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Rational Approach to the Nutrition of Allergic Patient

Year 2019, Volume: 11 Issue: 2, 94 - 102, 07.03.2019

Abstract

Abstract

The first step of treatment in all types of food allergies is avoiding the food thatcause the symptoms. To ensure normal growth and development, all the nutrients present in the food or foods excluded from the diet should be provided from altenative sources. This review focused on the alternative food sources changing accordingto the age of the patient and type of the diet at the time of allergic reaction, the points to be considered during follow-up of patients and the measures to determine andcorrect the poor growth associated with dietary restrictions.

References

  • Kaynaklar 1.1.Burks AW, Jones SM, Boyce JA, Sicherer SH, Wood RA, As-sa'ad A et al. NIAID-Sponsored 2010 Guidelines for Mana-ging Food Allergy: Applications in the Pediatric PopulationPediatrics. 2011 Nov;128(5):955-65. 2.Boyce JA, Assa'ad A, Burks AW, Jones SM, Sampson HA, WoodRA, et al. Guidelines for the diagnosis and management offood allergy in the United States: report of the NIAID-spon-sored expert panel. J Allergy Clin Immunol. 2010; 126(6Suppl):S1–58. 3.Fiocchi A, Brozek J, Schunemann H, Bahna SL, von Berg A,Beyer K, et al. World Allergy Organization (WAO) Diagno-sis and Rationale for Action against Cow's Milk Allergy(DRACMA) Guidelines. Pediatric allergy and immunology :official publication of the European Society of Pediatric Al-lergy and Immunology. 2010; 21(Suppl 21):1–125. 4.Mehta H, Groetch M, Wang J. Growth and Nutritional Con-cerns in Children with Food Allergy Curr Opin Allergy ClinImmunol. 2013 Jun;13(3):275-9. 5.Groetch M, Henry M, Feuling MB, Kim J. Guidance for theNutrition Management of Gastrointestinal Allergy in Pediat-rics. J Allergy Clin Immunol Pract. 2013 Jul-Aug;1(4):323-3. 6.Christie L, Hine RJ, Parker JG, Burks W. Food allergies inchildren affect nutrient intake and growth. Journal of the Ame-rican Dietetic Association. 2002; 102(11):1648–51. 7.Henriksen C, Eggesbø M, Halvorsen R, Botten G. Nutrientintake among two year-old children on cows’ milk-restricteddiets. Acta Paediatr 2000;89:272-8. 8.Flammarion S, Santos C, Guimber D, Jouannic L, Thumerel-le C, Gottrand F, et al. Diet and nutritional status of child-ren with food allergies. Pediatr Allergy Immunol 2011;22:161-5. 9.Giovannini M, D'Auria E, Caffarelli C, Verduci E, BarberiS, Indinnimeo L, et al. Nutritional management and followup of infants and children with food allergy: Italian Societyof Pediatric Nutrition/Italian Society of Pediatric Allergy andImmunology Task Force Position Statement. Ital J Pediatr.2014 Jan 3;40:1. 10.Venter C, Laitinen K, Vlieg-Boerstra B: Nutritionalaspectsin diagnosisandmanagement of foodhypersensitivity-thedie-titians role. J Allergy (Cairo) 2012, 2012:269376. 11.Muraro A, Werfel T, Hoffmann-Sommergruber K, Roberts G,Beyer K, Bindslev-JensenC,et al. EAACI Food Allergy andAnaphylaxis Guidelines Group. EAACI Food Allergy andAnaphylaxis Guidelines: diagnosis and management of foodallergy. Allergy. 2014 Aug;69(8):1008-25. 12.Puntis JW. Malnutrition and growth. J Pediatr Gastroente-rol Nutr. 2010 Dec;51 Suppl 3:S125-6. 13.Tanner JM, Davies PS. Clinical longitudinal standards for he-ight and height velocity for North American children. J Pe-diatr 1985, 107:317. 14.Tanner JM, Whitehouse RH. Clinical longitudinal stan-dards for height, weight, height velocity, weight velocity, andstages of puberty. ArchDis Child 1976, 51:170. 