Dietary assessment in children adhering to a food allergen avoidance diet for allergy prevention
Objective: 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...
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| Veröffentlicht in: | European journal of clinical nutrition 2006-12, Vol.60 (12), p.1384-1390 |
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| container_title | European journal of clinical nutrition |
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| creator | Vlieg-Boerstra, B.J Heide, S. van der Bijleveld, C.M.A Kukler, J Duiverman, E.J Wolt-Plompen, S.A.A |
| description | Objective: 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). Design: 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. Setting: University Medical Centre Groningen, the Netherlands. Subjects: 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. Results: 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. Conclusion: 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. |
| doi_str_mv | 10.1038/sj.ejcn.1602468 |
| format | Article |
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Design: 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. Setting: University Medical Centre Groningen, the Netherlands. Subjects: 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. Results: 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. Conclusion: 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.</description><identifier>ISSN: 0954-3007</identifier><identifier>EISSN: 1476-5640</identifier><identifier>DOI: 10.1038/sj.ejcn.1602468</identifier><identifier>PMID: 16823406</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Administration, Oral ; Adolescent ; Allergens ; Allergens - administration & dosage ; Allergens - immunology ; Allergic diseases ; Allergies ; Arachis hypogaea ; Asthma ; Avoidance ; Biological and medical sciences ; Birth ; Child ; child nutrition ; Child, Preschool ; Children ; Children & youth ; Clinical Nutrition ; Clinical outcomes ; Clinical trials ; cohort studies ; Complications ; Corylus ; Diet ; dietary exposure ; Digestive allergic diseases ; disease prevention ; Diseases of the digestive system ; Dose-Response Relationship, Immunologic ; Double-Blind Method ; elimination diets ; Epidemiology ; Feasibility studies ; Female ; Food ; Food allergies ; food challenges ; food frequency questionnaires ; Food Hypersensitivity - diagnosis ; Food Hypersensitivity - prevention & control ; Hazelnuts ; Health care facilities ; Humans ; Hypersensitivity, Immediate - diagnosis ; Hypersensitivity, Immediate - prevention & control ; immunoglobulin E ; Immunoglobulin E - blood ; Immunoglobulin E - immunology ; Immunopathology ; Infant ; Internal Medicine ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Nutrition Assessment ; original-article ; Patients ; Peanuts ; Placebos ; Prevention ; Public Health ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><ispartof>European journal of clinical nutrition, 2006-12, Vol.60 (12), p.1384-1390</ispartof><rights>Springer Nature Limited 2006</rights><rights>2007 INIST-CNRS</rights><rights>COPYRIGHT 2006 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Dec 2006</rights><rights>Nature Publishing Group 2006.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c648t-2565b94667f40e9adbbba9bc74c5327d10f939be433f3aab2766f29f4abca7783</citedby><cites>FETCH-LOGICAL-c648t-2565b94667f40e9adbbba9bc74c5327d10f939be433f3aab2766f29f4abca7783</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/sj.ejcn.1602468$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/sj.ejcn.1602468$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27907,27908,41471,42540,51302</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18316553$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16823406$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vlieg-Boerstra, B.J</creatorcontrib><creatorcontrib>Heide, S. van der</creatorcontrib><creatorcontrib>Bijleveld, C.M.A</creatorcontrib><creatorcontrib>Kukler, J</creatorcontrib><creatorcontrib>Duiverman, E.J</creatorcontrib><creatorcontrib>Wolt-Plompen, S.A.A</creatorcontrib><title>Dietary assessment in children adhering to a food allergen avoidance diet for allergy prevention</title><title>European journal of clinical nutrition</title><addtitle>Eur J Clin Nutr</addtitle><addtitle>Eur J Clin Nutr</addtitle><description>Objective: 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). Design: 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. Setting: University Medical Centre Groningen, the Netherlands. Subjects: 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. Results: 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. Conclusion: 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.</description><subject>Administration, Oral</subject><subject>Adolescent</subject><subject>Allergens</subject><subject>Allergens - administration & dosage</subject><subject>Allergens - immunology</subject><subject>Allergic diseases</subject><subject>Allergies</subject><subject>Arachis hypogaea</subject><subject>Asthma</subject><subject>Avoidance</subject><subject>Biological and medical sciences</subject><subject>Birth</subject><subject>Child</subject><subject>child nutrition</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Children & youth</subject><subject>Clinical Nutrition</subject><subject>Clinical outcomes</subject><subject>Clinical trials</subject><subject>cohort studies</subject><subject>Complications</subject><subject>Corylus</subject><subject>Diet</subject><subject>dietary exposure</subject><subject>Digestive allergic diseases</subject><subject>disease prevention</subject><subject>Diseases of the digestive system</subject><subject>Dose-Response Relationship, Immunologic</subject><subject>Double-Blind Method</subject><subject>elimination diets</subject><subject>Epidemiology</subject><subject>Feasibility studies</subject><subject>Female</subject><subject>Food</subject><subject>Food allergies</subject><subject>food challenges</subject><subject>food frequency questionnaires</subject><subject>Food Hypersensitivity - diagnosis</subject><subject>Food Hypersensitivity - prevention & control</subject><subject>Hazelnuts</subject><subject>Health care facilities</subject><subject>Humans</subject><subject>Hypersensitivity, Immediate - diagnosis</subject><subject>Hypersensitivity, Immediate - prevention & control</subject><subject>immunoglobulin E</subject><subject>Immunoglobulin E - blood</subject><subject>Immunoglobulin