A survey on clinical presentation and nutritional status of infants with suspected cow' milk allergy

Detalhes bibliográficos
Autor(a) principal: Vieira, Mario C.
Data de Publicação: 2010
Outros Autores: Morais, Mauro Batista de [UNIFESP], Spolidoro, Jose V. N., Toporovski, Mauro S., Cardoso, Ary L., Araujo, Gabriela T. B., Nudelman, Victor [UNIFESP], Fonseca, Marcelo Cunio Machado [UNIFESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://repositorio.unifesp.br/handle/11600/32481
http://dx.doi.org/10.1186/1471-2431-10-25
Resumo: Background: Cow's milk is the most common food allergen in infants and the diagnosis of cow's milk allergy is difficult, even with the use of several diagnostic tests. Therefore, elimination diets and challenge tests are essential for the diagnosis and treatment of this disorder. the aim of this study is to report the clinical presentation and nutritional status of children evaluated by pediatric gastroenterologists for the assessment of symptoms suggestive of cow's milk allergy.Methods: An observational cross-sectional study was performed among 9,478 patients evaluated by 30 pediatric gastroenterologists for 40 days in 5 different geographical regions in Brazil. Clinical data were collected from patients with symptoms suggestive of cow's milk allergy. the nutritional status of infants (age <= 24 months) seen for the first time was evaluated according to z-scores for weight-for-age, weight-for-height, and height-for-age. Epi-Info (CDC-NCHS, 2000) software was used to calculate z-scores.Results: the prevalence of suspected cow's milk allergy in the study population was 5.4% (513/9,478), and the incidence was 2.2% (211/9,478). Among 159 infants seen at first evaluation, 15.1% presented with a low weight-for-age z score (< -2.0 standard deviation - SD), 8.7% with a low weight-for-height z score (< -2.0 SD), and 23.9% with a low height-for-age z score (< -2.0 SD).Conclusion: the high prevalence of nutritional deficits among infants with symptoms suggestive of cow's milk allergy indicates that effective elimination diets should be prescribed to control allergy symptoms and to prevent or treat malnutrition.
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spelling Vieira, Mario C.Morais, Mauro Batista de [UNIFESP]Spolidoro, Jose V. N.Toporovski, Mauro S.Cardoso, Ary L.Araujo, Gabriela T. B.Nudelman, Victor [UNIFESP]Fonseca, Marcelo Cunio Machado [UNIFESP]Universidade Federal de São Paulo (UNIFESP)Hosp Pequeno PrincipePontificia Univ CatolicaUniversidade de São Paulo (USP)Axia Bio ConsultingHosp Albert Einstein2016-01-24T13:59:36Z2016-01-24T13:59:36Z2010-04-23Bmc Pediatrics. London: Biomed Central Ltd, v. 10, 7 p., 2010.1471-2431http://repositorio.unifesp.br/handle/11600/32481http://dx.doi.org/10.1186/1471-2431-10-25WOS000278231100001.pdf10.1186/1471-2431-10-25WOS:000278231100001Background: Cow's milk is the most common food allergen in infants and the diagnosis of cow's milk allergy is difficult, even with the use of several diagnostic tests. Therefore, elimination diets and challenge tests are essential for the diagnosis and treatment of this disorder. the aim of this study is to report the clinical presentation and nutritional status of children evaluated by pediatric gastroenterologists for the assessment of symptoms suggestive of cow's milk allergy.Methods: An observational cross-sectional study was performed among 9,478 patients evaluated by 30 pediatric gastroenterologists for 40 days in 5 different geographical regions in Brazil. Clinical data were collected from patients with symptoms suggestive of cow's milk allergy. the nutritional status of infants (age <= 24 months) seen for the first time was evaluated according to z-scores for weight-for-age, weight-for-height, and height-for-age. Epi-Info (CDC-NCHS, 2000) software was used to calculate z-scores.Results: the prevalence of suspected cow's milk allergy in the study population was 5.4% (513/9,478), and the incidence was 2.2% (211/9,478). Among 159 infants seen at first evaluation, 15.1% presented with a low weight-for-age z score (< -2.0 standard deviation - SD), 8.7% with a low weight-for-height z score (< -2.0 SD), and 23.9% with a low height-for-age z score (< -2.0 SD).Conclusion: the high prevalence of nutritional deficits among infants with symptoms suggestive of cow's milk allergy indicates that effective elimination diets should be prescribed to control allergy symptoms and to prevent or treat malnutrition.Support Advanced Medical Nutrition DanoneUniversidade Federal de São Paulo, Dept Paediat, BR-04023062 São Paulo, BrazilHosp Pequeno Principe, Ctr Paediat Gastroenterol, BR-80250060 Curitiba, Parana, BrazilPontificia Univ Catolica, Dept Paediat, Sch Med, BR-90610000 Porto Alegre, RS, BrazilSch Med, Dept Paediat, BR-01221020 São Paulo, BrazilUniv São Paulo, Dept Paediat, Inst Crianca, Hosp Clin,Fac Med, BR-05403000 São Paulo, BrazilAxia Bio Consulting, Hlth Econ, BR-04563090 São Paulo, BrazilHosp Albert Einstein, Dept Paediat, BR-05651901 São Paulo, BrazilUniversidade Federal de São Paulo, Dept Paediat, BR-04023062 São Paulo, BrazilWeb of Science7engBiomed Central LtdBmc PediatricsA survey on clinical presentation and nutritional status of infants with suspected cow' milk allergyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALWOS000278231100001.pdfapplication/pdf533227${dspace.ui.url}/bitstream/11600/32481/1/WOS000278231100001.pdfa261821323fe274320aaa5d937168d36MD51open accessTEXTWOS000278231100001.pdf.txtWOS000278231100001.pdf.txtExtracted texttext/plain30422${dspace.ui.url}/bitstream/11600/32481/2/WOS000278231100001.pdf.txtb2054d4c6a129a48fc3945d7996dcb08MD52open access11600/324812023-01-30 22:17:46.03open accessoai:repositorio.unifesp.br:11600/32481Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-05-25T12:44:35.408498Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.en.fl_str_mv A survey on clinical presentation and nutritional status of infants with suspected cow' milk allergy
title A survey on clinical presentation and nutritional status of infants with suspected cow' milk allergy
spellingShingle A survey on clinical presentation and nutritional status of infants with suspected cow' milk allergy
Vieira, Mario C.