15.Mak TN, Prynne CJ, Cole DD, Fitt E, Roberts C, Bates B, etal. Assessing eating context and fruit and vegetable consump-tion in children: new methods using food diaries in the UKNational Diet and Nutrition Survey Rolling Programme. IntJ Behav Nutr Phys Act 2012, 18(9):126. 16.Trumbo P, Schlicker S, Yates AA, Poos M: FoodandNutriti-on Board of theInstitute of Medicine, The National Academi-es. Dietary reference intakes for energy, carbohydrate, fiber,fat, fatty acids, cholesterol, protein and amino acids. J Am DietAssoc 2002, 102(11):1621–1630. 17.Luyt D, Ball H, Makwana N, Green MR, Bravin K, Nasser SM,et al. BSACI guideline for the diagnosis and management ofcow's milk allergy. ClinExp Allergy 2014; 44:642-672. 18.Mofidi S: Nutritional management of pediatric food hyper-sensitivity. Pediatrics2003 Jun; 111(6 Pt 3):1645–1653. 19.Aldámiz-Echevarría L, Bilbao A, Andrade F, Elorz J, Prie-to JA, Rodríguez-Soriano J. Fatty acid deficiency profile inchildren with food allergy managed with elimination diets. ActaPaediatr 2008, 97(11):1572–1576. 20.Fox AT, Du Toit G, Lang A, Lack G. Food allergy as a riskfactor for nutritional rickets. Pediatric allergy and immuno-logy : official publication of the European Society of Pedi-atric Allergy and Immunology. 2004; 15(6):566–9. 21.Yu JW, Pekeles G, Legault L, McCusker CT. Milk allergy andvitamin D deficiency rickets: a common disorder associatedwith an uncommon disease. Annals of allergy, asthma & im-munology : official publication of the American College ofAllergy, Asthma, &Immunology. 2006; 96(4):615–9. 22.Groetch M, Nowak-Wegrzyn A. Practical approach to nutri-tion and dietary intervention in pediatric food allergy. Pedi-atr Allergy Immunol. 2013 May;24(3):212-21. 23.Besin Alerjisi Türk Ulusal Rehberi 2017. Asthma Allergy Im-munol 2017;15: Ek Sayı:1; 81. 24.du Toit G, Meyer R, Shah N, Heine RG, Thomson MA, LackG, et al. Identifying and managing cow's milk protein allergy.Arch Dis Child Educ Pract Ed. 2010 Oct;95(5):134-44. 25.Koletzko S, Niggemann B, Arato A, Dias JA, Heuschkel R,Husby S, et al. Diagnostic approach and management of cow's-milk protein allergy in infants and children: ESPGHAN GICommittee practical guidelines. J Pediatr Gastroenterol Nutr.2012;55(2):221-9. 26.Şekerel BE. İnekSütü Protein Alerjisinde Rasyonel FormulaKullanımı. In: Sekerel BE. A'dan Z'ye İnek Sütü Protein Aler-jisi 2016 Ankamat Basım, Ankara, ISBN 9786058310902. 27.Clark AT, Skypala I, Leech SC, Ewan PW, Dugué P, Brath-waite N, Huber PA, Nasser SM; British Society for Allergy andClinical Immunology guidelines for the management of eggallergy.ClinExpAllergy. 2010 Aug;40(8):1116-29. 28.Savage J, Sicherer S, Wood R. The Natural History of FoodAllergy. J AllergyClinImmunolPract. 2016 Mar-Apr;4(2):196-203. 29.Upton J, Nowak-Wegrzyn A. The Impact of Baked Egg andBaked Milk Diets on IgE- andNon-IgE-Mediated Allergy. ClinRev Allergy Immunol. 2018 Oct;55(2):118-138. 30.Muraro A, Halken S, Arshad SH, Beyer K, Dubois AE, Du ToitG, et al. EAACI food allergy and anaphylaxis guidelines. Pri-mary prevention of food allergy. EAACI Food Allergy andAnaphylaxis Guidelines Group. Allergy. 2014 May;69(5):590-601. (b) 31.Caubet JC, Szajewska H, Shamir R, Nowak-Węgrzyn A. Non-IgE-mediated gastrointestinal food allergies in children. Pe-diatr Allergy Immunol. 2017 Feb;28(1):6-17. 32.Feuille E, Nowak-Węgrzyn A. Food Protein-Induced Entero-colitisSyndrome, Allergic Proctocolitis, and Enteropathy. Cur-rAllergyAsthmaRep. 2015 Aug;15(8):50. 33.Nowak-Wegrzyn A, Katz Y, Mehr SS, Koletzko S. Non-IgE-me-diated gastrointestinal food allergy. J Allergy Clin Immunol2015: 135: 1114–24. 34.Caubet JC, Ford LS, Sickles L, et al. Clinical features and re-solution of food protein-induced enterocolitis syndrome: 10-year experience. J Allergy Clin Immunol 2014: 134: 382–9.

