The impact on quality of life on families of children on an elimination diet for Non-immunoglobulin E mediated gastrointestinal food allergies

Godwin, Heather; Dziubak, Robert; Foong, Ru-Xin; Bryon, Mandy; Lozinsky, Adriana Chebar; Reeve, Kate; Shah, Neil

doi:10.1186/s40413-016-0139-7

Cited by 39 publications

(39 citation statements)

References 38 publications

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“…Studies report that parents of food allergic children have increased levels of anxiety and poorer quality of life; therefore, parental anxiety rather than the organic disease present in the child may at times drive the feeding difficulty. 41…”

Section: Persistent Feeding Difficulty Amentioning

confidence: 99%

Feeding difficulties in children with non–IgE-mediated food allergic gastrointestinal disorders

Chehade

Beauregard

2019

Annals of Allergy, Asthma & Immunology

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NoneIgE-mediated food allergic gastrointestinal (GI) disorders can disrupt a child's feeding skill acquisition, resulting in feeding difficulties. Symptoms related to noneIgE-mediated food allergic GI disorders can affect the relationship children have with food. Overly restricted dietary elimination diets in early childhood can limit exposure and increase feeding difficulties. Feeding difficulties can result in nutritional deficiencies and faltering growth. Therefore, timely recognition and referral for management are of paramount importance. Several management approaches to feeding difficulty exist, dictated by the type of feeding difficulty present. Successful management of a child with feeding difficulty is best achieved using a multidisciplinary approach, with addressing the child's feeding and the caregiver feeding style being equally important.

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Section: Persistent Feeding Difficulty Amentioning

confidence: 99%

Feeding difficulties in children with non–IgE-mediated food allergic gastrointestinal disorders

Chehade

Beauregard

2019

Annals of Allergy, Asthma & Immunology

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“…Additionally, complete avoidance of all nuts is not necessarily recommended anymore, and only those nuts reacted to should be eliminated from the diet [ 54 ]. In addition to nutritional consequences of food allergy, it is known that children and families with food allergies experience a decreased quality of life across a number of domains, which can create anxiety and lead to avoidance of social situations [ 55 , 56 , 57 , 58 ]. Hence, it is suggested that liberalisation of the diet, when appropriate and safe, will increase both quality of life and nutritional intake.…”

Section: The Role Of Diet In the Management Of Food Allergymentioning

confidence: 99%

The Role of Nutritional Aspects in Food Allergy: Prevention and Management

et al. 2017

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The prevalence of food allergy in childhood appears to be increasing in both developed and transitional countries. The aim of this paper is to review and summarise key findings in the prevention and management of food allergy, focusing on the role of dietary components and nutritional habits in the development and optimal functioning of the immune system. Essential fatty acids, zinc and vitamin D are likely to enhance the anti-inflammatory and antioxidative barrier and promote immunologic tolerance. Additionally, nutritional components such as pre- and probiotics represent a novel research approach in the attempt to induce a tolerogenic immune environment. For all these reasons, the traditional avoidance diet has been, in recent years, completely reconsidered. New findings on the protective effect of an increased diversity of food introduced in the first year of life on allergic diseases are consistent with the hypothesis that exposure to a variety of food antigens during early life might play a role in the development of immune tolerance. Accordingly, therapeutic (and even preventive) interventions should be planned on an individual basis.

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“…relevance, and also that the proteins remaining in soy lecithin have little antigenicity with regard to soybean allergy (11,(19)(20)(21)(22)(23) . Elimination diets, particularly with respect to the increasing number of foods that require avoidance, reduce the quality of life of families and children (2,(24)(25)(26)(27) The inclusion of soya lecithin in children with a soya allergy is often determined by the healthcare professional based on a risk assessment. In non-IgE-mediated cow's milk allergy, the data indicate 30-64% of children have a concomitant soya allergy (5,6) .…”

Section: Discussionmentioning

confidence: 99%

Tolerance of soya lecithin in children with non‐immunoglobulin E‐mediated soya allergy: a randomised, double‐blind, cross‐over trial

Gholmie

Lozinsky

Godwin

et al. 2019

J Human Nutrition Diet

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Background Soya lecithin is present in a wide variety of foods regularly consumed by children, in the form of an emulsifier or stabiliser. Children with non‐immunoglobulin (Ig)E‐mediated allergies who commonly have to avoid milk and soya will have a significantly restrictive diet with reduced alternative foods if soya lecithin also has to be eliminated. The present study aimed to establish whether children with non‐IgE‐mediated gastrointestinal soya allergy react to soya lecithin in food products. Methods A double‐blind, cross‐over study was performed in soya‐allergic children aged between 8 months and 5 years. Eligible children had their soya allergy status confirmed with a home challenge. Children were randomly assigned to either placebo or challenge dose of soya lecithin (1.5 g per day) in a custom‐made biscuit. This was followed by a 1‐week washout period and cross‐over to another 1 week of challenge or placebo dose. Symptoms were recorded prior to commencing the study and at the end of each week’s challenge. Results Twenty‐two children, 16 boys, with a median age of 44 months (range 21–58 months) were recruited, although only 20 completed the full study. The median number of foods avoided in addition to soya was 3. Over the challenge period, the parents reported reactions in six cases: five cases (23%) to the placebo and one case (5%) to the challenge dose. There was no statistical difference (P = 0.025) between the groups. Conclusions One child with a non‐IgE‐mediated gastrointestinal allergy had a slight reaction to soya lecithin. Although single cases may react to soya lecithin, we suggest that soya lecithin should be included in children with this delayed allergy, unless they have a confirmed reaction to traces of soya within this emulsifier.

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The impact on quality of life on families of children on an elimination diet for Non-immunoglobulin E mediated gastrointestinal food allergies

Cited by 39 publications

References 38 publications

Feeding difficulties in children with non–IgE-mediated food allergic gastrointestinal disorders

Feeding difficulties in children with non–IgE-mediated food allergic gastrointestinal disorders

The Role of Nutritional Aspects in Food Allergy: Prevention and Management

Tolerance of soya lecithin in children with non‐immunoglobulin E‐mediated soya allergy: a randomised, double‐blind, cross‐over trial

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