Comparison of nutrient intake in adolescents and adults with and without food allergies

Journal article

Maslin, K., Venter, C., Mackenzie, H., Vlieg-Boerstra, B., Dean, T. and Sommer, I. (2017). Comparison of nutrient intake in adolescents and adults with and without food allergies. Journal of Human Nutrition and Dietetics. 31 (2), pp. 209-217. https://doi.org/10.1111/jhn.12495
AuthorsMaslin, K., Venter, C., Mackenzie, H., Vlieg-Boerstra, B., Dean, T. and Sommer, I.
Abstract

Background
Exclusion diets for the management of food allergy pose a risk of nutritional deficiencies and inadequate growth in children, yet less is known about their effect in adolescents and adults. The present study aimed to compare the dietary intake of adolescents and adults with food allergies with that of a control group.

Methods
A food allergic and a control group were recruited from Portsmouth and the Isle of Wight in the UK. Participants were recruited from a food allergy charity, allergy clinics, a local school and university, and previous research studies. Macro and micronutrient intake data were obtained using a 4-day estimated food diary. Sociodemographic and anthropometric data was collected via a constructed questionnaire.

Results
This cross-sectional study included 81 adolescents (48 food allergic and 33 controls) aged 11–18 years and 70 adults aged 19–65 years (23 food allergic and 47 controls). Overall, 19 (22.8%) adolescents and 19 (27.1%) adults took dietary supplements, with no difference according to food allergic status. Adolescents with food allergy had higher intakes of niacin and selenium than adolescents without (P < 0.05). This difference persisted when dietary supplements were removed from the analysis. Adults with food allergies had higher intakes of folate and zinc than those without (P < 0.05); however, this difference did not persist when dietary supplements were removed from the analysis. Across all participants, the intake of several micronutrients was suboptimal. There was no difference in protein or energy intake, or body mass index, according to food allergic status.

Conclusions
The dietary intake of food allergic participants was broadly similar and, in some cases, better than that of control participants. However, suboptimal intakes of several micronutrients were observed across all participants, suggesting poor food choices.

Year2017
JournalJournal of Human Nutrition and Dietetics
Journal citation31 (2), pp. 209-217
PublisherWiley
Digital Object Identifier (DOI)https://doi.org/10.1111/jhn.12495
Publication dates
PrintApr 2018
Online13 Jul 2017
Publication process dates
Deposited11 Aug 2021
Accepted author manuscript
License
File Access Level
Open
Additional information

This is the peer reviewed version of the following article: Maslin K., Venter C., MacKenzie H., Vlieg‐Boerstra B., Dean T. & Sommer I. (2018) Comparison of nutrient intake in adolescents and adults with and without food allergies. J Hum Nutr Diet. 31, 209–217, which has been published in final form at https://doi.org/10.1111/jhn.12495. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.

Permalink -

https://openresearch.lsbu.ac.uk/item/8x8qy

Download files

Accepted author manuscript
Comparison of nutrient intake in adolescents and adults with and without food allergies.pdf
License: CC BY-NC 4.0
File access level: Open

  • 91
    total views
  • 345
    total downloads
  • 1
    views this month
  • 3
    downloads this month

