title: The ins and outs of managing avoidance diets for food allergies.
abstract: Food allergic reactions have become more prevalent and management of food allergies requires dietary avoidance of triggers that may place children at nutritional risk.
  
  
  
  Immunoglobulin E and non-immunoglobulin E-mediated food allergies lead to dietary avoidance. Although some children outgrow food allergies or become tolerant to cooked/baked versions of the allergen, many do not. Multiple food avoidance increases the risk for inadequate nutrient intake, including protein, calcium, vitamin D, and others. Multidisciplinary management of patients requires careful attention to growth, particularly height, and nutrition.
  
  
  
  Although attention to accurate diagnosis of food allergy is key, understanding nutritional risks of children with food allergies can lead to opportunities to address potential deficiencies resulting from food allergen avoidance.
authors.affiliation: aDepartment of Pediatrics, Section of Allergy, Asthma, and Immunology, Children's Hospital at Dartmouth, Lebanon, New HampshirebCincinnati Children's Hospital Medical Center and the Cincinnati Center for Eosinophilic Disorders, Cincinnati, Ohio, USA.
authors.forename: Marcus
authors.initials: M
authors.lastname: Shaker
authors.forename: Carina
authors.initials: C
authors.lastname: Venter
mesh_terms: D002648:Child; D002664:Child Nutritional Physiological Phenomena; D002149:Energy Intake / Q000502:physiology; D005247:Feeding Behavior; D005512:Food Hypersensitivity / Q000150:complications / Q000178:diet therapy*; D006130:Growth Disorders / Q000150:complications / Q000517:prevention & control*; D006801:Humans; D007073:Immunoglobulin E / Q000276:immunology; D033183:Interdisciplinary Communication; D044342:Malnutrition / Q000150:complications / Q000517:prevention & control*; D015596:Nutrition Assessment; D009751:Nutritional Requirements; D009752:Nutritional Status; D010353:Patient Education as Topic; D017410:Practice Guidelines as Topic; D018570:Risk Assessment; D014807:Vitamin D; D014815:Vitamins
chemical_list: D014815:Vitamins; D014807:Vitamin D; D007073:Immunoglobulin E