Food Allergies. What are they and can we prevent them?. Heather Mileski, RD Pediatric Gastroenterology and Nutrition, MCH. Outline. Define allergy Differentiate between types of allergies Discuss diagnostic tools available Treatment
What are they and can we prevent them?
Heather Mileski, RD Pediatric Gastroenterology and Nutrition, MCH
Allergy – “a pathological immune reaction to a food protein”
Adverse food reaction – “an ill effect as a result of the intake of food”
Garcia-Careaga et al, 2005
Skin prick testing
RAST– blood test
Double-blind placebo control challenge
Stool samples for blood, pus cells
Endoscopy with biopsy
Elimination dietsConventional Diagnostic Tools
Herman and Drost, 2004
Garcia-Careaga et al. Gastrointestinal Manifestations of Food Allergies in Pediatric Patients. Nutr in Clin Prac 20:526-535, 2005.
Herman, P & Drost, L. Evaluating the Clinical Relevance of Food Sensitivity Tests: A Single-Subject Experiment. Alt Med Review 9(2):198-207.
Joneja, J. Food Allergy in Adults. Dietitians of Canada Current Issues, 2007.
Joshi et al. Interpretation of Commercial Food Ingredient Labels by Parents of Food-Allergic Children. Ann Allergy Asthma Immunol 90:84-89, 2003.
Muraro et al. Dietary Prevention of Allergic Diseases in Infants and Small Children. Pediatr Allergy Immunol 15:291-307, 2004.
Pyrhonen et al. Occurrence of parent-reported food hypersensitivities and food allergies among children aged 1-4 yr. Pediatr Allergy Immunol 20:328-338, 2009.
Wennergren, G. What if it is the other way around? Early introduction of peanut and fish seems to be better than avoidance. Acta Paediatrica 98:1085-1087, 2009.