Elaine Cristina de Almeida Kotchetkoff , Lucila Camargo Lopes de Oliveira , Roseli Oselka Saccardo Sarni
{"title":"Elimination diet in food allergy: friend or foe?","authors":"Elaine Cristina de Almeida Kotchetkoff , Lucila Camargo Lopes de Oliveira , Roseli Oselka Saccardo Sarni","doi":"10.1016/j.jped.2023.09.012","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><p>To review and discuss the role of an elimination diet in food-allergic children, emphasizing nutritional aspects for a better practical approach.</p></div><div><h3>Sources</h3><p>Non-systematic review of the literature<strong>.</strong></p></div><div><h3>Findings</h3><p>Under an elimination diet, food-allergic patients may suffer from growth impairment or obesity and compromised quality of life. Disease phenotype, age, type, number of foods excluded, comorbidities, eating difficulties, economic status, and food availability must be considered for an appropriate diet prescription. Diet quality encompasses diversity and degree of food processing, which may alter immune regulation.</p></div><div><h3>Conclusions</h3><p>A friendly food elimination diet prescription depends on a multidisciplinary approach beyond macro and micronutrients<strong>.</strong></p></div>","PeriodicalId":14867,"journal":{"name":"Jornal de pediatria","volume":null,"pages":null},"PeriodicalIF":2.8000,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0021755723001304/pdfft?md5=e4307239eb90dcb6de534bcf3f8fb262&pid=1-s2.0-S0021755723001304-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Jornal de pediatria","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0021755723001304","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives
To review and discuss the role of an elimination diet in food-allergic children, emphasizing nutritional aspects for a better practical approach.
Sources
Non-systematic review of the literature.
Findings
Under an elimination diet, food-allergic patients may suffer from growth impairment or obesity and compromised quality of life. Disease phenotype, age, type, number of foods excluded, comorbidities, eating difficulties, economic status, and food availability must be considered for an appropriate diet prescription. Diet quality encompasses diversity and degree of food processing, which may alter immune regulation.
Conclusions
A friendly food elimination diet prescription depends on a multidisciplinary approach beyond macro and micronutrients.
期刊介绍:
Jornal de Pediatria is a bimonthly publication of the Brazilian Society of Pediatrics (Sociedade Brasileira de Pediatria, SBP). It has been published without interruption since 1934. Jornal de Pediatria publishes original articles and review articles covering various areas in the field of pediatrics. By publishing relevant scientific contributions, Jornal de Pediatria aims at improving the standards of pediatrics and of the healthcare provided for children and adolescents in general, as well to foster debate about health.