Spring 2016

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Research Update


Cows’ milk exclusion diet during infancy: Is there a long-term effect on children’s eating behaviour and food preferences?

Highlights: Cow’s milk exclusion during infancy may affect eating behaviour in later childhood.

Application to Dietetic Practice: Essential reading for pediatric dietitians working with exclusion diets. Assessment and intervention should address the psychosocial aspects of eating and the potential negative effects of restricted diets.

Pub Med ID – 26592369

World Allergy Organization-McMaster University Guidelines for Allergic Disease Prevention (GLAD-P): Prebiotics

Highlights: Prebiotics may influence the development of allergy by altering the gut flora. The evidence for the use of prebiotics in infancy for allergy prevention is systematically reviewed.

Application to Dietetic Practice: Essential reading for clinical and community dietitians working with infants.

Pub Med ID – 26962387

Web Link: www.ncbi.nlm.nih.gov/pmc/articles/PMC4772464

Eosinophilic esophagitis is characterized by a non-IgE-mediated food hypersensitivity

Highlights: Intriguing discussion on the mechanism of this condition and how it overlaps with other allergic conditions.

Application to Dietetic Practice: A strong understanding of immunology is necessary.

Pub Med ID – 26799684

Should wheat, barley, rye, and or gluten be avoided in a 6-food elimination diet

Highlights: A six food elimination diet is often used for patients with eosinophilic esophagitis. Wheat is one of the six common allergens that is eliminated. A common question is if barley, rye and regular oats should also be eliminated.

Application to Dietetic Practice: Interesting article for dietitians that work with allergen elimination diets, particularly those with eosinophilic gastrointestinal diseases.

Pub Med ID – 26725190

Resources Update


Pantry Solutions Without Milk, Eggs, Soy, Wheat, Gluten or Nuts

Description: A video with supporting articles on recipe substitutions for common allergen restrictions.

Target Audience: Great resource for clients and dietitians. The label reading information would apply to American audiences only.

Organization: Kids with Food Allergies

Website Link: http://community.kidswithfoodallergies.org/blog/pantry-solutions-without-milk-eggs-soy-wheat-gluten-or-nuts-video-and-resources


Newly Diagnosed Support Centre

Description: An excellent website for clients/families that have been recently diagnosed with immediate food allergy. The content is applicable to clients in any country (i.e. not specific to Canada).

Target Audience: General public. Those that have been newly diagnosed with immediate food allergy or need to review the basics.

Organization: Food Allergy Canada

Website Link: allergysupportcentre.ca

Why Risk It

Description: A fantastic website for teenagers with food allergy. The content is determined by a Youth Advisory Panel. Valuable peer written information for teenagers that are learning to be independent and responsible for managing their food allergies. They can also connect with other teenagers facing similar challenges.

Target Audience: Teens with immediate food allergy.

Organization: Food Allergy Canada

Website Link: whyriskit.ca

Your Clinical Questions


Are enzymes that claim to digest gluten helpful for people with celiac disease or “gluten intolerance”?

There are many products that claim to digest gluten on the market (i.e. breakdown the trouble some amino acid sequence in gluten proteins). Potential enzyme therapies are being researched, but the current products on the market have no evidence to support them.