Alerjik Hastanın Beslenmesine Akılcı Yaklaşım

Year 2019, Volume: 11 Issue: 2, 94 - 102, 07.03.2019

Abstract

Öz

Besin alerjilerinde tedavinin ilk basamağı sorumlu gıdadan uzak durmaktır. Normal büyüme ve gelişmenin devamı için, uzak durulan gıdaların içeriğindeki tüm besin öğelerinin alternatif kaynaklardan sağlanması gerekir. Bu derlemede IgE aracılıve non IgE aracılı besin alerjilerinde hastanın yaşına ve alerjinin görüldüğü sıradaki beslenme şekline göre değişen alternatif beslenme kaynakları, hastaların takibinde dikkat edilmesi gereken noktalar, diyete bağlı gelişen beslenme eksiklikleri ve büyüme geriliğinin saptanması ve düzeltilmesi için alınması gereken önlemler üzerinde duruldu.

References

  • Kaynaklar 1.1.Burks AW, Jones SM, Boyce JA, Sicherer SH, Wood RA, As-sa'ad A et al. NIAID-Sponsored 2010 Guidelines for Mana-ging Food Allergy: Applications in the Pediatric PopulationPediatrics. 2011 Nov;128(5):955-65. 2.Boyce JA, Assa'ad A, Burks AW, Jones SM, Sampson HA, WoodRA, et al. Guidelines for the diagnosis and management offood allergy in the United States: report of the NIAID-spon-sored expert panel. J Allergy Clin Immunol. 2010; 126(6Suppl):S1–58. 3.Fiocchi A, Brozek J, Schunemann H, Bahna SL, von Berg A,Beyer K, et al. World Allergy Organization (WAO) Diagno-sis and Rationale for Action against Cow's Milk Allergy(DRACMA) Guidelines. Pediatric allergy and immunology :official publication of the European Society of Pediatric Al-lergy and Immunology. 2010; 21(Suppl 21):1–125. 4.Mehta H, Groetch M, Wang J. Growth and Nutritional Con-cerns in Children with Food Allergy Curr Opin Allergy ClinImmunol. 2013 Jun;13(3):275-9. 5.Groetch M, Henry M, Feuling MB, Kim J. Guidance for theNutrition Management of Gastrointestinal Allergy in Pediat-rics. J Allergy Clin Immunol Pract. 2013 Jul-Aug;1(4):323-3. 6.Christie L, Hine RJ, Parker JG, Burks W. Food allergies inchildren affect nutrient intake and growth. Journal of the Ame-rican Dietetic Association. 2002; 102(11):1648–51. 7.Henriksen C, Eggesbø M, Halvorsen R, Botten G. Nutrientintake among two year-old children on cows’ milk-restricteddiets. Acta Paediatr 2000;89:272-8. 8.Flammarion S, Santos C, Guimber D, Jouannic L, Thumerel-le C, Gottrand F, et al. Diet and nutritional status of child-ren with food allergies. Pediatr Allergy Immunol 2011;22:161-5. 9.Giovannini M, D'Auria E, Caffarelli C, Verduci E, BarberiS, Indinnimeo L, et al. Nutritional management and followup of infants and children with food allergy: Italian Societyof Pediatric Nutrition/Italian Society of Pediatric Allergy andImmunology Task Force Position Statement. Ital J Pediatr.2014 Jan 3;40:1. 10.Venter C, Laitinen K, Vlieg-Boerstra B: Nutritionalaspectsin diagnosisandmanagement of foodhypersensitivity-thedie-titians role. J Allergy (Cairo) 2012, 2012:269376. 11.Muraro A, Werfel T, Hoffmann-Sommergruber K, Roberts G,Beyer K, Bindslev-JensenC,et al. EAACI Food Allergy andAnaphylaxis Guidelines Group. EAACI Food Allergy andAnaphylaxis Guidelines: diagnosis and management of foodallergy. Allergy. 2014 Aug;69(8):1008-25. 12.Puntis JW. Malnutrition and growth. J Pediatr Gastroente-rol Nutr. 2010 Dec;51 Suppl 3:S125-6. 13.Tanner JM, Davies PS. Clinical longitudinal standards for he-ight and height velocity for North American children. J Pe-diatr 1985, 107:317. 14.Tanner JM, Whitehouse RH. Clinical longitudinal stan-dards for height, weight, height velocity, weight velocity, andstages of puberty. ArchDis Child 1976, 51:170. 15.Mak TN, Prynne CJ, Cole DD, Fitt E, Roberts C, Bates B, etal. Assessing eating context and fruit and vegetable consump-tion in children: new methods using food diaries in the UKNational Diet and Nutrition Survey Rolling Programme. IntJ Behav Nutr Phys Act 2012, 18(9):126. 