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Allergists warn against Salicylate Elimination Diets
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Posted 30 August 2012 - 09:13 PM
This Paper is Being presented at the ASCIA conference in New Zealand next week:
Elimination diets for ADHD and eczema that preclude the natural salicylates found in fruit are harming children and should not be recommended, allergy specialists have warned.
Salicylate elimination diets are being recommended by clinicians for infants with conditions such as eczema, ADHD and gastrointestinal problems despite a lack of evidence to support their use, according to allergists at the Sydney Children’s Hospital.
The diets typically recommend avoidance of fruit, vegetables and food additives.
In a presentation at the Australasian Society of Clinical Immunology and Allergy annual meeting next month the Sydney allergists will report data showing that about half of children prescribed such a diet experience adverse outcomes such as failure to thrive.
In a review of 74 children whose parents reported using the salicylate elimination diet, they found that the average age at initiation was two years of age and about half had been on the diet for a year.
Adverse events were reported for 47% of children including failure to thrive or weight loss in 20%, food aversion in 9%, eating disorders in 6%, and some cases of nutrient deficiency and alopecia.
The allergists say there is no evidence in the literature to support the use of salicylate elimination diets for the conditions they were prescribed for. A survey of international food allergists also found no support for the diet for conditions such as ADHD.
“Given the potential harm in the absence of evidence of benefit, we advise against the prescription of these diets,” they conclude.
Posted 30 August 2012 - 09:15 PM
Just wondering how relevant this would be to a child on a salicylate elimination diet FOR salicylate intolerance.
Does anyone know?
Posted 30 August 2012 - 09:18 PM
Well it certainly makes a huge difference for my son, regardless of the 'absence of benefit' they suggest, we deliberately didn't tell anyone when we started the diet and had people like teachers and his swimming coach asking us what had happened because there was such a huge positive change.
I have to wonder whether those children who have issues are the result of people undertaking the diet without proper nutritional guidance, I know in our house it is a delicate balancing act between ensuring adequate dietary variety and keeping his behaviour in check.
Posted 30 August 2012 - 09:36 PM
dd was/is FTT, she is intolerant to salicylates so being off them benefits her. Once starting the elimination diet she finally started to put on weight & be healthy. When she went back on her weight dropped again.
Posted 30 August 2012 - 10:26 PM
loulou1979 until it gets released at the conference the only link I have is one that was on the AAI facebook page http://www.6minutes.com.au/news/latest-new...elimination-die
Posted 30 August 2012 - 10:32 PM
You can read it here, as a poster abstract if you scroll down.
Sorry, the link no longer seems to be working. It was surprising that you could read it before the conference.
Edited by purplekitty, 30 August 2012 - 10:38 PM.
Posted 31 August 2012 - 01:54 AM
I have discussed salicylate elimination diets with one of Australias leading immunologists in depth not as a patient, and was told that yes they are effective for many of the conditions for which they are suggested, however are not maintainable and quality of life (for parent and child) is also a large factor in why such diets are not prescribed often.
As Pp said, we have had numerous people comment on the difference in behavior and academic ability when he is on the diet compared to the times we have let things slip (following school holidays etc) the positive change is amazing.
Our son has been on the diet for 5 years now, he has no food issues, eating a range of food dispersed so as not to overload his amine, glutamate or salicylate intolerances. He takes orthoplex a fairly broad multivitamin powder each second day, but is a healthy weight, playing sport 4 times a week plus school and normal play.
I believe used effectively perhaps with the assistance of a nutritionist (which should be Medicare funded for this am not sure that is the case) children can thrive and in the case of ADHD can remain without or on lower doses of medication.
It angers me that this is an evidence based treatment for intolerances yet so few doctors support it or even provide it as an option for families - it is not for everyone I understand that but parents should be made aware not have to stumble upon it by chance!
Edited by -al-, 31 August 2012 - 01:56 AM.
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