When Is Patient Behavior Indicative of Avoidant Restrictive Food Intake Disorder (ARFID) Vs Reasonable Response to Digestive Disease?

Fink, Mary Lynn; Simons, Madison; Tomasino, Kathryn Noth; Pandit, Anjali U.; Taft, Tiffany

doi:10.1016/j.cgh.2021.07.045

Cited by 33 publications

(27 citation statements)

References 17 publications

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“…Symptoms of ARFID have been reported in 13%-40% of patients with disorders of gut-brain interaction (19,27), with rates as high as 48% in IBS specifically (27). The most common motivation for ARFID restriction has been a fear of GI symptoms and occurs in individuals of all ages (30).…”

Section: Special Sectionmentioning

confidence: 99%

Psychological Considerations in the Dietary Management of Patients With DGBI

et al. 2022

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In this article, an expert team of 2 gastro-psychologists, a dietician, and an academic gastroenterologist provides insights into the psychological and social implications of evidence-based and “popular” dietary interventions in disorders of gut-brain interaction (DGBI). We focus on practical approaches for evaluating a patient's appropriateness for a dietary intervention, considering the nutritional, psychological, behavioral, and social context in which a patient may find themselves managing their DGBI with dietary intervention. We also discuss how to identify risk factors for and symptoms of avoidant/restrictive food intake disorder, a growing concern in the DGBI population.

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Section: Special Sectionmentioning

confidence: 99%

Psychological Considerations in the Dietary Management of Patients With DGBI

et al. 2022

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“…RDNs support a balanced relationship with food for patients with POTS by advocating for as wide and varied a diet as possible, given physiologic constraints, avoiding restrictive advice when possible, and screening regularly for eating disorders. 18,23 There are several tools available to screen 18,30 An eating disorder specialist can help determine whether a patient is avoiding a food due to POTS symptoms or an eating disorder. 18 The RDN should also weigh the "pros and cons" of any potential therapeutic diets if there is any concern of disordered eating or an eating disorder in the patient, and modify the diets when possible to maximize the benefit for the patient.…”

Section: Eating Disordersmentioning

confidence: 99%

COVID-19 Increases the Prevalence of Postural Orthostatic Tachycardia Syndrome: What Nutrition and Dietetics Practitioners Need to Know

Harris

2022

Journal of the Academy of Nutrition and Dietetics

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“…Since ARFID might be more frequent with highly restrictive diets in children, it is important to stress the idea of starting with minimally restrictive diets (a step-up strategy) for dietary therapy in EoE. Recently, a cross-sectional study on digestive diseases highlighted that more than one-half of patients on restrictive diets for EoE or celiac disease met the diagnostic criteria for ARFID [33 ▪ ]. As such, the authors questioned whether current diagnostic questionnaires might overrate the prevalence of ARFID in these diseases.…”

Section: Text Of Reviewmentioning

confidence: 99%

New approaches to diet therapy for eosinophilic esophagitis

Molina–Infante

Mata-Romero

Martín-Holgado

2023

Current Opinion in Gastroenterology

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Purpose of reviewAn empiric step-up (2–4–6) elimination diet remains the most common dietary approach in clinical practice when treating eosinophilic esophagitis (EoE). However, research in this field has fallen behind pharmacological therapy. This review aims to summarize novel approaches to dietary therapy for EoE.Recent findingsA first prospective multicenter study in 41 pediatric patients (mean age 9 years) has evaluated the efficacy of a cow's milk elimination diet. This dietary approach led to histological remission in 51% of patients, albeit a caveat is that up to 80% of patients were receiving concomitant therapy with proton pump inhibitors. In a series of 18 adult patients with documented milk-induced EoE, ingestión of 400 ml of sterilized milk (boiled for up to 20 min) daily for 8 weeks did not induce histologic relapse in two-thirds of patients.SummaryMilk elimination diet is effective in one-half of pediatric EoE patients and should likely be the first choice in children with EoE (within a step-up dietary approach). Promising data on tolerance of sterilized milk in adults with milk-induced EoE (66%) merit further replication in children, which may radically improve quality of life for patients and their caregivers.

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When Is Patient Behavior Indicative of Avoidant Restrictive Food Intake Disorder (ARFID) Vs Reasonable Response to Digestive Disease?

Cited by 33 publications

References 17 publications

Psychological Considerations in the Dietary Management of Patients With DGBI

Psychological Considerations in the Dietary Management of Patients With DGBI

COVID-19 Increases the Prevalence of Postural Orthostatic Tachycardia Syndrome: What Nutrition and Dietetics Practitioners Need to Know

New approaches to diet therapy for eosinophilic esophagitis

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