Presentation and Management of Food Allergy in Breastfed Infants and Risks of Maternal Elimination Diets

Rajani, Puja S.; Martin, Hayley; Groetch, Marion; Järvinen, Kirsi M.

doi:10.1016/j.jaip.2019.11.007

Cited by 50 publications

(53 citation statements)

References 105 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…General rules of nutrition during lactation should be followed: Routine elimination diets, e.g., to prevent allergies in a child, are not recommended [ 7 , 8 , 13 , 14 , 15 ]. The choice of natural, low-processed products of good quality is recommended [ 18 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

“…Routine elimination diets, e.g., to prevent allergies in a child, are not recommended [ 7 , 8 , 13 , 14 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…The concentration of antigens or endogenous allergenic proteins in breast milk can be high enough to trigger an allergic reaction. Nevertheless, the diagnosis of food allergy in exclusively breastfed infants is challenging and requires conscientious consideration, as well as the exclusion of other conditions [ 7 ]. In fact, the first treatment of food allergy is the cessation of allergen exposure, which in practice means an elimination diet in lactating mothers.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Foods to Avoid While Breastfeeding? Experiences and Opinions of Polish Mothers and Healthcare Providers

2020

View full text Add to dashboard Cite

Popular beliefs regarding a mother’s diet during lactation have a significant impact on breastfeeding practices among mothers, as well on breastfeeding counseling among healthcare providers worldwide. The objective of this study was to assess mothers’ and medical professionals’ knowledge and opinions on the “lactating mother’s diet”. An electronic survey, prepared in Polish, was administered to healthcare providers, as well as mothers who have breastfed a child. The chi-square test, logistic regression, and Mann Whitney U test were used for statistical calculations. Out of a total of 1180 responses received, 1159 were analyzed, and 21 were excluded because they did not meet the inclusion criteria. The survey was completed by 407 (35%) medical healthcare providers and 752 (65%) lactating mothers in non-medical professions. In total, the study included 1074 mothers who have breastfed a child, and 29.14% of them reported that they eliminated certain foods from their diet when breastfeeding. There was no statistically significant difference in the responses received from mothers and medical staff providing maternal care (for each of 17 products, e.g., steak tartare, sushi, legumes, dairy products, p > 0.05 by the Mann-Whitney test). However, a logistic regression revealed some significant correlations with other variables (e.g., duration of lactation). The respondents revealed an appropriate level of knowledge on nutrition during lactation and the majority of participants neither adhered to nor recommended a prophylactic elimination diet. Among other evaluated factors, the experience of following an elimination diet affected respondents’ knowledge of nutrition during breastfeeding. Both mothers and healthcare providers require good nutritional education.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Routine elimination diets, e.g., to prevent allergies in a child, are not recommended [ 7 , 8 , 13 , 14 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Foods to Avoid While Breastfeeding? Experiences and Opinions of Polish Mothers and Healthcare Providers

2020

View full text Add to dashboard Cite

show abstract

“…Although some studies had shown that breastfeeding could reduce the risk of milk allergy in infants [34,35]. Rajani PS et al [36] showed that the food antigens in human milk can elicit clinical reactions in some, already-sensitized CM sensitization should not be ignored in children with respiratory allergic diseases, especially in those with AB. Clinicians should pay special attention to children with AB and reconsider treatment strategies based on the patient's symptoms and the history of food intake.…”

Section: Discussionmentioning

confidence: 99%

Distribution characteristics of cow’s milk-sIgE components in children with respiratory allergic diseases in southern China

et al. 2020

View full text Add to dashboard Cite

Background: Cow's milk (CM) is the main food allergen for toddlers and infants. Presently, studies on CM specific immunoglobulin E (sIgE) sensitization and positive distribution of CM components ALA-, CAS-, and BLG-sIgE are lacking in infants with respiratory allergic diseases, especially in southern China. This study therefore aimed to investigate the distribution of CM sensitization and the relation between its components α-lactalbumin (ALA), β-lactoglobulin (BLG) and casein (CAS) sIgE in children with respiratory allergic diseases in southern China. Methods: A total of 1839 children (≤12 years) with respiratory diseases and detected CM-sIgE levels were included. Serum samples were collected from the Respiratory Diseases Bioresources Center of the National Center for Respiratory Diseases in southern China from August 2012 to July 2017. ALA-, BLG-, and CAS-sIgE were detected and questionnaires were completed in 103 children. Results: A total of 36.7% children were positive for CM-sIgE. CM-sIgE levels were higher in asthmatic bronchitis (AB) group than in other allergic respiratory disease groups (all P < 0.05). Among the 103 CM-sIgE-sensitized children, 64.08% had a history of family allergies. There were 84.47% of the children who tested positive for two or more sIgE components. The average ALA-, BLG-, and CAS-sIgE levels were 1.91 kU/L, 1.81 kU/L, and 0.62 kU/L, respectively. The CM-sIgE level showed a correlation with BLG-sIgE (r s = 0.833), ALA-sIgE (r s = 0.816), and CAS-sIgE (r s = 0.573) levels (all p < 0.001). Conclusions: In southern China, CM-sIgE levels were higher in children with AB than in those with other respiratory allergic diseases. ALA and BLG were the main allergenic components detected in CM-sIgE-sensitized children with respiratory allergic diseases.

show abstract

“…In AD, an elimination diet may potentially improve a child's symptoms, but it has not been found to substantially change the disease trajectory and there are nutritional risks associated with dietary elimination in both the child and the mother. 43,44 Furthermore, though it is unknown if food allergens in BM induce tolerance, any potential for this would be lost with a maternal elimination diet in high-risk children with AD. It is therefore imperative to carefully weigh the risks and benefits of maternal elimination diets in AD.…”

Section: Breast Milk Adverse Reactionsmentioning

confidence: 99%

Provider recommendations and maternal practices when providing breast milk to children with immunoglobulin E–mediated food allergy

Wangberg

Bagsic

Kelso

et al. 2021

Annals of Allergy, Asthma & Immunology

View full text Add to dashboard Cite

Presentation and Management of Food Allergy in Breastfed Infants and Risks of Maternal Elimination Diets

Cited by 50 publications

References 105 publications

Foods to Avoid While Breastfeeding? Experiences and Opinions of Polish Mothers and Healthcare Providers

Foods to Avoid While Breastfeeding? Experiences and Opinions of Polish Mothers and Healthcare Providers

Distribution characteristics of cow’s milk-sIgE components in children with respiratory allergic diseases in southern China

Provider recommendations and maternal practices when providing breast milk to children with immunoglobulin E–mediated food allergy

Contact Info

Product

Resources

About