16.Trumbo P, Schlicker S, Yates AA, Poos M: FoodandNutriti-on Board of theInstitute of Medicine, The National Academi-es. Dietary reference intakes for energy, carbohydrate, fiber,fat, fatty acids, cholesterol, protein and amino acids. J Am DietAssoc 2002, 102(11):1621–1630. 17.Luyt D, Ball H, Makwana N, Green MR, Bravin K, Nasser SM,et al. BSACI guideline for the diagnosis and management ofcow's milk allergy. ClinExp Allergy 2014; 44:642-672. 18.Mofidi S: Nutritional management of pediatric food hyper-sensitivity. Pediatrics2003 Jun; 111(6 Pt 3):1645–1653. 19.Aldámiz-Echevarría L, Bilbao A, Andrade F, Elorz J, Prie-to JA, Rodríguez-Soriano J. Fatty acid deficiency profile inchildren with food allergy managed with elimination diets. ActaPaediatr 2008, 97(11):1572–1576. 20.Fox AT, Du Toit G, Lang A, Lack G. Food allergy as a riskfactor for nutritional rickets. Pediatric allergy and immuno-logy : official publication of the European Society of Pedi-atric Allergy and Immunology. 2004; 15(6):566–9. 21.Yu JW, Pekeles G, Legault L, McCusker CT. Milk allergy andvitamin D deficiency rickets: a common disorder associatedwith an uncommon disease. Annals of allergy, asthma & im-munology : official publication of the American College ofAllergy, Asthma, &Immunology. 2006; 96(4):615–9. 22.Groetch M, Nowak-Wegrzyn A. Practical approach to nutri-tion and dietary intervention in pediatric food allergy. Pedi-atr Allergy Immunol. 2013 May;24(3):212-21. 23.Besin Alerjisi Türk Ulusal Rehberi 2017. Asthma Allergy Im-munol 2017;15: Ek Sayı:1; 81. 24.du Toit G, Meyer R, Shah N, Heine RG, Thomson MA, LackG, et al. Identifying and managing cow's milk protein allergy.Arch Dis Child Educ Pract Ed. 2010 Oct;95(5):134-44. 25.Koletzko S, Niggemann B, Arato A, Dias JA, Heuschkel R,Husby S, et al. Diagnostic approach and management of cow's-milk protein allergy in infants and children: ESPGHAN GICommittee practical guidelines. J Pediatr Gastroenterol Nutr.2012;55(2):221-9. 26.Şekerel BE. İnekSütü Protein Alerjisinde Rasyonel FormulaKullanımı. In: Sekerel BE. A'dan Z'ye İnek Sütü Protein Aler-jisi 2016 Ankamat Basım, Ankara, ISBN 9786058310902. 27.Clark AT, Skypala I, Leech SC, Ewan PW, Dugué P, Brath-waite N, Huber PA, Nasser SM; British Society for Allergy andClinical Immunology guidelines for the management of eggallergy.ClinExpAllergy. 2010 Aug;40(8):1116-29. 28.Savage J, Sicherer S, Wood R. The Natural History of FoodAllergy. J AllergyClinImmunolPract. 2016 Mar-Apr;4(2):196-203. 29.Upton J, Nowak-Wegrzyn A. The Impact of Baked Egg andBaked Milk Diets on IgE- andNon-IgE-Mediated Allergy. ClinRev Allergy Immunol. 2018 Oct;55(2):118-138. 30.Muraro A, Halken S, Arshad SH, Beyer K, Dubois AE, Du ToitG, et al. EAACI food allergy and anaphylaxis guidelines. Pri-mary prevention of food allergy. EAACI Food Allergy andAnaphylaxis Guidelines Group. Allergy. 2014 May;69(5):590-601. (b) 31.Caubet JC, Szajewska H, Shamir R, Nowak-Węgrzyn A. Non-IgE-mediated gastrointestinal food allergies in children. Pe-diatr Allergy Immunol. 2017 Feb;28(1):6-17. 32.Feuille E, Nowak-Węgrzyn A. Food Protein-Induced Entero-colitisSyndrome, Allergic Proctocolitis, and Enteropathy. Cur-rAllergyAsthmaRep. 2015 Aug;15(8):50. 33.Nowak-Wegrzyn A, Katz Y, Mehr SS, Koletzko S. Non-IgE-me-diated gastrointestinal food allergy. J Allergy Clin Immunol2015: 135: 1114–24. 34.Caubet JC, Ford LS, Sickles L, et al. Clinical features and re-solution of food protein-induced enterocolitis syndrome: 10-year experience. J Allergy Clin Immunol 2014: 134: 382–9.
There are 1 citations in total.