Export as

Related outputs

Dietary diversity during infancy and the association with childhood food allergen sensitization
Maslin, K., Pickett, K., Ngo, S., Anderson, W., Dean, T. and Venter, C. (2021). Dietary diversity during infancy and the association with childhood food allergen sensitization. Pediatric Allergy and Immunology. https://doi.org/10.1111/pai.13650
Different Measures of Diet Diversity During Infancy and the Association with Childhood Food Allergy in a UK Birth Cohort Study
Venter, C., Maslin, K., Holloway, J.W., Silveira, L.J., Fleischer, D.M., Dean, T. and Arshad, S.H. (2020). Different Measures of Diet Diversity During Infancy and the Association with Childhood Food Allergy in a UK Birth Cohort Study. The Journal of Allergy and Clinical Immunology: In Practice. 8 (6), pp. 2017-2026. https://doi.org/10.1016/j.jaip.2020.01.029
Temporal change in maternal dietary intake during pregnancy and lactation between and within 2 pregnancy cohorts assembled in the United Kingdom
Maslin, K., Venter, C., Palumbo, M., Glueck, D., Mitchell, F., Potter, S., Grundy, J., Glasbey, G., Dean, T. and Arshad, S. H (2019). Temporal change in maternal dietary intake during pregnancy and lactation between and within 2 pregnancy cohorts assembled in the United Kingdom. The Journal of Allergy and Clinical Immunology: In Practice. 8 (3), pp. 1088-1090. https://doi.org/10.1016/j.jaip.2019.11.041
The views of children and young people on the use of silk garments for the treatment of eczema: a nested qualitative study within the CLOTHing for the relief of Eczema Symptoms (CLOTHES) randomized controlled trial
Wake, E.V., Batchelor, J., Lawton, S., Thomas, K.S., Harrison, E.F., Cowdell, F.C. and Dean, T. (2018). The views of children and young people on the use of silk garments for the treatment of eczema: a nested qualitative study within the CLOTHing for the relief of Eczema Symptoms (CLOTHES) randomized controlled trial. British Journal of Dermatology. 178 (1), pp. 183-190. https://doi.org/10.1111/bjd.15909
ω-3 LCPUFA supplementation during pregnancy and risk of allergic outcomes or sensitization in offspring: A systematic review and meta-analysis
Vahdaninia, M., Mackenzie, H., Dean, T. and Helps, S. (2018). ω-3 LCPUFA supplementation during pregnancy and risk of allergic outcomes or sensitization in offspring: A systematic review and meta-analysis. Annals of Allergy, Asthma and Immunology. 122 (3), pp. 302-313. https://doi.org/10.1016/j.anai.2018.12.008
Use of cluster analysis to characterize patterns of sensitization in childhood allergy
Venter, C., Maslin, K., Zhang, H., Kaushal, A., Terry, W., Patil, V., Dean, T. and Arshad, S. H. (2018). Use of cluster analysis to characterize patterns of sensitization in childhood allergy. Pediatric Allergy and Immunology. 29 (6), pp. 644-648. https://doi.org/10.1111/pai.12925
The effectiveness of ω-3 polyunsaturated fatty acid interventions during pregnancy on obesity measures in the offspring: an up-to-date systematic review and meta-analysis
Vahdaninia, M., Mackenziem H., Dean, T. and Helps, S. (2018). The effectiveness of ω-3 polyunsaturated fatty acid interventions during pregnancy on obesity measures in the offspring: an up-to-date systematic review and meta-analysis. European Journal of Nutrition. 58, pp. 2597-2613. https://doi.org/10.1007/s00394-018-1824-9
Use of baked milk challenges and milk ladders in clinical practice: a worldwide survey of healthcare professionals
Athanasopoulou, P., Deligianni, E., Dean, T., Dewey, A. and Venter, C. (2017). Use of baked milk challenges and milk ladders in clinical practice: a worldwide survey of healthcare professionals. Clinical and Experimental Allergy. 47 (3), pp. 430-434. https://doi.org/10.1111/cea.12890
