评估患有非IgE介导的胃肠道食物过敏的儿童的食困难 - - 一个常见的报告问题
Adriana Chebar-Lozinsky1, Claire De Koker2, Robert Dziubak3
1Department of Allergy and Immune Disorders, Murdoch Children's Research Institute, Parkville, VIC 3052, Australia.
Nutrients
|June 19, 2024
概括
在患有非IgE介导的胃肠道过敏的儿童中,食困难很常见,影响了超过一半的受试者. 这些问题与便秘,吐和症状严重程度有关,突出了需要更好的诊断工具的需要.
科学领域:
- 儿科过敏和免疫学
- 胃肠病学 胃肠病学
- 临床营养学 临床营养学
背景情况:
- 食困难是诊断食物过敏的公认症状,特别是非IgE介导的胃肠类型.
- 现有的指导方针承认养问题,但缺乏评估食物过敏儿童的具体工具.
研究的目的:
- 为了确定患有非IgE介导的胃肠道过敏的儿童的食困难的流行率.
- 探索食困难与临床症状之间的关联,以及消除饮食结果.
主要方法:
- 一项在英国儿童医院进行的观察性研究.
- 包括131名患有非过敏并发症的儿童 (4周至16岁),他们对消除饮食有反应.
- 使用了利克尔特尺度的症状评分和一个关于食困难的问卷.
主要成果:
- 在53.5% (61/114) 的儿童中报告了食困难,其中常见的问题包括拒绝吃饭和吐口气.
- 患有食困难的儿童的便秘率 (60.7%) 和吐率 (63.9%) 显著上升.
- 后勤回归表明,食困难,孩子的年龄和初始症状严重程度之间存在关联.
结论:
- 营养困难在儿科非IgE介导的胃肠道过敏中非常普遍.
- 在经过验证的,针对食物过敏的特定评估工具中,对于食困难存在重大差距.
- 需要进一步的研究和专业的共识,以建立最佳的诊断方法来应对这些挑战.
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