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Nutrients
Volume 16
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10.3390/nu16173034
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Review

Development and Management of Avoidant/Restrictive Food Intake Disorder and Food Neophobia in Pediatric Patients with Food Allergy: A Comprehensive Review

by
Rita Nocerino
1,2,3,†,
Caterina Mercuri
4,†,
Vincenzo Bosco
5,†,
Vincenza Giordano
6,
Silvio Simeone
4,*,
Assunta Guillari
1 and
Teresa Rea
7
1
Department of Translational Medical Science, University of Naples Federico II, 80131 Naples, Italy
2
ImmunoNutritionLab at CEINGE Advanced Biotechnologies, University of Naples Federico II, 80131 Naples, Italy
3
Department of Biomedicine and Prevention, University of Rome “Tor Vergata”, 00133 Rome, Italy
4
Department of Clinical and Experimental Medicine, University of Catanzaro MagnaGraecia, 88100 Catanzaro, Italy
5
Department of Medical and Surgical Sciences, University Hospital Mater Domini, Magna Graecia University, 88100 Catanzaro, Italy
6
Cardarelli Hospital, 80131 Naples, Italy
7
Department of Public Health, University of Naples “Federico II”, 80131 Naples, Italy
*
Author to whom correspondence should be addressed.
†
These authors contributed equally to this work.
Nutrients 2024, 16(17), 3034; https://doi.org/10.3390/nu16173034
Submission received: 19 August 2024 / Revised: 4 September 2024 / Accepted: 6 September 2024 / Published: 8 September 2024
(This article belongs to the Section Nutritional Immunology)
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Abstract

Avoidant/Restrictive Food Intake Disorder (ARFID) and food neophobia present significant challenges in pediatric healthcare, particularly among children with food allergies (FAs). These eating disorders, characterized by the persistent avoidance or restriction of food, can lead to severe nutritional deficiencies and psychosocial impairments. The presence of FAs further complicates these eating behaviors, as the fear of allergic reactions exacerbates avoidance and restrictive patterns. This comprehensive review synthesizes current knowledge on ARFID and food neophobia, focusing on their definitions, characteristics, and the unique challenges they present in the context of FAs. The review explores the critical role of healthcare professionals, especially nurses, in integrating psychological and clinical care to improve outcomes for affected children. A multidisciplinary approach, including Cognitive Behavioral Therapy (CBT) and Family-Based Therapy (FBT), is emphasized as essential in addressing the complex needs of these patients. The review also highlights the need for standardized treatment protocols and further research on the long-term outcomes of these disorders, aiming to enhance therapeutic strategies and family support systems. Effective management of ARFID and food neophobia in the context of FAs requires a holistic and integrated approach to mitigate the profound impacts on a child’s growth, development, and overall well-being.
Keywords: food allergy; pediatrics; eating disorders; Cognitive Behavioral Therapy; nutritional deficiencies; psychosocial impact; nursing food allergy; pediatrics; eating disorders; Cognitive Behavioral Therapy; nutritional deficiencies; psychosocial impact; nursing

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MDPI and ACS Style

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

AMA Style

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 Style

Nocerino, 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

APA Style

Nocerino, R., Mercuri, C., Bosco, V., Giordano, V., Simeone, S., Guillari, A., & Rea, T. (2024). Development and Management of Avoidant/Restrictive Food Intake Disorder and Food Neophobia in Pediatric Patients with Food Allergy: A Comprehensive Review. Nutrients, 16(17), 3034. https://doi.org/10.3390/nu16173034

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