The Effect of an Elimination Diet on Early Childhood Growth in Children with Egg and/or Cow’s Milk Allergies

Authors

Keywords:

Anthropometric measurements, cows’ milk allergy, egg allergy, elimination diets, food allergy

Abstract

Objective: Eliminating egg and/or cow’s milk during early childhood may affect the growth of food-allergic children. The aim of this study was to determine the effects of elimination diets on anthropometric measurements and diet composition in children allergic to egg and/or cow’s milk.

Materials and Methods: Anthropometric measurements and nutritional data were evaluated in children with cow’s milk and/or egg protein allergy during elimination diets. Their daily calorie, carbohydrate, fat, and protein intakes were analyzed based on a 3-day diet log. Z-scores for weight, height, weight-for-age, and weight-for-height were calculated. The data were compared with pre-elimination values and with those of healthy controls.

Results: The study included 77 food-allergic children and a control group of 50 healthy children. In the patient group, the median age was 14 months and 57.1% (n=44) were male. Age, gender, and z-scores for weight-for-age and height-for-age were similar between the groups. Comparisons with pre-elimination measurements revealed that 18.2% of children with short stature at the time of diagnosis achieved normal height after elimination diets (p=0.001) and 37.4% of the children had increased height z-score. However, weight-forage z-score decreased significantly (p<0.01). Although caloric intake was the same in both groups, the patient group consumed relatively less protein and more fat and carbohydrates.

Conclusion: In elimination diets, even if the calorie intake is adequate, eliminating allergenic food items may cause a decrease in weight without causing malnutrition. The height may improve. Growth should be monitored with age-corrected measurements and on an individual basis.

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Published

2021-08-09

How to Cite

1.
Büyük Yaytokgil Şule, Güvenir H, Çuhacı Çakır B, Kara Uzun A, Koç N, Yardımcı H, Kocabaş CN, Civelek E. The Effect of an Elimination Diet on Early Childhood Growth in Children with Egg and/or Cow’s Milk Allergies. AAI [Internet]. 2021 Aug. 9 [cited 2021 Dec. 2];. Available from: https://aai.org.tr/index.php/aai/article/view/629

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Section

Research Articles