Calcium intakes in individuals on diets for the management of cows' milk allergy: a case control study

Eur J Clin Nutr. 1993 Sep;47(9):609-16.

Abstract

Three hundred and twenty-three individuals with self-reported food allergy were recruited by media advertisements. Questionnaire information was collected on all respondents. Chocolate (57%), milk (47%), wheat (36%) and food additives (35%) were the most frequently implicated foods. The most frequently reported symptoms were itching (43%), skin rash (43%) and tiredness (43%). Food avoidance was the most common form of food allergy diagnosis (33%) with only 8% of respondents reporting food challenge in food allergy diagnosis. Self-diagnosis was reported by 34% of respondents with 29% and 24% reporting diagnosis by a general practitioner or a homeopath, respectively. Twenty-four per cent of respondents 'always' avoided and a further 57% 'nearly always' avoided the implicated food(s). A group of 38 adults with self-reported 'milk allergy' was selected for further study. Dietary assessments, using the dietary history method, were carried out on this subgroup and on age-, sex- and occupation-matched controls. The results of the dietary assessments revealed that the 'milk allergy' group had significantly higher intakes of fibre, beta-carotene, vitamin C, vitamin E, iron and folic acid (P < 0.05) and significantly lower intakes of calcium (P < 0.002) in comparison to controls. Eighteen per cent of the group used milk alternatives. Thirty-four per cent of the 'milk allergy' group took calcium-containing supplements. Even after calcium supplementation, the mean calcium intake of those who completely avoided milk was unacceptably low (441 mg/d).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Ascorbic Acid / administration & dosage
  • Cacao / adverse effects*
  • Calcium, Dietary / administration & dosage*
  • Carotenoids / administration & dosage
  • Case-Control Studies
  • Diet Surveys
  • Dietary Fiber
  • Female
  • Folic Acid / administration & dosage
  • Food Additives / adverse effects*
  • Food Hypersensitivity / diagnosis
  • Food Hypersensitivity / epidemiology*
  • Food Hypersensitivity / etiology
  • Food Hypersensitivity / physiopathology
  • Food Hypersensitivity / prevention & control
  • Humans
  • Ireland / epidemiology
  • Iron / administration & dosage
  • Male
  • Matched-Pair Analysis
  • Middle Aged
  • Milk Hypersensitivity / diagnosis
  • Milk Hypersensitivity / epidemiology*
  • Milk Hypersensitivity / physiopathology
  • Milk Hypersensitivity / prevention & control
  • Triticum / adverse effects*
  • Vitamin E / administration & dosage
  • beta Carotene

Substances

  • Calcium, Dietary
  • Dietary Fiber
  • Food Additives
  • beta Carotene
  • Vitamin E
  • Carotenoids
  • Folic Acid
  • Iron
  • Ascorbic Acid