Silk garments plus standard care compared with standard care for treating eczema in children: a randomised, controlled, observer-blind, pragmatic trial (CLOTHES Trial)
Thomas, K. S., Bradshaw, L. E., Sach, T. H., Batchelor, J. M., Lawton, S., Harrison, E., Haines, R. H., Ahmed, A., Williams, H. C., Dean, T., Burrows, N. P., Pollock, I., Llewellyn, J., Crang, C., Grundy, J. D., Guiness, J., Gribbin, A., Mitchell, E. J., Cowdell, F., Brown, S. J. and Montgomery, A. (2017). Silk garments plus standard care compared with standard care for treating eczema in children: a randomised, controlled, observer-blind, pragmatic trial (CLOTHES Trial). Plos Medicine. 14 (4), p. e1002280. https://doi.org/10.1371/journal.pmed.1002280
Randomised controlled trial of silk therapeutic garments for the management of atopic eczema in children: the CLOTHES trial
Thomas, K. S., Bradshaw, L. E., Sach, T. H., Cowdell, F., Batchelor, J. M., Lawton, S., Harrison, E., Haines, R. H., Ahmed, A., Dean, T., Burrows, N. P., Pollock, I., Buckley, H., Williams, H. C., Llewellyn, J., Crang, C., Grundy, J. D., Guiness, J., Gribbin, A., Wake, E. V., Mitchell, E.J., Brown, S.J. and Montgomery, A.A. (2017). Randomised controlled trial of silk therapeutic garments for the management of atopic eczema in children: the CLOTHES trial. Health Technology Assessment. 21 (16), pp. 1-260. https://doi.org/10.3310/hta21160
Natural menopause among women below 50 years in India: a population based study
Pallikadavath, S., Ogollah, R., Singh, A., Dean, T., Dewey, A. and Stones, W. (2017). Natural menopause among women below 50 years in India: a population based study. Indian Journal of Medical Research. 144 (3), pp. 366-377. https://doi.org/10.4103/0971-5916.198676
Very low prevalence of IgE mediated wheat allergy and high levels of cross-sensitisation between grass and wheat in a UK birth cohort
Venter, C., Maslin, K., Arshad, S. H., Patil, V., Grundy, J., Glasbey, G., Twiselton, R. and Dean, T. (2016). Very low prevalence of IgE mediated wheat allergy and high levels of cross-sensitisation between grass and wheat in a UK birth cohort. Clinical and Translational Allergy. 6 (1). https://doi.org/10.1186/s13601-016-0111-1
The prevalence, natural history and time trends of peanut allergy over the first 10 years of life in two cohorts born in the same geographical location 12 years apart
Venter, C., Maslin, K., Patil, V., Kurukulaaratchy, R., Grundy, J., Glasbey, G., Twiselton, R., Dean, T. and Arshad, S. H. (2016). The prevalence, natural history and time trends of peanut allergy over the first 10 years of life in two cohorts born in the same geographical location 12 years apart. Pediatric Allergy and Immunology. 27 (2), pp. 804-811. https://doi.org/10.1111/pai.12616
The accuracy of dietary recall of infant feeding and food allergen data
van Zyl, Z., Maslin, K., Dean, T., Blauuw, R. and Venter, C. (2016). The accuracy of dietary recall of infant feeding and food allergen data. Journal of Human Nutrition and Dietetics. 29 (6), pp. 777-785. https://doi.org/10.1111/jhn.12384
Temperature-controlled laminar airflow in severe asthma for exacerbation reduction (The LASER Trial): study protocol for a randomised controlled trial
Storrar, W., Fogg, C., Brown, T., Dennison, P., Yu, L-M., Dewey, A., Luengo-Fernandez, R., Dean, T., Rahman, N., Mansur, A., Howarth, P. H., Bradding, P. and Chauhan, A. J. (2016). Temperature-controlled laminar airflow in severe asthma for exacerbation reduction (The LASER Trial): study protocol for a randomised controlled trial. Trials. 17, p. 15. https://doi.org/10.1186/s13063-015-1134-y
Taste preference, food neophobia and nutritional intake in children consuming a cows’ milk exclusion diet: a prospective study
