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Growth of children with food allergies in Singapore

Kok Wee Chong1, Karen Wright1, Anne Goh1

  • 1Allergy Service, Department of Paediatric Medicine, KK Women's and Children's Hospital, Singapore 229899.

Asia Pacific Allergy
|November 8, 2018
PubMed

Insights

Children with food allergies, particularly mixed IgE and non-IgE types, may experience impaired growth. Early nutritional intervention is recommended to support healthy development in these children.

Area of Science:

  • Pediatric Allergy and Immunology
  • Nutritional Science
  • Growth and Development Studies

Background:

  • Children with food allergies are known to be at risk for impaired growth.
  • This risk has not been extensively studied in South-East Asia.
  • Limited data exists on growth patterns in children with food allergies in Singapore.

Purpose of the Study:

  • To survey the growth of children diagnosed with food allergies in Singapore.
  • To identify factors impacting growth in this pediatric population.
  • To establish baseline growth data for food-allergic children in the region.

Main Methods:

  • Cross-sectional study design.
  • Collection of anthropometric, demographic, and clinical data (allergy type, excluded foods, comorbidities).
  • Malnutrition defined using WHO standards (z-scores for weight-for-height, weight-for-age, height-for-age).

Main Results:

  • 74 children (median age 25 months) with food allergies were studied.
  • Mixed IgE and non-IgE food allergies were significantly associated with lower weight-for-age (p=0.023).
  • Stunting (height-for-age ≤ -2 z-score) was linked to eczema and mixed-type allergies (p=0.002).
  • Children with mixed allergies were significantly shorter (z-score -1).
  • Skin involvement correlated with lower weight-for-age.

Conclusions:

  • This is the first survey on growth in children with food allergy in Singapore.
  • Eczema and IgE-mediated or mixed-type allergies are associated with poorer growth.
  • Individualized nutritional intervention is recommended for all food-allergic children.
Abstract

Keywords:
ChildFood allergyFood eliminationGrowthSingapore

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