Recently, the problem of allergies in childrenis becoming more and more common. Schoolchildren, preschoolers, infants and newborns suffer from various types of allergies. In the first year of life, children most often have food allergies, after the first year of life, the frequency of other types of allergic reactions increases: allergies to plant pollen, house dust, animal hair and skin particles, drug allergies, etc. Following a hypoallergenic diet is one of the main principles of treatment for all types of allergies.
Hypoallergenic diet according to Ado
A hypoallergenic diet plays a particularly important rolerole in eliminating food allergies. The general non-specific hypoallergenic diets include the diet of academician A. D. Ado for children. It is based on the exclusion of foods that have a high allergenic capacity from the diet. The Ado diet does not take into account the individual characteristics of a child who is allergic (in rare cases, allergic reactions may occur to foods that are allowed by the diet). The Ado diet for children, in the presence of any type of allergic reaction in a child, is recommended for all age groups. The general principles of such a diet should be followed by children from infancy to 3 years inclusive, especially when there is a family predisposition to allergies.
Diet for Ado for children and its basic principles
During periods of exacerbation of allergies and duringFor the next 1-2 weeks after improvement, it is necessary to completely exclude from the child's diet foods that have a high allergenic capacity. Such foods include:
- fish (both river and sea), seafood and fish products (caviar, crab sticks, canned food);
- all citrus fruits (oranges, lemons, tangerines, grapefruit, lime);
- nuts;
- cocoa and products that contain cocoa (sweets, chocolate, confectionery);
- coffee;
- poultry meat and products made from it (including broths);
- all kinds of smoked meat;
- Spices and condiments (including mayonnaise, mustard, spicy and fragrant pepper, vinegar);
- mushrooms;
- sharp vegetables (horseradish, radish, radish, daikon);
- eggs and products with a high content of eggs (protein creams, dough, homemade cakes);
- tomatoes and aubergines;
- honey;
- strawberry, strawberry, pineapple, melon;
- whole milk;
- alcoholic beverages (as well as confectionery, which contain alcohol).
After the allergy flare-up was relieved,It is allowed to gradually introduce (in small portions, 1 at a time) these products if the child tolerates them well. But even in the absence of an exacerbation of allergies and good tolerance of highly allergenic products, the frequency of their inclusion in the child's diet should not exceed 1 time per week. All products with a high allergenic capacity are not recommended for children under 3 years of age. In case of a hereditary predisposition to allergic reactions and during an exacerbation of allergies, according to the Ado diet for children, it is recommended to limit some other products. These include brightly colored fruits, vegetables and berries (red - pomegranate, raspberry, beetroot, cherry; black - blackberry, black currant; orange - carrot, pumpkin), as well as compotes and juices from them. The following products are allowed for consumption during and outside of an exacerbation:
- boiled low-fat beef;
- cereals and vegetable soups, cooked on a secondary beef broth (mostly vegetarian);
- vegetable oil and cream (vegetable: sunflower and olive);
- fresh lactic acid products (cottage cheese, kefir, natural yoghurts without dyes and flavors, yogurt);
- Milk and dairy-free porridge (buckwheat, oatmeal, rice);
- fresh cucumbers;
- baked apples and compote of apples, plums, currants, cherries, dried fruits;
- watermelon;
- Boiled potatoes;
- herbs - dill, parsley;
- white unkempt bread;
- tea;
- sugar.
Unreasonably prolonged usehypoallergenic diet for children, especially after 3 years, can lead to micronutrient and protein-energy deficiency and, subsequently, to disruption of the child's physical development. Therefore, a strictly restrictive diet should be considered as the initial one. Then, depending on the identified range of causative products and the results of the examination, an individual hypoallergenic diet is formed. During the period of partial or complete remission, the diet for children should gradually expand through a personal assessment of sensitivity to certain food products with the obligatory registration of any allergic reactions that appear in a food diary.