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Primary prevention of food allergy in children and adults

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Authors:
  • de Silva, D ;
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    The Evidence Centre, London, UK.
  • Geromi, M ;
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    unknown
  • Halken, S ;
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    Paediatrics, Department of Clinical Research, Faculty of Health Sciences, SDU
  • Host, A ;
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    Paediatrics, Department of Clinical Research, Faculty of Health Sciences, SDU
  • Panesar, S S ;
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    unknown
  • Muraro, A ;
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    unknown
  • Werfel, T ;
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    unknown
  • Hoffmann-Sommergruber, K ;
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    unknown
  • Roberts, G ;
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    unknown
  • Cardona, V ;
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    unknown
  • Dubois, A E J ;
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    unknown
  • Poulsen, L K ;
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    Research Unit of General Practice, Department of Public Health, Faculty of Health Sciences, SDU
  • Van Ree, R ;
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    unknown
  • Vlieg-Boerstra, B ;
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    unknown
  • Agache, I ;
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    unknown
  • Grimshaw, K ;
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    unknown
  • O'Mahony, L ;
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    unknown
  • Venter, C ;
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    unknown
  • Arshad, S H ;
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    unknown
  • Sheikh, A ;
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    unknown
  • Bindslev-Jensen, Carsten
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    Dermato-venerology and Allergy Centre, Department of Clinical Research, Faculty of Health Sciences, SDU
Subtitle:
systematic review
DOI:
10.1111/all.12334
Abstract:
BACKGROUND: Food allergies can have serious physical, social, and financial consequences. This systematic review examined ways to prevent the development of food allergy in children and adults. METHODS: Seven bibliographic databases were searched from their inception to September 30, 2012, for systematic reviews, randomized controlled trials, quasi-randomized controlled trials, controlled clinical trials, controlled before-and-after studies, interrupted time series studies, and prospective cohort studies. Experts were consulted for additional studies. There were no language or geographic restrictions. Two reviewers appraised the studies using appropriate tools. Data were not suitable for meta-analysis due to heterogeneity, so were narratively synthesized. RESULTS: Seventy-four studies were included, one-third of which were of high quality. There was no good evidence to recommend that pregnant or breastfeeding women should change their diet or take supplements to prevent allergies in infants at high or normal risk. There were mixed findings about the preventive benefits of breastfeeding for infants at high or normal risk, but there was evidence to recommend avoiding cow's milk and substituting with extensively or partially hydrolyzed whey or casein formulas for infants at high risk for the first 4 months. Soy milk and delaying the introduction of solid foods beyond 4 months did not have preventive benefits in those at high or normal risk. There was very little evidence about strategies for preventing food allergy in older children or adults. CONCLUSIONS: There is much to learn about preventing food allergy, and this is a priority given the high societal and healthcare costs involved.
Type:
Journal article
Language:
English
Published in:
Allergy, 2014, Vol 69, Issue 5, p. 581-589
Main Research Area:
Medical science
Publication Status:
Published
Review type:
Peer Review
Submission year:
2014
Scientific Level:
Scientific
ID:
260801163

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