Calcium intake and cows' milk free diets.

Devlin, J.; Stanton, Robert; David, T J

doi:10.1136/adc.64.8.1183

Cited by 37 publications

(19 citation statements)

References 3 publications

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“…In a similar study in England, 60% of children on a diet free from cow s milk and cow s milk by-products were found to have calcium ingestion below 75% of the standard adopted as parameter, while among those children on normal diets this percentage was 17%. 6 The sample size was therefore calculated taking the difference between groups as 43%, α error < 0.05 and statistical power of 80%, thus giving a minimum of 24 individuals in each group. 25 The experiment was approved by the Committee for Ethics in Research at the Universidade Federal de São Paulo/ Hospital São Paulo.…”

Section: Methodsmentioning

confidence: 99%

“…The elimination of cow s milk and cow s milk by-products from the diet could lead to insufficient calcium ingestion 1,3,5,6 an element fundamental to bone health 7 increasing the risks of bone mineralization problems 8 Cases of rickets, 9 osteopenia and osteoporosis have been described in association with low calcium ingestion over long periods as a result of the elimination of cow s milk and cow s milk byproducts from the diet. 10 This being said, even in situations in which the elimination diet is recommended as a therapeutic test, nutrient intake and nutritional status assessment is necessary so that possible inadequacies can be detected and corrected.…”

Section: Introductionmentioning

confidence: 99%

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Ingestão de nutrientes e estado nutricional de crianças em dieta isenta de leite de vaca e derivados

Medeiros¹,

Speridião²,

Sdepanian³

et al. 2004

J. Pediatr. (Rio J.)

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Objective: To assess the food intake and the nutritional status of children on a cow s milk and cow s milk by-products free diet.Methods: Twenty-six children receiving a cow s milk and cow s milk by-products free diet were assessed during their first visit to the Pediatric Gastroenterology Clinic (mean age = 19.1 months). Thirty children with no food restriction (mean age = 16.8 months) were also assessed. The usual daily food intake method was used to make the dietary assessment. The food intake was compared between the groups and in relation to the Dietary Reference Intakes (DRIs). The z-scores for weight/age, height/age and weight/height were used to evaluate the nutritional status.Results: The cow s milk free diet group presented lower energy (p = 0.005), protein (p < 0.001), lipid (p < 0.001), calcium (p < 0.001) and phosphorous (p < 0.001) intake when compared to the control group. The number of children who had energy, calcium and phosphorous intake below the DRIs was higher in the cow s milk free diet group than in the control group. The z-score means for the cow s milk free diet and control groups were, respectively: height/age -0.81±1.06 vs +0.42±1.25 (p < 0.001), weight/age -1.03±1.21 vs +0.02±0.91 (p < 0.001), and weight/height -0.63±1.08 vs +0.30±1.11 (p = 0.004).Conclusions: During the cow s milk and cow s milk by-products exclusion therapy, qualitative and quantitative food intake monitoring must be carried out periodically, so as to prevent inadequacies in meeting nutritional requirements and impairment of growth and development.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ingestão de nutrientes e estado nutricional de crianças em dieta isenta de leite de vaca e derivados

Medeiros¹,

Speridião²,

Sdepanian³

et al. 2004

J. Pediatr. (Rio J.)

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“…Further, children may be kept on unnecessary diets, which often are costly and may be disruptive in family meal planning and social life. Of even greater health concern is that elimination diets, whether appropriate or not, are potentially hazardous in terms of nutritional inadequacy (7,8). Although the specific causal factors are unknown, any of the factors outlined above may have contributed to the short height of school children with parentally reported food intolerances, reported in an English study (9).…”

