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Dietary prevention of allergic diseases in infants and small children. Part III: Critical review of published peer-reviewed observational and interventional studies and final recommendations

Dietary prevention of allergic diseases in infants and small children. Part III: Critical review of published peer-reviewed observational and interventional studies and final recommendations
Dietary prevention of allergic diseases in infants and small children. Part III: Critical review of published peer-reviewed observational and interventional studies and final recommendations
The role of primary prevention of allergic diseases has been a matter of debate for the last 40 years. In order to shed some light on this issue, a group of experts of the Section of Pediatrics EAACI reviewed critically the existing literature on the subject. An analysis of published peer-reviewed observational and interventional studies was performed following the statements of evidence as defined by WHO. The results of the analysis indicate that breastfeeding is highly recommended for all infants irrespective of atopic heredity. A dietary regimen is unequivocally effective in the prevention of allergic diseases in high-risk children. In these patients breastfeeding combined with avoidance of solid food and cow's milk for at least 4–6 months is the most effective preventive regimen. In the absence of breast milk, formulas with documented reduced allergenicity for at least 4–6 months should be used.
breast feeding, cow's milk allergy, foodallergy, prevention, review, statements of evidence
0905-6157
291-307
Muraro, Antonella
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Dreborg, Sten
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Halken, Susanne
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Høst, Arne
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Niggemann, Bodo
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Aalberse, Rob
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Arshad, Syed H.
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von Berg, Andrea
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Carlsen, Kai-Håkon
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Duschén, Karel
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Eigenmann, Philippe
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Hill, David
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Jones, Catherine
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Mellon, Michael
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Oldeus, Göran Oldeus
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Oranje, Arnold
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Pascual, Cristina
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Prescott, Susan
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Sampson, Hugh
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Svartengren, Magnus
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Vandenplas, Yvan
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Wahn, Ulrich
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Warner, Jill A.
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Warner, John O.
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Wickman, Magnus
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Zeiger, Robert S.
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Muraro, Antonella
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Dreborg, Sten
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Halken, Susanne
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Høst, Arne
dc3028ed-43bf-41c6-ae2e-115254e48210
Niggemann, Bodo
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Aalberse, Rob
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Arshad, Syed H.
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von Berg, Andrea
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Carlsen, Kai-Håkon
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Duschén, Karel
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Eigenmann, Philippe
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Hill, David
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Jones, Catherine
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Mellon, Michael
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Oldeus, Göran Oldeus
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Oranje, Arnold
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Pascual, Cristina
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Prescott, Susan
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Sampson, Hugh
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Svartengren, Magnus
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Vandenplas, Yvan
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Wahn, Ulrich
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Warner, Jill A.
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Warner, John O.
50630e99-8486-4859-ade3-cd2c79c5a153
Wickman, Magnus
14ed9eaf-8409-47c1-bf53-ec3d72adb134
Zeiger, Robert S.
38076061-d971-4f46-8bc7-301359966637

Muraro, Antonella, Dreborg, Sten, Halken, Susanne, Høst, Arne, Niggemann, Bodo, Aalberse, Rob, Arshad, Syed H., von Berg, Andrea, Carlsen, Kai-Håkon, Duschén, Karel, Eigenmann, Philippe, Hill, David, Jones, Catherine, Mellon, Michael, Oldeus, Göran Oldeus, Oranje, Arnold, Pascual, Cristina, Prescott, Susan, Sampson, Hugh, Svartengren, Magnus, Vandenplas, Yvan, Wahn, Ulrich, Warner, Jill A., Warner, John O., Wickman, Magnus and Zeiger, Robert S. (2004) Dietary prevention of allergic diseases in infants and small children. Part III: Critical review of published peer-reviewed observational and interventional studies and final recommendations. Pediatric Allergy and Immunology, 15 (4), 291-307. (doi:10.1111/j.1399-3038.2004.00127.x).

Record type: Article

Abstract

The role of primary prevention of allergic diseases has been a matter of debate for the last 40 years. In order to shed some light on this issue, a group of experts of the Section of Pediatrics EAACI reviewed critically the existing literature on the subject. An analysis of published peer-reviewed observational and interventional studies was performed following the statements of evidence as defined by WHO. The results of the analysis indicate that breastfeeding is highly recommended for all infants irrespective of atopic heredity. A dietary regimen is unequivocally effective in the prevention of allergic diseases in high-risk children. In these patients breastfeeding combined with avoidance of solid food and cow's milk for at least 4–6 months is the most effective preventive regimen. In the absence of breast milk, formulas with documented reduced allergenicity for at least 4–6 months should be used.

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Published date: 2004
Keywords: breast feeding, cow's milk allergy, foodallergy, prevention, review, statements of evidence

Identifiers

Local EPrints ID: 27281
URI: http://eprints.soton.ac.uk/id/eprint/27281
ISSN: 0905-6157
PURE UUID: 03025110-0a52-4ef1-9c22-7f1c853edac2

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Date deposited: 28 Apr 2006
Last modified: 15 Mar 2024 07:17

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Contributors

Author: Antonella Muraro
Author: Sten Dreborg
Author: Susanne Halken
Author: Arne Høst
Author: Bodo Niggemann
Author: Rob Aalberse
Author: Syed H. Arshad
Author: Andrea von Berg
Author: Kai-Håkon Carlsen
Author: Karel Duschén
Author: Philippe Eigenmann
Author: David Hill
Author: Catherine Jones
Author: Michael Mellon
Author: Göran Oldeus Oldeus
Author: Arnold Oranje
Author: Cristina Pascual
Author: Susan Prescott
Author: Hugh Sampson
Author: Magnus Svartengren
Author: Yvan Vandenplas
Author: Ulrich Wahn
Author: Jill A. Warner
Author: John O. Warner
Author: Magnus Wickman
Author: Robert S. Zeiger

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