Clinical practice: Breastfeeding and the prevention of allergy.

European Journal of Pediatrics
C M F Kneepkens, Paul L P Brand

Abstract

The increase in allergic disease prevalence has led to heightened interest in the factors determining allergy risk, fueled by the hope that by influencing these factors one could reduce the prevalence of allergic conditions. The most important modifiable risk factors for allergy are maternal smoking behaviour and the type of feeding. A smoke-free environment for the child (to be), exclusive breastfeeding for 4-6 months and the postponement of supplementary feeding (solids) until 4 months of age are the main measures considered effective. There is no place for restricted diets during pregnancy or lactation. 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. Moreover, all current feeding measures aiming at allergy prevention fail to show effects on allergic manifestations later in life, such as asthma. In conclusion, the allergy preventive effect of dietary interventions in infancy is limited. Counselling of future parents on allergy prevention should pay attention to these limitations.

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Citations

Sep 3, 2013·Nutrients·Danielle SaadehChantal Raherison
Jun 26, 2015·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Marta Krenz-NiedbałaAnna Bręborowicz
Aug 8, 2014·Pediatric Pulmonology·Christian Rosas-SalazarJuan C Celedón
Oct 13, 2016·ERJ Open Research·Angela Zacharasiewicz
Mar 29, 2019·Pediatric Pulmonology·Diana MalaebPascale Salameh
Oct 25, 2013·Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology·B I NwaruG Devereux
Aug 1, 2014·Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology·D MunblitJ O Warner
Jul 21, 2011·Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology·Luis Moral
Nov 8, 2012·European Journal of Pediatrics·Nicky NieleRuurd M van Elburg

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