Background: In Italy, rigorous studies obtained with specific and validated questionnaires that explore the impact of exclusion diets on health-related quality of life (HRQoL) in children with food allergies are lacking. In this cross-sectional study, we wished to validate the Italian version of a disease-specific quality of life questionnaire, and assess the impact of exclusion diets on the HRQoL in a cohort of Italian children with IgE-mediated food allergies. Methods: Children on an exclusion diet for >= 1 food were enrolled consecutively, and their parents completed the validated Italian version of the Food Allergy Quality of Life Questionnaire-Parent Form (FAQLQ-PF) and Food Allergy Independent Measure (FAIM). Results: Ninety-six parents of children aged 0-12 years answered the FAQLQ-PF. The validity of the construct of the questionnaire was assessed by correlation between the FAQLQ-PF and FAIM-PF (r = 0.85). The Italian version of the FAQLQ had good internal consistency (Cronbach's alpha >0.70). Factors that mainly influenced the HRQoL were older age, severity of food allergy, and the duration of the cow milk-exclusion diet. Conclusions: The FAQLQ-PF, validated in Italian, is a reliable instrument. Worse QoL scores were observed among older children, those with severe systemic reactions, and those with a prolonged cow milk-free diet. It is very important to consider the QoL assessment as an integral part of food-allergy management. These results emphasize the need to administer exclusion diets only for the necessary time and the importance of assessment of the HRQoL in these patients.

Duration of a cow-milk exclusion diet worsens parents' perception of quality of life in children with food allergies / Indinnimeo, Luciana; Baldini, Luciano; Valentina De, Vittori; Zicari, Anna Maria; DE CASTRO, Giovanna; Tancredi, Giancarlo; Giulia, Lais; Duse, Marzia. - In: BMC PEDIATRICS. - ISSN 1471-2431. - ELETTRONICO. - 13:1(2013), p. 203. [10.1186/1471-2431-13-203]

Duration of a cow-milk exclusion diet worsens parents' perception of quality of life in children with food allergies

INDINNIMEO, Luciana;BALDINI, Luciano;ZICARI, Anna Maria;DE CASTRO, Giovanna;TANCREDI, Giancarlo;DUSE, MARZIA
2013

Abstract

Background: In Italy, rigorous studies obtained with specific and validated questionnaires that explore the impact of exclusion diets on health-related quality of life (HRQoL) in children with food allergies are lacking. In this cross-sectional study, we wished to validate the Italian version of a disease-specific quality of life questionnaire, and assess the impact of exclusion diets on the HRQoL in a cohort of Italian children with IgE-mediated food allergies. Methods: Children on an exclusion diet for >= 1 food were enrolled consecutively, and their parents completed the validated Italian version of the Food Allergy Quality of Life Questionnaire-Parent Form (FAQLQ-PF) and Food Allergy Independent Measure (FAIM). Results: Ninety-six parents of children aged 0-12 years answered the FAQLQ-PF. The validity of the construct of the questionnaire was assessed by correlation between the FAQLQ-PF and FAIM-PF (r = 0.85). The Italian version of the FAQLQ had good internal consistency (Cronbach's alpha >0.70). Factors that mainly influenced the HRQoL were older age, severity of food allergy, and the duration of the cow milk-exclusion diet. Conclusions: The FAQLQ-PF, validated in Italian, is a reliable instrument. Worse QoL scores were observed among older children, those with severe systemic reactions, and those with a prolonged cow milk-free diet. It is very important to consider the QoL assessment as an integral part of food-allergy management. These results emphasize the need to administer exclusion diets only for the necessary time and the importance of assessment of the HRQoL in these patients.
questionnaire; italian; food-related anxiety; diet; food allergy; milk; qol; quality of life; egg; cow milk
01 Pubblicazione su rivista::01a Articolo in rivista
Duration of a cow-milk exclusion diet worsens parents' perception of quality of life in children with food allergies / Indinnimeo, Luciana; Baldini, Luciano; Valentina De, Vittori; Zicari, Anna Maria; DE CASTRO, Giovanna; Tancredi, Giancarlo; Giulia, Lais; Duse, Marzia. - In: BMC PEDIATRICS. - ISSN 1471-2431. - ELETTRONICO. - 13:1(2013), p. 203. [10.1186/1471-2431-13-203]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/558005
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