title_short A survey on clinical presentation and nutritional status of infants with suspected cow' milk allergy
title_full A survey on clinical presentation and nutritional status of infants with suspected cow' milk allergy
title_fullStr A survey on clinical presentation and nutritional status of infants with suspected cow' milk allergy
title_full_unstemmed A survey on clinical presentation and nutritional status of infants with suspected cow' milk allergy
title_sort A survey on clinical presentation and nutritional status of infants with suspected cow' milk allergy
author Vieira, Mario C.
author_facet Vieira, Mario C.
Morais, Mauro Batista de [UNIFESP]
Spolidoro, Jose V. N.
Toporovski, Mauro S.
Cardoso, Ary L.
Araujo, Gabriela T. B.
Nudelman, Victor [UNIFESP]
Fonseca, Marcelo Cunio Machado [UNIFESP]
author_role author
author2 Morais, Mauro Batista de [UNIFESP]
Spolidoro, Jose V. N.
Toporovski, Mauro S.
Cardoso, Ary L.
Araujo, Gabriela T. B.
Nudelman, Victor [UNIFESP]
Fonseca, Marcelo Cunio Machado [UNIFESP]
author2_role author
author
author
author
author
author
author
dc.contributor.institution.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
Hosp Pequeno Principe
Pontificia Univ Catolica
Universidade de São Paulo (USP)
Axia Bio Consulting
Hosp Albert Einstein
dc.contributor.author.fl_str_mv Vieira, Mario C.
Morais, Mauro Batista de [UNIFESP]
Spolidoro, Jose V. N.
Toporovski, Mauro S.
Cardoso, Ary L.
Araujo, Gabriela T. B.
Nudelman, Victor [UNIFESP]
Fonseca, Marcelo Cunio Machado [UNIFESP]
description Background: Cow's milk is the most common food allergen in infants and the diagnosis of cow's milk allergy is difficult, even with the use of several diagnostic tests. Therefore, elimination diets and challenge tests are essential for the diagnosis and treatment of this disorder. the aim of this study is to report the clinical presentation and nutritional status of children evaluated by pediatric gastroenterologists for the assessment of symptoms suggestive of cow's milk allergy.Methods: An observational cross-sectional study was performed among 9,478 patients evaluated by 30 pediatric gastroenterologists for 40 days in 5 different geographical regions in Brazil. Clinical data were collected from patients with symptoms suggestive of cow's milk allergy. the nutritional status of infants (age <= 24 months) seen for the first time was evaluated according to z-scores for weight-for-age, weight-for-height, and height-for-age. Epi-Info (CDC-NCHS, 2000) software was used to calculate z-scores.Results: the prevalence of suspected cow's milk allergy in the study population was 5.4% (513/9,478), and the incidence was 2.2% (211/9,478). Among 159 infants seen at first evaluation, 15.1% presented with a low weight-for-age z score (< -2.0 standard deviation - SD), 8.7% with a low weight-for-height z score (< -2.0 SD), and 23.9% with a low height-for-age z score (< -2.0 SD).Conclusion: the high prevalence of nutritional deficits among infants with symptoms suggestive of cow's milk allergy indicates that effective elimination diets should be prescribed to control allergy symptoms and to prevent or treat malnutrition.
publishDate 2010
dc.date.issued.fl_str_mv 2010-04-23
dc.date.accessioned.fl_str_mv 2016-01-24T13:59:36Z
dc.date.available.fl_str_mv 2016-01-24T13:59:36Z
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dc.identifier.citation.fl_str_mv Bmc Pediatrics. London: Biomed Central Ltd, v. 10, 7 p., 2010.
dc.identifier.uri.fl_str_mv http://repositorio.unifesp.br/handle/11600/32481
http://dx.doi.org/10.1186/1471-2431-10-25
dc.identifier.issn.none.fl_str_mv 1471-2431
dc.identifier.file.none.fl_str_mv WOS000278231100001.pdf
dc.identifier.doi.none.fl_str_mv 10.1186/1471-2431-10-25
dc.identifier.wos.none.fl_str_mv WOS:000278231100001
identifier_str_mv Bmc Pediatrics. London: Biomed Central Ltd, v. 10, 7 p., 2010.
1471-2431
WOS000278231100001.pdf
10.1186/1471-2431-10-25
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http://dx.doi.org/10.1186/1471-2431-10-25
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