One study found that children with food allergies who did not receive nutrition counseling were more likely to have inadequate intake of calcium and vitamin D.  CONCLUSION Children with multiple food allergies have a higher risk of impaired growth and may have a higher risk of inadequate nutrient intake than children without food allergies .
BACKGROUND Food allergies affect up to 8 % of American children .
The current recommended treatment for food allergies is strict elimination of the allergens from the diet .
Dietary elimination of nutrient-dense foods may result in inadequate nutrient intake and impaired growth .
The purpose of this review was to critically analyze available research on the effect of an elimination diet on nutrient intake and growth in children with multiple food allergies .
Calcium intake in children with positive IgG RAST to cow's milk.
OBJECTIVE This study was made to : ( i ) identify the prevalence of low calcium intakes in a paediatric population with loosely defined ' milk allergy ' ; and ( ii ) assess long-term ( mean 21 months later ) changes in calcium intake following a single nutrition counselling session with those patients initially found to have a low intake . METHODOLOGY Calcium intake was assessed in a cross-sectional study of 58 patients ages 5 - 16 years ( mean 9.9 years ) with IgG radioallergosorbent test ( RAST ) class II or higher for cow 's milk protein . Those 31 patients found to have a low calcium intake were prospect ively re-evaluated 12 - 30 months later following a single nutrition counselling session . RESULTS  Calcium intake was < recommended dietary allowance ( RDA ) for 31 of 58 ( 53 % ) patients . The patient 's perception of their intake was unreliable ; 44 % of those who rated their calcium intake fair or good did not meet their RDA . Taking a calcium supplement did not ensure adequate intake ; 21 % of those taking supplements still did not meet their RDA . Milk intake predicted calcium intake ; 8 % of those who did not drink milk vs 68 % of those who did drink at least some milk met their RDA without supplementation . The 31 patients with low intakes received counselling and were re-evaluated at an average follow-up of nearly 2 years . Calcium intake was increased a mean of 360 mg/day and use of supplements increased from 10 to 52 % of the group . Despite these positive changes , 48 % still did not meet their RDA . CONCLUSION Limited milk intake is likely to be associated with suboptimal calcium intake . Efforts should be made to educate the family about the importance of calcium and its non-dairy sources . With many families repeated discussion s of this issue may be necessary to influence calcium intake
One study found that children with food allergies who did not receive nutrition counseling were more likely to have inadequate intake of calcium and vitamin D.  CONCLUSION Children with multiple food allergies have a higher risk of impaired growth and may have a higher risk of inadequate nutrient intake than children without food allergies .
BACKGROUND Food allergies affect up to 8 % of American children .
The current recommended treatment for food allergies is strict elimination of the allergens from the diet .
Dietary elimination of nutrient-dense foods may result in inadequate nutrient intake and impaired growth .
The purpose of this review was to critically analyze available research on the effect of an elimination diet on nutrient intake and growth in children with multiple food allergies .