Pulse Brain · Growing Health Evidence Index
Tier 4 — Narrative / commentaryPeer-reviewed

Rational Use of Elimination Diets in Infants and Toddlers: Navigating the Overlap Between Disorders of Gut–Brain Interaction (DGBI) and Food Allergy—A Narrative Review

Nutrients · 2026

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Summary

This narrative review synthesises current evidence on the appropriate use of elimination diets in infants and toddlers, addressing the diagnostic and therapeutic challenge of distinguishing between disorders of gut–brain interaction (DGBI) and IgE-mediated or non-IgE food allergy. The paper likely provides clinical guidance on when elimination diets are evidence-based versus when they risk unnecessary nutritional restriction in young children. The review appears positioned to help clinicians navigate overlapping symptomatology and avoid over-diagnosis or inappropriate dietary restriction.

Regional applicability

The review's applicability to United Kingdom practice depends on its alignment with NICE guidance, BSACI food allergy protocols, and NHS commissioning for paediatric gastroenterology. As a general clinical narrative review, findings would likely be transferable to UK paediatric care if evidence-grounded, though regional diagnostic algorithms and resource availability may vary.

Key measures

Clinical presentation, diagnostic criteria, and dietary intervention protocols for DGBI and food allergy in infants and toddlers

Outcomes reported

The review examines the rationale and appropriate use of elimination diets in young children presenting with overlapping symptoms of disorders of gut–brain interaction and food allergy, likely evaluating diagnostic approaches and dietary management strategies.

Theme
Nutrition & health
Subject
Maternal, infant & child nutrition
Study type
Narrative Review
Study design
Narrative review
Source type
Peer-reviewed study
Status
Published
System type
Human clinical
DOI
10.3390/nu18193211
Catalogue ID
NRmvbeaw8g-00s

Topic tags

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