The problems of long-term adherence to elimination diets in children with food allergies

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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, 119991

Svetlana 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; Moscow

Andrei 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, 119991

Nikolay 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; Moscow

Albina 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, 119991

Oksana 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, 119991

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