Development and Management of Avoidant/Restrictive Food Intake Disorder and Food Neophobia in Pediatric Patients with Food Allergy: A Comprehensive Review
Abstract
:1. Introduction
2. Materials and Methods
2.1. Objectives
2.2. Search Strategy
- (food allergy OR food allergies) AND (ARFID OR avoidant restrictive food intake disorder OR selective eating disorder OR selective food intake disorder OR neophobia) AND (children OR adolescents OR youth OR child OR teenager) AND (nurse OR nurses OR nursing)
- (food allergy OR food allergies) AND (ARFID OR avoidant restrictive food intake disorder OR selective eating disorder OR selective food intake disorder OR neophobia) AND (children OR adolescents OR youth OR child OR teenager)
2.3. Inclusion and Exclusion Criteria
2.3.1. Inclusion Criteria
- (a)
- Type of Studies: All types of studies, including systematic reviews, randomized controlled trials (RCTs), observational studies, and case reports.
- (b)
- Language: Articles published in English or Italian.
- (c)
- Participants: Studies involving participants diagnosed with FA and the subsequent development of ARFID or food neophobia.
2.3.2. Exclusion Criteria
- (a)
- Non-peer-reviewed articles, conference abstracts, and letters to the editor.
- (b)
- Articles published in languages other than English or Italian.
- (c)
- Studies published outside the 15-year period.
2.3.3. Selection Process
2.3.4. Data Analysis
3. Results and Discussion
3.1. Food Allergy, ARFID, and Neophobia: Definitions, Etiology, and Clinical Aspects
3.2. ARFID and Food Neophobia in the Context of Food Allergy
3.3. Interventions and Treatments: Comprehensive Approach
3.4. Role of Nurses in Managing ARFID and Food Neophobia
4. Strengths and Limitations
5. Conclusions
Author Contributions
Funding
Data Availability Statement
Conflicts of Interest
References
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Intervention | Strategies | Reference |
---|---|---|
Education and Empowerment | Providing Comprehensive Education: Nurses educate families about ARFID, explaining its symptoms, causes, and potential impacts. By covering both the psychological and physical aspects of the disorder, they help families understand the importance of addressing these issues together. | Lee & Wang, 2016 [99] |
Teaching Anxiety Management Techniques: Nurses train parents and children in managing anxiety related to food intake, such as through deep breathing exercises, mindfulness, and relaxation techniques. These skills help reduce mealtime stress and foster a more positive eating environment. | Prasetyo et al., 2017 [93] | |
Implementation of Structured Feeding Plans | Developing and Monitoring Individualized Feeding Plans: Nurses collaborate with dietitians to create tailored feeding plans that gradually introduce new foods while ensuring nutritional adequacy. Techniques like food chaining are used to introduce new foods in small, manageable steps. | Białek-Dratwa et al., 2022 [27] |
Routine Monitoring and Adjustments: Regular follow-ups are essential to assess progress and adjust feeding plans as necessary. Nurses track the child’s growth, nutritional intake, and psychological well-being to provide comprehensive care. | Richmond et al., 2023 [73] | |
Emotional and Social Support | Providing Emotional Support: Nurses offer emotional support by acknowledging the challenges families face and validating their experiences. They provide a listening ear and empathetic responses to alleviate feelings of isolation and frustration. | Oktarina et al., 2023 [92] |
Facilitating Support Groups: Nurses can organize or recommend support groups where families share experiences and strategies with others facing similar challenges. These groups provide mutual support and practical advice. | Prasetyo et al., 2017 [93] | |
Coordination of Multidisciplinary Care | Coordinating Multidisciplinary Care: Nurses coordinate care among various healthcare providers, including pediatricians, dietitians, psychologists, and gastroenterologists. This ensures comprehensive and integrated care addressing all aspects of ARFID. | Cucinotta et al., 2023 [79] |
Utilizing Evidence-Based Interventions: Nurses implement evidence-based interventions and stay updated with the latest research and guidelines in ARFID management. This includes staying informed about new therapeutic techniques and best practices for managing food-related anxiety. | Lee & Wang, 2016 [99] |
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Nocerino, R.; Mercuri, C.; Bosco, V.; Giordano, V.; Simeone, S.; Guillari, A.; Rea, T. Development and Management of Avoidant/Restrictive Food Intake Disorder and Food Neophobia in Pediatric Patients with Food Allergy: A Comprehensive Review. Nutrients 2024, 16, 3034. https://doi.org/10.3390/nu16173034
Nocerino R, Mercuri C, Bosco V, Giordano V, Simeone S, Guillari A, Rea T. Development and Management of Avoidant/Restrictive Food Intake Disorder and Food Neophobia in Pediatric Patients with Food Allergy: A Comprehensive Review. Nutrients. 2024; 16(17):3034. https://doi.org/10.3390/nu16173034
Chicago/Turabian StyleNocerino, Rita, Caterina Mercuri, Vincenzo Bosco, Vincenza Giordano, Silvio Simeone, Assunta Guillari, and Teresa Rea. 2024. "Development and Management of Avoidant/Restrictive Food Intake Disorder and Food Neophobia in Pediatric Patients with Food Allergy: A Comprehensive Review" Nutrients 16, no. 17: 3034. https://doi.org/10.3390/nu16173034