Dietary intervention for preventing food allergy in children

Wang, Yichao; Allen, Katrina J.; Koplin, Jennifer J.

doi:10.1097/mop.0000000000000552

Cited by 5 publications

(5 citation statements)

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“…28,29 However, these studies did not capture information on place of birth, which we found to be important in determining risk of food-induced anaphylaxis in the Asian population. 30 12,13 In our study, children with Asian ancestry more often reported risk of anaphylaxis triggered by soy, wheat and seafood regardless of where they were born.…”

Section: The Association Between Demographic Factors and Anaphylaximentioning

confidence: 51%

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Asian children living in Australia have a different profile of allergy and anaphylaxis than Australian‐born children: A State‐wide survey

Wang

Allen

Suaini

et al. 2018

Clin Experimental Allergy

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Section: The Association Between Demographic Factors and Anaphylaximentioning

confidence: 51%

“…Reasons for this higher prevalence of anaphylaxis risk to soy, wheat and seafood require further study, but may reflect differences in dietary patterns in the Asian population, including potentially differences in timing of introduction of these foods into the infant diet. 30…”

Section: The Association Between Demographic Factors and Anaphylaximentioning

confidence: 99%

Asian children living in Australia have a different profile of allergy and anaphylaxis than Australian‐born children: A State‐wide survey

Wang

Allen

Suaini

et al. 2018

Clin Experimental Allergy

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“…Children may be sensitised in utero or while breastfeeding, and as such, maternal diet during pregnancy and breastfeeding has become an increasing focus for food allergy prevention. 72 , 73 As such, key factors which should be included in guidelines, in relation to food allergy prevention, include maternal diet during pregnancy and breastfeeding; timeframe for exclusive breastfeeding; breastmilk substitutes; timing of introduction of solid foods; and recommendations regarding common food allergen introduction. 21 , 74 Other interventions such as vitamin D and omega 3- fatty acid supplementation and modification of the maternal and infant microbiome, remain more controversial 20 and were considered beyond the scope of this review.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of infant feeding food allergy prevention guidelines – can we AGREE?

Vale

Lobb

Netting

et al. 2021

World Allergy Organization Journal

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Food allergy is a significant issue worldwide, particularly in Westernised countries. There is no clear explanation why food allergy appears to have increased so rapidly in recent years, particularly in young children, hence ongoing research to identify effective primary prevention strategies. Food allergy prevention guidelines for health professionals have been developed based on existing clinical trial evidence for effective translation and implementation. As these guidelines underpin clinical practice, it is important to ensure robust processes of development. We conducted a systematic review to identify food allergy prevention guidelines for health professional use; to compare the recommendations made by the identified guideline documents; and to assess the quality of the identified guideline documents. We searched Medline, EMBASE, CINAHL, Scopus, Global Health and Guidelines International Network for the period 1990 to 13 August 2019, to identify articles referring to English-language food allergy prevention guidelines or the guidelines themselves. A grey literature search of Google Scholar and reference checking was also undertaken. The guidelines were compared for recommendation similarities and differences. An Appraisal Guidelines for Research and Evaluation (AGREE II) appraisal was undertaken to assess guideline quality. The electronic database search yielded 1121 publications and reference checking identified an additional 16 publications. After title, abstract and full text screening, data extraction was undertaken on 156 publications and with additional reference checking, 28 food allergy prevention guidelines and advice documents were identified. Comparison of the recommendations within the guidelines and advice documents indicated the greatest variation in recommendations related to exclusive breastfeeding and timing of solid food introduction. Eight of the 10 guidelines and none of the 18 advice documents met the quality threshold set by the reviewers. Overall, documents specifically termed "guidelines" scored better than advice documents when assessed using the AGREE II tool. Variation in recommendations may create confusion for health professionals and result in inconsistent advice being provided to parents, and less translation of the evidence into actual food allergy reduction in the population. Appraisal using the AGREE II tool identified that there is considerable room for improvement in the development of guidelines and advice documents for food allergy prevention. The AGREE II appraisal identified common areas of poorer quality development and/or documentation of processes to inform future guideline development. Based on this study, we recommend the use of validated guideline development tools, to direct food allergy prevention guideline review or development. Use of the AGREE II tool, to direct the review and development of guidelines, is very likely to improve guideline quality.

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“…Even though there are questions about when to include allergens effectively and safely in the diet, strategies for early consumption versus avoidance of common food allergens are considered a promising intervention to reduce the risk of food allergies. In the general population, more studies are needed to improve information about how to prevent food allergy [11].…”

Section: Food Allergy Preventionmentioning

confidence: 99%

Food Allergy Prevention and Management in Children

YILDIZ¹,

Arusoğlu²

2021

Magna Sci. Adv. Res. Rev.

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Food allergy is a reaction mediated by immunological mechanisms that cause various symptoms in susceptible individuals while harmless in individuals who are not sensitive to the specific allergen. The reactions that take place are divided into three: IgE-mediated reactions, non-IgE-mediated reactions, and mixed-type reactions. While many types of food have the potential to cause allergen reactions, fewer foods are responsible for the most clinically severe reactions and for the majority of reported cases. Food allergy, which is increasingly common worldwide, is becoming an important public health problem. Although there are no clear epidemiological data, the prevalence of food allergy varies between 6-10% in preschool children and decreases to 2-5% in adulthood. Food allergy has long been recognized as a pediatric disease, as most cases tend to begin in childhood and disappear with growth. There is increasing evidence to support the role of early administration of potential food allergens to prevent food allergy. The management process of food allergy cases includes plans and innovative treatment strategies aimed at a personalized approach.

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Dietary intervention for preventing food allergy in children

Abstract: Earlier introduction of allergenic foods is a promising intervention to reduce the risk of some food allergies in high-risk infants. Further work is needed to improve knowledge of how to prevent food allergy in the general population.

Cited by 5 publications

References 59 publications

Asian children living in Australia have a different profile of allergy and anaphylaxis than Australian‐born children: A State‐wide survey

Asian children living in Australia have a different profile of allergy and anaphylaxis than Australian‐born children: A State‐wide survey

A systematic review of infant feeding food allergy prevention guidelines – can we AGREE?

Food Allergy Prevention and Management in Children

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