Dietary prevention of allergic diseases in infants and small children

@article{Hst2008DietaryPO,
  title={Dietary prevention of allergic diseases in infants and small children},
  author={Arne H{\o}st and Susanne Halken and Antonella Muraro and Sten Dreborg and Bodo Niggemann and Rob C. Aalberse and Syed Hasan Arshad and Andrea von Berg and Kai-H{\aa}kon Carlsen and Karel Dusch{\'e}n and Philippe A. Eigenmann and David J. Hill and Catherine A. Jones and Michael H Mellon and G{\"o}ran Oldeus and Arnold P. Oranje and Cristina Y. Pascual and Susan L. Prescott and Hugh A. Sampson and Magnus Svartengren and Ulrich Wahn and Jill A. Warner and John O. Warner and Yvan Vandenplas and Magnus Wickman and Robert S Zeiger},
  journal={Pediatric Allergy and Immunology},
  year={2008},
  volume={19}
}
Because of scientific fraud four trials have been excluded from the original Cochrane meta‐analysis on formulas containing hydrolyzed protein for prevention of allergy and food intolerance in infants. Unlike the conclusions of the revised Cochrane review the export group set up by the Section on Paediatrics, European Academy of Allergology and Clinical Immunology (SP‐EAACI) do not find that the exclusion of the four trials demands a change of the previous recommendations regarding primary… 

Overview of Evidence in Prevention and Aetiology of Food Allergy: A Review of Systematic Reviews

An overview of systematic reviews concerning the prevention and aetiology of food allergy found no compelling evidence that any of the interventions that had been systematically reviewed were related to the risk of food allergies.

Primary prevention of allergic disease through nutritional interventions.

Maternal and infant diets for prevention of allergic diseases: understanding menu changes in 2008.

Dietary exposures and allergy prevention in high-risk infants: A joint statement with the Canadian Society of Allergy and Clinical Immunology.

There is no evidence that delaying the introduction of any specific food beyond six months of age helps to prevent allergy, and the protective effect of early introduction of potentially allergenic foods (at four to six month of age) remains under investigation.

Dietary interventions for primary allergy prevention in infants.

Several dietary manipulations in infancy, such as prolonged breast feeding, maternal avoidance diets during pregnancy and lactation, the use of hypoallergenic formulas, have been proposed as ways of altering the Th1/Th2 balance in infants, with varying degrees of success.

Clinical practice

Although meta-analyses suggest that hypoallergenic formula after weaning from breastfeeding grants protection against the development of allergic disease, the evidence is limited and weak and all current feeding measures aiming at allergy prevention fail to show effects on allergic manifestations later in life.

Meta-analysis of the evidence for a partially hydrolyzed 100% whey formula for the prevention of allergic diseases

The use of the pHF compared to SF is effective in allergy prevention in children at high risk for allergy at most time points, and should be interpreted with caution due to a lack of methodological rigor in many trials.

Breastfeeding and the prevention of allergy

The allergy preventive effect of dietary interventions in infancy is limited and all current feeding measures aiming at allergy prevention fail to show effects on allergic manifestations later in life, such as asthma.

Dietary exposures and allergy prevention in high-risk infants: a joint position statement of the Canadian Society of Allergy and Clinical Immunology and the Canadian Paediatric Society

There is no evidence that delaying the introduction of any specific food beyond six months of age helps to prevent allergy, and the protective effect of early introduction of potentially allergenic foods (at four to six months) remains under investigation.
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References

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Dietary prevention of allergic diseases in infants and small children

  • A. MuraroS. Dreborg R. Zeiger
  • Medicine
    Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology
  • 2004
The results of the analysis indicate that breastfeeding is highly recommended for all infants irrespective of atopic heredity, and a dietary regimen is unequivocally effective in the prevention of allergic diseases in high‐risk children.

Dietary prevention of allergic diseases in infants and small children.

  • A. MuraroS. Dreborg R. Zeiger
  • Medicine
    Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology
  • 2004
A group of experts of the Section of Pediatrics EAACI critically reviewed the existing literature on the subject and found best evidence of recommendations are those fulfilling the criteria for statements category 1 and 2 and grade of recommendations A and B as proposed by WHO.

Dietary prevention of allergic diseases in infants and small children

  • A. MuraroS. Dreborg R. Zeiger
  • Medicine
    Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology
  • 2004
The immunology of the fetus and newborn is reviewed as well as the post‐natal development of the immune system, and the influence of post-natal environment and breastfeeding on tolerance induction and sensitization are examined.

Does breastfeeding protect against allergic rhinitis during childhood? A meta‐analysis of prospective studies

A systematic review was conducted of prospective studies that evaluated the association between exclusive breastfeeding during the first 3 mo after birth and allergic rhinitis, and the summary odds ratio for the protective effect of breastfeeding was 0.74.

Allergy prevention by maternal elimination diet during late pregnancy--a 5-year follow-up of a randomized study.

Breast-feeding and the onset of atopic dermatitis in childhood: a systematic review and meta-analysis of prospective studies.

Exclusive breast-feeding during the first 3 months of life is associated with lower incidence rates of atopic dermatitis during childhood in children with a family history of atopy, and this effect is lessened in the general population and negligible in children without first-order atopic relatives.

Dietary products used in infants for treatment and prevention of food allergy.

Commenting on the current developments and unresolved issues in the dietary treatment and prevention of food allergy in infancy to help inform paediatricians and other health care professionals, as well as manufacturers of infant foods.

Breast-feeding and the risk of bronchial asthma in childhood: a systematic review with meta-analysis of prospective studies.

BACKGROUND The protective effect of breast-feeding on the development of childhood asthma remains a matter of controversy. We conducted a systematic review of prospective studies that evaluated the
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