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[Somatic development assessment of children with food allergy treated with milk free diet]
Iwona Palczewska1, Ilona Szilágyi-Pagowska, Maria Wawrzyniak
1Zakład Rozwoju Dzieci i Młodziezy, Instytut Matki i Dziecka, 01-211Warszawa, ul. Kasprzaka 17a, Poland. antropologia@imid.med.pl
Insights
One-year elimination diets using either hydrolyzed casein or soy protein formulas support normal somatic development and nutritional status in children with cow
Area of Science:
- Pediatric Allergy and Immunology
- Clinical Nutrition
- Child Development
Background:
- Cow's milk allergy is a common condition in infants and young children.
- Elimination diets are a primary management strategy for food allergies.
- Assessing the long-term impact of different formulas on growth is crucial.
Purpose of the Study:
- To evaluate the effect of one-year elimination diets on somatic development.
- To assess the nutritional status of children with cow's milk allergy.
- To compare the outcomes of hydrolyzed casein versus soy protein formulas.
Main Methods:
- Study included 25 children (aged 1-7 years) with diagnosed cow's milk allergy.
- Children were assigned to receive either hydrolyzed casein (n=10) or soy protein (n=15) formula.
- Anthropometric measurements (height, weight, arm circumference, skinfold) were taken before and after one year of dietary intervention, compared to population norms.
Main Results:
- Both hydrolyzed casein and soy protein formulas supported normal somatic development in children.
- Nutritional status was maintained within normal ranges for both dietary groups after one year.
- No significant adverse effects on growth parameters were observed with either formula.
Conclusions:
- Elimination diets based on hydrolyzed casein or soy protein formulas are effective for managing cow's milk allergy.
- These dietary interventions promote healthy somatic development and maintain adequate nutritional status in affected children.
- Both formula types appear to be safe and beneficial for long-term growth in this pediatric population.
Abstract:
The aim of our study was to evaluate the influence of one year elimination diets on the somatic development and the nutritional status of children. 25 patients from the Department of Immunology of the Institute of Mother and Child aged 1-7 years with cow's milk allergy were investigated. The children were divided into two groups: 10 children received hydrolizated casein formula and 15 children received soya protein formula. The somatic development and nutritional status was assessed twice, the first time before the onset of treatment and the second time after one year of treatment. Anthropometric methods were used, body height, body mass, upper arm circumference and subscapular skinfold were measured. The data were compared with the normal Warsaw population data from 1996-99. The results showed that both the diet with hydrolizated casein formula and the soya protein resulted in normal somatic development of children.
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