E - immunology</subject><subject>Immunopathology</subject><subject>Infant</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Nutrition Assessment</subject><subject>original-article</subject><subject>Patients</subject><subject>Peanuts</subject><subject>Placebos</subject><subject>Prevention</subject><subject>Public Health</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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Heide, S. van der ; Bijleveld, C.M.A ; Kukler, J ; Duiverman, E.J ; Wolt-Plompen, S.A.A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c648t-2565b94667f40e9adbbba9bc74c5327d10f939be433f3aab2766f29f4abca7783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Administration, Oral</topic><topic>Adolescent</topic><topic>Allergens</topic><topic>Allergens - administration & dosage</topic><topic>Allergens - immunology</topic><topic>Allergic diseases</topic><topic>Allergies</topic><topic>Arachis hypogaea</topic><topic>Asthma</topic><topic>Avoidance</topic><topic>Biological and medical sciences</topic><topic>Birth</topic><topic>Child</topic><topic>child nutrition</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Children & youth</topic><topic>Clinical Nutrition</topic><topic>Clinical outcomes</topic><topic>Clinical trials</topic><topic>cohort studies</topic><topic>Complications</topic><topic>Corylus</topic><topic>Diet</topic><topic>dietary exposure</topic><topic>Digestive allergic diseases</topic><topic>disease prevention</topic><topic>Diseases of the digestive system</topic><topic>Dose-Response Relationship, Immunologic</topic><topic>Double-Blind Method</topic><topic>elimination diets</topic><topic>Epidemiology</topic><topic>Feasibility studies</topic><topic>Female</topic><topic>Food</topic><topic>Food allergies</topic><topic>food challenges</topic><topic>food frequency questionnaires</topic><topic>Food Hypersensitivity - diagnosis</topic><topic>Food Hypersensitivity - prevention & control</topic><topic>Hazelnuts</topic><topic>Health care facilities</topic><topic>Humans</topic><topic>Hypersensitivity, Immediate - diagnosis</topic><topic>Hypersensitivity, Immediate - prevention & control</topic><topic>immunoglobulin E</topic><topic>Immunoglobulin E - blood</topic><topic>Immunoglobulin E - immunology</topic><topic>Immunopathology</topic><topic>Infant</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Nutrition Assessment</topic><topic>original-article</topic><topic>Patients</topic><topic>Peanuts</topic><topic>Placebos</topic><topic>Prevention</topic><topic>Public Health</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vlieg-Boerstra, B.J</creatorcontrib><creatorcontrib>Heide, S. van der</creatorcontrib><creatorcontrib>Bijleveld, C.M.A</creatorcontrib><creatorcontrib>Kukler, J</creatorcontrib><creatorcontrib>Duiverman, E.J</creatorcontrib><creatorcontrib>Wolt-Plompen, S.A.A</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection (ProQuest)</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>European journal of clinical nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vlieg-Boerstra, B.J</au><au>Heide, S. van der</au><au>Bijleveld, C.M.A</au><au>Kukler, J</au><au>Duiverman, E.J</au><au>Wolt-Plompen, S.A.A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dietary assessment in children adhering to a food allergen avoidance diet for allergy prevention</atitle><jtitle>European journal of clinical nutrition</jtitle><stitle>Eur J Clin Nutr</stitle><addtitle>Eur J Clin Nutr</addtitle><date>2006-12-01</date><risdate>2006</risdate><volume>60</volume><issue>12</issue><spage>1384</spage><epage>1390</epage><pages>1384-1390</pages><issn>0954-3007</issn><eissn>1476-5640</eissn><abstract>Objective: 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). Design: 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. Setting: University Medical Centre Groningen, the Netherlands. Subjects: 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. Results: 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. Conclusion: 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.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>16823406</pmid><doi>10.1038/sj.ejcn.1602468</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | European journal of clinical nutrition, 2006-12, Vol.60 (12), p.1384-1390 |
| issn | 0954-3007 1476-5640 |
| language | eng |
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| source | MEDLINE; Nature; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Springer Nature - Complete Springer Journals |
| subjects | Administration, Oral Adolescent Allergens Allergens - administration & dosage Allergens - immunology Allergic diseases Allergies Arachis hypogaea Asthma Avoidance Biological and medical sciences Birth Child child nutrition Child, Preschool Children Children & youth Clinical Nutrition Clinical outcomes Clinical trials cohort studies Complications Corylus Diet dietary exposure Digestive allergic diseases disease prevention Diseases of the digestive system Dose-Response Relationship, Immunologic Double-Blind Method elimination diets Epidemiology Feasibility studies Female Food Food allergies food challenges food frequency questionnaires Food Hypersensitivity - diagnosis Food Hypersensitivity - prevention & control Hazelnuts Health care facilities Humans Hypersensitivity, Immediate - diagnosis Hypersensitivity, Immediate - prevention & control immunoglobulin E Immunoglobulin E - blood Immunoglobulin E - immunology Immunopathology Infant Internal Medicine Male Medical sciences Medicine Medicine & Public Health Metabolic Diseases Nutrition Assessment original-article Patients Peanuts Placebos Prevention Public Health Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) |
| title | Dietary assessment in children adhering to a food allergen avoidance diet for allergy prevention |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-16T05%3A58%3A11IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Dietary%20assessment%20in%20children%20adhering%20to%20a%20food%20allergen%20avoidance%20diet%20for%20allergy%20prevention&rft.jtitle=European%20journal%20of%20clinical%20nutrition&rft.au=Vlieg-Boerstra,%20B.J&rft.date=2006-12-01&rft.volume=60&rft.issue=12&rft.spage=1384&rft.epage=1390&rft.pages=1384-1390&rft.issn=0954-3007&rft.eissn=1476-5640&rft_id=info:doi/10.1038/sj.ejcn.1602468&rft_dat=%3Cgale_proqu%3EA194940518%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=219664884&rft_id=info:pmid/16823406&rft_galeid=A194940518&rfr_iscdi=true |