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Of the aforementioned, growth faltering has been well studied and is seen as a common presenting factor in paediatric food allergy. However, the use of different criteria and cut\u2010off values makes it difficult to establish the overall effect. The impact of number and type of foods eliminated and comorbidities has yielded varying results, although there seems to be a trend towards worsening growth with atopic dermatitis and the avoidance of cow's milk. Low micronutrient intake is common in paediatric food allergy; however, a low intake does not necessarily translate into a deficiency as measured by biomarkers. Vitamin D and calcium have been well studied, and a long\u2010lasting impact on bone mineral density has been found. However, other micronutrient deficiencies have also been found and should also be considered. Feeding difficulties is a common complaint in clinical practice, but limited data have been published in food allergy. Poor growth and reflux\/vomiting have been shown to be associated with feeding difficulties, in particular in non\u2010IgE\u2010mediated food allergies. There seems to be a long\u2010lasting effect on feeding, in particular in cow's milk allergy, which needs to be taken into account with dietary input. The interplay between growth, feeding difficulties and micronutrient deficiencies has been implied in some studies, but cause and effect is not well established and requires further research.<\/jats:p>","DOI":"10.1111\/pai.12960","type":"journal-article","created":{"date-parts":[[2018,7,25]],"date-time":"2018-07-25T11:31:15Z","timestamp":1532518275000},"page":"689-704","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":145,"title":["Nutritional disorders resulting from food allergy in children"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5710-5570","authenticated-orcid":false,"given":"Rosan","family":"Meyer","sequence":"first","affiliation":[{"name":"Department of Paediatrics Imperial College  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,11,13]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/all.12429"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/cea.13087"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1398-9995.2007.01570.x"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3038.2011.01254.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/all.12441"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2015.08.009"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13601-016-0115-x"},{"issue":"1","key":"e_1_2_8_9_1","first-page":"40","article-title":"Severe malnutrition resulting from use of rice milk in food elimination diets for atopic dermatitis","volume":"14","author":"Keller MD","year":"2012","journal-title":"Isr Med Assoc J"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533610374199"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/07315724.2002.10719199"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACI.0000000000000358"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e31825c9482"},{"issue":"21","key":"e_1_2_8_14_1","first-page":"1","article-title":"World Allergy Organization (WAO) diagnosis and rationale for action against cow's milk allergy (DRACMA) guidelines","volume":"21","author":"Fiocchi A","year":"2010","journal-title":"Pediatr Allergy Immunol"},{"issue":"6","key":"e_1_2_8_15_1","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1016\/j.jaci.2010.10.008","article-title":"Guidelines for the diagnosis and management of food allergy in the United States: report of the NIAID\u2010sponsored expert panel","volume":"126","author":"Boyce JA","year":"2010","journal-title":"J Allergy Clin Immunol"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2005.080333"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anai.2015.09.015"},{"key":"e_1_2_8_18_1","unstructured":"World Health Organization.Global Database on Child Growth and Malnutrition: Child Growth Indicators and their Interpretation;2012.wwwwhoint\/nutgrowhdb\/about\/introudction\/en\/index2html. 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