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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| Veröffentlicht in: | European journal of pediatrics 2010-08, Vol.169 (8), p.911-917 |
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| creator | Kneepkens, C. M. Frank Brand, Paul L. P. |
| 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. |
| doi_str_mv | 10.1007/s00431-010-1141-7 |
| format | Article |
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M. Frank ; Brand, Paul L. P.</creator><creatorcontrib>Kneepkens, C. M. Frank ; Brand, Paul L. P.</creatorcontrib><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.</description><identifier>ISSN: 0340-6199</identifier><identifier>EISSN: 1432-1076</identifier><identifier>DOI: 10.1007/s00431-010-1141-7</identifier><identifier>PMID: 20135146</identifier><identifier>CODEN: EJPEDT</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adult ; Allergies ; Biological and medical sciences ; Breast Feeding - statistics & numerical data ; Breastfeeding & lactation ; Child ; Female ; General aspects ; Humans ; Hypersensitivity - epidemiology ; Hypersensitivity - prevention & control ; Infant ; Infant, Newborn ; Male ; Maternal Behavior ; Medical sciences ; Medicine ; Medicine & Public Health ; Miscellaneous ; Pediatrics ; Practice Guidelines as Topic ; Pregnancy ; Prevention and actions ; Public health. Hygiene ; Public health. 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M. Frank</creatorcontrib><creatorcontrib>Brand, Paul L. P.</creatorcontrib><title>Clinical practice: Breastfeeding and the prevention of allergy</title><title>European journal of pediatrics</title><addtitle>Eur J Pediatr</addtitle><addtitle>Eur J Pediatr</addtitle><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.</description><subject>Adult</subject><subject>Allergies</subject><subject>Biological and medical sciences</subject><subject>Breast Feeding - statistics & numerical data</subject><subject>Breastfeeding & lactation</subject><subject>Child</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Hypersensitivity - epidemiology</subject><subject>Hypersensitivity - prevention & control</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Maternal Behavior</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Miscellaneous</subject><subject>Pediatrics</subject><subject>Practice Guidelines as Topic</subject><subject>Pregnancy</subject><subject>Prevention and actions</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Review</subject><subject>Risk Factors</subject><subject>Smoking</subject><subject>Smoking - adverse effects</subject><subject>Smoking - epidemiology</subject><subject>Time Factors</subject><issn>0340-6199</issn><issn>1432-1076</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kM1LAzEQxYMotq4ePHoREcTT6kySTTYXQYpfUPCi55Cm2bplu1uTruB_b5atrQqeQpg3b977EXKCcIUA8joAcIYpIKSIHFO5Q4bIGU0RpNglQ2AcUoFKDchBCHOIOwrzfTKggCxDLobkeFSVdWlNdbb0xq5K6w7JXmGq4I7Wb0Je7-9eRo_p-PnhaXQ7Ti0HuUpxmkEhqBG5YlmhJswUmVRFrtAKyURhKXCVIaOC8glXllFkzEjgOTXKCmQJuel9l-1k4abW1StvKr305cL4T92YUv-e1OWbnjUfmuYqFhHR4HJt4Jv31oWVXpTBuqoytWvaoCWL9RFVd-r8j3LetL6O7XQOkuWoIseEYC-yvgnBu2ITBUF3uHWPW0P3j7jjgYSc_uyw2fjmGwUXa4EJEXLhTW3LsNVRlYlMdglprwtxVM-c3yb8__oXIPSTsQ</recordid><startdate>20100801</startdate><enddate>20100801</enddate><creator>Kneepkens, C. 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| subjects | Adult Allergies Biological and medical sciences Breast Feeding - statistics & numerical data Breastfeeding & lactation Child Female General aspects Humans Hypersensitivity - epidemiology Hypersensitivity - prevention & control Infant Infant, Newborn Male Maternal Behavior Medical sciences Medicine Medicine & Public Health Miscellaneous Pediatrics Practice Guidelines as Topic Pregnancy Prevention and actions Public health. Hygiene Public health. Hygiene-occupational medicine Review Risk Factors Smoking Smoking - adverse effects Smoking - epidemiology Time Factors |
| title | Clinical practice: Breastfeeding and the prevention of allergy |
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