The Impact of Dietary Counseling on the Nutritional Status of Pediatric Patients with Non-IgE-Mediated Gastrointestinal Food Allergies: A Non-Randomized, Prospective Intervention Study.
| Title: | The Impact of Dietary Counseling on the Nutritional Status of Pediatric Patients with Non-IgE-Mediated Gastrointestinal Food Allergies: A Non-Randomized, Prospective Intervention Study. |
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| Authors: | Coppola, Serena, Carucci, Laura, Agizza, Alessandra, Nocerino, Rita, Carandente, Rosilenia, Catalano, Maria Francesca, Berni Canani, Roberto |
| Source: | Nutrients; Mar2025, Vol. 17 Issue 6, p1080, 13p |
| Abstract: | Background/Objectives: Pediatric patients with non-IgE-mediated gastrointestinal food allergies (non-IgE-GIFAs) may experience alterations of nutritional status. This non-randomized, prospective intervention study investigated the impact of dietary counseling on nutritional status in pediatric patients with non-IgE-GIFAs. Methods: Patients of both sexes aged 0–14 years newly diagnosed with non-IgE-GIFAs received dietary counseling provided by certified pediatric dietitians immediately after diagnosis. Nutritional status parameters were assessed to identify nutritional status alterations at baseline and after 12 months of intervention (T12). Results: The study included 100 patients (58% male, mean age 8.5 ± 8.8 months). Non-IgE-GIFAs phenotypes included food protein-induced enteropathy (FPE, 44%), food protein-induced enterocolitis syndrome (FPIES, 11%), food protein-induced allergic proctocolitis (FPIAP, 17%), and food protein-induced motility disorders (FPIMD, 28%). At diagnosis, 1% was affected by obesity (1 FPIAP), 5% were affected by overweight (2 FPE, 1 FPIAP, and 2 FPIMD), 7% were moderately underweight (5 FPE and 2 FPIMD), 1% was severely underweight (1 FPE), 7% were moderately stunted (4 FPE, 1 FPIAP, and 2 FPIMD), 16% were moderately wasted (11 FPE, 1 FPIES, 1 FPIAP, and 3 FPIMD), and 4% were severely wasted (2 FPE and 2 FPIMD). At T12, improvements in anthropometric parameters were observed, along with a reduction in the prevalence of malnutrition by excess (6% at diagnosis vs. 2% at T12) and a reduction in the undernutrition subtypes rate, including underweight, stunting, and wasting (26% at diagnosis vs. 3% at T12, p < 0.001). Conclusions: Non-IgE-GIFAs can negatively impact the nutritional status of pediatric patients. Thus, dietary counseling could be an effective strategy for preventing and managing nutritional alterations in these patients. [ABSTRACT FROM AUTHOR] |
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| Database: | Complementary Index |
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| Items | – Name: Title Label: Title Group: Ti Data: The Impact of Dietary Counseling on the Nutritional Status of Pediatric Patients with Non-IgE-Mediated Gastrointestinal Food Allergies: A Non-Randomized, Prospective Intervention Study. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Coppola%2C+Serena%22">Coppola, Serena</searchLink><br /><searchLink fieldCode="AR" term="%22Carucci%2C+Laura%22">Carucci, Laura</searchLink><br /><searchLink fieldCode="AR" term="%22Agizza%2C+Alessandra%22">Agizza, Alessandra</searchLink><br /><searchLink fieldCode="AR" term="%22Nocerino%2C+Rita%22">Nocerino, Rita</searchLink><br /><searchLink fieldCode="AR" term="%22Carandente%2C+Rosilenia%22">Carandente, Rosilenia</searchLink><br /><searchLink fieldCode="AR" term="%22Catalano%2C+Maria+Francesca%22">Catalano, Maria Francesca</searchLink><br /><searchLink fieldCode="AR" term="%22Berni+Canani%2C+Roberto%22">Berni Canani, Roberto</searchLink> – Name: TitleSource Label: Source Group: Src Data: Nutrients; Mar2025, Vol. 17 Issue 6, p1080, 13p – Name: Abstract Label: Abstract Group: Ab Data: Background/Objectives: Pediatric patients with non-IgE-mediated gastrointestinal food allergies (non-IgE-GIFAs) may experience alterations of nutritional status. This non-randomized, prospective intervention study investigated the impact of dietary counseling on nutritional status in pediatric patients with non-IgE-GIFAs. Methods: Patients of both sexes aged 0–14 years newly diagnosed with non-IgE-GIFAs received dietary counseling provided by certified pediatric dietitians immediately after diagnosis. Nutritional status parameters were assessed to identify nutritional status alterations at baseline and after 12 months of intervention (T12). Results: The study included 100 patients (58% male, mean age 8.5 ± 8.8 months). Non-IgE-GIFAs phenotypes included food protein-induced enteropathy (FPE, 44%), food protein-induced enterocolitis syndrome (FPIES, 11%), food protein-induced allergic proctocolitis (FPIAP, 17%), and food protein-induced motility disorders (FPIMD, 28%). At diagnosis, 1% was affected by obesity (1 FPIAP), 5% were affected by overweight (2 FPE, 1 FPIAP, and 2 FPIMD), 7% were moderately underweight (5 FPE and 2 FPIMD), 1% was severely underweight (1 FPE), 7% were moderately stunted (4 FPE, 1 FPIAP, and 2 FPIMD), 16% were moderately wasted (11 FPE, 1 FPIES, 1 FPIAP, and 3 FPIMD), and 4% were severely wasted (2 FPE and 2 FPIMD). At T12, improvements in anthropometric parameters were observed, along with a reduction in the prevalence of malnutrition by excess (6% at diagnosis vs. 2% at T12) and a reduction in the undernutrition subtypes rate, including underweight, stunting, and wasting (26% at diagnosis vs. 3% at T12, p < 0.001). Conclusions: Non-IgE-GIFAs can negatively impact the nutritional status of pediatric patients. Thus, dietary counseling could be an effective strategy for preventing and managing nutritional alterations in these patients. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Group: Ab Data: <i>Copyright of Nutrients is the property of MDPI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.3390/nu17061080 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 13 StartPage: 1080 Titles: – TitleFull: The Impact of Dietary Counseling on the Nutritional Status of Pediatric Patients with Non-IgE-Mediated Gastrointestinal Food Allergies: A Non-Randomized, Prospective Intervention Study. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Coppola, Serena – PersonEntity: Name: NameFull: Carucci, Laura – PersonEntity: Name: NameFull: Agizza, Alessandra – PersonEntity: Name: NameFull: Nocerino, Rita – PersonEntity: Name: NameFull: Carandente, Rosilenia – PersonEntity: Name: NameFull: Catalano, Maria Francesca – PersonEntity: Name: NameFull: Berni Canani, Roberto IsPartOfRelationships: – BibEntity: Dates: – D: 15 M: 03 Text: Mar2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 20726643 Numbering: – Type: volume Value: 17 – Type: issue Value: 6 Titles: – TitleFull: Nutrients Type: main |
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