title: Decrease in serum IgE associated with limited restriction in energy intake to treat toddler's diarrhea.
abstract: Toddler's diarrhea may be an allergic disease and its recurrences can be avoided with education to "internal spontaneity" in feeding, i.e., by education to a limited and reproducible decrease in eating incentives at the onset of meals. Serum IgE was thus investigated in 16 experimental children in a random comparison with 16 controls, all aged 1 to 4 years, before and after seven months' dietary treatment. Compliance was measured with a seven-day written diary, while serum IgE was measured by PRIST, before and after dietary treatment. A 21% decrease in energy intake (p less than 0.05) and about five times increase in fruit and nonstarchy vegetable intake amount was seen in treated children. A decrease in serum IgE level of 13.9 +/- 43.5 U/ml was found in the "internal spontaneity" group, as opposed to an increase of 33.2 +/- 50.5 U/ml in the control one (p less than 0.01). The differences between examinations were significantly correlated to the increase in NSV acceptance in all children plotted together (r = .51, p less than 0.005). The overall NSV effect on the changes of the 2 muscle areas, 2 symptoms, and 2 percent growth, 15 nutritional, 5 immune and 3 hepatic indices was significant with MANOVA (p less than 0.01). The education to "internal spontaneity" may be a useful tool for prevention of overeating, diarrhea recurrences and IgE increase in the second/third year of life.
authors.affiliation: Dipartimento di Pediatria, Universitá di Firenze, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Ciampolini
authors.forename: P
authors.initials: P
authors.lastname: Becherucci
authors.forename: A
authors.initials: A
authors.lastname: Giommi
authors.forename: D
authors.initials: D
authors.lastname: Vicarelli
authors.forename: S
authors.initials: S
authors.lastname: Seminara
authors.forename: S
authors.initials: S
authors.lastname: Bini
authors.forename: G
authors.initials: G
authors.lastname: Grifi
mesh_terms: D001066:Appetite / Q000502:physiology; D002675:Child, Preschool; D003967:Diarrhea / Q000178:diet therapy* / Q000276:immunology; D002149:Energy Intake / Q000502:physiology; D004734:Energy Metabolism / Q000502:physiology*; D005247:Feeding Behavior / Q000502:physiology; D005512:Food Hypersensitivity / Q000178:diet therapy* / Q000276:immunology; D006801:Humans; D006815:Hunger / Q000502:physiology; D007073:Immunoglobulin E / Q000378:metabolism*; D007223:Infant; D014675:Vegetables
chemical_list: D007073:Immunoglobulin E