Clinical and nutritional characteristics of children with food allergy attended on an ambulatory basis.

Authors

  • TATIANE PONTES SILVA
  • Ana Clara Lacerda Lacerda Cervantes de Carvalho Nutricionista
  • ANDERSON LIBERATO DE SOUZA
  • SHAIANE CAETANO CHAGAS
  • LETYCIA PARAISO BRANDÃO DE MIRANDA
  • GABRIELA FERREIRA ARAÚJO DO NASCIMENTO
  • REBECCA PEIXOTO PAES SILVA
  • ISIS SUARUAGY CORREIA MOURA

DOI:

https://doi.org/10.12873/442pontes

Keywords:

Hipersensibilidade Alimentar, Pediatria, Estado Nutricional

Abstract

Introduction: Food allergy is characterized as an abnormal immunological response to a food protein, causing clinical reactions to be triggered each time after ingestion of a food, regardless of the quantity consumed. Clinical manifestations usually appear in the first year of life, decreasing after the third, therefore, as it is the basis of nutritional treatment, the exclusion of food is fundamental, however, in the long term it can trigger problems in the children’s nutritional status. 

Objective: Analyze the clinical-nutritional profile of children with food allergies treated on an outpatient basis. 

Method: This is a descriptive cross-sectional study, carried out at the Food Allergy outpatient clinic of the Hospital das Clínicas de Pernambuco. Children of both sexes participated in the study, who are part of the food allergy outpatient care protocols, excluding children diagnosed with inflammatory bowel diseases, autoimmune diseases and celiac disease. Data were collected from information in medical records and interviews with the person responsible using a semi-structured form to record clinical, sociodemographic, anthropometric and nutritional data. 

Results: Forty-nine predominantly male children born by cesarean section (77.6%) were evaluated. Regarding aspects related to allergy, the majority of children had one of their parents with a history of allergy (81.6%) and the most common allergic food was cow’s milk (59.2%). All of them used breast milk, with 51% having exclusive breastfeeding for less than six months and 85.7% using infant formula, with 71.4% having this introduction before six months. 

Conclusion: It was observed that children with food allergies had a higher prevalence of allergies to cow’s milk and eggs, the majority were born by cesarean section, had parents with a history of allergies and the early introduction of infant formulas.

References

REYES-PAVÓN, Diana; JIMÉNEZ, Mariela; SALINAS, Eva. Fisiopatología de la alergia alimentaria. Revista Alergia México, v. 67, n. 1, p. 34, 17 jan. 2020.

ORIEL, Roxanne Carbonell; WANG, Julie. Diagnosis and Management of Food Allergy. Pediatric Clinics of North America, v. 66, n. 5, p. 941-954, out. 2019.

ORIEL, Roxanne Carbonell; WANG, Julie. Diagnosis and Management of Food Allergy. Immunology and Allergy Clinics of North America, v. 41, n. 4, p. 571-585, nov. 2021.

Senna SN, Scalco MF, Azalim SP, Guimaraes LL, Filho WR. Achados epidemiológicos de alergia alimentar em crianças brasileiras: análise de 234 testes de provocação duplo- cego placebo-controlado (TPDCPCs). Arq Asma Alerg Imunol. 2018;2(3):344-350.

DE FILIPPIS, Francesca et al. Specific gut microbiome signatures and the associated pro-inflamatory functions are linked to pediatric allergy and acquisition of immune tolerance. Nature Communications, v. 12, n. 1, 13 out. 2021.

SUR, Lucia M. et al. Food Allergy a Constant Concern to the Medical World and Healthcare Providers: Practical Aspects. Life, v. 11, n. 11, p. 1204, 8 nov. 2021.

PARRISH, Christopher P.; KIM, Edwin H.; BIRD, J. Andrew. Interventional Therapies for the Treatment of Food Allergy. Immunology and Allergy Clinics of North America, v. 38, n. 1, p. 77-88, fev. 2018.

CORICA, Domenico et al. Nutrition and Avoidance Diets in Children With Food Allergy. Frontiers in Pediatrics, v. 8, 4 set. 2020.

WORLD HEALTH ORGANIZATION (WHO). Child Growth Standards: Methods and development. Length/height-for-age, weight-for-age, weight-for-length, weight-for- height and body mass index-for-age. Geneva, Switzerland: World Health Organization; 2006.

CHING-WEI, Lin et al. Prenatal and perinatal risk factors of food allergy in Taiwanese young children. World Allergy Organization Journal, v. 15, n. 7, p. 100663, jul. 2022.

SUR, Lucia M. et al. Food Allergy a Constant Concern to the Medical World and Healthcare Providers: Practical Aspects. Life, v. 11, n. 11, p. 1204, 8 nov. 2021c.

Departamento de Análise de Saúde e Vigilância de Doenças Não Transmissíveis. Painel de Monitoramento de Nascidos Vivos [internet]. Brasil: Secretaria de Vigilância em Saúde [Accessed October 10, 2021]. Available at http://svs.aids.gov.br/dantps/centrais- de-conteudos/paineis-de-monitoramento/natalidade/nascidos-vivos/.

