多品目の食物除去が身長に及ぼす影響  [in Japanese] Strict food avoidance leads to low height  [in Japanese]

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Author(s)

    • 柳田 紀之 Yanagida Noriyuki
    • 国立病院機構相模原病院小児科|国立病院機構仙台医療センター小児科 Department of Pediatrics, Sagamihara National Hospital|Department of Pediatrics, National Hospital Organization Sendai Medical Center
    • 箕浦 貴則 Minoura Takanori
    • 国立病院機構仙台医療センター小児科|岩切病院小児科 Department of Pediatrics, National Hospital Organization Sendai Medical Center|Department of Pediatrics, Iwakiri Hospital

Abstract

【目的】不適切な多品目の食物除去が身長に及ぼす影響を明らかにする.<br> 【対象・方法】2011年3月までに仙台医療センターを受診しアレルギー専門医に1年以上の通院歴がある119名および一律的多品目の食物除去を指示する小児科に1年以上の通院歴がある34名を対象に初診時の食物除去品目数と身長,体重を前医別に後方視的に検討した.<br> 【結果】対象の年齢の中央値は5.4歳で,男女比は2.1であった.それぞれ初診時の除去品目数は4.0品目,6.5品目で,初診時の身長は-0.21SD,-0.65SDあった.一律的多品目の食物除去を指導されていた場合,除去品目数が有意(p<0.001)に多く,身長が有意(p=0.04)に低かった.アレルギー合併症等の背景に差はなく,初回食物経口負荷試験後の除去品目数はそれぞれ3.1品目,3.0品目で差はなかった.<br> 【結論】一律的多品目の食物除去指導により低身長を来す可能性が示唆された.多品目の食物除去が行われている場合はアレルギー専門医への紹介が望ましい.<br>

Purpose: The diagnosis of food allergy has been gradually standardized with the spread of manuals and guidelines. However, there are still some occasions, where instructions of inappropriate food elimination lead to low patients' height. We clarified how the inappropriate instructions affect patients' height.<br> Methods: We examined 34 patients who had eliminated a lot of foods by a pediatric outpatient clinic department prior to the visit to our department (inappropriate group), and 119 patients with the standard diagnosis and the nutritious guidance based on minimal food elimination (standard group). The height standard deviation scores (HtSDS) of each subject were calculated.<br> Results: In inappropriate group the number of eliminated foods has been declined tremendously from 6.5 items to 3.0 items before and after first oral food challenge test. In standard group the number of eliminated foods has been declined from 4.0 items to 3.1 items. The inappropriate group have significantly lower HtSDS than the standard group.<br> Discussion: By the food elimination based on appropriate diagnoses based on food challenge test, the number of eliminated foods has been declined remarkably. We hope that food allergy patients get the standard diagnosis and the nutritious guidance based on minimal food elimination, even though they have to eliminate causative foods to avoid adverse reactions.<br>

Journal

  • Nihon Shoni Arerugi Gakkaishi. The Japanese Journal of Pediatric Allergy and Clinical Immunology

    Nihon Shoni Arerugi Gakkaishi. The Japanese Journal of Pediatric Allergy and Clinical Immunology 27(5), 721-724, 2013

    THE JAPANESE SOCIETY OF PEDIATRIC ALLERGY AND CLINICAL IMMUNOLOGY

Codes

  • NII Article ID (NAID)
    130004504356
  • Text Lang
    JPN
  • ISSN
    0914-2649
  • Data Source
    J-STAGE 
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