Pavić Ivan, Kolaček Sanja
Horm Res Paediatr. 2017;88(1):91-100. doi: 10.1159/000462973. Epub 2017 Mar 30.
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.
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. .
全球范围内儿童食物过敏的患病率正在上升。严格避免从饮食中摄入已确定的过敏原仍然是食物过敏管理的基石。人们普遍担心食物过敏和排除饮食可能使儿童易患营养缺乏和生长发育迟缓。
本文旨在综述目前关于食物过敏儿童生长发育的证据。总结了有关致敏过敏原的数量和类型、儿童年龄和受影响的器官系统的影响的文献,以及营养师/营养学家监督的重要性。
食物过敏儿童在诊断时和排除饮食期间生长发育迟缓,无论其营养需求是否得到满足,和/或是否在营养师的控制之下。这突出表明需要进一步研究,以更精确地洞察和更好地理解导致食物过敏儿童生长发育迟缓的机制。