FDNS 4600 1st Edition Lecture 42Outline of Past Lecture I. The IssueII. Food allergyIII. Food Allergy PrevalenceIV. DiagnosisV. Food Allergy ManagementOutline of Current LectureI. Changes in AAP recommendationsII. Attention Deficit and Hyperactivity Disorder (ADHD)Current LectureI. Changes in AAP recommendationsa. High risk infant- if the father or sibling has an allergyb. Pregnancy guidelines have changed i. 2000- consider avoiding peanutsii. 2008- no recommendation c. Lactationi. 2000- avoid peanuts and tree nuts and consider restricting cow’s milk, eggs, and fishii. 2008- noned. Formulai. 2000- Consider hydrolyzed or soyii. 2008- Consider hydrolyzed, but no evidence for soye. Complimentary feedingi. 20081. 6 months2. no dairy before 1 year3. no eggs before 2 years4. no peanuts, tree nuts, or fish before 3 yearsii. 2008- 1. initiate 4 to 6 months2. no evidence for restriction of potential allergensThese 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.3. New evidence that exposing children to the allergen early many reduce allergy later on in lifeII. 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 2003i. 11% of children 4-17 years of age have been diagnosedc. Higher in boys and with poverty (south)i. Difference in regions because there are different ways to diagnose itd. Diagnosis of ADHDi. No one testii. Comprehensive evaluation to determine how severe it ise. Types of ADHDi. Predominantly hyperactive-impulsiveii. Predominantly inattentive iii. Most children have combined types which is hyperactive-impulsive and inattentivef. Biological risk factorsi. Genetics, low birth rate, pregnancy and/or delivery complication, brain injuriesii. Food or food additives are not listed as a reason!1. Not scientifically supported and so typically not part of practice guidelinesg. Possible benefits of “restricting” additivesi. Fewer cookies/cakes/candy more fruits as snacks and dessertsii. Fewer chips less sodium, more vegetables and fruit as snacksiii. Less white bread and sugar-sweetened breakfast cereal more whole grain breads and cerealsiv. Less sugar soda more water, fruit juice, and milkv. No harm in restricting foods colors or other additives, but parents need tobe careful not to restrict the diet too muchh. FDA meeting about color additives i. Parent testimonials say that making an improvement in child’s diet makes a changes in the child’s behaviorii. If there is something going on, it is more than just food
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