{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T12:05:26Z","timestamp":1779883526402,"version":"3.53.1"},"reference-count":20,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T00:00:00Z","timestamp":1779840000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: To evaluate the long-term effects of eosinophilic esophagitis (EoE) on the nutritional status and growth of children. Methods: We performed a retrospective cohort study to assess longitudinal growth patterns (height and BMI z-scores) in pediatric patients (&lt;18 years) newly diagnosed with EoE and followed for at least one year. Nutritional status was classified using BMI-based criteria from the Academy of Nutrition and Dietetics\/American Society for Parenteral and Enteral Nutrition and the World Health Organization. Results: Among 50 patients, 20% presented with impaired nutritional status at diagnosis, including 12% with moderate malnutrition (BMI z-score &lt; \u22122) and 8% with obesity (BMI z-score &gt; +2). After a mean follow-up of 24.5 months, the prevalence of moderate malnutrition decreased to 6%, whereas obesity increased to 12%. Height z-scores remained largely stable over the follow-up period. Conclusions: EoE affects children across the full BMI spectrum. Long-term follow-up highlights the importance of monitoring nutritional status in all pediatric patients with EoE, given the risks of both malnutrition and obesity during disease management.<\/jats:p>","DOI":"10.3390\/nu18111710","type":"journal-article","created":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T11:03:27Z","timestamp":1779879807000},"page":"1710","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nutritional Status of Children with Eosinophilic Esophagitis: A Long-Term Follow-Up Study"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3079-7097","authenticated-orcid":false,"given":"Marta Joanna","family":"Borys","sequence":"first","affiliation":[{"name":"Department of Paediatrics, Medical University of Warsaw, \u017bwirki i Wigury 63A, 02-091 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Horvath","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Medical University of Warsaw, \u017bwirki i Wigury 63A, 02-091 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4227-3130","authenticated-orcid":false,"given":"Piotr","family":"Dziechciarz","sequence":"additional","affiliation":[{"name":"Department of Methodology, Medical University of Warsaw, \u017bwirki i Wigury 61, 02-091 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,5,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1022","DOI":"10.1053\/j.gastro.2018.07.009","article-title":"Updated International Consensus Diagnostic Criteria for Eosinophilic Esophagitis: Proceedings of the AGREE Conference","volume":"155","author":"Dellon","year":"2018","journal-title":"Gastroenterology"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1116","DOI":"10.1111\/apt.15231","article-title":"Systematic Review with Meta-Analysis: The Growing Incidence and Prevalence of Eosinophilic Esophagitis in Children and Adults in Population-Based Studies","volume":"49","author":"Navarro","year":"2019","journal-title":"Aliment. Pharmacol. Ther."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.cgh.2018.06.028","article-title":"Incidence and Prevalence of Pediatric Eosinophilic Esophagitis in Utah Based on a 5-Year Population-Based Study","volume":"17","author":"Robson","year":"2019","journal-title":"Clin. Gastroenterol. Hepatol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1053\/j.gastro.2017.06.067","article-title":"Epidemiology and Natural History of Eosinophilic Esophagitis","volume":"154","author":"Dellon","year":"2018","journal-title":"Gastroenterology"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1001\/jamaoto.2018.4177","article-title":"Eosinophilic Esophagitis\u2014A Primer for Otolaryngologists","volume":"145","author":"Kumar","year":"2019","journal-title":"JAMA Otolaryngol. Head Neck Surg."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1310","DOI":"10.1001\/jama.2021.14920","article-title":"Eosinophilic Esophagitis: A Review","volume":"326","author":"Muir","year":"2021","journal-title":"JAMA"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.anai.2015.09.015","article-title":"High Rate of Failure to Thrive in a Pediatric Cohort with Eosinophilic Esophagitis","volume":"116","author":"Paquet","year":"2016","journal-title":"Ann. Allergy Asthma Immunol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1097\/MPG.0000000000001741","article-title":"Nutritional State and Feeding Behaviors of Children with Eosinophilic Esophagitis and Gastroesophageal Reflux Disease","volume":"66","author":"Mehta","year":"2018","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1016\/j.jaip.2014.05.012","article-title":"The Impact of Dietary Therapy on Clinical and Biologic Parameters of Pediatric Patients with Eosinophilic Esophagitis","volume":"2","author":"Colson","year":"2014","journal-title":"J. Allergy Clin. Immunol. Pr."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1097\/MPG.0000000000002215","article-title":"Pediatric Eosinophilic Esophagitis: Results of the European Retrospective Pediatric Eosinophilic Esophagitis Registry (RetroPEER)","volume":"68","author":"Hoofien","year":"2019","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"e672","DOI":"10.1542\/peds.2009-2227","article-title":"Feeding Dysfunction in Children with Eosinophilic Gastrointestinal Diseases","volume":"126","author":"Mukkada","year":"2010","journal-title":"Pediatrics"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1097\/MPG.0000000000002114","article-title":"Longitudinal Growth Outcomes Following First-Line Treatment for Pediatric Patients with Eosinophilic Esophagitis","volume":"68","author":"Jensen","year":"2019","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Zdanowicz, K., Kucharska, M., Sobaniec-Lotowska, M.E., and Lebensztejn, D.M. (2020). Eosinophilic Esophagitis in Children in North-Eastern Poland. J. Clin. Med., 9.","DOI":"10.3390\/jcm9123869"},{"key":"ref_14","unstructured":"World Health Organization (2011). WHO Anthro for Personal Computers Manual: Software for Assessing Growth and Development of the World\u2019s Children, WHO."},{"key":"ref_15","unstructured":"World Health Organization (2009). WHO AnthroPlus for Personal Computers Manual: Software for Assessing Growth of the World\u2019s Children and Adolescents, WHO."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Votto, M., De Filippo, M., Olivero, F., De Silvestri, A., Piloni, D., Lenti, M.V., Aronico, N., Licari, A., Marseglia, G.L., and Di Sabatino, A. (2020). Malnutrition in Eosinophilic Gastrointestinal Disorders. Nutrients, 13.","DOI":"10.3390\/nu13010128"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Dellon, E.S., Muir, A.B., Katzka, D.A., Shah, S.C., Sauer, B.G., Aceves, S.S., Furuta, G.T., Gonsalves, N., and Hirano, I. (2025). ACG Clinical Guideline: Diagnosis and Management of Eosinophilic Esophagitis. Am. J. Gastroenterol., in press.","DOI":"10.14309\/ajg.0000000000003194"},{"key":"ref_18","first-page":"547","article-title":"Pediatric Celiac Disease and Eosinophilic Esophagitis: Outcome of Dietary Therapy","volume":"68","author":"Patton","year":"2019","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1442","DOI":"10.14309\/ajg.0000000000002661","article-title":"Esophageal Remodeling Correlates with Eating Behaviors in Pediatric Eosinophilic Esophagitis","volume":"119","author":"Kennedy","year":"2024","journal-title":"Am. J. Gastroenterol."},{"key":"ref_20","first-page":"1210","article-title":"Adaptive Behaviors, Esophageal Anxiety, and Hypervigilance Modify the Association Between Dysphagia Perception and Histological Disease Activity in Eosinophilic Esophagitis","volume":"119","author":"Visaggi","year":"2024","journal-title":"Am. J. Gastroenterol."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/11\/1710\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T11:15:19Z","timestamp":1779880519000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/11\/1710"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,27]]},"references-count":20,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2026,6]]}},"alternative-id":["nu18111710"],"URL":"https:\/\/doi.org\/10.3390\/nu18111710","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,27]]}}}