Prenatal and childhood Mediterranean diet and the development of asthma and allergies in children

Chatzi, Leda; Kogevinas, Manolis

doi:10.1017/s1368980009990474

Cited by 74 publications

(66 citation statements)

References 38 publications

(65 reference statements)

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“…3 In contrast, we did not find any association with a dietary pattern characterized by high intake of fish, vegetables, and fruit 3 whereas adherence to this diet during pregnancy or at school age has been noted to protect against asthma in previous studies. [4][5][6][7][8] Because we did not find a clear association between a dietary pattern including fish and asthmalike symptoms, 3 we hypothesized that any potential beneficial effect of fish consumption in toddlers may be diluted in our previous study as a result of the dietary pattern approach and therefore deserves additional study. Various studies have suggested that early life exposure of n-3 polyunsaturated fatty acids (n-3 PUFA), a major component in fatty fish, protects against the development of asthma.…”

Section: Discussionmentioning

confidence: 86%

Fish Consumption in Infancy and Asthma-like Symptoms at Preschool Age

Jong

Vries²,

Franco³

et al. 2012

Pediatrics

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OBJECTIVE: To assess whether timing of introduction of fish and the amount of fish consumption in infancy were associated with asthmalike symptoms at preschool age. METHODS: This study was embedded in the Generation R study (a population-based birth cohort in Rotterdam, Netherlands). At the age of 12 and 14 months, timing of introduction of fish into the infant’s diet was assessed. The amount of fish consumption at 14 months was assessed by a semiquantitative food frequency questionnaire. Presence of asthmalike symptoms in the past year was assessed at the child’s age of 36 and 48 months. RESULTS: Relative to no introduction in the first year of life, introduction between age 6 and 12 months was significantly associated with a lower risk of wheezing at 48 months (odds ratio [OR]: 0.64; 95% CI: 0.43–0.94). When compared with introduction between 6 and 12 months, no introduction in the first year and introduction between 0 and 6 months were associated with an increased risk of wheezing at 48 months (OR: 1.57; 95% CI: 1.07–2.31 and OR: 1.53; 95% CI: 1.07–2.19, respectively). The amount of fish at age 14 months was not associated with asthmalike symptoms (P > .15). CONCLUSIONS: Introduction of fish between 6 and 12 months but not fish consumption afterward is associated with a lower prevalence of wheezing. A window of exposure between the age of 6 and 12 months might exist in which fish might be associated with a reduced risk of asthma.

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Section: Discussionmentioning

confidence: 86%

Fish Consumption in Infancy and Asthma-like Symptoms at Preschool Age

Jong

Vries²,

Franco³

et al. 2012

Pediatrics

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“…Epigenetic or immunologic mechanisms may be implicated because the foods that are introduced during this time deliver the substrates required for the induction of such processes. [23][24][25][26] Fruits and vegetables have been shown to modify immune responses in older children, 19,20 with the proposed mechanism being due to their antioxidant action on inflammatory processes 27 and Treg cells 28 or their action on the gut microflora. 29,30 In addition, we demonstrated a protective effect on food allergy development when cow' s milk protein, in whatever form, was given in the infant' s diet concurrently with breast milk.…”

