Prevention of food and airway allergy: consensus of the Italian Society of Preventive and Social Paediatrics, the Italian Society of Paediatric Allergy and Immunology, and Italian Society of Pediatrics
Background Allergic sensitization in children and allergic diseases arising therefrom are increasing for decades. Several interventions, functional foods, pro- and prebiotics, vitamins are proposed for the prevention of allergies and they can’t be uncritically adopted.Objective This Consensus docume...
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| Format: | Article |
| Language: | English |
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Elsevier
2016-01-01
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| Series: | World Allergy Organization Journal |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1939455119301760 |
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| author | Giuseppe di Mauro Roberto Bernardini Salvatore Barberi Annalisa Capuano Antonio Correra Gian Luigi de’ Angelis Iride Dello Iacono Maurizio de Martino Daniele Ghiglioni Dora Di Mauro Marcello Giovannini Massimo Landi Gian Luigi Marseglia Alberto Martelli Vito Leonardo Miniello Diego Peroni Lucilla Ricottini Maria Giuseppa Sullo Luigi Terracciano Cristina Vascone Elvira Verduci Maria Carmen Verga Elena Chiappini |
| author_facet | Giuseppe di Mauro Roberto Bernardini Salvatore Barberi Annalisa Capuano Antonio Correra Gian Luigi de’ Angelis Iride Dello Iacono Maurizio de Martino Daniele Ghiglioni Dora Di Mauro Marcello Giovannini Massimo Landi Gian Luigi Marseglia Alberto Martelli Vito Leonardo Miniello Diego Peroni Lucilla Ricottini Maria Giuseppa Sullo Luigi Terracciano Cristina Vascone Elvira Verduci Maria Carmen Verga Elena Chiappini |
| author_sort | Giuseppe di Mauro |
| collection | DOAJ |
| description | Background Allergic sensitization in children and allergic diseases arising therefrom are increasing for decades. Several interventions, functional foods, pro- and prebiotics, vitamins are proposed for the prevention of allergies and they can’t be uncritically adopted.Objective This Consensus document was developed by the Italian Society of Preventive and Social Paediatrics and the Italian Society of Paediatric Allergy and Immunology.The aim is to provide updated recommendations regarding allergy prevention in children.Methods The document has been issued by a multidisciplinary expert panel and it is intended to be mainly directed to primary care paediatricians.It includes 19 questions which have been preliminarily considered relevant by the panel. Relatively to each question, a literature search has been performed, according to the Italian National Guideline Program. Methodology, and a brief summary of the available literature data, has been provided.Many topics have been analyzed including the role of mother’s diet restriction, use of breast/formula/hydrolyzed milk; timing of introduction of complementary foods, role (if any) of probiotics, prebiotics, vitamins, exposure to dust mites, animals and to tobacco smoke.Results Some preventive interventions have a strong level of recommendation. (e.g., the dehumidifier to reduce exposure to mite allergens). With regard to other types of intervention, such as the use of partially and extensively hydrolyzed formulas, the document underlines the lack of evidence of effectiveness.No preventive effect of dietary supplementation with polyunsaturated fatty acids, vitamins or minerals has been demonstrated.There is no preventive effect of probiotics on asthma, rhinitis and allergic diseases. It has demonstrated a modest effect, but steady, in the prevention of atopic dermatitis.Conclusions The recommendations of the Consensus are based on a careful analysis of the evidence available.The lack of evidence of efficacy does not necessarily imply that some interventions may not be effective, but currently they can’t be recommended. Keywords: Allergy, Children, Prevention, Consensus |
| first_indexed | 2024-12-13T03:11:47Z |
| format | Article |
| id | doaj.art-7395abc6c2434f92b837c72be2111ba7 |
| institution | Directory Open Access Journal |
| issn | 1939-4551 |
| language | English |
| last_indexed | 2024-12-13T03:11:47Z |
| publishDate | 2016-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | World Allergy Organization Journal |
