ABSTRACT WATCH: DIETERY INTERVENTION AS A THERAPY FOR BEHAVIOUR PROBLEMS IN CHILDREN WITH GASTROENTEROLOGY ALLERGY. Widodo Judarwanto
Introduction: A new field of research, known as psychoneuroimmunology, is exploring how the immune system and the brain may interact to influence health. Early reports, as well as current research, have found that allergies can affect any system of the body, including the central nervous system.
Gastrointestinal symptoms in food allergy have been explained by alterations in transport across the intestinal wall (increased secretory and/or decreased absorptive functions), increased permeability, and motility of the intestine. The current understanding is that functional gastrointestinal disorders (FGIDs) result from dysregulation of the bidirectional communication between the gut and the brain, modulated by various psychosocial and environmental factors. This concept has led to a growing interest in the research of brain function in relation to gut motor and sensory function. Studies using these techniques have shown that visceral/gut sensation involves activation of several brain regions that are associated with various brain functions, including sensation, cognition, and affect. This brief study describes the reports of parents of dietery intervention as a therapy for 50 children with gastroenterointestinal symptom in food allergy. All of whom have been utilising a programme involving the exclusion of allergies foods from the diet an to evaluate of behaviour problem in children under 2 years old.
Methods: The parents of children with gastrointestinal allergy who were utilising this form of dietary intervention and who were prepared to be interviewed were recruited. Diagnosis of CMA was based upon clinical criteria described by Goldman and measuring of total Ig E. Evaluation of clinical course done at 3rd weeks and 4th weeks after dieteary intervention. All parents had, by the time of interview, removed food allergy containing products from the diet with Rowe diets and evaluated for sleep patterns, aggressive, tantrum hyperactivity, socialize, enuresis, emotional and speech.
Results: All parents had, by the time of interview, removed food allergy containing products from the diet with Rowe diets and evaluated for sleep patterns, aggressive, tantrum hyperactivity, socialize, emotional, inattention, self injury and speech development. All of behaviour problem result well improvement between 45%–98% at 4 week after dietery intervention
Conclusion: Quite clearly this stydy can only be of a preliminary nature in behaviour problem in children with gastroentero-intestinal allergy. Dietary intervention seems plays an important role in the management of certain that behaviour disorders.