Feeding difficulties in patients with food allergy in pediatric gastroenterology

Main Article Content

Silvana Dadán
Wilson Daza
Michelle Higuera Carrillo

Abstract

Introduction: Food allergy is an abnormal immune response to a food antigen, in which patients may have eating disorders secondary to the immune response. Objectives: To describe feeding difficulties in patients with food allergy in a gastroenterology and nutrition center in Colombia. Methods: Retrospective study. Patients from 0 to 18 years old with a diagnosis of food allergy in the period 2013 to 2015 were included. To compare the variables of interest, the Fischer test was used. Results: A total of 644 patients were included, 109 (16.92 %) with food allergy. 40 cases (36.69 %) had some feeding difficulties and the most frequent manifestation was altered appetite. Feeding difficulties occurred in 62.5 % of patients with food allergy mediated by a mixed mechanism (p <0.009). Eosinophilic esophagitis (37.5 %) was the most frequent clinical expression, and selective appetite was the most common symptom. In patients with food allergy without feeding difficulties, the Immunoglobulin E mediated was proportionally higher (52.17 %). feeding difficulties were found more frequently in males (55 %) and infants (77.5 %), with a mean age of 13.3 months. More than half of the patients with food allergy and feeding difficulties presented normal nutritional status (55 %). Prior hospitalization (52.5 %), nasogastric or orogastric feeding (15 %), and history of prematurity (5 %) were essential antecedents for feeding difficulties. Conclusions: Feeding difficulties seems to occur more frequently in food allergy of mixed mechanism, mainly with eosinophilic esophagitis. In patients with food allergy, feeding difficulties can guide the doctor and nutritionist about the need to start interdisciplinary and preventive management to avoid or minimize feeding difficulties and its impacts.

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How to Cite
Dadán, S. ., Daza, W. ., & Higuera Carrillo, M. . (2022). Feeding difficulties in patients with food allergy in pediatric gastroenterology. Pediatría, 55(1), 11–17. https://doi.org/10.14295/rp.v55i1.306
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Originals

References

Keet CA, Savage JH, Seopaul S, Peng RD, Wood RA, Matsui EC. Temporal trends and racial/ethnic disparity in self-reported pediatric food allergy in the United States. Ann Allergy Asthma Immunol. 2014;112(3):222-229. DOI: https://doi.org/10.1016/j.anai.2013.12.007

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 GI Committee practical guidelines. J Pediatr Gastroenterol Nutr. 2012;55(2):221-229. DOI: https://doi.org/10.1097/MPG.0b013e31825c9482

Fiocchi A, Brozek J, Schünemann H, Bahna SL, von Berg A, Beyer K, et al. World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow’s Milk Allergy (DRACMA) Guidelines. Pediatr Allergy Immunol. 2010;21 Suppl 21:1-125. DOI: https://doi.org/10.1111/j.1399-3038.2010.01068.x

Sicherer SH, Sampson HA. Food allergy: Epidemiology, pathogenesis, diagnosis, and treatment. J Allergy Clin Immunol. 2014;133(2):291-307. DOI: https://doi.org/10.1016/j.jaci.2013.11.020

Daza W, Dadán S, Higuera M. Perfil de las enfermedades gastrointestinales en un centro de gastroenterología pediátrica en Colombia: 15 años de seguimiento. Biomédica. 2017;37(3).

Daza W, Dadán S, Rojas A. Alergia alimentaria en la infancia. Programa de Educación Continuada (Precop), Sociedad Colombiana de Pediatría. 2014;13(3): 49-58.

Nocerino R, Pezzella V, Cosenza L, Amoroso A, Di Scala C, et al The controversial role of food allergy in infantile colic: evidence and clinical management. Nutrients. 2015;7(3):2015-2025. DOI: https://doi.org/10.3390/nu7032015

American Psychiatric Association. DSM-5. Manual diagnóstico y estadístico de los trastornos mentales. 2014. Editorial Médica Panamericana.

Kerzner B, Milano K, MacLean WC, Berall G, Stuart S, Chatoor I. A Practical Approach to Classifying and Managing Feeding Difficulties. Pediatrics. 2015;135(2):344-353. DOI: https://doi.org/10.1542/peds.2014-1630

Shanahan, L; Zucker, N; Copelan, W; Costello, E; Angold, A. Are children and adolescents with food allergies at increased risk for psychopathology? Journal of Psychosomatic Research 2014; 77:468–473. DOI: https://doi.org/10.1016/j.jpsychores.2014.10.005

Meyer R, Rommel N, Van Oudenhove L, Fleming C, Dziubak R, Shah N.J Feeding difficulties in children with food protein-induced gastrointestinal allergies. Gastroenterol Hepatol. 2014;29(10):1764-1769. DOI: https://doi.org/10.1111/jgh.12593

Herbert LJ, Mehta P, Sharma H. Mealtime behavior among parents and their young children with food allergy. Ann Allergy Asthma Immunol. 2017;118(3):345-350. DOI: https://doi.org/10.1016/j.anai.2016.12.002

Wright CM, Parkinson KN, Shipton D, Drewett RF. How do toddler eating problems relate to their eating behavior, food preference and growth? Pediatrics 2007;120: 1069–1075. DOI: https://doi.org/10.1542/peds.2006-2961

Harris RF, Menard-Katcher C, Atkins D, Furuta GT, Klinnert MD. Psychosocial dysfunction in children and adolescents with eosinophilic esophagitis. J Pediatr Gastroenterol Nutr. 2013;57(4):500-505. DOI: https://doi.org/10.1097/MPG.0b013e31829ce5ad

Wu YP, Franciosi JP, Rothenberg ME, Hommel KA. Behavioral feeding problems and parenting stress in eosinophilic gastrointestinal disorders in children. Pediatr. Allergy Immunol. 2012;23: 730–735. DOI: https://doi.org/10.1111/j.1399-3038.2012.01340.x

Moneret-Vautrin D, Morisset M, Sans O. Troubles des conduites alimentaires et allergies alimentaires. Psychological aspects of eating disorders in food allergy. Rev Fr Allergol. 2008; 48:498–501 DOI: https://doi.org/10.1016/j.allerg.2008.06.006

Meyer R, De Koker C, Dziubak R, Venter C, Dominguez-Ortega G, Cutts R, Yerlett N, Skrapak AK, Fox AT, Shah N. Malnutrition in children with food allergies in the UK. J Hum Nutr Diet. 2014; 27(3):227-235. DOI: https://doi.org/10.1111/jhn.12149

Holzer P, Farzi A. Neuropeptides and the microbiota-gut-brain axis. Adv Exp Med Biol. 2014; 817:195-219. DOI: https://doi.org/10.1007/978-1-4939-0897-4_9

Mukkada VA, Haas A, Maune NC, Capocelli KE, Henry M, Gilman N, Petersburg S, Moore W, Lovell MA, Fleischer DM, Furuta GT, Atkins D. Feeding dysfunction in children with eosinophilic gastrointestinal diseases. Pediatrics. 2010;126(3): e672-677. DOI: https://doi.org/10.1542/peds.2009-2227

Rigal N, Chabanet C, Issanchou S, Monnery-Patris S. Links between maternal feeding practices and children's eating difficulties. Validation of French tools. Appetite. 2012 Apr;58(2):629-537. DOI: https://doi.org/10.1016/j.appet.2011.12.016

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