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Clinical practice: Breastfeeding and the prevention of allergy

The increase in allergic disease prevalence has led to heightened interest in the factors determining allergy risk, fuelled 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 smokin...

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Autores principales: Kneepkens, C. M. Frank, Brand, Paul L. P.
Formato: Texto
Lenguaje:English
Publicado: Springer-Verlag 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2890076/
https://www.ncbi.nlm.nih.gov/pubmed/20135146
http://dx.doi.org/10.1007/s00431-010-1141-7
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author Kneepkens, C. M. Frank
Brand, Paul L. P.
author_facet Kneepkens, C. M. Frank
Brand, Paul L. P.
author_sort Kneepkens, C. M. Frank
collection PubMed
description The increase in allergic disease prevalence has led to heightened interest in the factors determining allergy risk, fuelled 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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spelling pubmed-28900762010-07-21 Clinical practice: Breastfeeding and the prevention of allergy Kneepkens, C. M. Frank Brand, Paul L. P. Eur J Pediatr Review The increase in allergic disease prevalence has led to heightened interest in the factors determining allergy risk, fuelled 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. Springer-Verlag 2010-02-05 2010 /pmc/articles/PMC2890076/ /pubmed/20135146 http://dx.doi.org/10.1007/s00431-010-1141-7 Text en © The Author(s) 2010 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
spellingShingle Review
Kneepkens, C. M. Frank
Brand, Paul L. P.
Clinical practice: Breastfeeding and the prevention of allergy
title Clinical practice: Breastfeeding and the prevention of allergy
title_full Clinical practice: Breastfeeding and the prevention of allergy
title_fullStr Clinical practice: Breastfeeding and the prevention of allergy
title_full_unstemmed Clinical practice: Breastfeeding and the prevention of allergy
title_short Clinical practice: Breastfeeding and the prevention of allergy
title_sort clinical practice: breastfeeding and the prevention of allergy
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2890076/
https://www.ncbi.nlm.nih.gov/pubmed/20135146
http://dx.doi.org/10.1007/s00431-010-1141-7
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