Mediterranean Milk Ladder: Integrating a Healthy Eating Plan While Reintroducing Cow’s Milk
The process of gradually reintroducing food allergens into an individual’s diet is referred to as a food allergen “ladder”, and the most recent edition of the original Milk Allergy in Primary (MAP) Care Guidelines, as well as the International Milk Allergy in Primary Care (IMAP), includes a shortene...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-01-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/10/2/234 |
| _version_ | 1797621737257435136 |
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| author | Emilia Vassilopoulou Colleen McMilin Carina Venter |
| author_facet | Emilia Vassilopoulou Colleen McMilin Carina Venter |
| author_sort | Emilia Vassilopoulou |
| collection | DOAJ |
| description | The process of gradually reintroducing food allergens into an individual’s diet is referred to as a food allergen “ladder”, and the most recent edition of the original Milk Allergy in Primary (MAP) Care Guidelines, as well as the International Milk Allergy in Primary Care (IMAP), includes a shortened, improved, and international version with specific recipes, indicating the exact milk protein content, as well as the duration of heating and the temperature for each step of the ladder. Food allergen ladders are being used increasingly in clinical practice. The aim of this study was to develop a Mediterranean milk ladder based on the principles of the Mediterranean eating pattern. The protein content delivered in a portion of the final food product in each step of the ladder in the Mediterranean version corresponds to that provided in the IMAP ladder. Different recipes for the various steps were provided to increase acceptability and variety. Quantification of the total milk protein, casein content, and beta-lactoglobulin by Enzyme-linked immunosorbent assay (ELISA) could detect the gradual increase in concentrations, but the accuracy of the method was affected by the presence of the other ingredients in the mixtures. When developing the Mediterranean milk ladder, a key consideration was to reduce the amount of sugar by using limited amounts of brown sugar and substituting sugar with fresh fruit juice or honey for children aged older than one year. The proposed Mediterranean milk ladder includes principles of (a) healthy eating based on the Mediterranean diet and (b) the acceptability of foods across different age groups. |
| first_indexed | 2024-03-11T09:00:11Z |
| format | Article |
| id | doaj.art-ae4306eb6903425aa1451bc459ba79a7 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-11T09:00:11Z |
| publishDate | 2023-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-ae4306eb6903425aa1451bc459ba79a72023-11-16T19:47:53ZengMDPI AGChildren2227-90672023-01-0110223410.3390/children10020234Mediterranean Milk Ladder: Integrating a Healthy Eating Plan While Reintroducing Cow’s MilkEmilia Vassilopoulou0Colleen McMilin1Carina Venter2Department of Nutritional Sciences and Dietetics, International Hellenic University, 57400 Thessaloniki, GreeceReckitt, Mead Johnson Nutrition Institute, Glenview, IL 60026, USASection of Allergy and Immunology, University of Colorado School of Medicine, Aurora, CO 80045, USAThe process of gradually reintroducing food allergens into an individual’s diet is referred to as a food allergen “ladder”, and the most recent edition of the original Milk Allergy in Primary (MAP) Care Guidelines, as well as the International Milk Allergy in Primary Care (IMAP), includes a shortened, improved, and international version with specific recipes, indicating the exact milk protein content, as well as the duration of heating and the temperature for each step of the ladder. Food allergen ladders are being used increasingly in clinical practice. The aim of this study was to develop a Mediterranean milk ladder based on the principles of the Mediterranean eating pattern. The protein content delivered in a portion of the final food product in each step of the ladder in the Mediterranean version corresponds to that provided in the IMAP ladder. Different recipes for the various steps were provided to increase acceptability and variety. Quantification of the total milk protein, casein content, and beta-lactoglobulin by Enzyme-linked immunosorbent assay (ELISA) could detect the gradual increase in concentrations, but the accuracy of the method was affected by the presence of the other ingredients in the mixtures. When developing the Mediterranean milk ladder, a key consideration was to reduce the amount of sugar by using limited amounts of brown sugar and substituting sugar with fresh fruit juice or honey for children aged older than one year. The proposed Mediterranean milk ladder includes principles of (a) healthy eating based on the Mediterranean diet and (b) the acceptability of foods across different age groups.https://www.mdpi.com/2227-9067/10/2/234tolerancefood ladderhealthy eatingMediterranean dietmilk allergymilk ladder |
| spellingShingle | Emilia Vassilopoulou Colleen McMilin Carina Venter Mediterranean Milk Ladder: Integrating a Healthy Eating Plan While Reintroducing Cow’s Milk Children tolerance food ladder healthy eating Mediterranean diet milk allergy milk ladder |
| title | Mediterranean Milk Ladder: Integrating a Healthy Eating Plan While Reintroducing Cow’s Milk |
| title_full | Mediterranean Milk Ladder: Integrating a Healthy Eating Plan While Reintroducing Cow’s Milk |
| title_fullStr | Mediterranean Milk Ladder: Integrating a Healthy Eating Plan While Reintroducing Cow’s Milk |
| title_full_unstemmed | Mediterranean Milk Ladder: Integrating a Healthy Eating Plan While Reintroducing Cow’s Milk |
| title_short | Mediterranean Milk Ladder: Integrating a Healthy Eating Plan While Reintroducing Cow’s Milk |
| title_sort | mediterranean milk ladder integrating a healthy eating plan while reintroducing cow s milk |
| topic | tolerance food ladder healthy eating Mediterranean diet milk allergy milk ladder |
| url | https://www.mdpi.com/2227-9067/10/2/234 |
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