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J Pediatr. 1998 Jun;132(6):1004-9.

Elimination diet in cow's milk allergy: risk for impaired growth in young children.

Author information

1
Department of Pediatrics, University of Turku and Medical School, University of Tampere, Finland.

Abstract

OBJECTIVE:

The objective of this study was to evaluate the nutritional impact of therapeutic elimination diets and to identify risk factors predisposing infants with food allergy to poor growth.

STUDY DESIGN:

We studied 100 children (mean age 7 months) with atopic dermatitis and challenge-proven cow's milk allergy and evaluated their growth during the symptomatic period before diagnosis and during the therapeutic elimination diet.

RESULTS:

Clinical control of symptoms was achieved in all patients. The mean length SD score and weight-for-length index of patients decreased compared with those in healthy age-matched children, p < 0.0001 and p = 0.03, respectively. Low serum albumin was present in 6% of the patients, 24% had an abnormal urea concentration, and 8% had a low serum phospholipid docosahexaenoic acid. The delay in growth was more pronounced in a subgroup of patients with early onset than in those with later of symptoms (F = 6.665, p < 0.0001). The duration of breast-feeding correlated positively with the sum of n-3 polyunsaturated fatty acids (r = 0.39, p = 0.001) and with the relative amount of docosahexaenoic acid (r = 0.36, p = 0.002).

CONCLUSION:

A delicate balance exists between the benefits and the risks of elimination diets.

PMID:
9627594
DOI:
10.1016/s0022-3476(98)70399-3
[Indexed for MEDLINE]

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