Food Allergy Living Blog Tagged Results


vitamin D

Vitamin Series - Vitamin D

Posted 1.5.10 | Christine Graham-Garo

I hope everyone’s New Year is off to a great start! We are excited to begin 2010 with our Vitamin Series. Each week we will highlight interesting facts about a different vitamin and provide tips to help you make sure your kids are getting enough of each one. This week we are going to focus on vitamin D.

Vitamin D has been in the news lately due to a recent study that showed that as many as 70% of children have a deficiency in this vitamin! (http://www.cnn.com/2009/HEALTH/08/03/vitamin.d.children/). A second study found that children with low levels of vitamin D are more likely to have high blood pressure and lower levels of high-density lipoprotein (HDL), also known as “healthy” cholesterol — two issues that are considered major risk factors for heart disease later in life. A deficiency in vitamin D also results in Rickets.

In October of 2008, the AAP (American Academy of Pediatrics) increased their recommendations for vitamin D by 100%, from 200 IU/d to 400 IU/d for infants, children, and adolescents.

So how come so many children are not getting enough vitamin D? One theory has to do with how our bodies get vitamin D. While you can get it from certain foods such as oily fish and egg yolks, the majority of our vitamin D is derived from sun exposure. And in today’s world with computer technology, TVs galore, Xboxes and Wiis; children are just not playing outside as much as they used to.

Not to worry! Here are a few ways to make sure you and your family are getting enough vitamin D.

  1. Try to eat more foods that are high in vitamin D. Unfortunately, if your little one has a cow’s milk allergy, vitamin D can be trickier to get from food. Because of this, you may want to…
  2. Take supplements such as a multivitamin. Whichever vitamins you choose, be sure to check with the manufacturer to ensure they are allergen-free and will be tolerated by your little one.
  3. Look into formulas, like Neocate, which meet the new AAP guidelines if they are taken as a sole source of nutrition and meeting the child’s calorie needs.
  4. Send your little ones out to play in the yard for about 10-15 minutes (without sunscreen) to get the vitamin D amounts they need. Make sure to time them! You don’t want them to get a sunburn!

What do you think of this new finding? How do you make sure that your family gets enough vitamin D?

- Christine


After School Special: Milk-Free Shakes

Posted 9.17.09 | Mallory West

With the school year back in full swing, we wanted to share with you a tasty, healthy and safe after-school snack. This “Milk-Free Shake” is made with Neocate Nutra, a hypoallergenic, amino acid-based semi-solid medical food that is a good source of calcium and Vitamin D. You can also vary the recipe by substituting other tolerated fruits for the banana in this shake. Enjoy!

Milk-Free Banana Shake

8 scoops (37 g) Neocate Nutra powder

2 fl oz water

½ cup banana, sliced

2 ice cubes

Blend all ingredients until smooth. Pour into container and enjoy.

Yields 1 serving.

Calories 240
Protein 4 g
Carbohydrate 42 g
Fat 7 g
Calcium 254 mg
Vitamin D 2mcg

For other snack ideas, check out the Neocate Nutra Recipe Guide.

-Mallory

Tags

snack  |  milk free  |  Neocate Nutra  |  calcium  |  vitamin D  |  recipes


The Importance of Vitamin D: How to Ensure Your Child is Getting Enough

Posted 2.6.13 | Mallory West

In the world of nutrition, Vitamin D is a hot topic. In recent years, research has shown that Vitamin D plays a major role in health, beyond its known benefit for bone health.  Children who do not get enough Vitamin D are at a greater risk for certain health problems, such as asthma and allergies[i].  Severe Vitamin D deficiency can lead to a serious bone disease called Rickets.

Recommended Intake

In 2010, the Institute of Medicine (IOM) increased the recommended daily intake of Vitamin D for all age groups. The recommended intake for infants is 400 IU per day and for children and adults, 600 IU per day[ii].  Although Vitamin D can be obtained from sun exposure, kids play outside less than in previous years and sunscreen, which is recommended to prevent skin cancer, greatly reduces the body’s ability to make Vitamin D from the sun’s ultraviolet rays. This means that children must get Vitamin D from their diet or from a supplement.

Vitamin D Sources:

The main dietary source of Vitamin D for children is fortified cow’s milk. Recent research suggests that the optimal daily intake of fortified milk is two cups per day for most children[iii].  Two cups (16 fluid ounces) of low fat, fortified cow’s milk provides about 254 IU of Vitamin D. This amount does not meet the recommended daily intake of 600 IU, so this recommendation assumes that children are getting some Vitamin D from other sources.  Other dietary sources of Vitamin D include fortified cereals, other dairy products, and oily fish.

Vitamin D for Children with Food Allergies

If your little one has a milk allergy, it’s important to ensure that they get adequate Vitamin D from allergy-friendly sources.  Be sure to provide a milk-replacement that is fortified with Vitamin D. If your child’s food allergies also limit their intake of other Vitamin D sources, like cereal and fish, consider adding a Vitamin D supplement to their diet. For those of you whose children drink Neocate Junior, you may have heard that the Vitamin D level has recently been increased.  For reference, two cups of the upgraded Neocate Junior will provide about 380 IU of Vitamin D, which is more than the amount provided by the same quantity of cow’s milk. This increased level of Vitamin D helps to account for the dietary limitations of children with food allergies, which may make it difficult for them to get enough Vitamin D from their diet. In order to meet 100% of the recommended level of Vitamin D (600 IU), children 1 year and over need to drink about 25 fluid ounces (about 3 cups) of Neocate Junior per day.

