborah J.; Eckert, Jana; Bertalli, Nadine A.; Sanjeevan, Jeeva; Tan, T.; Martin, Pamela E.; Garner, Carley; Trembath, Kaye; Crawford, Hayley; Suaini, Noor H. A.; Ferreira, Manuel; Martino, David; Saffery, Richard; Ellis, Justine A.; Molloy, John; Brewerton, Maia; Licciardi, Paul V.; Tilbrook, Kate P.; Chhabra, Sonia

doi:10.1016/j.jaip.2015.08.009

Cited by 43 publications

(45 citation statements)

References 22 publications

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“…In addition, patients with CV-and/ or soya-FPIES have an increased risk of reacting to solid food(s) 82,83 ( The impact on paediatric growth as a result of dietary elimination for food allergies has been well documented. [86][87][88][89][90][91] A recent international survey on growth indices in children with food allergies (n = 430) found that children with non-IgE-mediated allergies or mixed IgE-and non-IgE-mediated food allergy had lowered heightfor-age Z scores than those with IgE-mediated food allergy alone, confirming findings from other studies. 86,87,92,93 Children with FPIES should have their growth closely monitored including measurements of both weight and length.…”

Section: Long-termsupporting

confidence: 74%

“…The impact on paediatric growth as a result of dietary elimination for food allergies has been well documented . A recent international survey on growth indices in children with food allergies (n = 430) found that children with non‐IgE‐mediated allergies or mixed IgE‐ and non‐IgE‐mediated food allergy had lowered height‐for‐age Z scores than those with IgE‐mediated food allergy alone, confirming findings from other studies .…”

Section: Managementsupporting

confidence: 69%

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Food protein‐induced enterocolitis syndrome

Caubet

Cianferoni

Groetch

et al. 2019

Clin Experimental Allergy

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Food protein‐induced enterocolitis syndrome (FPIES) is a non‐IgE‐mediated gastrointestinal food allergic disorder that has gained a major interest the past decade. FPIES prevalence, which still needs to be accurately determine in different populations, appears to be higher than previously thought (ie up to 0.7% in infants in the 1st year of life). FPIES to seafood in adults is also increasingly reported; limited data suggest that adult FPIES is most commonly triggered by shellfish, tends to affect females more than men, is characterized by a significant delay in diagnosis and a prolonged course. The first international consensus guidelines on diagnosis and management of FPIES have been published in 2017, proposing new diagnostic criteria as well as new criteria for a positive oral food challenge. However, there is a need to develop new biomarkers to improve the diagnosis and management of FPIES patients, and this requires a better understanding of the pathophysiology. Recently, the role of T cells has been questioned and a major role of innate immune cells has been suggested in acute FPIES. Regarding the treatment of acute FPIES reaction, ondansetron has emerged as an adjunct to intravenous rehydration in moderate‐severe reactions and as a first‐line treatment in mild reactions. Important information regarding the nutritional management of FPIES patients that might be complex has also been provided in the international guidelines. In this review, we discuss recent advances regarding all those different aspects.

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Section: Long-termsupporting

confidence: 74%

Section: Managementsupporting

confidence: 69%

Food protein‐induced enterocolitis syndrome

Caubet

Cianferoni

Groetch

et al. 2019

Clin Experimental Allergy

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“…This is supported by the findings of Beck and colleagues [38], who showed that FA coexistent with AD is associated with significant stunting throughout early childhood, whereas FA or AD alone has less impact on growth. Treatments such as corticosteroid therapy could be yet another contributor.…”

Section: Aetiology Of Impaired Growth In Children With Fa (Fig 1)supporting

confidence: 78%

Growth of Children with Food Allergy

Pavić

Kolaček²

2017

Horm Res Paediatr

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Background: The prevalence of food allergy in children is increasing worldwide. Strict avoidance of identified allergens from the diet is still the cornerstone of the management of food allergies. There are widespread concerns that food allergy and elimination diet may predispose children to nutrient deficiencies and growth failure. Aim: The aim of this paper was to review the current evidence on growth of children suffering from food allergy. Summarised is literature on the effects of the number and type of offending allergens, the child’s age and affected organ system, as well as the importance of supervision by a dietician/nutritionist. Conclusion: Children suffering from food allergy are stunted at the time of diagnosis and during the elimination diets, irrespective whether or not their nutritional requirements were fulfilled, and/or were under the control of a dietician. This underscores the need for further studies to obtain more precise insight into and better understanding of the mechanisms contributing to growth failure in children suffering from food allergy.

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“…The impact on growth as a result of the elimination of food allergens has been highlighted in the 1990s by Isolauri et al . and, subsequently, several studies have documented lower weight‐for‐age (WA), weight‐for‐height (WH), height‐for‐age (HA) and body mass index (BMI) in food allergic children compared to the general population . The elimination of foods that contribute essential nutrients is a well‐known cause of undernutrition in food allergic children; however, many other factors, including atopic comorbidities, age of diagnosis and system involvement (i.e.…”

Section: Introductionmentioning

confidence: 99%

International survey on growth indices and impacting factors in children with food allergies

Meyer

Wright

Vieira

et al. 2018

J Human Nutrition Diet

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Background: Elimination diets required for the management of food allergies increase the risk for poor growth in children. Currently, no worldwide data exist on this topic and limited published data exist on the impact of atopic comorbidity, type of allergy and foods eliminated on growth. We therefore set out to perform a worldwide survey on growth and impacting factors in food allergic children. Methods: A prospective growth survey was performed of children (aged 0-16 years) on an elimination diet with confirmed immunoglobulin (Ig)E and non-IgE mediated food allergies. Data collected included: weight-for-age, weight-for-height, height-for-age, head circumference, body mass index, type of food allergy and eliminated foods, allergic comorbidities and replacement milk/breast milk. Multivariable regression analysis was used to establish factors that affected growth. Results: Data from 430 patients from twelve allergy centres were analysed: median age at diagnosis and data collection was 8 months and 23 months, respectively. Pooled data indicated that 6% were underweight, 9% were stunted, 5% were undernourished and 8% were overweight. Cow's milk elimination lead to a lower weight-for-height Z-scores than other food eliminations and mixed IgE and non-IgE mediated allergy had lower height-forage Z-scores than IgE mediated allergy. Children with only non-IgE mediated allergies had lower weight-for-height and body mass index. Atopic comorbidities did not impact on growth. Conclusions: Stunting is more common in children with food allergies than low weight. Children particularly at risk of poor growth are those with non-175

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Persistent Food Allergy and Food Allergy Coexistent with Eczema Is Associated with Reduced Growth in the First 4 Years of Life

Cited by 43 publications

References 22 publications

Food protein‐induced enterocolitis syndrome

Food protein‐induced enterocolitis syndrome

Growth of Children with Food Allergy

International survey on growth indices and impacting factors in children with food allergies

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