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Growth and nutritional concerns in children with food allergy

Mehta, Harshna; Groetch, Marion; Wang, Julie

Current Opinion in Allergy and Clinical Immunology: June 2013 - Volume 13 - Issue 3 - p 275–279
doi: 10.1097/ACI.0b013e328360949d
FOOD ALLERGY: Edited by Alessandro Fiocchi and Julie Wang

Purpose of review To describe the potential effect that avoidance diets for food allergy may have on nutrition and growth in children.

Recent findings We report here the findings from the previous studies suggesting impairment of growth and nutritional deficiencies because of elimination diets for food allergy. Feeding difficulties have also been reported, particularly in children with eosinophilic esophagitis that may further impact the nutrient intake.

Summary Food allergies are becoming more prevalent and better recognized. Treatment options typically include strict dietary elimination of major food allergens such as milk, eggs, wheat, soy, peanut, tree nuts, fish and shellfish. Monitoring growth and guiding food allergic patients in choosing appropriate alternatives to supply necessary nutrients becomes crucial to avoid deficiencies and retardation in growth.

Division of Allergy and Immunology, Department of Pediatrics, Elliot and Roslyn Jaffe Food Allergy Institute, Mount Sinai School of Medicine, New York, New York, USA

Correspondence to Harshna Mehta, MD, One Gustave L. Levy Place, Box 1198, New York, NY 10029, USA. Tel: +1 212 241 5548; fax: +1 212 426 1902; e-mail:

Copyright © 2013 Wolters Kluwer Health, Inc. All rights reserved.