Navegando por Palavras-chave "Hipersensibilidade ao leite"

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    Avaliação do estado nutricional e consumo alimentar de crianças com alergia ao leite de vaca
    (Universidade Federal de São Paulo (UNIFESP), 2018-06-25) Boaventura, Renata Magalhaes [UNIFESP]; Sarni, Roseli Oselka Saccardo [UNIFESP]; http://lattes.cnpq.br/1760819469047929; http://lattes.cnpq.br/4439975442931884; Universidade Federal de São Paulo (UNIFESP)
    Introduction: The Cow’s Milk Allergy (CMA) is frequent, mainly in children. The treatment is based on exclusion of milk and its products of diet, as the preparations with the food and orientation regarding substitute diet, which should meet the nutritional needs of each individual. Aim: to compare the anthropometric indices and food consumption of children with CMA and healthy controls. To evaluate serum vitamin A (retinol, betacarotene and lycopene) and 25 (OH) D levels of children with CMA and to relate them to variables associated with disease, food consumption, body composition and nutritional therapy. Methods: A crosssectional study with 57 participants, 27 from the CMA group and 30 controls. Z scores of body mass index (ZBMI) and height (ZH), cutaneous folds (tricipital and subscapular), food consumption (nonconsecutive 3day food record) and serum concentrations of retinol, betacarotene, lycopene, 25(OH)D, parathyroid hormone and ultrasensitive C reactive protein. Statistical analysis: Qui square, t Student, and MannWhitney test (P<0.05) Results: The predominant age in both groups was preschoolers, mean of 4 years (± 1.9). The CMA group had a ZH lower than the control [0.24 (2.1; 0.5) vs 0.19 (2.4; 1.9); p = 0.0043]. Regarding dietary intake, it was observed that the CMA group presented lower intakes of calcium (553.3 mg ± 260.3 vs 820.1 ± 328.8 mg, p = 0.0033) and lipds [24.7% (18.4, 37.5) vs 28.3% (19.2, 37.8); p = 0.0123]. Low serum concentrations of retinol, betacarotene, lycopene, 25 (OH) D was 25.9%, 59.3%, 48.1% and 74.1%, respectively. Children with CMA who receiving soy beverages and fruit juices presented lower serum concentrations of 25 (OH) D compared to the group receiving infant formulas or compounds (soy, extensively hydrolyzed and amino acids). Conclusion: Children with CMA consume smaller amounts of calcium and lipids and are lower than controls. Vitamin A and D insuficiency were frequently observed in CMA group, emphasizing the need for nutritional guidance and monitoring.
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    Ingestão de nutrientes e estado nutricional de crianças em dieta isenta de leite de vaca e derivados
    (Sociedade Brasileira de Pediatria, 2004-01-01) Medeiros, Lilian C. S. [UNIFESP]; Speridião, Patrícia da Graça Leite [UNIFESP]; Sdepanian, Vera Lucia [UNIFESP]; Fagundes-neto, Ulysses [UNIFESP]; Morais, Mauro Batista de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: To assess the food intake and the nutritional status of children on a cow's milk and cow's milk by-products free diet. METHODS: Twenty-six children receiving a cow's milk and cow's milk by-products free diet were assessed during their first visit to the Pediatric Gastroenterology Clinic (mean age = 19.1 months). Thirty children with no food restriction (mean age = 16.8 months) were also assessed. The usual daily food intake method was used to make the dietary assessment. The food intake was compared between the groups and in relation to the Dietary Reference Intakes (DRIs). The z-scores for weight/age, height/age and weight/height were used to evaluate the nutritional status. RESULTS: The cow's milk free diet group presented lower energy (p = 0.005), protein (p < 0.001), lipid (p < 0.001), calcium (p < 0.001) and phosphorous (p < 0.001) intake when compared to the control group. The number of children who had energy, calcium and phosphorous intake below the DRIs was higher in the cow's milk free diet group than in the control group. The z-score means for the cow's milk free diet and control groups were, respectively: height/age -0.81±1.06 vs +0.42±1.25 (p < 0.001), weight/age -1.03±1.21 vs +0.02+0.91 (p < 0.001), and weight/height -0.63+1.08 vs +0.30+1.11 (p = 0.004). CONCLUSIONS: During the cow's milk and cow's milk by-products exclusion therapy, qualitative and quantitative food intake monitoring must be carried out periodically, so as to prevent inadequacies in meeting nutritional requirements and impairment of growth and development.