Document Detail

Food allergen avoidance in primary prevention of food allergy.
MedLine Citation:
PMID:  11298025     Owner:  NLM     Status:  MEDLINE    
Approximately 5-10% of children suffer from allergy to one or more foods. Primary prevention through a hypoallergenic diet may reduce the prevalence of food allergy and associated co-morbidity, such as eczema and urticaria. Breastfeeding has many advantages and should be recommended for all children. Those with a history of atopy in the immediate family are at a higher risk and maternal diet during lactation, avoiding highly allergenic foods, may enhance the benefit. Cow's milk should be strictly avoided, and supplements, if required, should be with a hypoallergenic formula. Delayed introduction of egg, nuts, wheat and fish has also been suggested. Dietary restriction may have nutritional consequences for the mother and child and supervision by a dietician is essential. Maternal diet during pregnancy is not advisable as the benefit is minimal and there may be adverse effects on the foetal nutrition. In high risk infants, a combined approach, where breastfeeding with maternal avoidance of highly allergenic foods, supplemented by extensively hydrolysed formula during the first 6 months of life, in addition to the delayed introduction of solid foods, has been shown to reduce the development of food allergy in infants.
S H Arshad
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Allergy     Volume:  56 Suppl 67     ISSN:  0105-4538     ISO Abbreviation:  Allergy     Publication Date:  2001  
Date Detail:
Created Date:  2001-04-12     Completed Date:  2001-08-16     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7804028     Medline TA:  Allergy     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  113-6     Citation Subset:  IM    
The David Hide Asthma & Allergy Research Centre, St. Mary's Hospital, Isle of Wight, UK.
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MeSH Terms
Allergens / adverse effects*
Avoidance Learning*
Food Hypersensitivity / diet therapy,  prevention & control*,  psychology,  therapy*
Reg. No./Substance:

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