Growth Comparison in children with and without food allergies in 2 different demographic populations

Harshna Mehta, Manish Ramesh, Elizabeth Feuille, Marion Groetch, Julie Wang

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Objective To examine the effects of food avoidance on the growth of children with food allergies.

Study design A retrospective chart review was performed for children with and without food allergies followed at 2 New York City general pediatric practices. Charts were selected based on codes from the International Classification of Diseases, 9th Revision, for well child visit, food allergy, anaphylaxis, and/or epinephrine autoinjector prescriptions. Heights and weights were obtained to calculate body mass index, height, and weight z-scores.

Results Of the 9938 children seen, 439 (4.4%) were avoiding one or more foods. Of those with commercial insurance, children with food allergies were significantly shorter (mean height z-score = 0.06; P =.01) and weighed less (mean weight z-score -0.1; P =.006) than children without food allergies (mean height z-score = 0.42; mean weight z-score = 0.07). In contrast, children with food allergies and state insurance were not smaller in height or weight compared with children without food allergies. Among white subjects, there was a significant effect of food allergies on height and weight (ANOVA for height P =.012, for weight P =.0036) that was not observed for Hispanic/Latino, black, or Asian subjects. Children with allergies to milk weighed significantly less than children without milk allergies (P =.0006)

Conclusions Children with food allergies and commercial insurance have significant impairment in growth compared with those without food allergies. Additionally, children avoiding all forms of milk are shorter and weigh less than matched counterparts. Therefore, height and weight measurements should be assessed routinely in children with food allergies because there is risk for growth impairment in this population.

Original languageEnglish (US)
Pages (from-to)842-848
Number of pages7
JournalJournal of Pediatrics
Volume165
Issue number4
DOIs
StatePublished - Oct 1 2014
Externally publishedYes

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Food Hypersensitivity
Demography
Growth
Population
Weights and Measures
Insurance
Milk Hypersensitivity
Hispanic Americans
Food
International Classification of Diseases
Anaphylaxis
General Practice
Epinephrine
Prescriptions
Analysis of Variance
Milk
Body Mass Index

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

Cite this

Growth Comparison in children with and without food allergies in 2 different demographic populations. / Mehta, Harshna; Ramesh, Manish; Feuille, Elizabeth; Groetch, Marion; Wang, Julie.

In: Journal of Pediatrics, Vol. 165, No. 4, 01.10.2014, p. 842-848.

Research output: Contribution to journalArticle

Mehta, Harshna ; Ramesh, Manish ; Feuille, Elizabeth ; Groetch, Marion ; Wang, Julie. / Growth Comparison in children with and without food allergies in 2 different demographic populations. In: Journal of Pediatrics. 2014 ; Vol. 165, No. 4. pp. 842-848.
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abstract = "Objective To examine the effects of food avoidance on the growth of children with food allergies.Study design A retrospective chart review was performed for children with and without food allergies followed at 2 New York City general pediatric practices. Charts were selected based on codes from the International Classification of Diseases, 9th Revision, for well child visit, food allergy, anaphylaxis, and/or epinephrine autoinjector prescriptions. Heights and weights were obtained to calculate body mass index, height, and weight z-scores.Results Of the 9938 children seen, 439 (4.4{\%}) were avoiding one or more foods. Of those with commercial insurance, children with food allergies were significantly shorter (mean height z-score = 0.06; P =.01) and weighed less (mean weight z-score -0.1; P =.006) than children without food allergies (mean height z-score = 0.42; mean weight z-score = 0.07). In contrast, children with food allergies and state insurance were not smaller in height or weight compared with children without food allergies. Among white subjects, there was a significant effect of food allergies on height and weight (ANOVA for height P =.012, for weight P =.0036) that was not observed for Hispanic/Latino, black, or Asian subjects. Children with allergies to milk weighed significantly less than children without milk allergies (P =.0006)Conclusions Children with food allergies and commercial insurance have significant impairment in growth compared with those without food allergies. Additionally, children avoiding all forms of milk are shorter and weigh less than matched counterparts. Therefore, height and weight measurements should be assessed routinely in children with food allergies because there is risk for growth impairment in this population.",
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