Profilaktyka alergii pokarmowej – aktualne zalecenia i nowe możliwości

Publication date: Available online 19 June 2015 Source:Pediatria Polska Author(s): Aneta Krogulska The worldwide prevalence of food allergy appears to be increasing. The future of food allergy management may lie in primary prevention. It has become a public health priority in developed countries. Exclusive breast-feeding for at least 4 to 6 months and introduction of complementary foods from the age of 4–6 months are key strategies in primary food allergy prevention. Hydrolyzed formulas may be used for high risk infants who are not exclusively breastfed. Maternal elimination diets during pregnancy and lactation are currently not recommended. Little evidence supports the benefit of allergen avoidance; thus, the focus is on immunomodulatory prevention strategies. The effect of prebiotic oligosaccharides as well as probiotic bacteria, long-chain polyunsaturated fatty acids, antioxidants and vitamin D in prevention of food allergy remains unclear and requires further investigation. Increasing knowledge on the immunomodulatory effects of prenatal, perinatal, postnatal interventions and improved understanding of food allergy and associated environmental factors are likely to contribute to the development of novel strategies to prevent food allergy. It is hoped that a number of ongoing studies will help also to clarify the meaning of route of antigen exposure or maternal transmission for the promotion of tolerance. Despite the current uncertainties, prevention remains the bes...
Source: Pediatria Polska - Category: Pediatrics Source Type: research