Details

Primary Language Turkish
Journal Section makale
Authors

Prof. Dr. Esen Demir

Publication Date March 7, 2019
Published in Issue Year 2019 Volume: 11 Issue: 2

Cite

APA Demir, P. D. E. (2019). Alerjik Hastanın Beslenmesine Akılcı Yaklaşım. Klinik Tıp Pediatri Dergisi, 11(2), 94-102.
AMA Demir PDE. Alerjik Hastanın Beslenmesine Akılcı Yaklaşım. Pediatri. March 2019;11(2):94-102.
Chicago Demir, Prof. Dr. Esen. “Alerjik Hastanın Beslenmesine Akılcı Yaklaşım”. Klinik Tıp Pediatri Dergisi 11, no. 2 (March 2019): 94-102.
EndNote Demir PDE (March 1, 2019) Alerjik Hastanın Beslenmesine Akılcı Yaklaşım. Klinik Tıp Pediatri Dergisi 11 2 94–102.
IEEE P. D. E. Demir, “Alerjik Hastanın Beslenmesine Akılcı Yaklaşım”, Pediatri, vol. 11, no. 2, pp. 94–102, 2019.
ISNAD Demir, Prof. Dr. Esen. “Alerjik Hastanın Beslenmesine Akılcı Yaklaşım”. Klinik Tıp Pediatri Dergisi 11/2 (March 2019), 94-102.
JAMA Demir PDE. Alerjik Hastanın Beslenmesine Akılcı Yaklaşım. Pediatri. 2019;11:94–102.
MLA Demir, Prof. Dr. Esen. “Alerjik Hastanın Beslenmesine Akılcı Yaklaşım”. Klinik Tıp Pediatri Dergisi, vol. 11, no. 2, 2019, pp. 94-102.
Vancouver Demir PDE. Alerjik Hastanın Beslenmesine Akılcı Yaklaşım. Pediatri. 2019;11(2):94-102.