title: The effects of dietary counseling on children with food allergy: a prospective, multicenter intervention study.
abstract: Although dietary counseling is generally recommended in children with food allergy (FA), its effect on the nutritional status of these patients has not yet been evaluated. Our nonrandomized multicenter prospective intervention study was undertaken to investigate the effects of dietary counseling on children with FA. Anthropometric data, dietary intakes, and laboratory biomarkers of nutritional status were evaluated in children with FA (aged 6 to 36 months) before and after dietary counseling, by multidisciplinary teams composed of pediatricians, dietitians, and nurses. Ninety-one children with FA (49 boys and 42 girls; mean age 18.9 months, 95% CI 16.5 to 21.3) were evaluated; 66 children without FA (41 boys and 25 girls; mean age 20.3 months, 95% CI 17.7 to 22.8) served as controls providing baseline values only. At enrollment, energy and protein intakes were lower in children with FA (91 kcal/kg/day, interquartile range [IQR]=15.1, minimum=55.2, maximum=130.6; and 2.2 g/kg/day, IQR=0.5, minimum=1.5, maximum=2.7, respectively) than in children without FA (96 kcal/kg/day, IQR=6.1, minimum=83.6, maximum=118.0; and 4.6 g/kg/day, IQR=1.2, minimum=2.0, maximum=6.1, respectively; P<0.001). A weight to length ratio <2 standard deviations was more frequent in children with FA than in children without FA (21% vs 3%; P<0.001). At 6 months following dietary counseling, the total energy intake of children with FA was similar to the baseline values of control children. Dietary counseling also resulted in a significant improvement of their anthropometric and laboratory biomarkers of nutritional status. The results of our study support the crucial role of dietary counseling in the clinical management of children with FA.
authors.forename: Roberto
authors.initials: R
authors.lastname: Berni Canani
authors.forename: Ludovica
authors.initials: L
authors.lastname: Leone
authors.forename: Enza
authors.initials: E
authors.lastname: D'Auria
authors.forename: Enrica
authors.initials: E
authors.lastname: Riva
authors.forename: Rita
authors.initials: R
authors.lastname: Nocerino
authors.forename: Serena
authors.initials: S
authors.lastname: Ruotolo
authors.forename: Gianluca
authors.initials: G
authors.lastname: Terrin
authors.forename: Linda
authors.initials: L
authors.lastname: Cosenza
authors.forename: Margherita
authors.initials: M
authors.lastname: Di Costanzo
authors.forename: Annalisa
authors.initials: A
authors.lastname: Passariello
authors.forename: Anna
authors.initials: A
authors.lastname: Coruzzo
authors.forename: Carlo
authors.initials: C
authors.lastname: Agostoni
authors.forename: Marcello
authors.initials: M
authors.lastname: Giovannini
authors.forename: Riccardo
authors.initials: R
authors.lastname: Troncone
mesh_terms: D001835:Body Weight; D002675:Child, Preschool; D003376:Counseling; D004046:Dietetics / Q000379:methods*; D002149:Energy Intake; D005260:Female; D005512:Food Hypersensitivity / Q000178:diet therapy*; D006801:Humans; D007223:Infant; D008297:Male; D015596:Nutrition Assessment; D009752:Nutritional Status; D011446:Prospective Studies
keywords: Cow's milk allergy; Dietitian; Elimination diet; Fatty acids; Nutritional status