{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T19:16:41Z","timestamp":1792178201037,"version":"4.4.0"},"reference-count":25,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Allergy Immunology"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Food allergy is a chronic condition with psychosocial consequences for both children and their families. Strict elimination diets and fear of adverse reactions may contribute to maladaptive coping including behaviors avoidant\/restrictive food intake disorder (ARFID)\u2010related eating patterns. Therefore, this study aimed to compare ARFID\u2010related eating behavior scores between children with food allergy and healthy controls and to identify the affected domains.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this prospective controlled study, 234 children aged 2\u20139\u2009years were enrolled, including 117 children with physician\u2010diagnosed food allergy and 117 age\u2010 and sex\u2010matched healthy controls. Eating behaviors were assessed using the Nine Item Avoidant\/Restrictive Food Intake Disorder Screen\u2014Parent Report (NIAS\u2010PR). Total and subscale scores (picky eating, fear, and appetite) were compared between groups. Within the food allergy group, associations between clinical characteristics and NIAS\u2010PR scores were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Children with food allergy demonstrated significantly higher NIAS\u2010PR total scores compared with controls. The median total NIAS score was higher in the patient group than in the control group (17 [11\u201324] vs. 12 [7\u201318],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001). This difference was primarily driven by higher fear\u2010 and picky\u2010eating\u2010related scores, whereas appetite scores did not differ significantly. Fear subscale scores were significantly higher in children with a history of urticaria or anaphylaxis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Pediatric food allergy is associated with increased ARFID\u2010related eating behaviors, particularly fear\u2010 and picky\u2010eating patterns. In addition, fear\u2010related scores were higher among children with a history of immediate\u2010type reactions, such as urticaria and anaphylaxis. These findings suggest that ARFID\u2010related eating behaviors should be considered in the assessment of children with food allergy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pai.70403","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T15:45:02Z","timestamp":1783525502000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Fear and picky eating\u2010related\n                    <scp>ARFID<\/scp>\n                    behaviors in children with food allergy"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8783-0514","authenticated-orcid":false,"given":"Merve","family":"Karaca \u015eahin","sequence":"first","affiliation":[{"name":"Department of Pediatric Allergy and Immunology University of Health Sciences, Prof. Dr. Cemil Tascioglu City Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5546-0034","authenticated-orcid":false,"given":"Nilay","family":"\u00c7al\u0131\u015fkan","sequence":"additional","affiliation":[{"name":"Department of Pediatric Allergy and Immunology University of Health Sciences, Prof. Dr. Cemil Tascioglu City Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan Tun\u00e7","family":"\u015earman","sequence":"additional","affiliation":[{"name":"Department of Pediatric Allergy and Immunology University of Health Sciences, Prof. Dr. Cemil Tascioglu City Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c7a\u011fla","family":"\u00d6zt\u00fcrk Turan","sequence":"additional","affiliation":[{"name":"Department of Pediatric Allergy and Immunology University of Health Sciences, Prof. Dr. Cemil Tascioglu City Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00fcler","family":"Y\u0131ld\u0131r\u0131m","sequence":"additional","affiliation":[{"name":"Department of Pediatric Allergy and Immunology University of Health Sciences, Prof. Dr. Cemil Tascioglu City Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eren","family":"G\u00fczelo\u011flu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Health Sciences, Prof. Dr. Cemil Tascioglu City Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8923-1897","authenticated-orcid":false,"given":"Hilal","family":"G\u00fcng\u00f6r","sequence":"additional","affiliation":[{"name":"Department of Pediatric Allergy and Immunology University of Health Sciences, Prof. Dr. Cemil Tascioglu City Hospital  Istanbul 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