Section: Discussionmentioning

confidence: 99%

Introduction of Complementary Foods and the Relationship to Food Allergy

Grimshaw¹,

Maskell

Oliver³

et al. 2013

Pediatrics

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WHAT'S KNOWN ON THIS SUBJECT: Breast milk is protective against many conditions, but its role in allergy has not been established. Infant-feeding recommendations support exclusive breastfeeding for 26 weeks, whereas allergy prevention recommendations advise exclusive breastfeeding for 4 to 6 months with continued breastfeeding thereafter. WHAT THIS STUDY ADDS:Evidence that continued breastfeeding while solids are introduced into the diet and delaying the introduction of solids until at least 17 weeks of age are associated with fewer food allergies. abstract OBJECTIVES: To address questions regarding breastfeeding, complementary feeding, allergy development, and current infant-feeding recommendations.METHODS: This was a nested, case-control within a cohort study in which mothers of 41 infants diagnosed with food allergy by the age of 2 years (according to double-blind, placebo-controlled food challenge) and their 82 age-matched controls kept prospective food diaries of how their infants were fed in the first year of life. RESULTS:Infants who were diagnosed with food allergy by the time they were 2 years of age were introduced to solids earlier (#16 weeks of age) and were less likely to be receiving breast milk when cow' s milk protein was first introduced into their diet. CONCLUSIONS:This study supports the current American Academy of Pediatrics' allergy prevention recommendations and the European Society of Pediatric Gastroenterology, Hepatology and Nutrition recommendations on complementary feeding to not introduce solids before 4 to 6 months of age. It also supports the American Academy of Pediatrics' breastfeeding recommendations that breastfeeding should continue while solids are introduced into the diet and that breastfeeding should continue for 1 year, or longer, as mutually desired by mother and infant.

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“…A transição à dieta ocidental pode refletir o consumo reduzido em componentes antioxidantes da dieta como vitamina A, carotenóides, vitamina C, vitamina E, zinco, selênio, cobre e compostos bioativos, os quais têm potencial ação protetora no sistema respiratório e na redução da ocorrência de asma 9,10,11 . O padrão dietético ocidental dominante caracteriza-se ainda pelo maior consumo de gorduras saturadas e menor consumo de ácido graxo poli-insaturado ômega 3 (n-3-PUFA), aumentando o risco de ocorrência de asma 9,12,13 . Existem evidências de que a adesão ao padrão Mediterrâneo (composto por peixes, frutas, vegetais, cereais integrais, com alto conteúdo de antioxidantes e n-3-PUFA), tem efeito protetor para a ocorrência da asma 11,13,14 .…”

Section: Introductionunclassified

“…O padrão dietético ocidental dominante caracteriza-se ainda pelo maior consumo de gorduras saturadas e menor consumo de ácido graxo poli-insaturado ômega 3 (n-3-PUFA), aumentando o risco de ocorrência de asma 9,12,13 . Existem evidências de que a adesão ao padrão Mediterrâneo (composto por peixes, frutas, vegetais, cereais integrais, com alto conteúdo de antioxidantes e n-3-PUFA), tem efeito protetor para a ocorrência da asma 11,13,14 .…”

Section: Introductionunclassified

Padrão alimentar, asma e sibilo atópico e não atópico em crianças e adolescentes: estudo SCAALA, Salvador, Bahia, Brasil

et al. 2014

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Avaliou-se, em estudo transversal, a influência do padrão alimentar sobre a ocorrência de sibilo e asma atópica e não atópica em 1.168 crianças e adolescentes em Salvador, Bahia, Brasil. Sibilo e sintomas de asma nos últimos 12 meses foram obtidos por meio do questionário ISAAC. Atopia foi definida pela presença de IgE específica a aerolérgenos. Questionário de frequência alimentar foi usado para definir padrões alimentares. Empregou-se regressões logística e logística politômica multivariadas. O consumo de pescados reduziu a ocorrência de sibilo em 27% (IC95%: 0,56-0,94) e asma em 37% (IC95%: 0,47-0,83); asma não atópica em 51% (IC95%: 0,31-0,79) e sibilo não atópico em 38% (IC95%: 0,46-0,83). O maior tercil do padrão alimentar reduziu o sibilo em 27% (IC95%: 0,57-0,95), sibilo atópico em 46% (IC95%: 0,30-0,98), asma em 36% (IC95%: 0,49-0,83) e asma atópica em 50% (IC95%: 0,28-0,89). O consumo de pescados pode conferir efeito protetor para sibilo e asma não atópica e o padrão alimentar para sibilo e asma atópica.

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Prenatal and childhood Mediterranean diet and the development of asthma and allergies in children

Cited by 74 publications

References 38 publications

Fish Consumption in Infancy and Asthma-like Symptoms at Preschool Age

Fish Consumption in Infancy and Asthma-like Symptoms at Preschool Age

Introduction of Complementary Foods and the Relationship to Food Allergy

Padrão alimentar, asma e sibilo atópico e não atópico em crianças e adolescentes: estudo SCAALA, Salvador, Bahia, Brasil

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