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Arch Dis Child. 2017 Feb;102(2):179-186. doi: 10.1136/archdischild-2015-309770. Epub 2016 Aug 16.

Modifying the infant's diet to prevent food allergy.

Author information

1
Clinical and Experimental Sciences and Human Development in Health Academic Unit, Faculty of Medicine, University of Southampton, Southampton, UK.
2
Guy's and St Thomas' NHS Foundation Trust, London, UK.
3
Vitamin D Research Group, School of Food and Nutritional Science, University College Cork, Cork, Ireland.
4
The Irish Centre for Fetal and Neonatal Translational Research, University College Cork, Cork, Ireland.
5
INRA_UIAA, Gif sur Yvette, France.
6
TNO, Zeist, The Netherlands.
7
Charite-Universitatsmedizin Berlin, Department of Paediatric Pneumology & Immunology, Berlin, Germany.
8
Department of Allergy and Immunology, Children's Hospital Westmead, Sydney University, Sydney, New South Wales, Australia.
9
Respiratory Epidemiology, Occupational Medicine and Public Health Group, National Heart and Lung Institute, Imperial College, London, UK.
10
Charite-Universitatsmedizin Berlin, Institute for Social Medicine, Epidemiology and Health Economics, Berlin, Germany.
11
King's College London, MRC and Asthma UK Centre in Allergic Mechanisms of Asthma, Division of Asthma, Allergy and Lung Biology, UK.
12
Institute of Inflammation and Repair, Manchester Academic Health Science Centre, Manchester Institute of Biotechnology, The University of Manchester, Manchester, UK.
13
INRA AgroParisTech, Gif sur Yvette, Paris, France.
14
NIHR Southampton Respiratory Biomedical Research Unit, University Hospital Southampton NHS Foundation Trust, Southampton, UK.

Abstract

Recommendations and guidelines on the prevention of food allergy have changed in recent decades. The aim of this review of the current evidence and ongoing studies is to provide a comprehensive and up to date picture of prevention of food allergy for healthcare professionals. The review was undertaken as part of the European Union funded Integrated Approaches to Food Allergy and Allergen Management (iFAAM) study. This is a wide ranging project bringing together expertise across the breadth of food allergy research. Specifically, the review discusses dietary manipulation in food allergy prevention, and covers the possible preventive strategies of allergen avoidance, early allergen introduction, general nutrition and supplements, as well as other strategies, such as prebiotics and probiotics. The review concludes that despite agreement that allergen avoidance strategies should not be undertaken for allergy prevention, there is currently no consensus regarding what actions should be recommended beyond exclusive breastfeeding for the first 4-6 months of life. Recent and upcoming trial results, which are detailed in this review, should help inform the debate and add clarity to the topic.

KEYWORDS:

Allergy; Infant Feeding; Nutrition; prevention

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