Engelsk titel: The adequacy of diet for children with milk allergy
Läs online
Författare:
Schubert J
;
Körris B
;
Höst A
Email: jeanett_schubert@yahoo.dk
Språk: Dan
Antal referenser: 10
Dokumenttyp:
Artikel
UI-nummer: 03111628
Sammanfattning
Introduction: Dietary restrictions for children may lead to an inadequate intake of nutrients. This study estimates and compares the adequacy of the diet of milk-allergic children to the diet of healthy controls. Material and methods: The diet of 11 children aged 1-3 years with verified cow's milk protein allergy (CMPA) and of 11 aged-matched controls was registered and compared using a 7-day dietary record. The nutritive value was evaluated in relation to the Nordic Nutrient Allowances (NNA). Furthermore an interview was carried out with the parents in order to investigate the correlation between the registered diet and the parental recall regarding the children's diet. Results: Children with CMPA had a significantly lower intake of protein and fat. All children had an intake of the vitamins D and E, iodine and selenium below the recommendations. The mean intake of niacin, the vitamins B1 and B6 and iron was below the recommendations in both groups. Children with CMPA had a mean intake of vitamin B2 , phosphorous and zinc below the recommendations, and all the children with milk allergy had an intake of calcium below the recommendations. All the controls had an intake of iron below the recommendations. There was a significant difference between the groups concerning the intake of vitamin B2 , calcium, phosphorous and iodine, all lowest in the group with CMPA, and iron, which was lowest in the control group. A concordance of 60-65% was observed between the registered diet and the diet estimated by interviews. The growth of all children was normal. Discussion: Children with CMPA on a milk-free diet need to replace the milk with protein from other sources, e.g. hypoallergenic formula, meat, rice or pasta. According to the NNA children aged 1-3 years seem to need a daily supplement of iron and vitamins. Dietary interview is an unreliable method for the estimation of dietary intake in young children.