Guidance for the nutrition management of gastrointestinal allergy in pediatrics

Marion Groetch; Michelle Henry; Mary Beth Feuling; Jennifer Kim

doi:10.1016/j.jaip.2013.05.002

Guidance for the nutrition management of gastrointestinal allergy in pediatrics

Marion Groetch, Michelle Henry, Mary Beth Feuling, Jennifer Kim

Research output: Contribution to journal › Review article › peer-review

28 Scopus citations

Abstract

Food allergies and their related elimination diets have been associated with an increased risk of inadequate nutrient intake and poor growth in the pediatric population. In recognition of these nutritional risks, the National Institute of Allergy and Infectious Diseases Guidelines for the Diagnosis and Management of Food Allergy in the United States recommend nutrition counseling and close growth monitoring for all children with food allergy. The care of children with gastrointestinal food allergic disorders can be complicated and is best performed with a structured approach in which medical and nutrition needs are addressed simultaneously. Children with gastrointestinal food allergy may be at greater nutritional risk because of decreased dietary intake. For these children, it is important to perform a comprehensive nutrition assessment to identify nutrition-related problems and to develop and implement a plan that meets the patient's needs within the context of the elimination diet. We provide an overview of the nutritional risks and strategies to assess nutritional status in pediatric patients with gastrointestinal food allergy.

Original language	English
Pages (from-to)	323-331
Number of pages	9
Journal	Journal of Allergy and Clinical Immunology: In Practice
Volume	1
Issue number	4
DOIs	https://doi.org/10.1016/j.jaip.2013.05.002
State	Published - Jul 2013

Keywords

AAF
AP
Allergic proctocolitis
DRI
EHF-C
Elimination diet
EoE
Eosinophilic esophagitis
FALCPA
FDA
FPIES
Food protein-induced enterocolitis syndrome
MFA
MNT
Medical nutrition therapy
Nutrition

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title = "Guidance for the nutrition management of gastrointestinal allergy in pediatrics",

abstract = "Food allergies and their related elimination diets have been associated with an increased risk of inadequate nutrient intake and poor growth in the pediatric population. In recognition of these nutritional risks, the National Institute of Allergy and Infectious Diseases Guidelines for the Diagnosis and Management of Food Allergy in the United States recommend nutrition counseling and close growth monitoring for all children with food allergy. The care of children with gastrointestinal food allergic disorders can be complicated and is best performed with a structured approach in which medical and nutrition needs are addressed simultaneously. Children with gastrointestinal food allergy may be at greater nutritional risk because of decreased dietary intake. For these children, it is important to perform a comprehensive nutrition assessment to identify nutrition-related problems and to develop and implement a plan that meets the patient's needs within the context of the elimination diet. We provide an overview of the nutritional risks and strategies to assess nutritional status in pediatric patients with gastrointestinal food allergy.",

keywords = "AAF, AP, Allergic proctocolitis, DRI, EHF-C, Elimination diet, EoE, Eosinophilic esophagitis, FALCPA, FDA, FPIES, Food protein-induced enterocolitis syndrome, MFA, MNT, Medical nutrition therapy, Nutrition",

author = "Marion Groetch and Michelle Henry and Feuling, {Mary Beth} and Jennifer Kim",

note = "Funding Information: Conflicts of interest: M. Groetch has received travel support and consultancy fees from Nutricia and has received lecture fees from Nutricia and Abbott. M. Henry has received travel and research support from Nutricia and has received lecture fees from Abbott. M. B. Feuling has received travel support from Nutricia and has received lecture fees from the Academy of Nutrition & Dietetics, Medical College of Wisconsin Children's Specialty Group, and the University of Minnesota Maternal Health Intensive Course. J. Kim has received consultancy fees from Sanofi and is employed by and has received travel support from Mount Sinai School of Medicine. The rest of the authors declare that they have no relevant conflicts of interest. ",

year = "2013",

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doi = "10.1016/j.jaip.2013.05.002",

language = "English",

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journal = "Journal of Allergy and Clinical Immunology: In Practice",

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PY - 2013/7

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N2 - Food allergies and their related elimination diets have been associated with an increased risk of inadequate nutrient intake and poor growth in the pediatric population. In recognition of these nutritional risks, the National Institute of Allergy and Infectious Diseases Guidelines for the Diagnosis and Management of Food Allergy in the United States recommend nutrition counseling and close growth monitoring for all children with food allergy. The care of children with gastrointestinal food allergic disorders can be complicated and is best performed with a structured approach in which medical and nutrition needs are addressed simultaneously. Children with gastrointestinal food allergy may be at greater nutritional risk because of decreased dietary intake. For these children, it is important to perform a comprehensive nutrition assessment to identify nutrition-related problems and to develop and implement a plan that meets the patient's needs within the context of the elimination diet. We provide an overview of the nutritional risks and strategies to assess nutritional status in pediatric patients with gastrointestinal food allergy.

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Guidance for the nutrition management of gastrointestinal allergy in pediatrics

Abstract

Keywords

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