mentioning

confidence: 99%

Prevalence of parentally perceived adverse reactions to food in young children

Eggesbø¹,

Halvorsen

Tambs³

et al. 1999

Pediatric Allergy Immunology

130

108

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A substantial number of parents perceive that their children have adverse reactions to food, but it is well documented that objective assessments agree with only one-quarter to one-half of parentally reported reactions. In order to prevent wrong diagnoses and curtail unnecessary or inadequate diets, primary health care providers need to deal with the parental perception of adverse reactions to food. A description of the prevalence and pattern of parentally perceived adverse reactions to food in children is needed to meet this challenge. The aim of the present study was to estimate the prevalence, incidence and cumulative incidences of parentally perceived adverse reactions to food in children younger than 2 years of age, and to study the duration of the reactions. A population-based cohort of 3623 children born in Norway was followed from birth until the age of two. At 6-month intervals, the parents completed questionnaires regarding the occurrence and type of any reaction to food. Information was available on the outcome measure at all age points for 77.4% of the families and these were used in the analyses; 3.8% of the cohort were entirely lost to follow-up. The cumulative incidence of adverse reactions to food was 35% by age two. Fruits, milk and vegetables accounted for nearly two-thirds of all reported reactions. Milk was the single food item most commonly incriminated, the cumulative incidence being 11.6%. The cumulative incidences of reported reactions to fruits and vegetables were 20.4% and 7.3%, respectively, with citrus fruits, strawberry and tomatoes as the most common food items in these groups. The cumulative incidences were less for food reactions associated with eggs (4.4%), fish (3%), nuts (2.1%) and cereals (1.4%). The duration of the reactions was short - approximately two-thirds of the reactions were not reported again 6 months later. However, the probability of remission depended on the food item concerned, the age at onset of reactions, and whether the reaction had been reported previously or not. Adverse reactions to food are reported by the parents of one-third of children in Norway before the age of two. The most striking feature of this study is the short duration of the food reactions, as approximately two-thirds of the reactions are not reported again 6 months later. Nevertheless, the high frequency of reactions attributable to milk is of concern. Milk is an important part of the Norwegian diet for children, and if removed from the diet its nutritional value is not easily replaced. Further studies are needed to assess the degree to which parents alter the diet of their children based upon perceived reactions to food.

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“…On the other hand, long-term diet in patients suffering from atopic dermatitis may have serious consequences and may lead to deficient in calories, protein or minerals such as calcium. [1011] Avoidance of multiple foods is potentially hazardous and requires continued pediatric and dietary supervision. [10]…”

Section: Discussionmentioning

confidence: 99%

Hypoallergenic diet can influence the severity of atopic dermatitis

Čelakovská

Bukač

2013

Indian J Dermatol

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Aim:To evaluate with SCORAD system the contribution of the diagnostic hypoallergenic diet on the severity of atopic dermatitis and especially on the the intensity criteria and subjective parametersin patients over 14 years of age.Materials and Methods:The diagnostichypoallergenic diet was recommended for the period of 3 weeks. Severity of eczema was scored in agreement with SCORAD score, and especially the intensity criteria (erythema, edema, crusting, excoriations, lichenifications, dryness) and subjective parameters (pruritus, sleeplessness) were evaluated at the beginning and at the end of this diet.Results:One hundred and forty-eight patients suffering from atopic dermatitis were included in the study: 107 women and 41 men with the average age of 26.03 (s.d. 9.6 years), min. 14 max. 63 years. In the end of 3 weeks diagnostic hypoallergenic diet there was a statistically significant reduction in severity of sleepless and pruritus and in all of the intensity criteria except of lichenification.Conclusion:The diagnostic hypoallergenic diet can improve the intensity criteria and subjective parameters of atopic dermatitis evaluated in SCORAD, but not the lichenification. We recommend to introduce this diet before a challenge tests and as a temporary medical arrangement in patients suffering from moderate or severe form of atopic dermatitis.

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Calcium intake and cows' milk free diets.

Abstract: In children with atopic eczema on elimination diets, the calcium intake was below the estimated requirement in 15 out of 20 who avoided cows' milk and received no milk substitute, and in three out of 26 who avoided cows' milk but were provided with a soya or casein hydrolysate formula.

Cited by 37 publications

References 3 publications

Ingestão de nutrientes e estado nutricional de crianças em dieta isenta de leite de vaca e derivados

Ingestão de nutrientes e estado nutricional de crianças em dieta isenta de leite de vaca e derivados

Prevalence of parentally perceived adverse reactions to food in young children

Hypoallergenic diet can influence the severity of atopic dermatitis

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