Maslin, K., Grimshaw, K., Oliver, E., Roberts, G., Arshad, S. H., Dean, T., Grundy, J., Glasbey, G. and Venter, C. (2016). Taste preference, food neophobia and nutritional intake in children consuming a cows’ milk exclusion diet: a prospective study. Journal of Human Nutrition and Dietetics. 29 (6), pp. 786-796. https://doi.org/10.1111/jhn.12387
Prevalence and cumulative incidence of food hyper-sensitivity in the first 10 years of life
Venter, C., Patil, V., Grundy, J., Glasbey, G., Twiselton, R., Arshad, S. H. and Dean, T. (2016). Prevalence and cumulative incidence of food hyper-sensitivity in the first 10 years of life. Pediatric Allergy and Immunology. 27 (5), pp. 452-458. https://doi.org/10.1111/pai.12564
Prenatal intake of vitamins and allergic outcomes in the offspring: a systematic review and meta-analysis
Vahdaninia, M., MacKenzie, H., Helps, S. and Dean, T. (2016). Prenatal intake of vitamins and allergic outcomes in the offspring: a systematic review and meta-analysis. The Journal of Allergy and Clinical Immunology: In Practice. 5 (3), pp. 771-778. https://doi.org/10.1016/j.jaip.2016.09.024
Does concurrent breastfeeding alongside the introduction of solid food prevent the development of food allergy?
Venter, C., Maslin, K., Dean, T. and Arshad, S.H. (2016). Does concurrent breastfeeding alongside the introduction of solid food prevent the development of food allergy? 5, p. e40. https://doi.org/10.1017/jns.2016.31
Dietary variety and food group consumption in children consuming a cows’ milk exclusion diet
Maslin, K., Dean, T., Arshad, S.H. and Venter, C. (2016). Dietary variety and food group consumption in children consuming a cows’ milk exclusion diet. Pediatric Allergy and Immunology. 27, pp. 471-477. https://doi.org/10.1111/pai.12573
Cows’ milk exclusion diet during infancy: is there a long term effect on children's eating behaviour and food preferences?
Maslin, K., Grundy, J. D., Glasbey, G., Dean, T., Arshad, S. H., Grimshaw, K., Oliver, E., Roberts, G. and Venter, C. (2016). Cows’ milk exclusion diet during infancy: is there a long term effect on children's eating behaviour and food preferences? Pediatric Allergy and Immunology. 27 (2), pp. 141-146. https://doi.org/10.1111/pai.12513
Validation and acceptability of double-blind, placebo-controlled food challenges in children
Venter, C., Maslin, K., Patil, V., Grundy, J., Glasbey, G., Raza, A., Vlieg-Boerstra, B. and Dean, T. (2015). Validation and acceptability of double-blind, placebo-controlled food challenges in children. Pediatric Allergy and Immunology. 27 (1), pp. 92-93. https://doi.org/10.1111/pai.12454
Relationship between maternal and child behaviors in pediatric food allergy: an exploratory study
Sommer, I., Chisholm, V., MacKenzie, H., Venter, C. and Dean, T. (2015). Relationship between maternal and child behaviors in pediatric food allergy: an exploratory study. Annals of Allergy, Asthma and Immunology. 116 (1), pp. 78-80. https://doi.org/10.1016/j.anai.2015.10.006
Randomised controlled trial of fish oil supplement to treat cancer cachexia
Dewey, A., Higgins, B., Baughan, c., Stores, R., Dean, T. and Kilburn, S. (2015). Randomised controlled trial of fish oil supplement to treat cancer cachexia. BAOJ Palliative Medicine. 1 (1), pp. 1-8.
Health-related quality of life in children with perceived and diagnosed food hypersensitivity
Venter, C., Sommer, I., Moonesinghe, H., Grundy, J. D., Glasbey, G., Patil, V. and Dean, T. (2015). Health-related quality of life in children with perceived and diagnosed food hypersensitivity. Pediatric Allergy and Immunology. 26 (2), pp. 126-132. https://doi.org/10.1111/pai.12337
Fussy eating and feeding difficulties in infants and toddlers consuming a cows’ milk exclusion diet
Maslin, K., Dean, T., Arshad, S.H. and Venter, C. (2015). Fussy eating and feeding difficulties in infants and toddlers consuming a cows’ milk exclusion diet. Pediatric Allergy and Immunology. 26 (6), pp. 503-508. https://doi.org/10.1111/pai.12427
