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Nutritional and Psychological Considerations for Dietary Therapy in Eosinophilic Esophagitis

The step-up empiric elimination diet, starting from one/two food groups of most local allergens remains the current gold standard for a dietary approach in eosinophilic esophagitis (EoE) patients. Milk, followed by wheat and egg, is the most frequent food that triggers EoE in pediatric and adult pat...

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Autor principal: Molina-Infante, Javier
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9025426/
https://www.ncbi.nlm.nih.gov/pubmed/35458150
http://dx.doi.org/10.3390/nu14081588
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author Molina-Infante, Javier
author_facet Molina-Infante, Javier
author_sort Molina-Infante, Javier
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description The step-up empiric elimination diet, starting from one/two food groups of most local allergens remains the current gold standard for a dietary approach in eosinophilic esophagitis (EoE) patients. Milk, followed by wheat and egg, is the most frequent food that triggers EoE in pediatric and adult patients. Elimination diets, with restrictions over four food groups, may be limited to highly motivated patients, in which nutritional counseling is recommended. Malnourishment is uncommon in EoE patients and likely multifactorial (concomitant gastrointestinal eosinophilic disorders or IgE-mediated food allergies, feeding difficulties, abnormal feeding behavior). Avoidant/restrictive food intake disorder in EoE children on highly restrictive diets was lately described and may warrant specific psychological support. As for adults, quality of life may be impaired by symptom severity and dietary restrictions, aside from recently reported food impaction-related specific anxiety in up to 43% of patients. Severe symptoms, feeding dysfunction, and diet restrictions may negatively influence psychosocial adjustment for patients and their caregivers.
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spelling pubmed-90254262022-04-23 Nutritional and Psychological Considerations for Dietary Therapy in Eosinophilic Esophagitis Molina-Infante, Javier Nutrients Review The step-up empiric elimination diet, starting from one/two food groups of most local allergens remains the current gold standard for a dietary approach in eosinophilic esophagitis (EoE) patients. Milk, followed by wheat and egg, is the most frequent food that triggers EoE in pediatric and adult patients. Elimination diets, with restrictions over four food groups, may be limited to highly motivated patients, in which nutritional counseling is recommended. Malnourishment is uncommon in EoE patients and likely multifactorial (concomitant gastrointestinal eosinophilic disorders or IgE-mediated food allergies, feeding difficulties, abnormal feeding behavior). Avoidant/restrictive food intake disorder in EoE children on highly restrictive diets was lately described and may warrant specific psychological support. As for adults, quality of life may be impaired by symptom severity and dietary restrictions, aside from recently reported food impaction-related specific anxiety in up to 43% of patients. Severe symptoms, feeding dysfunction, and diet restrictions may negatively influence psychosocial adjustment for patients and their caregivers. MDPI 2022-04-12 /pmc/articles/PMC9025426/ /pubmed/35458150 http://dx.doi.org/10.3390/nu14081588 Text en © 2022 by the author. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Molina-Infante, Javier
Nutritional and Psychological Considerations for Dietary Therapy in Eosinophilic Esophagitis
title Nutritional and Psychological Considerations for Dietary Therapy in Eosinophilic Esophagitis
title_full Nutritional and Psychological Considerations for Dietary Therapy in Eosinophilic Esophagitis
title_fullStr Nutritional and Psychological Considerations for Dietary Therapy in Eosinophilic Esophagitis
title_full_unstemmed Nutritional and Psychological Considerations for Dietary Therapy in Eosinophilic Esophagitis
title_short Nutritional and Psychological Considerations for Dietary Therapy in Eosinophilic Esophagitis
title_sort nutritional and psychological considerations for dietary therapy in eosinophilic esophagitis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9025426/
https://www.ncbi.nlm.nih.gov/pubmed/35458150
http://dx.doi.org/10.3390/nu14081588
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