Food allergy prevention in children: An overview
الموضوعات :
Food and Health
Hadi Monji
1
(Department of Cellular and Molecular Nutrition, Faculty of Nutrition Science and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, 1981619573 Tehran, Iran)
Adeleh Khodabakhshi
2
(Department of Nutrition, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran
|Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran)
Pegah Rahbarinejad
3
(Department of Nutrition, Science and Research Branch, Islamic Azad University, Tehran, Iran)
تاريخ الإرسال : 13 الجمعة , شوال, 1441
تاريخ التأكيد : 27 الإثنين , ذو الحجة, 1441
تاريخ الإصدار : 03 الأحد , صفر, 1442
الکلمات المفتاحية:
Pregnancy,
Children,
Breastfeeding,
Food Allergies,
ملخص المقالة :
The increasing prevalence of food allergies in developed and developing countries has raised many questions about that in scientific societies. This prevalence made researchers eager to understand the steps taken to prevent food allergies in children. Children's food allergies are often thought to be the result of exposure to allergens during pregnancy, lactation, and nutrient deficiencies such as vitamin D. in this review, we collected and reviewed new studies about nutritional strategies to prevent food allergies in children. Studies have shown that eliminating food from the mother's diet during pregnancy and lactation is not recommended. Also, despite the many benefits of exclusive breastfeeding for infancy, there is still limited evidence to support food allergy prevention with breastfeeding. Introducing solid foods at 4-6 months of age may reduce the risk of developing allergies in children; therefore, it is not suggested to delay the introduction of food. Also, introducing peanuts and boiled eggs earlier than 12 months of age can reduce the risk of some allergies. There is little evidence to support using a hydrolyzed formula and vitamin D supplement to prevent food allergies. Nutritional interventions to prevent food allergies still have many ambiguous questions; however, it can be said that avoidance of allergenic foods is not suggested, and exposure to foods can induce tolerance.
المصادر:
Cianferoni A, Spergel JM. Food allergy: review, classification and diagnosis. Allergology International: Official Journal of the Japanese Society of Allergology. 2009;58(4):457-66.
du Toit G, Tsakok T, Lack S, Lack G. Prevention of food allergy. Journal of Allergy and Clinical Immunology. 2016;137(4):998-1010.
Anvari S, Miller J, Yeh C-Y, Davis CM. IgE-Mediated food allergy. Clinical Reviews in Allergy & Immunology. 2019;57(2):244-60.
Gupta R, Holdford D, Bilaver L, Dyer A, Holl JL, Meltzer D. The economic impact of childhood food allergy in the United States. JAMA Pediatrics. 2013;167(11):1026-31.
Kim JS. The economic impact of childhood food allergy in the United States. Pediatrics. 2014;134 Suppl 3:S149-50.
Silverstein AM. Clemens Freiherr von Pirquet: explaining immune complex disease in 1906. Nature Immunology. 2000;1(6):453-5.
Schatz M, Harden K, Forsythe A, Chilingar L, Hoffman C, Sperling W, et al. The course of asthma during pregnancy, post partum, and with successive pregnancies: a prospective analysis. The Journal of Allergy and Clinical Immunology. 1988;81(3):509-17.
Koplin JJ, Allen KJ. Optimal timing for solids introduction - why are the guidelines always changing? Clinical and Experimental Allergy: Journal of the British Society for Allergy and Clinical Immunology. 2013;43(8):826-34.
Kramer MS, Kakuma R. Maternal dietary antigen avoidance during pregnancy or lactation, or both, for preventing or treating atopic disease in the child. The Cochrane Database of Systematic Reviews. 2012;2012(9):Cd000133.
Sicherer SH, Wood RA, Stablein D, Lindblad R, Burks AW, Liu AH, et al. Maternal consumption of peanut during pregnancy is associated with peanut sensitization in atopic infants. The Journal of Allergy and Clinical Immunology. 2010;126(6):1191-7.
Lack G, Fox D, Northstone K, Golding J. Factors associated with the development of peanut allergy in childhood. The New England Journal of Medicine. 2003;348(11):977-85.
Järvinen KM, Westfall J, De Jesus M, Mantis NJ, Carroll JA, Metzger DW, et al. Role of maternal dietary peanut exposure in development of food allergy and oral tolerance. PloS One. 2015;10(12):e0143855.
Greer FR, Sicherer SH, Burks AW. The effects of early nutritional interventions on the development of atopic disease in infants and children: The role of maternal dietary restriction, breastfeeding, hydrolyzed formulas, and timing of introduction of allergenic complementary foods. Pediatrics. 2019;143(4):e20190281.
de Silva D, Halken S, Singh C, Antonella M, Angier E, Arasi S, et al. Preventing food allergy in infancy and childhood: systematic review of randomised controlled trials. Pediatric Allergy and Immunology: Official Publication of the European Society of Pediatric Allergy and Immunology. 2020; 31(7):813-26.
Du Toit G, Foong RX, Lack G. Prevention of food allergy - Early dietary interventions. Allergology International: Official Journal of the Japanese Society of Allergology. 2016;65(4):370-7.
Lodge CJ, Tan DJ, Lau MX, Dai X, Tham R, Lowe AJ, et al. Breastfeeding and asthma and allergies: a systematic review and meta-analysis. Acta Paediatrica. 2015;104(467):38-53.