Changing prevalence of wheeze, rhinitis and allergic sensitisation in late childhood: findings from 2 Isle of Wight birth cohorts’ 12-years apart
Patil, V., Kurukulaaratchy, R., Venter, C., Grundy, J., Roberts, G., Dean, T. and Arshad, S. H. (2015). Changing prevalence of wheeze, rhinitis and allergic sensitisation in late childhood: findings from 2 Isle of Wight birth cohorts’ 12-years apart. Clinical and Experimental Allergy. 45 (9), pp. 1430-1438. https://doi.org/10.1111/cea.12534
Association between healthy eating in pregnancy and allergic status of the offspring in childhood
Moonesinghe, H., Patil, V., Dean, T., Arshad, S. H., Glasbey, G., Grundy, J. D. and Venter, C. (2015). Association between healthy eating in pregnancy and allergic status of the offspring in childhood. Annals of Allergy, Asthma and Immunology. 116 (2), pp. 163-165. https://doi.org/10.1016/j.anai.2015.11.005
A qualitative study of mothers’ perceptions of weaning and the use of commercial infant food in the United Kingdom
Maslin, K., Galvin, A.D., Shepherd, S., Dean, T., Dewey. A. and Venter, C. (2015). A qualitative study of mothers’ perceptions of weaning and the use of commercial infant food in the United Kingdom. Maternal and Paediatric Nutrition Journal. 1 (1). https://doi.org/10.4172/2472-1182.1000103
A multi-centre, parallel group superiority trial of silk therapeutic clothing compared to standard care for the management of eczema in children (CLOTHES Trial): study protocol for a randomised controlled trial
Harrison, E., Haines, R. H., Cowell, F., Sach, T. H., Dean, T., Pollock, I., Burrows, N. P., Buckley, H., Batchelor, J. M., Williams, H. C., Lawton, S., Brown, S. J., Bradshaw, L. E., Ahmed, A., Montgomery, A. A., Mitchell, E. J. and Thomas, K. S. (2015). A multi-centre, parallel group superiority trial of silk therapeutic clothing compared to standard care for the management of eczema in children (CLOTHES Trial): study protocol for a randomised controlled trial. Trials. 16 (360). https://doi.org/10.1186/s13063-015-0921-9
The natural history of peanut sensitization and allergy in a birth cohort
Arshad, S. H., Venter, C., Roberts, G., Dean, T. and Kurukulaaratchy, R. (2014). The natural history of peanut sensitization and allergy in a birth cohort. The Journal of Allergy and Clinical Immunology: In Practice. 134 (6), pp. 1462-1463. https://doi.org/10.1016/j.jaci.2014.09.026
Information and support from dietary consultation for mothers of children with food allergies
MacKenzie, H, Grundy, J.D., Glasbey, G., Dean, T. and Venter, C. (2014). Information and support from dietary consultation for mothers of children with food allergies. Annals of Allergy, Asthma and Immunology. 114 (1), pp. 23-29. https://doi.org/10.1016/j.anai.2014.10.001
An exploratory investigation of food choice behavior of teenagers with and without food allergies
Sommer, I., MacKenzie, H., Venter, C. and Dean, T. (2014). An exploratory investigation of food choice behavior of teenagers with and without food allergies. Annals of Allergy, Asthma and Immunology. 112 (5), pp. 446-452. https://doi.org/10.1016/j.anai.2014.02.009
What is the impact of contraceptive methods and mixes of contraceptive methods on contraceptive prevalence, unmet need for family planning, and unwanted and unintended pregnancies?
MacKenzie, H., Drahota, A., , Pallikadavath, S., Stones, W., Dean, T., Fogg, C., Stores, R., Kilburn, S., Dewey, A. and Ogollah, R. (2013). What is the impact of contraceptive methods and mixes of contraceptive methods on contraceptive prevalence, unmet need for family planning, and unwanted and unintended pregnancies? Institute of Education, University of London EPPI Centre, Social Science Research Unit.
Pilot cluster randomised controlled trial of flooring to reduce injuries from falls in wards for older people
