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Review
. 2024 Sep 8;16(17):3034.
doi: 10.3390/nu16173034.

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

Rita Nocerino  1   2   3 , Caterina Mercuri  4 , Vincenzo Bosco  5 , Vincenza Giordano  6 , Silvio Simeone  4 , Assunta Guillari  1 , Teresa Rea  7
Affiliations
Review

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

Rita Nocerino et al. Nutrients. .

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: Cognitive Behavioral Therapy; eating disorders; food allergy; nursing; nutritional deficiencies; pediatrics; psychosocial impact.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
PRISMA diagram.
Figure 2
Figure 2
VENN diagram.
Figure 3
Figure 3
Multidisciplinary team approach to ARFID and food neophobia treatment.
See this image and copyright information in PMC

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