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Journal Information
Vol. 47. Issue 6.
Pages 544-550 (November - December 2019)
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Vol. 47. Issue 6.
Pages 544-550 (November - December 2019)
Original Article
DOI: 10.1016/j.aller.2019.03.003
Nutritional status and food intake of children with cow's milk allergy
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R.M. Boaventuraa,
Corresponding author
renata.mboaventura@hotmail.com

Corresponding author.
, R.B. Mendonçaa, F.A. Fonsecab, M. Mallozia, F.S. Souzaa, R.O.S. Sarnia
a Federal University of São Paulo (Unifesp), São Paulo, SP, Brazil
b Federal University of São Paulo (Unifesp), Diadema, SP, Brazil
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Tables (3)
Table 1. Characterization of children with cow's milk allergy (N=27).
Table 2. Comparison of nutritional status and food intake among children with cow's milk allergy (CMA) and non-allergic controls.
Table 3. Plasma concentrations of vitamin D, beta-carotene, lycopene, retinol, hsCRP and PTH in the group of children with cow's milk allergy (N=27).
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Abstract
Introduction and objectives

Cow's milk allergy (CMA) is common, especially in children. The treatment is based on the exclusion of milk and dairy products and guidance regarding the exclusion diet. This study aimed to compare the anthropometric measurements and food intake of children with CMA with those of healthy controls, and to evaluate the serum concentrations of Vitamin A and 25(OH)D in children with CMA.

Methods

This is a cross-sectional study with 27 children in the CMA group and 30 in the control group. z-Scores of body mass index and height, skinfolds, food intake and serum concentrations of retinol, beta-carotene, lycopene, 25(OH)D, parathyroid hormone and high sensitivity C-reactive protein were evaluated.

Results

Mean age was four years (±1.9). The CMA group evidenced a lower height compared to those from the control group (p=0.0043). The CMA group showed a lower intake of calcium (p=0.0033) and lipids (p=0.0123). Low serum concentrations of retinol, beta-carotene, lycopene, 25(OH)D were found in 25.9%, 59.3%, 48.1% and 70.3% of the CMA group, respectively.

Conclusions

Children with CMA consume smaller amounts of calcium and lipids and have shorter height compared to healthy controls. Insufficient levels of vitamins A and D were frequent in the CMA group, emphasizing the need for nutritional guidance and monitoring.

Keywords:
Milk allergy
Nutrition status
Food intake
Vitamin A
Vitamin D
Children
Abbreviations:
CMA
IgE
CM
ZBMI
ZH
PTH
HsCRP

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