A partially hydrolyzed 100% whey formula and the risk of eczema and any allergy: an updated meta-analysis

Background Recently, the role of using hydrolyzed formula for the prevention of allergic disease has been questioned. However, not all hydrolyzed formulas are equal. The efficacy of each hydrolyzed formula should be established separately. We updated evidence on the effectiveness of using partially...

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Main Authors: Hania Szajewska, Andrea Horvath
Format: Article
Language:English
Published: Elsevier 2017-01-01
Series:World Allergy Organization Journal
Online Access:http://www.sciencedirect.com/science/article/pii/S1939455119300262
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author Hania Szajewska
Andrea Horvath
author_facet Hania Szajewska
Andrea Horvath
author_sort Hania Szajewska
collection DOAJ
description Background Recently, the role of using hydrolyzed formula for the prevention of allergic disease has been questioned. However, not all hydrolyzed formulas are equal. The efficacy of each hydrolyzed formula should be established separately. We updated evidence on the effectiveness of using partially hydrolyzed 100% whey formula (pHF), manufactured by a single manufacturer, for reducing the risk of eczema and allergy in healthy infants at high risk for allergy.Methods The Cochrane Library, MEDLINE, and EMBASE databases were searched in June 2016 for randomized and quasi-randomized controlled trials (RCTs); additional data were obtained from reviewed articles and the authors of included trials.Results Thirteen publications reporting on eight RCTs were included. Use of pHF compared to cow’s milk formula reduced the risk of eczema and all allergic diseases among children at high risk for allergy. Both intention-to-treat analyses and per-protocol analyses showed that the reduction was statistically significant at some, albeit not all, time points.Conclusions There is evidence to consider use of pHF as an option for reducing the risk of any allergic diseases, particularly eczema. However, the certainty of the evidence is low. One characteristic that makes our meta-analysis distinct from other reviews is that it focuses exclusively on only one type of pHF. Keywords: RCT, Children, Prevention, Allergy, Protein hydrolysates
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spelling doaj.art-aeac8ed92c9f4a68b401bfc7455b355f2022-12-22T02:51:22ZengElsevierWorld Allergy Organization Journal1939-45512017-01-01101A partially hydrolyzed 100% whey formula and the risk of eczema and any allergy: an updated meta-analysisHania Szajewska0Andrea Horvath1Department of Paediatrics, The Medical University of Warsaw, Żwirki i Wigury 63A, 02-091, Warsaw, Poland; Correspondence:Department of Paediatrics, The Medical University of Warsaw, Żwirki i Wigury 63A, 02-091, Warsaw, PolandBackground Recently, the role of using hydrolyzed formula for the prevention of allergic disease has been questioned. However, not all hydrolyzed formulas are equal. The efficacy of each hydrolyzed formula should be established separately. We updated evidence on the effectiveness of using partially hydrolyzed 100% whey formula (pHF), manufactured by a single manufacturer, for reducing the risk of eczema and allergy in healthy infants at high risk for allergy.Methods The Cochrane Library, MEDLINE, and EMBASE databases were searched in June 2016 for randomized and quasi-randomized controlled trials (RCTs); additional data were obtained from reviewed articles and the authors of included trials.Results Thirteen publications reporting on eight RCTs were included. Use of pHF compared to cow’s milk formula reduced the risk of eczema and all allergic diseases among children at high risk for allergy. Both intention-to-treat analyses and per-protocol analyses showed that the reduction was statistically significant at some, albeit not all, time points.Conclusions There is evidence to consider use of pHF as an option for reducing the risk of any allergic diseases, particularly eczema. However, the certainty of the evidence is low. One characteristic that makes our meta-analysis distinct from other reviews is that it focuses exclusively on only one type of pHF. Keywords: RCT, Children, Prevention, Allergy, Protein hydrolysateshttp://www.sciencedirect.com/science/article/pii/S1939455119300262
spellingShingle Hania Szajewska
Andrea Horvath
A partially hydrolyzed 100% whey formula and the risk of eczema and any allergy: an updated meta-analysis
World Allergy Organization Journal
title A partially hydrolyzed 100% whey formula and the risk of eczema and any allergy: an updated meta-analysis
title_full A partially hydrolyzed 100% whey formula and the risk of eczema and any allergy: an updated meta-analysis
title_fullStr A partially hydrolyzed 100% whey formula and the risk of eczema and any allergy: an updated meta-analysis
title_full_unstemmed A partially hydrolyzed 100% whey formula and the risk of eczema and any allergy: an updated meta-analysis
title_short A partially hydrolyzed 100% whey formula and the risk of eczema and any allergy: an updated meta-analysis
title_sort partially hydrolyzed 100 whey formula and the risk of eczema and any allergy an updated meta analysis
url http://www.sciencedirect.com/science/article/pii/S1939455119300262
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AT andreahorvath apartiallyhydrolyzed100wheyformulaandtheriskofeczemaandanyallergyanupdatedmetaanalysis
AT haniaszajewska partiallyhydrolyzed100wheyformulaandtheriskofeczemaandanyallergyanupdatedmetaanalysis
AT andreahorvath partiallyhydrolyzed100wheyformulaandtheriskofeczemaandanyallergyanupdatedmetaanalysis