Abstract
Although dietary counseling is generally recommended in children with food allergy
(FA), its effect on the nutritional status of these patients has not yet been evaluated.
Our nonrandomized multicenter prospective intervention study was undertaken to investigate
the effects of dietary counseling on children with FA. Anthropometric data, dietary
intakes, and laboratory biomarkers of nutritional status were evaluated in children
with FA (aged 6 to 36 months) before and after dietary counseling, by multidisciplinary
teams composed of pediatricians, dietitians, and nurses. Ninety-one children with
FA (49 boys and 42 girls; mean age 18.9 months, 95% CI 16.5 to 21.3) were evaluated;
66 children without FA (41 boys and 25 girls; mean age 20.3 months, 95% CI 17.7 to
22.8) served as controls providing baseline values only. At enrollment, energy and
protein intakes were lower in children with FA (91 kcal/kg/day, interquartile range
[IQR]=15.1, minimum=55.2, maximum=130.6; and 2.2 g/kg/day, IQR=0.5, minimum=1.5, maximum=2.7,
respectively) than in children without FA (96 kcal/kg/day, IQR=6.1, minimum=83.6,
maximum=118.0; and 4.6 g/kg/day, IQR=1.2, minimum=2.0, maximum=6.1, respectively;
P<0.001). A weight to length ratio <2 standard deviations was more frequent in children
with FA than in children without FA (21% vs 3%; P<0.001). At 6 months following dietary counseling, the total energy intake of children
with FA was similar to the baseline values of control children. Dietary counseling
also resulted in a significant improvement of their anthropometric and laboratory
biomarkers of nutritional status. The results of our study support the crucial role
of dietary counseling in the clinical management of children with FA.
Keywords
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Biography
R. Berni Canani is a professor, Department of Translational Medicine Science–Pediatric Section, and European Laboratory for the Investigation of Food Induced Diseases, University of Naples “Federico II,” Via Pansini, Naples, Italy.
Biography
L. Leone is a dietitian, Department of Translational Medicine Science–Pediatric Section, and European Laboratory for the Investigation of Food Induced Diseases, University of Naples “Federico II,” Via Pansini, Naples, Italy.
Biography
R. Nocerino is a clinical research nurse, Department of Translational Medicine Science–Pediatric Section, and European Laboratory for the Investigation of Food Induced Diseases, University of Naples “Federico II,” Via Pansini, Naples, Italy.
Biography
S. Ruotolo is a researcher, Department of Translational Medicine Science–Pediatric Section, and European Laboratory for the Investigation of Food Induced Diseases, University of Naples “Federico II,” Via Pansini, Naples, Italy.
Biography
L. Cosenza is a researcher, Department of Translational Medicine Science–Pediatric Section, and European Laboratory for the Investigation of Food Induced Diseases, University of Naples “Federico II,” Via Pansini, Naples, Italy.
Biography
M. Di Costanzo is a physician, Department of Translational Medicine Science–Pediatric Section, and European Laboratory for the Investigation of Food Induced Diseases, University of Naples “Federico II,” Via Pansini, Naples, Italy.
Biography
A. Passariello is a professor, Department of Translational Medicine Science–Pediatric Section, and European Laboratory for the Investigation of Food Induced Diseases, University of Naples “Federico II,” Via Pansini, Naples, Italy.
Biography
A. Coruzzo is a dietitian, Department of Translational Medicine Science–Pediatric Section, and European Laboratory for the Investigation of Food Induced Diseases, University of Naples “Federico II,” Via Pansini, Naples, Italy.
Biography
R. Troncone is a professor, Department of Translational Medicine Science–Pediatric Section, and European Laboratory for the Investigation of Food Induced Diseases, University of Naples “Federico II,” Via Pansini, Naples, Italy.
Biography
E. D'Auria is a professor, Department of Pediatrics, San Paolo Hospital, University of Milan, Milan, Italy.
Biography
E. Riva is a professor, Department of Pediatrics, San Paolo Hospital, University of Milan, Milan, Italy.
Biography
M. Giovannini is a professor, Department of Pediatrics, San Paolo Hospital, University of Milan, Milan, Italy.
Biography
G. Terrin is a professor, Department of Womens Health and Territorial Medicine, University of Rome “La Sapienza,” Rome, Italy.
Biography
C. Agostoni is a professor, Department of Maternal and Pediatric Sciences, University of Milan, Fondazione IRCCS C Granda Ospedale Maggiore Policlinico, Milan, Italy.
Article info
Publication history
Published online: June 03, 2014
Accepted:
March 28,
2014
Footnotes
STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest was reported by the authors.
FUNDING/SUPPORT There is no funding to disclose.
Identification
Copyright
© 2014 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.
