Complementary Feeding: Recommendations for the Introduction of Allergenic Foods and Gluten in the Preterm Infant.
allergenic foods
celiac disease
complementary feeding
food allergy
gluten
preterm infants
weaning
Journal
Nutrients
ISSN: 2072-6643
Titre abrégé: Nutrients
Pays: Switzerland
ID NLM: 101521595
Informations de publication
Date de publication:
20 Jul 2021
20 Jul 2021
Historique:
received:
19
05
2021
revised:
30
06
2021
accepted:
15
07
2021
entrez:
10
8
2021
pubmed:
11
8
2021
medline:
11
9
2021
Statut:
epublish
Résumé
The aim of this systematic review is to analyze the available literature on the introduction of allergenic foods and gluten among preterm infants. A systematic review of published studies concerning the introduction of gluten and allergenic foods in preterm infants was performed on PubMed and on the Cochrane Library. Of the 174 PubMed results, 15 papers were considered suitable for the review. A total of 83 records were identified through the Cochrane Library search; eight papers were included in the review. Additional papers were identified from the reference lists of included studies. A secondary search was conducted on the same databases to find recommendations and advice regarding healthy full-term infants that could be translated to preterm infants. Therefore, 59 additional papers were included in the review. Current guidelines for the introduction of solid food cannot be directly transposed to preterm infants. Further research is needed to provide evidence-based guidelines regarding weaning in preterm infants. To date, we can suggest that in preterm infants allergenic foods and gluten may be introduced when complementary feeding is started, any time after 4 months of corrected age, avoiding delayed introduction and irrespective of infants' relative risk of developing allergy. Avoiding large amounts of gluten during the first few weeks after gluten introduction and during infancy is advised, despite limited evidence to support this recommendation.
Sections du résumé
BACKGROUND
BACKGROUND
The aim of this systematic review is to analyze the available literature on the introduction of allergenic foods and gluten among preterm infants.
METHODS
METHODS
A systematic review of published studies concerning the introduction of gluten and allergenic foods in preterm infants was performed on PubMed and on the Cochrane Library.
RESULTS
RESULTS
Of the 174 PubMed results, 15 papers were considered suitable for the review. A total of 83 records were identified through the Cochrane Library search; eight papers were included in the review. Additional papers were identified from the reference lists of included studies. A secondary search was conducted on the same databases to find recommendations and advice regarding healthy full-term infants that could be translated to preterm infants. Therefore, 59 additional papers were included in the review.
CONCLUSIONS
CONCLUSIONS
Current guidelines for the introduction of solid food cannot be directly transposed to preterm infants. Further research is needed to provide evidence-based guidelines regarding weaning in preterm infants. To date, we can suggest that in preterm infants allergenic foods and gluten may be introduced when complementary feeding is started, any time after 4 months of corrected age, avoiding delayed introduction and irrespective of infants' relative risk of developing allergy. Avoiding large amounts of gluten during the first few weeks after gluten introduction and during infancy is advised, despite limited evidence to support this recommendation.
Identifiants
pubmed: 34371985
pii: nu13072477
doi: 10.3390/nu13072477
pmc: PMC8308791
pii:
doi:
Substances chimiques
Allergens
0
Glutens
8002-80-0
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Références
Lancet. 2018 Jan 6;391(10115):70-81
pubmed: 28760445
Cochrane Database Syst Rev. 2016 Aug 30;(8):CD006462
pubmed: 27574798
Cochrane Database Syst Rev. 2012 Aug 15;(8):CD003517
pubmed: 22895934
JAMA Pediatr. 2020 Nov 1;174(11):1041-1047
pubmed: 32986087
Aliment Pharmacol Ther. 2015 Jun;41(11):1038-54
pubmed: 25819114
JAMA. 2016 Sep 20;316(11):1181-1192
pubmed: 27654604
Nutrients. 2018 Dec 02;10(12):
pubmed: 30513799
MCN Am J Matern Child Nurs. 2017 Mar/Apr;42(2):72-80