Yang M, Tan M, Wu J, Chen Z, Long X, Zeng Y, et al. Prevalence, Characteristics, and Outcome of Cow's Milk Protein Allergy in Chinese Infants: A Population-Based Survey. JPEN J Parenter Enteral Nutr. 2019;43(6):803-808.

Milena Sampaio da Silva, Ketelen et al. ALERGIAS ALIMENTARES DURANTE A INFÂNCIA: FATORES QUE INTERFEREM NO SEU DESENVOLVIMENTO. Anais do EVINCI - UniBrasil, v. 6, n. 1, 2020.

Matsumoto N, Yorifuji T, Nakamura K, Ikeda M, Tsukahara H, Doi H. Breastfeeding and risk of food allergy: A nationwide birth cohort in Japan. Allergology International. 2020;69:91-97

Urashima M, Mezawa H, Okuyama M, Urashima T, Hirano D, Gocho N, et al. Primary Prevention of Cow's Milk Sensitization and Food Allergy by Avoiding Supplementation With Cow's Milk Formula at Birth: A Randomized Clinical Trial. JAMA Pediatr. 2019;173(12):1137-1145.

Almutairi AM, Aldayel AA, Aldayel AS, Alhussain HA, Alwehaibi SA, Almutairi TA. Maternal awareness to the timing of allergenic food introduction in Saudi infants: A cross-sectional study. Int J Pediatr Adolesc Med. 2021;8(4):239-245.

Meyer R, Wright K, Vieira MC, Chong KW, Chatchatee P, Vlieg-Boerstra BJ, et al. International survey on growth indices and impacting factors in children with food allergies. J Hum Nutr Diet. 2019;32(2):175-184.

Chong KW, Wright K, Goh A, Meyer R, Rao R. Growth of children with food allergies in Singapore. Asia Pac Allergy. 2018;8(4):34.

Venkataraman D, Erlewyn-Lajeunesse M, Kurukulaaratchy RJ, Potter S, Roberts G, Matthews S, et al. Prevalence and longitudinal trends of food allergy during childhood and adolescence: Results of the Isle of Wight Birth Cohort study. Clin Exp Allergy. 2018;48(4):394-402.

Luz e Silva AM, Sobral da Silva Monteiro G, Nunes da Silva Tavares A, Rieiro da Silva Pedrosa, ZV. La introducción alimentaria precoz y el riesgo de alergias: Revisión de la literatura. Enfermería Global.[Internet] 2019;18(2) 470–511.

ROMERO-VELARDE, Enrique; CARO-SABIDO, Érika; FLORES-LIMÓN, Verónica Alejandra. Introducción temprana de alimentos potencialmente alergénicos en pacientes pediátricos menores de seis meses de edad. Revista Alergia México, v. 69, n. 4, p. 183-194, 19 abr. 2023.

de Silva D, Halken S, Singh C, Muraro A, Angier E, Arasi S, et al. Prevenção de alergia alimentar na infância: revisão sistemática de ensaios clínicos randomizados. Pediatr Allergy Immunol. 2020;31(7):813-826.

Al-Saud B, Sigurdardóttir ST. Early Introduction of Egg and the Development of Egg Allergy in Children: A Systematic Review and Meta-Analysis. Int Arch Allergy Immunol. 2018;177(4):350-359.

Boaventura RM, Mendonça RB, Fonseca FA, Mallozi M, Souza FS, Sarni ROS. Nutritional status and food intake of children with cow's milk allergy. Allergol Immunopathol (Madr). 2019;47(6):544-550.

LUZ E SILVA, Amanda Maria et al. The early food introduction and the risk of allergies: A review of the literature. Enfermería Global, v. 18, n. 2, p. 470-511, 4 mar. 2019.

AUGUSTO, Érika Ozela et al. Complementary feeding and nutritional status of infants on cow’s milk proteins elimination diet. Revista Paulista de Pediatria, v. 40, 2022.

BOAVENTURA, R. M. et al. Nutritional status and food intake of children with cow's milk allergy. Allergologia et Immunopathologia, v. 47, n. 6, p. 544-550, nov. 2019b.

Published

2024-05-25

How to Cite

TATIANE PONTES SILVA, Lacerda Cervantes de Carvalho, A. C. L., ANDERSON LIBERATO DE SOUZA, SHAIANE CAETANO CHAGAS, LETYCIA PARAISO BRANDÃO DE MIRANDA, GABRIELA FERREIRA ARAÚJO DO NASCIMENTO, … ISIS SUARUAGY CORREIA MOURA. (2024). Clinical and nutritional characteristics of children with food allergy attended on an ambulatory basis. Nutrición Clínica Y Dietética Hospitalaria, 44(2). https://doi.org/10.12873/442pontes

Issue

Section

Research articles

Categories

Most read articles by the same author(s)