Nutrition and Avoidance Diets in Children With Food Allergy.

early-introduction elimination diet food allergen immunotherapy non-IgE-mediated food allergy tolerance

Journal

Frontiers in pediatrics
ISSN: 2296-2360
Titre abrégé: Front Pediatr
Pays: Switzerland
ID NLM: 101615492

Informations de publication

Date de publication:
2020
Historique:
received: 07 05 2020
accepted: 22 07 2020
entrez: 5 10 2020
pubmed: 6 10 2020
medline: 6 10 2020
Statut: epublish

Résumé

Food allergy (FA) is a significant health issue which considerably influences the quality of life of both children and their family. The increasing prevalence of FA, documented in the last 3 decades, has led to the reassessment of FA prevention strategies and particularly to giving up the approach based on delaying the introduction of potential food allergens. Several observational and interventional studies demonstrated a potential effectiveness of the early food introduction strategy in FA prevention, although strong evidence from randomized controlled trials are lacking and, sometimes, contrasting. The current approach to FA is mainly based on avoidance diet and the use of rescue medications in case of allergic reaction, although active allergen immunotherapy has recently become an increasingly important therapeutic strategy to approach IgE-mediated FA, potentially able to induce improvement through desensitization to a specific food. This review provides an overview on the historical evolution of recommendations about FA and on evidence published in the last 15 years on nutritional intervention strategy, i.e., early introduction of allergen or avoidance diet, in the prevention and management of IgE-mediated and non-IgE-mediated FA in children.

Identifiants

pubmed: 33014926
doi: 10.3389/fped.2020.00518
pmc: PMC7498536
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

518

Informations de copyright

Copyright © 2020 Corica, Aversa, Caminiti, Lombardo, Wasniewska and Pajno.

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Auteurs

Domenico Corica (D)

Department of Human Pathology of Adulthood and Childhood G. Barresi, University of Messina, Messina, Italy.

Tommaso Aversa (T)

Department of Human Pathology of Adulthood and Childhood G. Barresi, University of Messina, Messina, Italy.

Lucia Caminiti (L)

Department of Human Pathology of Adulthood and Childhood G. Barresi, University of Messina, Messina, Italy.

Fortunato Lombardo (F)

Department of Human Pathology of Adulthood and Childhood G. Barresi, University of Messina, Messina, Italy.

Malgorzata Wasniewska (M)

Department of Human Pathology of Adulthood and Childhood G. Barresi, University of Messina, Messina, Italy.

Giovanni Battista Pajno (GB)

Department of Human Pathology of Adulthood and Childhood G. Barresi, University of Messina, Messina, Italy.

Classifications MeSH