pubmed: 27879501
Pediatrics. 2010 Jan;125(1):50-9
pubmed: 19969611
J Allergy Clin Immunol Pract. 2021 Jan;9(1):22-43.e4
pubmed: 33250376
Ann Nutr Metab. 2017;70 Suppl 2:47-54
pubmed: 28521316
Lancet. 1999 May 15;353(9165):1674
pubmed: 10335790
Allergy. 2014 May;69(5):581-9
pubmed: 24433563
Allergy. 2014 May;69(5):590-601
pubmed: 24697491
Nutr Today. 2014 Nov-Dec;49(6):271-277
pubmed: 26549893
Front Nutr. 2017 May 26;4:20
pubmed: 28603716
J Pediatr Gastroenterol Nutr. 2008 Jan;46(1):99-110
pubmed: 18162844
J Allergy Clin Immunol. 2016 May;137(5):1477-1486.e8
pubmed: 26896232
N Engl J Med. 2016 May 5;374(18):1733-43
pubmed: 26943128
Nutrients. 2018 May 15;10(5):
pubmed: 29762472
Arch Dis Child. 1988 Dec;63(12):1519-20
pubmed: 3233009
Ann Nutr Metab. 2018;72(4):307-315
pubmed: 29705810
Am J Clin Nutr. 2019 Mar 1;109(Suppl_7):838S-851S
pubmed: 30982875
Acta Paediatr Suppl. 2003 Sep;91(441):44-7
pubmed: 14599041
JAMA. 2005 May 18;293(19):2343-51
pubmed: 15900004
Clin Gastroenterol Hepatol. 2016 Mar;14(3):403-409.e3
pubmed: 26453955
Pediatr Ann. 2018 Apr 1;47(4):e154-e158
pubmed: 29668024
Pediatr Allergy Immunol. 2020 Oct;31(7):813-826
pubmed: 32396244
J Allergy Clin Immunol. 2007 May;119(5):1203-9
pubmed: 17379288
Am J Clin Nutr. 2019 Mar 1;109(Suppl_7):772S-799S
pubmed: 30982870
Ann Nutr Metab. 2012;60 Suppl 2:31-8
pubmed: 22555187
J Pediatr Gastroenterol Nutr. 2016 Mar;62(3):507-13
pubmed: 26815017
Pediatr Allergy Immunol. 2020 Apr;31(3):243-249
pubmed: 31736128
Arch Dis Child. 2004 Apr;89(4):309-14
pubmed: 15033836
Nutrients. 2020 Jun 20;12(6):
pubmed: 32575713
Clin Gastroenterol Hepatol. 2015 May;13(5):921-7
pubmed: 25459557
Eur J Pediatr. 1987 Mar;146(2):131-4
pubmed: 3569348
Adv Nutr. 2019 May 1;10(3):489-501
pubmed: 30843039
J Paediatr Child Health. 2009 Nov;45(11):646-51
pubmed: 19845842
J Allergy Clin Immunol. 2008 Nov;122(5):984-91
pubmed: 19000582
J Pediatr Gastroenterol Nutr. 2017 Jan;64(1):119-132
pubmed: 28027215
Arch Dis Child. 2004 Aug;89(8):728-33
pubmed: 15269070
Epidemiology. 2000 Mar;11(2):185-8
pubmed: 11021618
Arch Dis Child. 1988 Apr;63(4):435-6
pubmed: 3365015
J Pediatr Gastroenterol Nutr. 2007 Dec;45 Suppl 3:S210-4
pubmed: 18185094
Ann Allergy Asthma Immunol. 2018 Sep;121(3):353-359
pubmed: 29981439
Rev Gastroenterol Mex. 2015 Jan-Mar;80(1):27-31
pubmed: 25724742
Biol Neonate. 1989;56(6):301-5
pubmed: 2611300
N Engl J Med. 2015 Feb 26;372(9):803-13
pubmed: 25705822
J Pediatr. 2016 Jan;168:132-143.e3
pubmed: 26500108
Pediatr Pulmonol. 2004 Jan;37(1):43-9
pubmed: 14679488
Am J Clin Nutr. 2017 Apr;105(4):890-896
pubmed: 28228423
Arch Dis Child. 1982 May;57(5):369-72
pubmed: 7092293
Pediatr Med Chir. 2017 Dec 22;39(4):181
pubmed: 29502384
N Engl J Med. 2014 Oct 2;371(14):1295-303
pubmed: 25271602
EFSA J. 2019 Sep 12;17(9):e05780
pubmed: 32626427
Br J Nutr. 2006 Oct;96(4):774-90
pubmed: 17010239
Arch Dis Child Fetal Neonatal Ed. 2003 Jan;88(1):F52-5
pubmed: 12496227
Allergy. 2015 Oct;70(10):1193-5
pubmed: 26148305
J Allergy Clin Immunol Pract. 2013 Jan;1(1):29-36
pubmed: 24229819
J Allergy Clin Immunol. 2001 Feb;107(2):229-34
pubmed: 11174187
N Engl J Med. 2016 Apr 14;374(15):1435-43
pubmed: 26942922
Pediatrics. 2015 Feb;135(2):239-45
pubmed: 25601977
Lancet Glob Health. 2017 May;5(5):e470-e471
pubmed: 28395833
Pediatr Allergy Immunol. 2021 Jul;32(5):843-858
pubmed: 33710678
Eur J Clin Nutr. 2002 May;56(5):448-54
pubmed: 12001017
Allergy Asthma Clin Immunol. 2014 Sep 02;10(1):45
pubmed: 25908933
BMJ. 1990 Mar 31;300(6728):837-40
pubmed: 2186825
JAMA. 2019 Aug 13;322(6):514-523
pubmed: 31408136
Arch Dis Child. 2009 Mar;94(3):202-5
pubmed: 18829619
J Allergy Clin Immunol. 2002 Oct;110(4):658-63
pubmed: 12373277
Pediatrics. 2013 Dec;132(6):e1529-38
pubmed: 24249826
Acta Paediatr. 2001 Aug;90(8):850-5
pubmed: 11529529
Arch Pediatr. 2013 Nov;20 Suppl 2:S29-48
pubmed: 25063312
N Engl J Med. 2014 Oct 2;371(14):1304-15
pubmed: 25271603
Rep Health Soc Subj (Lond). 1994;45:1-113
pubmed: 7701106
Ann Nutr Metab. 2015;67 Suppl 2:43-50
pubmed: 26605913
Syst Rev. 2016 Sep 02;5(1):149
pubmed: 27589863
Gastroenterol Res Pract. 2013;2013:714564
pubmed: 23878533
Klin Padiatr. 1990 May-Jun;202(3):136-40
pubmed: 2355715
Pediatr Allergy Immunol. 2017 May;28(3):222-229
pubmed: 28258631