Nutritional and Psychosocial Impact of Food Allergy in Pediatric Age

Author:

Pecoraro Luca1ORCID,Mastrorilli Carla2,Arasi Stefania3ORCID,Barni Simona4ORCID,Caimmi Davide56,Chiera Fernanda7ORCID,Dinardo Giulio8ORCID,Gracci Serena9ORCID,Miraglia Del Giudice Michele8ORCID,Bernardini Roberto9,Giannetti Arianna10ORCID

Affiliation:

1. Pediatric Unit, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, 37126 Verona, Italy

2. Department of Pediatrics, University Hospital Consortium Corporation Polyclinic of Bari, Pediatric Hospital Giovanni XXIII, 70124 Bari, Italy

3. Area of Translational Research in Pediatric Specialities, Allergy Unit, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, Italy

4. Allergic Unit, Department of Pediatric, Meyer Children’s Hospital, 50139 Florence, Italy

5. Allergy Unit, CHU de Montpellier, Université de Montpellier, 34295 Montpellier, France

6. IDESP, UMR A11, Université de Montpellier, 34093 Montpellier, France

7. Department of Pediatrics, San Giovanni di Dio Hospital, 88900 Crotone, Italy

8. Department of Woman, Child and General and Specialized Surgery, University of Campania ‘Luigi Vanvitelli’, 80133 Naples, Italy

9. Pediatrics and Neonatology Unit, Maternal and Child Department, San Giuseppe Hospital, Azienda USL Toscana Centro, 50053 Empoli, Italy

10. Pediatric Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy

Abstract

Treatment of IgE-mediated food allergy involves avoiding the food causing the allergic reaction. In association, an action plan for allergic reactions is indicated, sometimes including self-injectable adrenaline. In addition to these dietary and medical implications, there are two equally important ones: nutritional and psychosocial. From a nutritional point of view, it is known that children suffering from food allergy have a growth delay in height and weight compared to their non-allergic peers. Specifically, this condition is directly related to the specific food excluded from the diet, the number of foods excluded and the duration of the elimination diet. From a psychosocial point of view, the child often cannot eat the foods other guests eat. Children with food allergy may perceive an aura of parental anxiety around their mealtime and may be afraid that what they eat could have harmful consequences for their health. Furthermore, children’s and their parents’ quality of life appears to be affected. The need to manage the allergy and the nutritional and psychosocial problems positions the pediatric nutritionist and the child neuropsychiatrist as support figures for the pediatric allergist in managing the child with food allergy.

Publisher

MDPI AG

Reference78 articles.

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