| spelling | doaj.art-7395abc6c2434f92b837c72be2111ba72022-12-22T00:01:35ZengElsevierWorld Allergy Organization Journal1939-45512016-01-019Prevention of food and airway allergy: consensus of the Italian Society of Preventive and Social Paediatrics, the Italian Society of Paediatric Allergy and Immunology, and Italian Society of PediatricsGiuseppe di Mauro0Roberto Bernardini1Salvatore Barberi2Annalisa Capuano3Antonio Correra4Gian Luigi de’ Angelis5Iride Dello Iacono6Maurizio de Martino7Daniele Ghiglioni8Dora Di Mauro9Marcello Giovannini10Massimo Landi11Gian Luigi Marseglia12Alberto Martelli13Vito Leonardo Miniello14Diego Peroni15Lucilla Ricottini Maria Giuseppa Sullo16Luigi Terracciano17Cristina Vascone18Elvira Verduci19Maria Carmen Verga20Elena Chiappini21Department of Sciences for Health Sciences, Anna Meyer Children’s University Hospital, University of Florence, Viale Pieraccini, 24, Florence 50100, Italy; Equal contributorsDepartment of Sciences for Health Sciences, Anna Meyer Children’s University Hospital, University of Florence, Viale Pieraccini, 24, Florence 50100, Italy; Equal contributorsDepartment of Sciences for Health Sciences, Anna Meyer Children’s University Hospital, University of Florence, Viale Pieraccini, 24, Florence 50100, ItalyDepartment of Sciences for Health Sciences, Anna Meyer Children’s University Hospital, University of Florence, Viale Pieraccini, 24, Florence 50100, ItalyDepartment of Sciences for Health Sciences, Anna Meyer Children’s University Hospital, University of Florence, Viale Pieraccini, 24, Florence 50100, ItalyDepartment of Sciences for Health Sciences, Anna Meyer Children’s University Hospital, University of Florence, Viale Pieraccini, 24, Florence 50100, ItalyDepartment of Sciences for Health Sciences, Anna Meyer Children’s University Hospital, University of Florence, Viale Pieraccini, 24, Florence 50100, ItalyDepartment of Sciences for Health Sciences, Anna Meyer Children’s University Hospital, University of Florence, Viale Pieraccini, 24, Florence 50100, ItalyDepartment of Sciences for Health Sciences, Anna Meyer Children’s University Hospital, University of Florence, Viale Pieraccini, 24, Florence 50100, ItalyDepartment of Sciences for Health Sciences, Anna Meyer Children’s University Hospital, University of Florence, Viale Pieraccini, 24, Florence 50100, ItalyDepartment of Sciences for Health Sciences, Anna Meyer Children’s University Hospital, University of Florence, Viale Pieraccini, 24, Florence 50100, ItalyDepartment of Sciences for Health Sciences, Anna Meyer Children’s University Hospital, University of Florence, Viale Pieraccini, 24, Florence 50100, ItalyDepartment of Sciences for Health Sciences, Anna Meyer Children’s University Hospital, University of Florence, Viale Pieraccini, 24, Florence 50100, ItalyDepartment of Sciences for Health Sciences, Anna Meyer Children’s University Hospital, University of Florence, Viale Pieraccini, 24, Florence 50100, ItalyDepartment of Sciences for Health Sciences, Anna Meyer Children’s University Hospital, University of Florence, Viale Pieraccini, 24, Florence 50100, ItalyDepartment of Sciences for Health Sciences, Anna Meyer Children’s University Hospital, University of Florence, Viale Pieraccini, 24, Florence 50100, ItalyDepartment of Sciences for Health Sciences, Anna Meyer Children’s University Hospital, University of Florence, Viale Pieraccini, 24, Florence 50100, ItalyDepartment of Sciences for Health Sciences, Anna Meyer Children’s University Hospital, University of Florence, Viale Pieraccini, 24, Florence 50100, ItalyDepartment of Sciences for Health Sciences, Anna Meyer Children’s University Hospital, University of Florence, Viale Pieraccini, 24, Florence 50100, ItalyDepartment of Sciences for Health Sciences, Anna Meyer Children’s University Hospital, University of Florence, Viale Pieraccini, 24, Florence 50100, ItalyDepartment of Sciences for Health Sciences, Anna Meyer Children’s University Hospital, University of Florence, Viale Pieraccini, 24, Florence 50100, ItalyDepartment of Sciences for Health Sciences, Anna Meyer Children’s University Hospital, University of Florence, Viale Pieraccini, 24, Florence 50100, Italy; Correspondence:Background Allergic sensitization in children