Evidence map›Paper›PMID 25780558›Full record

ArticleClinical and translational allergy2015

A practical approach to vitamin and mineral supplementation in food allergic children.

Rosan Meyer, Claire De Koker, Robert Dziubak, Ana-Kristina Skrapac, Heather Godwin, Kate Reeve, Adriana Chebar-Lozinsky, Neil Shah

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational allergy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 54 citations in OpenAlex.

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  9. COVID-19 and food allergy in children.Acta bio-medica : Atenei Parmensis · 2020
    Review
  10. Food Allergies and Ageing.International journal of molecular sciences · 2019
    Review
  11. Nutritional Issues in Food Allergy.Clinical reviews in allergy & immunology · 2019
    Review
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  13. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Rosan MeyerDepartment Gastroenterology, Great Ormond Street Hospital for Children NHS foundation Trust, London, UK.
Claire De KokerDepartment Nutrition and Dietetics, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Robert DziubakDepartment Gastroenterology, Great Ormond Street Hospital for Children NHS foundation Trust, London, UK.
Ana-Kristina SkrapacDepartment Nutrition and Dietetics, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Heather GodwinDepartment Gastroenterology, Great Ormond Street Hospital for Children NHS foundation Trust, London, UK.
Kate ReeveDepartment Gastroenterology, Great Ormond Street Hospital for Children NHS foundation Trust, London, UK.
Adriana Chebar-LozinskyDepartment Gastroenterology, Great Ormond Street Hospital for Children NHS foundation Trust, London, UK.
Neil ShahDepartment Gastroenterology, Great Ormond Street Hospital for Children NHS foundation Trust, London, UK ; Institute of Child Health, University College London, London, UK.
Great Ormond Street Hospital for Children NHS Foundation Trust · GBChelsea and Westminster Hospital NHS Foundation Trust · GBUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe management of food allergy in children requires elimination of the offending allergens, which significantly contribute to micronutrient intake. Vitamin and mineral supplementation are commonly suggested as part of dietary management. However a targeted supplementation regime requires a complete nutritional assessment, which includes food diaries. Ideally these should be analysed using a computerised program, but are very time consuming. We therefore set out to evaluate current practice of vitamin and mineral supplementation in a cohort of children with non-Immunoglobulin E (IgE) mediated food allergies.

methodsThis prospective, observational study recruited children aged 4 weeks - 16 years, who required to follow an elimination diet for non-IgE mediated allergies. Only children that improved according to a symptom score and were on a vitamin and/or mineral supplement were included. A 3-day food diary including vitamin and mineral supplementation was recorded and analysed using Dietplan computer program. We assessed dietary adequacy with/without the supplement using the Dietary Reference Values.

resultsOne hundred-and-ten children had completed food diaries and of these 29% (32/110) were taking vitamin and/or mineral supplements. Children on hypoallergenic formulas were significantly (p = 0.007) less likely to be on supplements than those on alternative over-the-counter milks. Seventy-one percent had prescribable supplements, suggested by a dietitian/physician. Sixty percent of those without a vitamin supplement had a low vitamin D intake, but low zinc, calcium and selenium was also common. Of the supplemented cohort many continued to be either under or over-supplemented.

conclusionThis study has raised the question for the first time, whether clinicians dealing with paediatric food allergies should consider routine vitamin and/or mineral supplements in the light of deficient intake being so common in addition to being so difficult to predict.

Indexed as

Dietary adequacyElimination dietFood diaryNon-IgE mediated allergyVitamin and mineral supplementation

Identifiers

PMID25780558
PMCPMC4361144
OpenAlexW2138089393

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.