乳制品消费和维生素D度在青少年在婴儿期具有挑战确认的牛奶过敏
Sonja Piippo1, Helena Hauta-Alus2,3,4,5, Mirva Viljanen2
1Pediatric Research Center, University of Helsinki and Helsinki University Hospital, Children's Hospital, Helsinki, Finland. sonja.piippo@helsinki.fi.
European journal of clinical nutrition
|July 28, 2024
概括
青少年有牛奶过敏史 (CMA) 消费乳制品,并保持与同龄人相比的维生素D水平. 有效的CMA管理可以防止与消除牛奶饮食相关的长期营养缺陷.
科学领域:
- 营养科学 营养科学
- 儿科过敏 儿科过敏
- 免疫学 免疫学 免疫学
背景情况:
- 牛奶过敏 (CMA) 需要一种消除牛奶的饮食,大多数孩子在3岁时就长大了.
- 一些有CMA史的青少年持续避免牛奶制品,这引发了关于他们长期饮食习惯的问题.
- 在有CMA史的青少年中评估乳制品摄入量和维生素D状况对于了解营养结果至关重要.
研究的目的:
- 为了评估与对照组相比,有CMA病史的青少年的乳制品消费模式.
- 在有或没有CMA史的青少年中确定血清25-氧维生素D (25(OH) D) 度.
- 调查与儿童CMA相关的潜在营养缺点.
主要方法:
- 从前一项随机对照试验的参与者进行了长度随访,对治疗的益生菌进行了随机对照试验.
- 在15-18岁的青少年中使用20项食物频率问卷评估乳制品消费.
- 通过自动化免疫测试测量血清25(OH) D水平.
主要成果:
- 在CMA的青少年,CMA-refuted组和对照组之间,没有观察到乳制品消费中位数的显著差异.
- 所有组的血清中位数25 ((OH) D度在所有组中都相似,没有显著差异.
- 超过93%的参与者达到足够的维生素D水平 (≥50nmol/l),而不管CMA病史.
结论:
- 患有CMA史的青少年不会表现出无法将牛奶重新引入他们的饮食.
- 在有CMA病史的青少年和他们的同龄人之间,维生素D缺乏率没有显著差异.
- 目前对CMA的管理策略似乎有效地预防与避免牛奶有关的长期营养不便.
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