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Consultation with registered dietitian to prevent accidental reactions to food: insight from an egg allergy influenza vaccination cohort

tetano

Editor, Senior Moderator
Eur J Clin Nutr. 2016 Dec 21. doi: 10.1038/ejcn.2016.241. [Epub ahead of print]
[h=1]Consultation with registered dietitian to prevent accidental reactions to food: insight from an egg allergy influenza vaccination cohort.[/h] B?gin P[SUP]1,[/SUP][SUP]2[/SUP], Filion C[SUP]2[/SUP], Graham F[SUP]2[/SUP], Lacombe-Barrios J[SUP]1[/SUP], Paradis J[SUP]1[/SUP], Paradis L[SUP]1,[/SUP][SUP]2[/SUP], Des Roches A[SUP]1[/SUP].
[h=3]Author information[/h]

[h=3]Abstract[/h] Egg is an ubiquitous allergen found in many food products. Current food allergy guidelines recognize the importance of consultation with a registered dietitian to ensure nutritional adequacy. However, there is a lack of evidence on its impact on the implementation of allergen avoidance strategies. Taking advantage of a well-characterized cohort of influenza vaccination in egg-allergic children (n=397), we tested the hypothesis that real-life professional dietary advice was associated with a decrease in accidental reactions to egg in allergic children with retrospective questionnaires. Lack of consultation with a dietitian was associated with a 1.89-fold increase in the risk of accidental reactions to egg (confidence interval: 1.47-2.42). The only other independent variable that predicted reactions was having had a history of acute reaction to egg prior diagnosis (relative risk=2.02; confidence interval: 1.64-3.00). These findings support the usefulness of referral to a food allergy-specialized dietitian at time of diagnosis in order to prevent future accidental reactions to egg.European Journal of Clinical Nutrition advance online publication, 21 December 2016; doi:10.1038/ejcn.2016.241.


PMID: 28000691 DOI: 10.1038/ejcn.2016.241
[PubMed - as supplied by publisher]
 
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