FDNS 4600 1st Edition Lecture 42 Outline of Past Lecture I II III IV V The Issue Food allergy Food Allergy Prevalence Diagnosis Food Allergy Management Outline of Current Lecture I II Changes in AAP recommendations Attention Deficit and Hyperactivity Disorder ADHD Current Lecture I Changes in AAP recommendations a High risk infant if the father or sibling has an allergy b Pregnancy guidelines have changed i 2000 consider avoiding peanuts ii 2008 no recommendation c Lactation i 2000 avoid peanuts and tree nuts and consider restricting cow s milk eggs and fish ii 2008 none d Formula i 2000 Consider hydrolyzed or soy ii 2008 Consider hydrolyzed but no evidence for soy e Complimentary feeding i 2008 1 6 months 2 no dairy before 1 year 3 no eggs before 2 years 4 no peanuts tree nuts or fish before 3 years ii 20081 initiate 4 to 6 months 2 no evidence for restriction of potential allergens These notes represent a detailed interpretation of the professor s lecture GradeBuddy is best used as a supplement to your own notes not as a substitute II 3 New evidence that exposing children to the allergen early many reduce allergy later on in life Attention Deficit and Hyperactivity Disorder ADHD a It is a neurobiological disorder DSM V Criteria dealing with mental health issues b Diagnosis of ADHD increased since 2003 i 11 of children 4 17 years of age have been diagnosed c Higher in boys and with poverty south i Difference in regions because there are different ways to diagnose it d Diagnosis of ADHD i No one test ii Comprehensive evaluation to determine how severe it is e Types of ADHD i Predominantly hyperactive impulsive ii Predominantly inattentive iii Most children have combined types which is hyperactive impulsive and inattentive f Biological risk factors i Genetics low birth rate pregnancy and or delivery complication brain injuries ii Food or food additives are not listed as a reason 1 Not scientifically supported and so typically not part of practice guidelines g Possible benefits of restricting additives i Fewer cookies cakes candy more fruits as snacks and desserts ii Fewer chips less sodium more vegetables and fruit as snacks iii Less white bread and sugar sweetened breakfast cereal more whole grain breads and cereals iv Less sugar soda more water fruit juice and milk v No harm in restricting foods colors or other additives but parents need to be careful not to restrict the diet too much h FDA meeting about color additives i Parent testimonials say that making an improvement in child s diet makes a changes in the child s behavior ii If there is something going on it is more than just food colors
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