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Dietary primary prevention of allergic diseases in children: the Philippine guidelines
Marysia Stella T Recto1, Maria Lourdes G Genuino2, Mary Anne R Castor1
1Section of Allergy and Immunology, Department of Pediatrics, College of Medicine, University of the Philippines, Manila 1000, the Philippines.
Insights
Primary prevention of allergic diseases like asthma and eczema can start from prenatal stages through childhood. These evidence-based guidelines offer dietary recommendations for healthcare practitioners to prevent allergies in children.
Area of Science:
- Pediatric Allergy and Immunology
- Nutritional Science
- Preventive Medicine
Background:
- Allergic diseases (asthma, eczema, food allergy) are increasingly prevalent and preventable.
- Primary prevention strategies are crucial for mitigating allergy development.
- Interventions can be implemented across various life stages, from prenatal to childhood.
Purpose of the Study:
- To provide evidence-based recommendations for the dietary primary prevention of allergic diseases in children.
- To guide healthcare practitioners in managing patients at risk of allergic conditions.
- To consolidate current evidence on nutritional interventions for allergy prevention.
Main Methods:
- Exhaustive review of scientific literature.
- Inclusion of systematic reviews, randomized controlled trials, and cohort studies.
- Development of guidelines by leading Philippine allergy and pediatric gastroenterology societies.
Main Results:
- Guidelines offer recommendations for dietary primary prevention of allergic diseases.
- Evidence synthesis covers interventions from prenatal to childhood.
- Identified gaps in current research on dietary allergy prevention.
Conclusions:
- Dietary interventions are key to the primary prevention of allergic diseases in children.
- Guidelines aim to standardize and improve preventive care practices.
- Further research is needed to fill evidence gaps in this field.
Abstract:
Allergic diseases, such as asthma, allergic rhinitis, eczema, and food allergy, are preventable diseases. Primary prevention strategies of allergic diseases have been in scrutiny. Effective prevention strategies maybe started prenatally, postnatally, during infancy, and even during childhood. These guidelines have been prepared by the Philippine Society of Allergy, Asthma and Immunology and the Philippine Society for Pediatric Gastroenterology, Hepatology and Nutrition. They aim to provide evidence-based recommendations for the dietary primary prevention of allergic diseases in children. The primary audience of these guidelines is all healthcare practitioners who manage patients with potential allergic conditions. These guidelines are based on an exhaustive review of evidences, mostly systematic reviews, randomized controlled trials, and cohort studies. However, there are still many gaps in the evidence of dietary primary prevention of allergic diseases.
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