Drahota, A., Ward, D., Udell, J. E., Soilemezi, D., Ogollah, R., Higgins, B., Dean, T. and Severs, M. (2013). Pilot cluster randomised controlled trial of flooring to reduce injuries from falls in wards for older people. Ageing and Society. 42 (5), pp. 633-640. https://doi.org/10.1093/ageing/aft067
Literature searches and reviews related to the prevalence of food allergy in Europe
Dean, T., MacKenzie, H., Kilburn, S., Moonesinghe, H., Lee, K., Maslin, K. and Venter, C. (2013). Literature searches and reviews related to the prevalence of food allergy in Europe. European Food Safety Authority.
Human resource inequalities at the base of India's public health care system
Pallikadavath, S., Singh, A., Ogollah, R., Dean, T. and Stones, W. (2013). Human resource inequalities at the base of India's public health care system. Health and Place. 23, pp. 26-32. https://doi.org/10.1016/j.healthplace.2013.05.003
Sensory environment on health-related outcomes of hospital patients
Drahota, A., Ward, D., MacKenzie, H., Stores, R., Higgins, B., Gal, D. and Dean, T. (2012). Sensory environment on health-related outcomes of hospital patients. Cochrane Library. 3. https://doi.org/10.1002/14651858.CD005315.pub2
Food allergies and intolerances in children
MacKenzie, H. and Dean, T. (2011). Food allergies and intolerances in children. in: Kilvast, D. and Angus, F. (ed.) Developing children's food products Cambridge Woodhead Publishing. pp. 82-97
A randomised controlled trial of ion-exchange water softeners for the treatment of eczema in children
Thomas, K. S., Dean, T., O'Leary, C. D., Sach, T. H., Koller, K., Frost, A. and Williams, H. C. (2011). A randomised controlled trial of ion-exchange water softeners for the treatment of eczema in children. Plos Medicine. https://doi.org/10.1371/journal.pmed.1000395
A multicentre randomised controlled trial and economic evaluation of ion-exchange water softeners for the treatment of eczema in children: the Softened Water Eczema Trial (SWET)
Thomas, K. S., Koller, K., Dean, T., O’Leary, C. J., Sach, T. H., Frost, A., Pallett, I., Crook, A. M., Meredith, S. and Nunn, A. J. (2011). A multicentre randomised controlled trial and economic evaluation of ion-exchange water softeners for the treatment of eczema in children: the Softened Water Eczema Trial (SWET). Health Technology Assessment. 15 (8). https://doi.org/10.3310/hta15080
Care home versus hospital and own home environments for rehabilitation of older people
Drahota, A., Ward, D., Gal, D., Severs, M. and Dean, T. (2008). Care home versus hospital and own home environments for rehabilitation of older people. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD003164.pub2
Randomized, double-blind comparison of patient-controlled epidural infusion vs nurse-administered epidural infusion for postoperative analgesia in patients undergoing colonic resection
Nightingale, J.J., Knight, M.V., Higgins, B. and Dean, T. (2007). Randomized, double-blind comparison of patient-controlled epidural infusion vs nurse-administered epidural infusion for postoperative analgesia in patients undergoing colonic resection. British Journal of Anaesthesia. 98 (3), pp. 380-384. https://doi.org/10.1093/bja/ael367
The effects of a double blind, placebo controlled, artificial food colourings and benzoate preservative challenge on hyperactivity in a general population sample of preschool children
Bateman, B., Warner, J. O., Hutchinson, E., Dean, T., Rowlandson, P., Gant, C., Grundy, J., Fitzgerald, C. and Stevenson, J. (2004). The effects of a double blind, placebo controlled, artificial food colourings and benzoate preservative challenge on hyperactivity in a general population sample of preschool children. Archives of Disease in Childhood. 89, pp. 506-511. https://doi.org/10.1136/adc.2003.031435