The problems of long-term adherence to elimination diets in children with food allergies
- Authors: Emelyashenkov E.E.1, Makarova S.G.1,2, Fisenko A.P.1, Murashkin N.N.1,3,4, Galimova A.A.1, Ereshko O.A.1
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Affiliations:
- National Medical Research Center for Children’s Health
- Lomonosov Moscow State University
- First Sechenov Moscow State Medical University (Sechenov University)
- Central State Medical Academy of Department of Presidential Affairs
- Issue: Vol 19, No 2 (2022)
- Pages: 222-233
- Section: Reviews
- URL: https://rusalljournal.ru/raj/article/view/1515
- DOI: https://doi.org/10.36691/RJA1515
- ID: 1515
Cite item
Abstract
In recent years, the challenge of the control and maintenance of nutritional status in patients on an elimination diet for food allergies has got a lot of attention. Due to the possibility of long-term elimination of important food groups without adequate replacement, the high efficiency of this treatment method has been linked with the risk of nutritional deficiency, impaired physical growth, and eating behavior disorders in children. This review takes into account physical growth disorders in children with food allergies due to insufficient intake of micronutrients (vitamins, fatty acids), as well as such behavioral disorders as a distortion of food and taste preferences and food neophobia. We also discuss the problems of artificial mixture choice in children who are in their first year of life, correction of the diet in children over one year of age with micronutrient supplementation, as well as the results of studies on the quality of life of both children with elimination diets and people from their families.
When prescribing an elimination diet, the doctor must constantly monitor the diet and growth indices of the child. It is necessary to take to into account the child’s age, his nutritional requirements, and possible deficiencies of nutrients while planning the diet, as well as determine the necessary and sufficient diet duration.
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About the authors
Evgeny E. Emelyashenkov
National Medical Research Center for Children’s Health
Author for correspondence.
Email: dkswdsman@mail.ru
ORCID iD: 0000-0002-0995-4260
SPIN-code: 7018-6434
Graduate Student
Russian Federation, 2, b. 1, Lomonosovsky prospekt, Moscow, 119991Svetlana G. Makarova
National Medical Research Center for Children’s Health; Lomonosov Moscow State University
Email: sm27@yandex.ru
ORCID iD: 0000-0002-3056-403X
SPIN-code: 2094-2840
MD, Dr. Sci. (Med.), Professor
Russian Federation, 2, b. 1, Lomonosovsky prospekt, Moscow, 119991; MoscowAndrei P. Fisenko
National Medical Research Center for Children’s Health
Email: fisenko.ap@nczd.ru
ORCID iD: 0000-0001-8586-7946
SPIN-code: 4397-6291
MD, Dr. Sci. (Med.), Professor
Russian Federation, 2, b. 1, Lomonosovsky prospekt, Moscow, 119991Nikolay N. Murashkin
National Medical Research Center for Children’s Health; First Sechenov Moscow State Medical University (Sechenov University); Central State Medical Academy of Department of Presidential Affairs
Email: murashkin.nn@nczd.ru
ORCID iD: 0000-0003-2252-8570
SPIN-code: 5906-9724
MD, Dr. Sci. (Med.), Professor
Russian Federation, 2, b. 1, Lomonosovsky prospekt, Moscow, 119991; Moscow; MoscowAlbina A. Galimova
National Medical Research Center for Children’s Health
Email: albina86@yandex.ru
ORCID iD: 0000-0002-6701-3872
SPIN-code: 2960-6185
MD, Junior Research Associate
Russian Federation, 2, b. 1, Lomonosovsky prospekt, Moscow, 119991Oksana A. Ereshko
National Medical Research Center for Children’s Health
Email: ereshko.oa@nczd.ru
ORCID iD: 0000-0002-1650-652X
SPIN-code: 3893-9946
MD, Cand. Sci. (Med.)
Russian Federation, 2, b. 1, Lomonosovsky prospekt, Moscow, 119991References
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