Dietary elimination of children with food protein induced gastrointestinal allergy – micronutrient adequacy with and without a hypoallergenic formula?

Background: The cornerstone for management of Food protein-induced gastrointestinal allergy (FPGIA) is dietary exclusion; however the micronutrient intake of this population has been poorly studied. We set out to determine the dietary intake of children on an elimination diet for this food allergy and hypothesised that the type of elimination diet and the presence of a hypoallergenic formula (HF) significantly impacts on micronutrient intake. Method: A prospective observational study was conducted on children diagnosed with FPIGA on an exclusion diet who completed a 3 day semi-quantitative food diary 4 weeks after commencing the diet. Nutritional intake where HF was used was compared to those without HF, with or without a vitamin and mineral supplement (VMS). Results: One-hundred-and-five food diaries were included in the data analysis: 70 boys (66.7%) with median age of 21.8 months [IQR: 10 - 67.7]. Fifty-three children (50.5%) consumed a HF and the volume of consumption was correlated to micronutrient intake. Significantly (p <0.05) more children reached their micronutrient requirements if a HF was consumed. In those without a HF, some continued not to achieve requirements in particular for vitamin D and zinc, in spite of VMS. Conclusion: This study points towards the important micronutrient contribution of a HF in children with FPIGA. Children, who are not on a HF and without a VMS, are at increased risk of low intakes in particular vitamin D and zinc. Further studies need to be performed, to assess whether dietary intake translates into actual biological deficiencies

A practical approach to vitamin and mineral supplementation in food allergic children

The management of food allergy in children requires elimination of the offending allergens, which significantly contribute to micronutrient intake. Vitamin and mineral supplementation are commonly suggested as part of dietary management. However a targeted supplementation regime requires a complete nutritional assessment, which includes food diaries. Ideally these should be analysed using a computerised program, but are very time consuming. We therefore set out to evaluate current practice of vitamin and mineral supplementation in a cohort of children with non-Immunoglobulin E (IgE) mediated food allergies

On the lack of X-ray pulsation in most neutron star low-mass X-ray binaries

We have investigated whether the lack of X-ray pulsations from most neutron star (NS) low-mass X-ray binaries (LMXBs) could be due to the extension of their inner disc to the NS surface. To estimate the inner disc radii, we have employed the model, recently proposed to account for the torque reversals of LMXBs. In this model, the inner disc radius depends on the spin period as well as the dipole moment and the mass inflow rate of the disc. Our model results indicate that most LMXBs have mass accretion rates above the minimum critical rates required for the inner disc to reach down to the NS surface and thereby quench the pulsed X-ray emission. For most sources X-ray pulsations are allowed when the period decreases below a certain critical value. For the same parameters, the model is also consistent with the observed X-ray luminosity ranges of the individual accreting millisecond X-ray pulsars (AMXPs). The paucity of AMXPs compared to the majority population of non-pulsing LMXBs is explained, as well as the fact that AMXPs are transient sources.Comment: 10 pages, 5 figures, accepted for publication in MNRA

Television viewing and its effect on physical health of schoolage children

Television viewing and its effect on physical health of schoolage children

Behavioral correlates of television viewing in primary school children evaluated by the Child Behavior Checklist

Background: Television is a source from which children gain information about life and experience different types of behavior. The Child Behavior Checklist (CBCL) has not been used thoroughly to evaluate the behavioral effects of television viewing on children