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Mediterranean Milk Ladder: Integrating a Healthy Eating Plan While Reintroducing Cow’s Milk

The process of gradually reintroducing food allergens into an individual’s diet is referred to as a food allergen “ladder”, and the most recent edition of the original Milk Allergy in Primary (MAP) Care Guidelines, as well as the International Milk Allergy in Primary Care (IMAP), includes a shortene...

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Autores principales: Vassilopoulou, Emilia, McMilin, Colleen, Venter, Carina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9954599/
https://www.ncbi.nlm.nih.gov/pubmed/36832362
http://dx.doi.org/10.3390/children10020234
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author Vassilopoulou, Emilia
McMilin, Colleen
Venter, Carina
author_facet Vassilopoulou, Emilia
McMilin, Colleen
Venter, Carina
author_sort Vassilopoulou, Emilia
collection PubMed
description The process of gradually reintroducing food allergens into an individual’s diet is referred to as a food allergen “ladder”, and the most recent edition of the original Milk Allergy in Primary (MAP) Care Guidelines, as well as the International Milk Allergy in Primary Care (IMAP), includes a shortened, improved, and international version with specific recipes, indicating the exact milk protein content, as well as the duration of heating and the temperature for each step of the ladder. Food allergen ladders are being used increasingly in clinical practice. The aim of this study was to develop a Mediterranean milk ladder based on the principles of the Mediterranean eating pattern. The protein content delivered in a portion of the final food product in each step of the ladder in the Mediterranean version corresponds to that provided in the IMAP ladder. Different recipes for the various steps were provided to increase acceptability and variety. Quantification of the total milk protein, casein content, and beta-lactoglobulin by Enzyme-linked immunosorbent assay (ELISA) could detect the gradual increase in concentrations, but the accuracy of the method was affected by the presence of the other ingredients in the mixtures. When developing the Mediterranean milk ladder, a key consideration was to reduce the amount of sugar by using limited amounts of brown sugar and substituting sugar with fresh fruit juice or honey for children aged older than one year. The proposed Mediterranean milk ladder includes principles of (a) healthy eating based on the Mediterranean diet and (b) the acceptability of foods across different age groups.
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spelling pubmed-99545992023-02-25 Mediterranean Milk Ladder: Integrating a Healthy Eating Plan While Reintroducing Cow’s Milk Vassilopoulou, Emilia McMilin, Colleen Venter, Carina Children (Basel) Communication The process of gradually reintroducing food allergens into an individual’s diet is referred to as a food allergen “ladder”, and the most recent edition of the original Milk Allergy in Primary (MAP) Care Guidelines, as well as the International Milk Allergy in Primary Care (IMAP), includes a shortened, improved, and international version with specific recipes, indicating the exact milk protein content, as well as the duration of heating and the temperature for each step of the ladder. Food allergen ladders are being used increasingly in clinical practice. The aim of this study was to develop a Mediterranean milk ladder based on the principles of the Mediterranean eating pattern. The protein content delivered in a portion of the final food product in each step of the ladder in the Mediterranean version corresponds to that provided in the IMAP ladder. Different recipes for the various steps were provided to increase acceptability and variety. Quantification of the total milk protein, casein content, and beta-lactoglobulin by Enzyme-linked immunosorbent assay (ELISA) could detect the gradual increase in concentrations, but the accuracy of the method was affected by the presence of the other ingredients in the mixtures. When developing the Mediterranean milk ladder, a key consideration was to reduce the amount of sugar by using limited amounts of brown sugar and substituting sugar with fresh fruit juice or honey for children aged older than one year. The proposed Mediterranean milk ladder includes principles of (a) healthy eating based on the Mediterranean diet and (b) the acceptability of foods across different age groups. MDPI 2023-01-28 /pmc/articles/PMC9954599/ /pubmed/36832362 http://dx.doi.org/10.3390/children10020234 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Communication
Vassilopoulou, Emilia
McMilin, Colleen
Venter, Carina
Mediterranean Milk Ladder: Integrating a Healthy Eating Plan While Reintroducing Cow’s Milk
title Mediterranean Milk Ladder: Integrating a Healthy Eating Plan While Reintroducing Cow’s Milk
title_full Mediterranean Milk Ladder: Integrating a Healthy Eating Plan While Reintroducing Cow’s Milk
title_fullStr Mediterranean Milk Ladder: Integrating a Healthy Eating Plan While Reintroducing Cow’s Milk
title_full_unstemmed Mediterranean Milk Ladder: Integrating a Healthy Eating Plan While Reintroducing Cow’s Milk
title_short Mediterranean Milk Ladder: Integrating a Healthy Eating Plan While Reintroducing Cow’s Milk
title_sort mediterranean milk ladder: integrating a healthy eating plan while reintroducing cow’s milk
topic Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9954599/
https://www.ncbi.nlm.nih.gov/pubmed/36832362
http://dx.doi.org/10.3390/children10020234
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