Nutritional counseling for cow's milk protein allergy in infants from birth to 2 y of ages: Scoping review

Zamanillo-Campos, Rocío; Coto, Laura; Martín, María Jesús Fuentes; Escusa, Patricia Nevot; Fernández, Marta Tejón

doi:10.1016/j.nut.2022.111633

Cited by 5 publications

(4 citation statements)

References 38 publications

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“…The supplementation recommendation made in this consensus regarding vitamin D and calcium is in line with other guidelines. 5,6,43,44 When selecting vitamin D and calcium supplements, it is critical to ensure that they are free of cow's milk protein. This is because even small amounts of cow's milk protein can trigger an allergic reaction in the infant.…”

Section: Supplementation Of the Lactating Mother's Diet With Vitamin ...mentioning

confidence: 99%

Mexican consensus on cow’s milk protein allergy

Ramírez Mayans,

Ignorosa Arellano,

Toro Monjaraz

et al. 2024

Allergol Immunopathol

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Background: The aim of this study is to present the current views of a diverse group of experts on the diagnosis and treatment of Cow’s Milk Protein Allergy (CMPA) in children under 2 years of age in Mexico. Material and methods: The study, led by a scientific committee of five experts in CMPA, was divided into six phases, including a modified Delphi process. A total of 20 panelists, all of whom were pediatric specialists, participated in administering a comprehensive 38-item questionnaire. The questionnaire was divided into two blocks: Diagnosis and Treatment (20 items each). Results: Consensus was reached on all the proposed items, with an agreement rate of over 70% for each of them. As a result, a diagnostic and treatment algorithm was developed that emphasized the reduction of unnecessary diagnostic studies and encouraged breastfeeding whenever possible. In cases where breast milk is not available, appropriate use of hypoallergenic formulas was recommended. In addition, recommendations on treatment duration and gradual reintroduction of cow’s milk protein were provided. Conclusions: The recommendations endorsed by 20 Mexican pediatricians through this study are applicable to everyday clinical practice, thereby enhancing the diagnosis and treatment of children under 2 years of age with CMPA. This, in turn, will foster improved health outcomes and optimize the utilization of healthcare resources.

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Section: Supplementation Of the Lactating Mother's Diet With Vitamin ...mentioning

confidence: 99%

Mexican consensus on cow’s milk protein allergy

Ramírez Mayans,

Ignorosa Arellano,

Toro Monjaraz

et al. 2024

Allergol Immunopathol

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“…The nutritional significance of eliminated cow’s milk (CM) underscores the necessity of careful dietary counseling to prevent macro- and micronutrient deficiencies [4]. Poor nutritional status may lead to growth delays, cognitive development impediments, and long-term consequences [5].…”

Section: Introductionmentioning

confidence: 99%

Longitudinal Growth Trajectories in Children with Cow’s Milk Allergy: Effects of Elimination Diet and Post-Termination Period

Tel Adiguzel,

Ercan,

Kahraman

2024

Int Arch Allergy Immunol

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Introduction: The primary dietary approach for managing cow’s milk allergy (CMA) is the elimination diet. We aimed to compare the growth patterns of children with CMA during and after the elimination diet with healthy peers and identify influencing factors. Methods: We compared 74 CMA children with age-matched healthy peers. Anthropometric data were collected during the third month of cow’s milk elimination (CME) diet (T1), 3 months after diet cessation (T2), and after ≥3 months of normal diet (T3). Control group measurements coincided. Nutrient intake was assessed by a 3-day record, and patient laboratory results were noted at T3. Results: CMA children had consistently lower weight-for-age (WFA) and height-for-age (HFA) z-scores than controls. WtHt z-score of patients was lower than those of the healthy group at T2. HC z-scores of patients were lower than those of the healthy group at T0, T2, and T3. At T3, the HFA z-score of the CME group demonstrated a negative correlation with the duration of the elimination diet (p = 0.045). Inadequate intake of energy, vitamins A, E, B1, B6, C, folic acid, magnesium, and iron was significantly higher in CMA children (p < 0.05). T3 WFA z-score correlated positively with fiber, vitamin B1, magnesium, and iron intake (p < 0.05). T3 WtHt showed a positive moderate correlation with energy, protein, vitamin E, vitamin B1, vitamin B2, vitamin B6, calcium, magnesium, phosphor, iron intake (p < 0.05). Conclusions: Post-elimination diet, children with CMA need sustained monitoring and potentially micronutrient supplementation to match healthy peers’ growth.

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“…Breast milk is the only milk that can be permanently adapted to the needs of a growing infant. One of the advantages of breastfeeding is that it helps to prevent allergies [7]. However, while a large number of studies support breastfeeding's role in lowering the risk of allergy, other studies examining the effect of prolonged breastfeeding do not.…”

Section: Introductionmentioning

confidence: 99%

Probiotic Bacteria from Human Milk Can Alleviate Oral Bovine Casein Sensitization in Juvenile Wistar Rats

et al. 2023

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This study aims to see if probiotic bacteria from human milk could ameliorate oral cow’s milk sensitization. The probiotic potential of the SL42 strain isolated from the milk of a healthy young mother was first determined. Rats were then randomly gavaged with cow’s milk casein without an adjuvant or assigned to the control group. Each group was further subdivided into three groups, with each receiving only Limosilactobacillus reuteri DSM 17938, SL42, or a phosphate-buffered saline solution. Body weight, temperature, eosinophils, serum milk casein-specific IgE (CAS-IgE), histamine, and serum S100A8/A9 and inflammatory cytokine concentrations were measured. The animals were sacrificed after 59 days; histological sections were prepared, and the spleen or thymus weights, as well as the diversity of the gut microbiota, were measured. On days 1 and 59, SL42 abridged systemic allergic responses to casein by dropping histamine levels (25.7%), CAS-specific IgE levels (53.6%), eosinophil numbers (17%), S100A8/9 (18.7%), and cytokine concentrations (25.4–48.5%). Analyses of histological sections of the jejunum confirmed the protective effect of probiotic bacteria in the CAS-challenged groups. Lactic acid bacteria and Clostridia species were also increased in all probiotic-treated groups. These findings suggest that probiotics derived from human milk could be used to alleviate cow’s milk casein allergy.

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Nutritional counseling for cow's milk protein allergy in infants from birth to 2 y of ages: Scoping review

Cited by 5 publications

References 38 publications

Mexican consensus on cow’s milk protein allergy

Mexican consensus on cow’s milk protein allergy

Longitudinal Growth Trajectories in Children with Cow’s Milk Allergy: Effects of Elimination Diet and Post-Termination Period

Probiotic Bacteria from Human Milk Can Alleviate Oral Bovine Casein Sensitization in Juvenile Wistar Rats

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