Dietary assessment in children adhering to a food allergen avoidance diet for allergy prevention
- 5 July 2006
- journal article
- research article
- Published by Springer Science and Business Media LLC in European Journal of Clinical Nutrition
- Vol. 60 (12), 1384-1390
- https://doi.org/10.1038/sj.ejcn.1602468
Abstract
The purpose of this investigation was to verify if avoidance of allergenic foods in children adhering to a food allergen avoidance diet from birth was complete and feasible, and whether dietary assessment can be used as a tool in predicting the outcome of double-blind, placebo-controlled food challenges (DBPCFCs). Children adhering to an allergen avoidance diet from birth underwent DBPCFCs. The investigator-dietician verified whether the elimination was complete, using food frequency questionnaires for common allergenic foods. University Medical Centre Groningen, the Netherlands. Thiry-eight children aged 1-13 years, who were consecutively referred to the University Medical Centre Groningen for DBPCFC between January 2002 and February 2004. Among the 38 children undergoing DBPCFCs, there were 15 challenges with egg, 15 with peanut, five with hazelnut and three with soy. Fifteen food challenges (39%) were positive. Small quantities of allergenic foods were inadvertently present in the diets of 13 patients (34%), were possibly present in the diets of 14 patients (37%) and could not be identified in the diets of 11 patients (29%). Seven patients (54%) who had inadvertently ingested small quantities of allergenic foods without sequelae had a positive DBPCFC. Dietary avoidance was incomplete and not feasible in most cases. Tolerance of small amounts of allergenic foods does not preclude positive challenge reactions. Dietary assessment does not seem a useful tool in predicting the outcome of DBPCFC in children adhering to an elimination diet. The Stichting Astma Bestrijding (Foundation for the Prevention of Asthma), The Netherlands.Keywords
This publication has 16 references indexed in Scilit:
- World Allergy Organization Guidelines for Prevention of Allergy and Allergic AsthmaInternational Archives of Allergy and Immunology, 2004
- Dietary prevention of allergic diseases in infants and small childrenPediatric Allergy and Immunology, 2004
- Standardization of food challenges in patients with immediate reactions to foods – position paper from the European Academy of Allergology and Clinical ImmunologyAllergy, 2004
- Development and validation of challenge materials for double-blind, placebo-controlled food challenges in childrenJournal of Allergy and Clinical Immunology, 2004
- Factors Associated with the Development of Peanut Allergy in ChildhoodNew England Journal of Medicine, 2003
- Recalls of foods containing undeclared allergens reported to the US Food and Drug Administration, fiscal year 1999Journal of Allergy and Clinical Immunology, 2002
- Utility of food-specific IgE concentrations in predicting symptomatic food allergyJournal of Allergy and Clinical Immunology, 2001
- Hypoallergenic Infant FormulasPediatrics, 2000
- Dietary products used in infants for treatment and prevention of food allergy.. Joint statement of the European Society for Paediatric Allergology and Clinical Immunology (ESPACI) Committee on Hypoallergenic Formulas and the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) Committee on NutritionArchives of Disease in Childhood, 1999
- Adverse reactions to food*Allergy, 1995