Complementary feeding and food allergy, atopic dermatitis/eczema, asthma, and allergic rhinitis: a systematic review
Autor: | Mary Kay Fox, Laural English, Yat Ping Wong, Nancy F. Butte, Kelley S Scanlon, Frank R Greer, David Fleischer, Kathryn G Dewey, Eve E Stoody, Nancy F. Krebs, Julie Obbagy |
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Rok vydání: | 2019 |
Předmět: |
Hypersensitivity
Immediate Eczema Medicine (miscellaneous) Dermatitis Atopic Atopy 03 medical and health sciences 0302 clinical medicine Food allergy Environmental health Humans Medicine 030212 general & internal medicine Infant Nutritional Physiological Phenomena Asthma Nutrition and Dietetics business.industry Infant Feeding Behavior Atopic dermatitis medicine.disease Rhinitis Allergic Diet Breast Feeding Systematic review 030228 respiratory system Atopic dermatitis (eczema) Infant formula Egg allergy Infant Food business Food Hypersensitivity |
Zdroj: | The American Journal of Clinical Nutrition. 109:890S-934S |
ISSN: | 0002-9165 |
Popis: | Background Nutrition during infancy and toddlerhood may influence health and disease prevention across the life span. Complementary feeding (CF) starts when human milk or infant formula is complemented by other foods and beverages, beginning during infancy and continuing to age 24 mo. Objectives The aim of this study was to describe systematic reviews conducted for the USDA and the Department of Health and Human Services Pregnancy and Birth to 24 Months Project to answer the following question: What is the relationship between the timing of the introduction of complementary foods and beverages (CFBs), or types and amounts of CFBs consumed, and the development of food allergy, atopic dermatitis/eczema, asthma, and allergic rhinitis? Methods The literature was searched using 4 databases (CINAHL, Cochrane, Embase, PubMed) to identify articles published from January 1980 to February 2017 that met predetermined inclusion criteria. For each study, data were extracted and risk of bias was assessed. The evidence was qualitatively synthesized to develop a conclusion statement, and the strength of the evidence was graded. Results Thirty-one included articles addressed the timing of CFB introduction, and 47 articles addressed the types and amounts of CFBs consumed. Conclusions Moderate evidence suggests that there is no relationship between the age at which CF first begins and the risk of developing food allergy, atopic dermatitis/eczema, or childhood asthma. Limited to strong evidence, depending on the specific food, suggests that introducing allergenic foods in the first year of life (after 4 mo) does not increase the risk of food allergy and atopic dermatitis/eczema but may prevent peanut and egg allergy. There is not enough evidence to determine a relationship between diet diversity or dietary patterns and atopic disease. Research is needed to address gaps and limitations in the evidence on CF and atopic disease, including research that uses valid and reliable diagnostic measures and accounts for key confounders and potential reverse causality. |
Databáze: | OpenAIRE |
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