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Does concurrent breastfeeding alongside the introduction of solid food prevent the development of food allergy?

The timing of introduction of solid food on the subsequent development of food allergy is under debate and the role of concurrent breastfeeding is unclear. The aim of the present study was to investigate the role of solid food introduction whilst concurrently breastfeeding on food allergy outcome, w...

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Autores principales: Venter, Carina, Maslin, Kate, Dean, Taraneh, Arshad, Syed Hasan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5048184/
https://www.ncbi.nlm.nih.gov/pubmed/27752307
http://dx.doi.org/10.1017/jns.2016.31
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author Venter, Carina
Maslin, Kate
Dean, Taraneh
Arshad, Syed Hasan
author_facet Venter, Carina
Maslin, Kate
Dean, Taraneh
Arshad, Syed Hasan
author_sort Venter, Carina
collection PubMed
description The timing of introduction of solid food on the subsequent development of food allergy is under debate and the role of concurrent breastfeeding is unclear. The aim of the present study was to investigate the role of solid food introduction whilst concurrently breastfeeding on food allergy outcome, with a specific focus on cows’ milk allergy. Prospectively collected infant feeding data from a birth cohort were analysed. Participants with histories suggestive of food allergy underwent diagnostic food challenges. Children with food allergy were matched to control participants for age and sex. Mann–Whitney U tests, χ(2), Fisher exact tests and logistic regression calculations were undertaken. A total of thirty-nine food-allergic children and seventy-eight matched controls were identified, including twenty-two cows’ milk-allergic children and forty-four matched controls. The control group introduced solid food earlier than the food-allergic group (P < 0·05). There was no effect of concurrent breastfeeding alongside cows’ milk introduction or other food allergens on the development of food allergy. Due to small numbers, it was not possible to explore differences for food allergy phenotype. We have therefore found no evidence that introducing solids, or food allergens, whilst breastfeeding has an allergy-preventative effect; however, the results should be interpreted with caution due to sample size. Recommendations regarding infant feeding and food allergy should be carefully considered. Although breastfeeding should be promoted for many health reasons, larger studies looking at the introduction of food allergens on the development of food allergy are needed to make a final conclusion.
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spelling pubmed-50481842016-10-17 Does concurrent breastfeeding alongside the introduction of solid food prevent the development of food allergy? Venter, Carina Maslin, Kate Dean, Taraneh Arshad, Syed Hasan J Nutr Sci Research Article The timing of introduction of solid food on the subsequent development of food allergy is under debate and the role of concurrent breastfeeding is unclear. The aim of the present study was to investigate the role of solid food introduction whilst concurrently breastfeeding on food allergy outcome, with a specific focus on cows’ milk allergy. Prospectively collected infant feeding data from a birth cohort were analysed. Participants with histories suggestive of food allergy underwent diagnostic food challenges. Children with food allergy were matched to control participants for age and sex. Mann–Whitney U tests, χ(2), Fisher exact tests and logistic regression calculations were undertaken. A total of thirty-nine food-allergic children and seventy-eight matched controls were identified, including twenty-two cows’ milk-allergic children and forty-four matched controls. The control group introduced solid food earlier than the food-allergic group (P < 0·05). There was no effect of concurrent breastfeeding alongside cows’ milk introduction or other food allergens on the development of food allergy. Due to small numbers, it was not possible to explore differences for food allergy phenotype. We have therefore found no evidence that introducing solids, or food allergens, whilst breastfeeding has an allergy-preventative effect; however, the results should be interpreted with caution due to sample size. Recommendations regarding infant feeding and food allergy should be carefully considered. Although breastfeeding should be promoted for many health reasons, larger studies looking at the introduction of food allergens on the development of food allergy are needed to make a final conclusion. Cambridge University Press 2016-10-03 /pmc/articles/PMC5048184/ /pubmed/27752307 http://dx.doi.org/10.1017/jns.2016.31 Text en © The Author(s) 2016 http://creativecommons.org/licenses/by/4.0/ This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Venter, Carina
Maslin, Kate
Dean, Taraneh
Arshad, Syed Hasan
Does concurrent breastfeeding alongside the introduction of solid food prevent the development of food allergy?
title Does concurrent breastfeeding alongside the introduction of solid food prevent the development of food allergy?
title_full Does concurrent breastfeeding alongside the introduction of solid food prevent the development of food allergy?
title_fullStr Does concurrent breastfeeding alongside the introduction of solid food prevent the development of food allergy?
title_full_unstemmed Does concurrent breastfeeding alongside the introduction of solid food prevent the development of food allergy?
title_short Does concurrent breastfeeding alongside the introduction of solid food prevent the development of food allergy?
title_sort does concurrent breastfeeding alongside the introduction of solid food prevent the development of food allergy?
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5048184/
https://www.ncbi.nlm.nih.gov/pubmed/27752307
http://dx.doi.org/10.1017/jns.2016.31
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