Dépistage du risque d’allergie et prévention en maternité : enquête des pratiques AllerNaiss

Chouraqui, J.-P.; Simeoni, Umberto; Tohier, C.; Nguyen, F.; Kempf, Carol; Beck, L.; Lachambre, E.

doi:10.1016/j.arcped.2015.06.014

Cited by 4 publications

(2 citation statements)

References 12 publications

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“…Of note is the small number of children who were fed HA formula considering the observed prevalence of family allergy history, but at-risk infants were not identified among the breastfed infants. This contrasts with the results of the AllerNaiss study reporting a screening strategy for allergy history in 59% of 387 French maternity wards and a subsequent prescription of HA formula, in the absence of breastfeeding in 90% of the wards [30].…”

Section: Discussionmentioning

confidence: 67%

Physicians advice, parental practice and adherence to doctor’s advice: an original survey on infant feeding

et al. 2019

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Background: Despite several years of guidance on infant feeding, there has been only a slight change in consumer compliance. Therefore, this study aimed to analyse parents feeding practices, explore physicians’ advice about infant feeding and subsequent parent’s adherence to advice. Methods A multicentric cross-sectional qualitative and descriptive self-report online study was conducted in volunteers to participate in the study. Results Fifty-four physicians (paediatricians and general practitioners) and 600 parents of infants were recruited. Of the infants, 20.2% presented at inclusion with at least one type of functional gastrointestinal disorder. The breastfeeding prevalence was quite low (37.3%). The main initial deviance from guidelines said they observed in infant feeding was the early use of cow’s milk. More than two-thirds of infants older than 8 months were drinking cow’s milk. The introduction of solid foods was globally in line with recommendations. Most physicians gave advice about the different aspects of infant feeding but were seeking more information, as did the parents. A discrepancy between the physicians’ statements and the parents’ perceptions was observed. However the majority (95.4%) of parents reported that they followed totally or partially the advice received, especially by abandoning subsequently the use of cow’s milk in favour of a formula. The main reason for not adhering to the advice was that they did not consider it suitable for their infant and they preferred to rely on their feelings or recommendations from familiars. Conclusions This survey provides good insights into parents’ infant feeding practices together with the advice given by their doctor. The gap between practices and current guidelines is notable only for breast-feeding and use of formula. Despite several guidelines professionals and parents seek nutrition information. It highlights the need to deliver consistent, relevant, and less confusing messages about infant feeding. Electronic supplementary material The online version of this article (10.1186/s12887-019-1697-y) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 67%

Physicians advice, parental practice and adherence to doctor’s advice: an original survey on infant feeding

et al. 2019

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“…The study concluded that there are gaps in knowledge among healthcare providers regarding the prevention of food allergy. A recent French study confirmed these gaps, as hydrolysates are not prescribed in all units [11]. …”

Section: Discussionmentioning

confidence: 99%

Physician practice in food allergy prevention in the Middle East and North Africa

Vandenplas¹,

Al-Frayh²,

AlMutairi³

et al. 2017

BMC Pediatr

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BackgroundA number of scientific organisations have developed guidelines for the primary prevention of allergic disease through nutritional interventions. However, even if the best evidence-based guidelines are available, these guidelines do not necessarily lead to adherence and improved health outcomes.MethodTo determine how closely the practice of physicians in select Middle Eastern and North African countries compares with the current recommendations on the primary prevention of allergy a survey study was performed using a structured questionnaire and convenience sampling.ResultsA total of 1481 physicians responded, of which 66.1% were pediatricians. A total of 76.6% of responding physicians routinely identify infants who are at risk for developing allergy. In infants at risk for developing allergy, 89.1% recommend exclusive breastfeeding for at least 4 months. In contrast to current recommendations, 51.6% routinely recommend avoidance of any allergenic food in the lactating mother. In infants at risk of developing allergy who are completely formula fed, standard infant formula was recommended by 22.5% of responders. Of the responding physicians, 50.6% would recommend delaying the introduction of complementary food in infants at risk of allergy compared to those not at risk, whereas 62.5% would recommend postponing the introduction of potentially allergenic foods. Only 6.6% stated they follow all current recommendations on food allergy prevention.ConclusionThe results of this survey suggest that a substantial part of responding physicians from select Middle Eastern and North African (MENA) countries do not follow current recommendations on primary prevention of allergic disease through nutritional interventions.Electronic supplementary materialThe online version of this article (doi:10.1186/s12887-017-0871-3) contains supplementary material, which is available to authorized users.

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The role of milk feeds and other dietary supplementary interventions in preventing allergic disease in infants: Fact or fiction?

et al. 2021

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Dépistage du risque d’allergie et prévention en maternité : enquête des pratiques AllerNaiss

Cited by 4 publications

References 12 publications

Physicians advice, parental practice and adherence to doctor’s advice: an original survey on infant feeding

Physicians advice, parental practice and adherence to doctor’s advice: an original survey on infant feeding

Physician practice in food allergy prevention in the Middle East and North Africa

The role of milk feeds and other dietary supplementary interventions in preventing allergic disease in infants: Fact or fiction?

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