Document Detail


Solid food introduction in relation to eczema: results from a four-year prospective birth cohort study.
MedLine Citation:
PMID:  17889067     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess the association between the introduction of solid foods in the first 12 months and the occurrence of eczema during the first 4 years of life in a prospective study of newborns. STUDY DESIGN: Data were taken from annually administered questionnaires from a large birth cohort (recruited 1995-1998) comprised of an intervention and a nonintervention group. Outcomes were doctor-diagnosed and symptomatic eczema. Multiple generalized estimation equation models were performed for the 2 study groups. RESULTS: From the 5991 recruited infants, 4753 (79%) were followed up. The 2 study groups were different in their family risk of allergies and feeding practices. No association was found between the time of introduction of solids or the diversity of solids and eczema. In the nonintervention group, a decreased risk was observed for avoidance of soybean/nuts, but an increased risk was seen in doctor-diagnosed eczema for the avoidance of egg in the first year. CONCLUSION: The evidence from this study supports neither a delayed introduction of solids beyond the fourth month nor a delayed introduction of the most potentially allergenic solids beyond the sixth month of life for the prevention of eczema. However, effects under more extreme conditions cannot be ruled out.
Authors:
Birgit Filipiak; Anne Zutavern; Sibylle Koletzko; Andrea von Berg; Inken Brockow; Armin Grübl; Dietrich Berdel; Dietrich Reinhardt; Carl Peter Bauer; H-Erich Wichmann; Joachim Heinrich;
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Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't     Date:  2007-08-23
Journal Detail:
Title:  The Journal of pediatrics     Volume:  151     ISSN:  1097-6833     ISO Abbreviation:  J. Pediatr.     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-09-24     Completed Date:  2007-10-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  352-8     Citation Subset:  AIM; IM    
Affiliation:
GSF-National Research Center for Environment and Health, Institute of Epidemiology, Neuherberg, Germany.
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MeSH Terms
Descriptor/Qualifier:
Dermatitis, Atopic / epidemiology,  prevention & control*
Diet*
Eczema / epidemiology,  prevention & control
Family Health
Female
Food Hypersensitivity / prevention & control
Germany / epidemiology
Humans
Infant
Infant Food*
Infant, Newborn
Male
Prospective Studies
Risk Factors
Time Factors
Comments/Corrections
Comment In:
J Pediatr. 2007 Oct;151(4):331-3   [PMID:  17889061 ]

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