Pediatric Department, Vittore Buzzi Children's Hospital, University of Milan, Milan, Italy.
International Center for the Assessment of Nutritional Status (ICANS), Department of Food, Environmental and Nutritional Sciences (DeFENS), Università di Milano, Milan, Italy.
Int J Food Sci Nutr. 2022 May;73(3):349-356. doi: 10.1080/09637486.2021.1975658. Epub 2021 Sep 9.
Most studies assessed nutrient intake of young children with food allergy (FA) compared to healthy children. We aimed to compare macro- and micronutrient intake of school-aged children with FA to non-allergic children. This case-control study included 93 Italian children (52 with FA and 41 controls, median age 7.5 and 8.3 years, respectively). Macro- and micronutrient intake was assessed by a three-day food dietary record. Anthropometric measurements were also collected. The median height z-score was significantly lower in the FA group, despite a similar daily energy and protein intake. Calcium, iron and vitamin D intake was suboptimal in both groups, while protein intake was higher than recommended in both groups. Unexpectedly, children with FA consume more protein than controls, while having lower micronutrient intake, especially calcium. Our data suggest the importance of nutritional counseling for children with FA to ensure a balanced nutrient intake while on elimination diet.
大多数研究都是将食物过敏(FA)的幼儿与健康儿童的营养摄入量进行比较。我们旨在比较患有 FA 和非过敏儿童的学龄儿童的宏量和微量营养素摄入量。这项病例对照研究包括 93 名意大利儿童(52 名患有 FA,41 名对照儿童,中位数年龄分别为 7.5 岁和 8.3 岁)。通过三天的食物饮食记录评估宏量和微量营养素的摄入量。还收集了人体测量学测量值。尽管 FA 组的每日能量和蛋白质摄入量相似,但 FA 组的身高 z 分数中位数明显较低。两组的钙、铁和维生素 D 摄入量均不理想,而两组的蛋白质摄入量均高于推荐量。出乎意料的是,患有 FA 的儿童比对照组消耗更多的蛋白质,而微量营养素的摄入量较低,尤其是钙。我们的数据表明,对患有 FA 的儿童进行营养咨询非常重要,以确保在消除饮食期间摄入均衡的营养。