Have questions about Vitamin D? Ask away!

 

-Mallory

 

Photo source: http://www.flickr.com/photos/imagesbywestfall/7058131383/

[i] Jonathon L. Maguire et al. Modifiable Determinants of Serum 25-Hydroxyvitamin D Status in Early ChildhoodOpportunities for PreventionDeterminants of Early Childhood Vitamin D Status. JAMA Pediatrics, 2013; : 1 DOI: 10.1001/2013.jamapediatrics.226.

[ii] Institute of Medicine. Dietary Reference Intakes for Calcium and Vitamin D. Washington, DC: The National Academies Press; 2011.

[iii] Jonathon L. Maguire, Gerald Lebovic, Sharmilaa Kandasamy, Marina Khovratovich, Muhammad Mamdani, Catherine S. Birken, and Patricia C. Parkin , on behalf of the TARGet Kids! Collaboration. The Relationship Between Cow’s Milk and Stores of Vitamin D and Iron in Early Childhood. Pediatrics, December 17, 2012 DOI: 10.1542/peds.2012-1793.


Will My Child Outgrow Their Cow Milk Allergy?

Posted 5.24.17 | Christine Graham-Garo


When children are diagnosed with milk allergies, parents might wonder, “Will my baby grow out of it?” As much as your new hypoallergenic formula and allergen-friendly diet is helping, you can’t help but wonder when you can feed your child without anxiety. Keep in mind, it’s normal to wonder!

Good news – Many children do outgrow their allergies; however, it may depend on what the child is allergic to and the type of allergy they have. Most importantly, keep in mind that all children are different!

Children with cow milk allergy (CMA) may be more likely to outgrow their allergies than their peanut or tree nut allergy buddies. One research study showed that 80% of kids diagnosed with a CMA will outgrow their allergy by 16 years of age[1]. More specifically, other research studies have found that about 45-50% of children outgrow CMA at one year, 60-75% at two years and 85-90% at three years.[2],[3]

Fortunately, the general consensus is that around 80% of children with cow milk allergy will outgrow it by 3-5 years of age[5]. Regular follow up by your medical specialist is important to re-test tolerance of cow milk protein.[6]

Now, compare that to the studies which show that about 20% and 10%, respectively, of young patients may outgrow peanut and tree nut allergies and approximately 8% of patients who outgrow a peanut allergy will later relapse, meaning the allergy comes back. Additionally, nut-related allergies are typically more severe and more likely to be fatal, which is quite scary![3]

For example, if your little one has multiple food allergies, such as both CMA and tree nut allergies, he or she may outgrow the CMA while the tree nut allergy could still persist. Still, outgrowing an allergy to cow milk will expand their diet and improve the quality of life and available foods for your little one.

Now this may be “good news/bad news” for some families. The good news is that the chance of the cow milk allergy being outgrown is very good, even if the child has the allergy into their teenage years, they are still likely to outgrow it. The bad news is that some infants with CMA may have it into their early teenage years, and a handful may never outgrow it.

The other factor that may influence your little one’s chances of outgrowing a food allergy is the levels of allergen-specific IgE detected in their blood. This means, the lower the allergen-specific IgE detected, the greater the chance of outgrowing the allergy. Your doctor can monitor this - make sure to ask them to explain the results, show you have the level has changed over time, and explain what the possible implications are.

As mentioned before, all children are different. Your little one may have all the right “ingredients” to overcome their cow milk allergy, but there is no way to know exactly when he or she will outgrow it. Your doctor may decide to attempt a food trial by introducing some foods that your child is allergic to, in order to see if the allergy still persists. Be patient, sometimes food trials can be taxing.

Our advice to allergy parents is not to worry, there is usually a light at the end of the tunnel! It’s wonderful if a child can outgrow their cow milk allergy, but if not, they can still thrive and lead happy, healthy lives.

To the more experienced food allergy parents, can you shed any advice on food trials and outgrowing allergies? Comment below or share your thoughts with us on our Facebook page!


[1] Skripack et al, J Allergy Clin Immunol. 2007

[2] de Boissieu D, Dupont C. Time course of allergy to extensively hydrolyzed cow's milk proteins in infants. J Pediatr 2000;136:119-20.

[3] de Boissieu D, Dupont C. Allergy to extensively hydrolyzed cow's milk proteins in infants: safety and duration of amino acid-based formula. : J Pediatr. 2002;141:271-3.

[4] The natural history of peanut and tree nut allergy. Fleischer DM. Curr Allergy Asthma Rep. 2007 Jun;7(3):175-81. Review.

[5] March 2016.  Cow’s milk (dairy) allergy, Australasian Society of Clinical Immunology and Allergy, [http://www.allergy.org.au/patients/food-allergy/cows-milk-dairy-allergy] Viewed 6 May 2016

[6] Motala & Fiocchi, 2012, Cow’s milk allergy in children, World Allergy Organisation, [http://www.worldallergy.org/professional/allergic_diseases_center/cows_milk_allergy_in_children/] Viewed 15 May 2016



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Food Allergy Living is a resource for parents of children with food allergies, brought to you by Nutricia, the makers of Neocate. For more in-depth information about our purpose & authors, see our About Food Allergy Living page.