PIH67 WHAT ELSE CAN COW MILK PROTEIN BE RESPONSIBLE FOR? – BEHAVIOURAL PROBLEMS IN CHILDREN WITH COW MILK PROTEIN ALLERGY

Abstract

The most common food allergy in children is cow milk protein allergy, and the clinical manifestations of the entity are very diverse. Beside the organic symptoms of milk protein allergy, behavioural problems often occur in these children: the parents describe problems with attention, increased impulsivity and sleep disturbance; the biological background of these symptoms is not known yet. The aim of our human research is to understand the psychological aspects induced by this food allergy. Participants of the study were children with suggested symptoms of cow milk protein allergy (n=43). The location of the study was the Paediatric Gastroenterology Department of the Balassa János County Teaching Hospital. The parents of the involved children were asked to fill in a self-edited questionnaire, which contained questions about sociodemographical and health status, as well as features about behaviour (according to DSM-5 symptoms-cheklist about attention deficit-hyperactivity disorder). The evaluation of the questionnaires were performed with SPSS statistical program. Examining the entire research population (n=43, mean age:7.88 years, 41.9 % female) the score received according to the ADHD symptom checklist before the diet (6.88, SD: 4.43) showed significant decrease after 3 months of the elimination diet (4.48, SD: 3.69, p=0.001). The above mentioned score of the children with sleep disturbance (n=13, 10.62, SD: 4.23) also represented a significant reduction after 3 months of the diet (6.69, SD: 4.59, p=0.009). According to our results it is found that psychological symptoms (attention deficit, hyperactivity, sleep disturbance) can be induced by cow milk protein allergy, but a significant improvement in these symptoms – beside the somatic symptoms - can be achieved with a strict elimination diet.