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A Treatment Package without Escape Extinction to Address Food Selectivity
Published on: August 21, 2015
Modifying the infant's diet to prevent food allergy
Kate Grimshaw1, Kirsty Logan2, Sinead O'Donovan3
1Clinical and Experimental Sciences and Human Development in Health Academic Unit, Faculty of Medicine, University of Southampton, Southampton, UK.
Insights
Current food allergy prevention strategies are evolving. While allergen avoidance is discouraged, there
Area of Science:
- Immunology
- Nutrition Science
- Public Health
Background:
- Food allergy prevention guidelines have significantly evolved.
- Recent research indicates a shift away from traditional allergen avoidance strategies.
- The European Union's iFAAM project aims to consolidate food allergy research.
Purpose of the Study:
- To provide a comprehensive review of current evidence and ongoing studies on food allergy prevention.
- To update healthcare professionals on the latest findings in food allergy prevention.
- To analyze various dietary and non-dietary strategies for preventing food allergies.
Main Methods:
- Systematic review of current scientific literature on food allergy prevention.
- Analysis of evidence regarding allergen avoidance, early allergen introduction, and nutritional interventions.
- Inclusion of data from ongoing research and clinical trials.
Main Results:
- Evidence suggests allergen avoidance strategies are not recommended for food allergy prevention.
- No clear consensus exists on recommended interventions beyond exclusive breastfeeding for the first 4-6 months.
- Various strategies including early allergen introduction, probiotics, and prebiotics are under investigation.
Conclusions:
- Allergen avoidance should not be pursued for food allergy prevention.
- Further research and trial results are needed to establish definitive prevention guidelines.
- Exclusive breastfeeding remains a key recommendation, but optimal strategies beyond this require more evidence.
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.
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