Effect of early childhood cow's milk elimination diet on eating behaviours, nutrition and growth status at age 2–6 years
Journal of Human Nutrition and Dietetics, cilt.35, sa.2, ss.300-309, 2022 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 35 Sayı: 2
- Basım Tarihi: 2022
- Doi Numarası: 10.1111/jhn.12914
- Dergi Adı: Journal of Human Nutrition and Dietetics
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, CAB Abstracts, CINAHL, EMBASE, Food Science & Technology Abstracts, MEDLINE, Public Affairs Index, SportDiscus, Veterinary Science Database
- Sayfa Sayıları: ss.300-309
- Anahtar Kelimeler: cow's milk protein allergy, children's eating behaviour questionnaire, elimination diet
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: The present study aimed to investigate the eating behaviour, nutritional status and growth of Caucasian children in ages 2–6 years who had a diet because of cow's milk protein allergy (CMA) [immunoglobulin (Ig)E-mediated and/or non-IgE-mediated] in early childhood. Methods: In this cross-sectional, case–control study, the cow's milk elimination (CME) group comprised children aged 0–2 years who were receiving a CME diet because of CMA, as confirmed by an oral food challenge test, and had reintroduced cow's milk for at least ≥ 3 months. The control group never had a restricted diet. Eating behaviour and children's growth was assessed. A 3-day food record was taken to determine the macronutrient and micronutrient intake of the children. Data on the children's socio-demographic, infant nutrition and family allergy history were collected from their medical records and face-to-face interviews with mothers. Results: In total, 62 children with a median age of 32 months were recruited for the study. The total scores of food avoidance and satiety responsiveness in the CME group (n:31) were higher than in the controls (n = 31) (p = 0.036 and 0.006, respectively). Weight-for-age and height-for-age are statistically lower in the CME group than in the control group (p < 0.001). A significant difference between groups in terms of dairy intake was recorded (p = 0.011). In the CME group, the current frequency of adequate energy, vitamin B1, folic acid, vitamin C and calcium intake was significantly lower than in the control group (p < 0.05). Conclusions: Dietary interventions because of CMA at age 0–2 years can affect children's nutritional habits and parental-reported assessment of children's eating behaviours, resulting in growth restriction with insufficient micro/macronutrients and/or dairy products at the age of 2–6 years.