and allergic diseases arising therefrom are increasing for decades. Several interventions, functional foods, pro- and prebiotics, vitamins are proposed for the prevention of allergies and they can’t be uncritically adopted.Objective This Consensus document was developed by the Italian Society of Preventive and Social Paediatrics and the Italian Society of Paediatric Allergy and Immunology.The aim is to provide updated recommendations regarding allergy prevention in children.Methods The document has been issued by a multidisciplinary expert panel and it is intended to be mainly directed to primary care paediatricians.It includes 19 questions which have been preliminarily considered relevant by the panel. Relatively to each question, a literature search has been performed, according to the Italian National Guideline Program. Methodology, and a brief summary of the available literature data, has been provided.Many topics have been analyzed including the role of mother’s diet restriction, use of breast/formula/hydrolyzed milk; timing of introduction of complementary foods, role (if any) of probiotics, prebiotics, vitamins, exposure to dust mites, animals and to tobacco smoke.Results Some preventive interventions have a strong level of recommendation. (e.g., the dehumidifier to reduce exposure to mite allergens). With regard to other types of intervention, such as the use of partially and extensively hydrolyzed formulas, the document underlines the lack of evidence of effectiveness.No preventive effect of dietary supplementation with polyunsaturated fatty acids, vitamins or minerals has been demonstrated.There is no preventive effect of probiotics on asthma, rhinitis and allergic diseases. It has demonstrated a modest effect, but steady, in the prevention of atopic dermatitis.Conclusions The recommendations of the Consensus are based on a careful analysis of the evidence available.The lack of evidence of efficacy does not necessarily imply that some interventions may not be effective, but currently they can’t be recommended. Keywords: Allergy, Children, Prevention, Consensushttp://www.sciencedirect.com/science/article/pii/S1939455119301760 |
| spellingShingle | Giuseppe di Mauro Roberto Bernardini Salvatore Barberi Annalisa Capuano Antonio Correra Gian Luigi de’ Angelis Iride Dello Iacono Maurizio de Martino Daniele Ghiglioni Dora Di Mauro Marcello Giovannini Massimo Landi Gian Luigi Marseglia Alberto Martelli Vito Leonardo Miniello Diego Peroni Lucilla Ricottini Maria Giuseppa Sullo Luigi Terracciano Cristina Vascone Elvira Verduci Maria Carmen Verga Elena Chiappini Prevention of food and airway allergy: consensus of the Italian Society of Preventive and Social Paediatrics, the Italian Society of Paediatric Allergy and Immunology, and Italian Society of Pediatrics World Allergy Organization Journal |
| title | Prevention of food and airway allergy: consensus of the Italian Society of Preventive and Social Paediatrics, the Italian Society of Paediatric Allergy and Immunology, and Italian Society of Pediatrics |
| title_full | Prevention of food and airway allergy: consensus of the Italian Society of Preventive and Social Paediatrics, the Italian Society of Paediatric Allergy and Immunology, and Italian Society of Pediatrics |
| title_fullStr | Prevention of food and airway allergy: consensus of the Italian Society of Preventive and Social Paediatrics, the Italian Society of Paediatric Allergy and Immunology, and Italian Society of Pediatrics |
| title_full_unstemmed | Prevention of food and airway allergy: consensus of the Italian Society of Preventive and Social Paediatrics, the Italian Society of Paediatric Allergy and Immunology, and Italian Society of Pediatrics |
| title_short | Prevention of food and airway allergy: consensus of the Italian Society of Preventive and Social Paediatrics, the Italian Society of Paediatric Allergy and Immunology, and Italian Society of Pediatrics |
| title_sort | prevention of food and airway allergy consensus of the italian society of preventive and social paediatrics the italian society of paediatric allergy and immunology and italian society of pediatrics |
| url | http://www.sciencedirect.com/science/article/pii/S1939455119301760 |
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