Netting MJ, Allen KJ. Reconciling breast-feeding and early food introduction guidelines in the prevention and management of food allergy. Journal of Allergy and Clinical Immunology. 2019;144(2):397-400.e1.
Netting MJ, Campbell DE, Koplin JJ, Beck KM, McWilliam V, Dharmage SC, et al. An Australian consensus on infant feeding guidelines to prevent food allergy: Outcomes from the Australian infant feeding summit. The Journal of Allergy and Clinical Immunology in Practice. 2017;5(6):1617-24.
Du Toit G, Roberts G, Sayre PH, Bahnson HT, Radulovic S, Santos AF, et al. Randomized trial of peanut consumption in infants at risk for peanut allergy. The New England Journal of Medicine. 2015;372(9):803-13.
Du Toit G, Sayre PH, Roberts G, Sever ML, Lawson K, Bahnson HT, et al. Effect of avoidance on peanut allergy after early peanut consumption. The New England Journal of Medicine. 2016;374(15):1435-43.
Ierodiakonou D, Garcia-Larsen V, Logan A, Groome A, Cunha S, Chivinge J, et al. Timing of allergenic food introduction to the infant diet and risk of allergic or autoimmune disease: A systematic review and meta-analysis. JAMA. 2016;316(11):1181-92.
Devdas JM, McKie C, Fox AT, Ratageri VH. Food allergy in children: An overview. Indian Journal of Pediatrics. 2018;85(5):369-74.
Palmer DJ, Metcalfe J, Makrides M, Gold MS, Quinn P, West CE, et al. Early regular egg exposure in infants with eczema: A randomized controlled trial. The Journal of Allergy and Clinical Immunology. 2013;132(2):387-92.e1.
Koplin JJ, Osborne NJ, Wake M, Martin PE, Gurrin LC, Robinson MN, et al. Can early introduction of egg prevent egg allergy in infants? A population-based study. The Journal of Allergy and Clinical Immunology. 2010;126(4):807-13.
Perkin MR, Logan K, Tseng A, Raji B, Ayis S, Peacock J, et al. Randomized trial of introduction of allergenic foods in breast-fed infants. The New England Journal of Medicine. 2016;374(18):1733-43.
Boyle RJ, Ierodiakonou D, Khan T, Chivinge J, Robinson Z, Geoghegan N, et al. Hydrolysed formula and risk of allergic or autoimmune disease: systematic review and meta-analysis. BMJ (Clinical Research ed). 2016;352:i974.
Davisse-Paturet C, Raherison C, Adel-Patient K, Divaret-Chauveau A, Bois C, Dufourg MN, et al. Use of partially hydrolysed formula in infancy and incidence of eczema, respiratory symptoms or food allergies in toddlers from the ELFE cohort. Pediatric Allergy and Immunology: Official Publication of the European Society of Pediatric Allergy and Immunology. 2019;30(6):614-23.
Koplin JJ, Suaini NH, Vuillermin P, Ellis JA, Panjari M, Ponsonby AL, et al. Polymorphisms affecting vitamin D-binding protein modify the relationship between serum vitamin D (25[OH]D3) and food allergy. The Journal of Allergy and Clinical Immunology. 2016;137(2):500-6.e4.
Allen KJ, Koplin JJ, Ponsonby AL, Gurrin LC, Wake M, Vuillermin P, et al. Vitamin D insufficiency is associated with challenge-proven food allergy in infants. The Journal of Allergy and Clinical Immunology. 2013;131(4):1109-16, 16.e1-6.
Weisse K, Winkler S, Hirche F, Herberth G, Hinz D, Bauer M, et al. Maternal and newborn vitamin D status and its impact on food allergy development in the German LINA cohort study. Allergy. 2013;68(2):220-8.
Norizoe C, Akiyama N, Segawa T, Tachimoto H, Mezawa H, Ida H, et al. Increased food allergy and vitamin D: randomized, double-blind, placebo-controlled trial. Pediatrics International: Official Journal of the Japan Pediatric Society. 2014;56(1):6-12.
Thorisdottir B, Gunnarsdottir I, Vidarsdottir AG, Sigurdardottir S, Birgisdottir BE, Thorsdottir I. Infant feeding, vitamin D and IgE sensitization to food allergens at 6 years in a longitudinal Icelandic Cohort. Nutrients. 2019;11(7).
Willits EK, Wang Z, Jin J, Patel B, Motosue M, Bhagia A, et al. Vitamin D and food allergies in children: A systematic review and meta-analysis. Allergy and Asthma Proceedings. 2017;38(3):21-8.
Yepes-Nuñez JJ, Brożek JL, Fiocchi A, Pawankar R, Cuello-García C, Zhang Y, et al. Vitamin D supplementation in primary allergy prevention: Systematic review of randomized and non-randomized studies. Allergy. 2018;73(1):37-49.
Matsui T, Tanaka K, Yamashita H, Saneyasu KI, Tanaka H, Takasato Y, et al. Food allergy is linked to season of birth, sun exposure, and vitamin D deficiency. Allergology International: Official Journal of the Japanese Society of Allergology. 2019;68(2):172-7.
