Nutritional management and follow up of infants and children with food allergy: Italian Society of Pediatric Nutrition/Italian Society of Pediatric Allergy and Immunology Task Force Position Statement.

Although the guidelines on the diagnosis and treatment of food allergy recognize the role of nutrition, there is few literature on the practical issues concerning the nutritional management of children with food allergies. This Consensus Position Statement focuses on the nutritional management and follow-up of infants and children with food allergy.It provides practical advices for the management of children on exclusion diet and it represents an evidence-based consensus on nutritional intervention and follow-up of infants and children with food allergy. Children with food allergies have poor growth compared to non-affected subjects directly proportional to the quantity of foods excluded and the duration of the diet. Nutritional intervention, if properly planned and properly monitored, has proven to be an effective mean to substantiate a recovery in growth. Nutritional intervention depends on the subject's nutritional status at the time of the diagnosis. The assessment of the nutritional status of children with food allergies should follow a diagnostic pathway that involves a series of successive steps, beginning from the collection of a detailed diet-history. It is essential that children following an exclusion diet are followed up regularly. The periodic re-evaluation of the child is needed to assess the nutritional needs, changing with the age, and the compliance to the diet. The follow- up plan should be established on the basis of the age of the child and following the growth pattern

Barbell Hip-Thrust Exercise: Test-Retest Reliability and Correlation With Isokinetic Performance

Dello Iacono, A, Padulo, J, Be\u161lija, T, and Halperin, I. Barbell hip-thrust exercise: Test-retest reliability and correlation with isokinetic performance. J Strength Cond Res XX(X): 000-000, 2018- The barbell hip-thrust (BHT) exercise is growing in popularity as evident by the large increase in research outputs investigating its utility as a training intervention and a testing tool. The aim of this study was to examine the test-retest reliability of the BHT and its correlation with isokinetic performance. Test-retest reliability was established by correlating the peak force and power outcomes measured with the BHT force-velocity profile test of 20 handball athletes on 2 separate days. The peak force and power measured with the BHT force-velocity profile test of 49 handball athletes were correlated with peak concentric force of the knee flexors and hip extensors measured with an isokinetic device at 2 different velocities (60-180\ub0\ub7s). The correlation between the isokinetic testing scores and the BHT force-velocity profile tests were moderate to large (Pearson r ranges: 0.45-0.86, all p values <0.001). Test-retest reliability of the BHT force-velocity profile was very high as shown with intraclass correlations of 0.94 and 0.99 for peak force and 0.97 and 0.99 for peak power measures. The BHT force-velocity profile can serve as a tentative substitute in cases that athletes do not have access to an isokinetic device, given the moderate to large correlations between them. Moreover, the BHT force-velocity profile was shown to be very reliable, thus providing coaches and scientists a range of day-to-day performance variability in this exercise

Perioperative allergy: risk factors.

Perioperative anaphylactic as well as anaphylactoid reactions can be elicited by drugs, diagnostic agents, antiseptics, disinfectants and latex. In some individuals, allergic reactions occur in the absence of any evident risk factor. Previous history of specific safe exposure to a product does not permit to exclude the risk of having a reaction. We have systematically reviewed characteristics in the patient's history or clinical parameters that affect the risk of developing reactions during anesthesia. Evidence shows that patients with previous unexplained reaction during anesthesia are at risk for perioperative allergic reactions. An allergic reaction to an agent is associated with previous reaction to a product that is related with the culprit agent. Multiple surgery procedures, professional exposure to latex and allergy to fruit are associated with an increased frequency of latex allergy. It has been shown that in some instances, allergic perioperative reactions may be more common in atopic patients and in females

Perioperative allergy: risk factors.

Perioperative anaphylactic as well as anaphylactoid reactions can be elicited by drugs, diagnostic agents, antiseptics, disinfectants and latex. In some individuals, allergic reactions occur in the absence of any evident risk factor. Previous history of specific safe exposure to a product does not permit to exclude the risk of having a reaction. We have systematically reviewed characteristics in the patient's history or clinical parameters that affect the risk of developing reactions during anesthesia. Evidence shows that patients with previous unexplained reaction during anesthesia are at risk for perioperative allergic reactions. An allergic reaction to an agent is associated with previous reaction to a product that is related with the culprit agent. Multiple surgery procedures, professional exposure to latex and allergy to fruit are associated with an increased frequency of latex allergy. It has been shown that in some instances, allergic perioperative reactions may be more common in atopic patients and in females

Reliability, Sensitivity, and Minimal Detectable Change of a New Specific Climbing Test for Assessing Asymmetry in Reach Technique

\u10cular, D, Dhahbi, W, Kolak, I, Iacono, AD, Be\u161lija, T, Laffaye, G, and Padulo, J. Reliability, sensitivity, and minimal detectable change of a new specific climbing test for assessing asymmetry in reach technique. J Strength Cond Res XX(X): 000-000, 2018-The aims of this study were to establish intertrial and intersession reliability, sensitivity, and minimal detectable change of a new climbing test specifically for assessing asymmetry in reach technique (TEST). Twenty-four young climbers (16 males and 8 females) participated in this study. The protocol consisted of performing, in counterbalanced random order, 3 tests; TEST, maximum handgrip force, and squat on the bench, in 2 sessions (with 3 trials for each session). TEST performance was expressed as: TEST performance for left hand (TESTL), TEST performance for right hand (TESTR), and absolute symmetry index (ASI). For intertrial and intersession reliability assessment, TESTL and TESTR showed excellent reliability (intraclass correlation coefficients ranged: 0.96-1.00; SEM% ranged: 0.07-1.23; and coefficient of variation-CV%: 1.28-2.53). In addition, SEMs were smaller than the smallest worthwhile change (SWC) values (SWC% = 1.07 and 0.99 for TESTL and TESTR, respectively), and the minimal detectable change (MDC95) for both sides was small (<4.36 cm). An exception was ASI, which showed low absolute reliability and marginal sensitivity (SEM% = 15.13 > SWC% = 8.40 and CV% = 41.98). Pairwise test comparisons revealed no difference between sides. Considering the high reliability and the satisfactory sensitivity, TEST can be used to define individual asymmetry in the performance of the reach technique to the left or the right body side in climbers. However, interpreting data using the ASI index requires caution because it had poor absolute reliability and marginal sensitivity