Nutritional management of cow's milk allergy in children: An update

Dupont, Christophe; Chouraqui, J.-P.; Linglart, Agnès; Bocquet, A.; Darmaun, Dominique; Feillet, François; Frelut, Marie-Laure; Girardet, Jean-Philippe; Hankard, R.; Rozé, J. C.; Simeoni, Umberto; Briend, André

doi:10.1016/j.arcped.2018.01.007

Cited by 55 publications

(88 citation statements)

References 95 publications

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“…CMPA may affect weight, height, or BMI (i.e., a reduced mean (SD) height for age and weight for age) as suggested by studies already in the 1990s [6], a phenomenon that is currently widely investigated [5]. Growth may be affected by CMPA prior to the diagnosis of CMPA and the beginning of treatment, and may persist during the CMP elimination regimen, with a frequent delay in diagnosing CMPA increasing the risk of undernutrition [7,8].…”

Section: Height and Weight Problemmentioning

confidence: 99%

“…However, during the exclusive bottle-feeding period, weight gain was comparable in the HRPF and the control groups. A role of the milk and dairy elimination diet on growth parameters was suggested by the lower growth rate observed in children with CMPA after the age of nine months, compared to children without CMPA in the control group [7,8].…”

Section: Growth Evolution and Protein Nutritional Statusmentioning

confidence: 99%

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Hydrolyzed Rice Protein-Based Formulas, a Vegetal Alternative in Cow’s Milk Allergy

et al. 2020

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Formulas adapted to infant feeding, although most of the time made from cow’s milk proteins, can be made from hydrolyzed rice protein but they must be classified as “formulas for specific medical needs”, according to European regulations. The nutritional quality of rice proteins is thus suitable to be used in infant formulas giving that it is supplemented by certain amino acids which can be lacking. Besides, hydrolysis is required to facilitate their water solubility and digestibility. Owing to a low allergenicity of rice and to the absence of the cross-allergy between milk proteins and rice proteins, these formulas are adapted to the diet of children with cow’s milk protein allergy (CMPA), which explains their growing use in some countries. However, CMPA, an expanding disorder, has consequences for growth, bone mineralization, and often has an association with allergy to other foods, including cow’s milk extensive hydrolysate, so that a surveillance of the adaption of hydrolyzed rice protein formulas (HRPF) to CMPA, the absence of unexpected side effects, and the appropriate response to its various health hazards seems mandatory. This paper analyses the health problem deriving from CMPA, the industrial development of hydrolyzed rice protein formulas, and the limited number of clinical studies, which confirms, at the moment, a good allergic tolerance and safety. The goal is to better advise heath care professionals on their use of HRPFs during CMPA.

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Section: Height and Weight Problemmentioning

confidence: 99%

Section: Growth Evolution and Protein Nutritional Statusmentioning

confidence: 99%

Hydrolyzed Rice Protein-Based Formulas, a Vegetal Alternative in Cow’s Milk Allergy

et al. 2020

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“…As the elimination of cow’s milk may lead to malnutrition [90,91], milk from other sources has been proposed as a substitute for cow’s milk (Table 2). However, allergens from cow, sheep, and goat show high cross-reactivity due to their sequence homology, while mare’s, donkey’s and camel milk are better tolerated by children with CMA.…”

Section: Current Treatment Strategies For Cow’s Milk Allergymentioning

confidence: 99%

Molecular Approaches for Diagnosis, Therapy and Prevention of Cow’s Milk Allergy

et al. 2019

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Cow´s milk is one of the most important and basic nutrients introduced early in life in our diet but can induce IgE-associated allergy. IgE-associated allergy to cow´s milk can cause severe allergic manifestations in the gut, skin and even in the respiratory tract and may lead to life-threatening anaphylactic shock due to the stability of certain cow´s milk allergens. Here, we provide an overview about the allergen molecules in cow´s milk and the advantages of the molecular diagnosis of IgE sensitization to cow´s milk by serology. In addition, we review current strategies for prevention and treatment of cow´s milk allergy and discuss how they could be improved in the future by innovative molecular approaches that are based on defined recombinant allergens, recombinant hypoallergenic allergen derivatives and synthetic peptides.

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“…4 Cuando no es posible, los niños reciben alimentación con sucedáneos de la leche, principalmente derivados de proteínas de la LV, lo que implica que los bebés puedan desarrollar alergia a estas proteínas. 5 Las prevalencias de la IL y la APLV varían de acuerdo con el grupo racial y los hábitos de consumo de productos lácteos. En Estados Unidos casi 20 % de la población padece IL 6 y 30 % de la población indígena de Noruega.…”

Section: Antecedentesunclassified

Alergia a la proteína de la leche de vaca o intolerancia a lactosa: un estudio transversal en estudiantes universitarios

Domínguez-García

Flores-Merino

Morales-Romero

et al. 2019

RAM

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Antecedentes: El origen étnico y la zona geográfica influyen en la frecuencia de la alergia a la proteína de leche de vaca (APLV) y de intolerancia a la lactosa. Faltan datos epidemiológicos en población no pediátrica.Objetivo: Determinar la prevalencia de APLV e intolerancia a la lactosa en estudiantes universitarios.Métodos: Estudio transversal de 1200 estudiantes de 18 a 25 años. Se aplicó cuestionario estructurado para identificar manifestaciones clínicas desencadenadas por la ingesta de leche de vaca y fueron categorizadas como relacionadas con APLV o intolerancia a la lactosa.Resultados: 30 estudiantes cubrieron criterios para APLV (prevalencia de 2.5 %; IC 95 % = 1.7-3.6) y 128 para intolerancia a la lactosa (prevalencia de 10.7 %, IC 95 % = 9.0-12.5). Los estudiantes con APLV tuvieron mayor frecuencia de historia personal de alergia a alimentos y alergia a ácaros del polvo casero, comparados con los estudiantes con intolerancia a la lactosa. El prurito oral y las molestias cutáneas y respiratorias predominaron en la APLV. El cólico abdominal y las flatulencias predominaron en la intolerancia a la lactosa.Conclusiones: La intolerancia a la lactosa fue más frecuente que la APLV; se observó en uno de cada 10 estudiantes y la APLV en uno de cada 400.

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Nutritional management of cow's milk allergy in children: An update

Cited by 55 publications

References 95 publications

Hydrolyzed Rice Protein-Based Formulas, a Vegetal Alternative in Cow’s Milk Allergy

Hydrolyzed Rice Protein-Based Formulas, a Vegetal Alternative in Cow’s Milk Allergy

Molecular Approaches for Diagnosis, Therapy and Prevention of Cow’s Milk Allergy

Alergia a la proteína de la leche de vaca o intolerancia a lactosa: un estudio transversal en estudiantes universitarios

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