Diet and food allergy development during infancy: Birth cohort study findings using prospective food diary data

Grimshaw, Kate; Maskell, Joe; Oliver, Erin M.; Morris, Ruth; Foote, Keith D.; Mills, E. N. Clare; Margetts, Barrie; Roberts, Graham

doi:10.1016/j.jaci.2013.05.035

Cited by 96 publications

(89 citation statements)

References 44 publications

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“…Grimshaw et al [16] reported that a diet low in commercial baby foods was associated with a reduced prevalence of allergy. This could be due to reduced microbial load, diet variety or nutritional content.…”

Section: Discussionmentioning

confidence: 99%

“…Together these factors cumulatively create a significant change in early food exposure, with potential implications for the development of non-communicable diseases, namely allergy [15,16] and obesity [17]. It is possible that an increase in consumption of commercial infant foods may reduce the diversity of foods and tastes introduced during the weaning period.…”

Section: Introductionmentioning

confidence: 99%

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A Qualitative Study of Mothers Perceptions of Weaning and the Use of Commercial Infant Food in the United Kingdom

Maslin¹,

Galvin

Shepherd

et al. 2015

Matern Pediatr Nutr

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Background: Commercially produced infant food has a different taste profile and nutritional content to homemade baby food and its consumption is now very widespread. This change in early food experience may lead to a reduced dietary variety and a decreased microbial load exposure.Objective: The purpose of this study was to gain insight into parental perceptions of complementary feeding, specifically opinions of commercially produced baby food, using qualitative research methods. Methods:Four focus group discussions took place (n = 24), with mothers of infants aged 4-7 months. Half of participants were first time mothers and a third had experience weaning infants with symptoms of cows' milk allergy. Participants were prompted with questions about complementary feeding and shown several different products to stimulate discussion.Results: Thematic analysis of focus groups indicated that three distinctive groups of mothers exist; "relaxed", "concerned" and "balanced", which may be influenced by parity, socioeconomic status and previous experience of weaning. The majority of mothers commenced the weaning process using homemade foods, but transitioned to include commercial baby foods after 3-6 weeks. Commercial baby food was perceived as more convenient to homemade baby food by the majority and as superior and "safer" by some mothers. Although there were concerns raised about the identity of ingredients, few concerns were expressed regarding nutritional quality or allergen content, even by mothers with experience of weaning an infant with food allergic symptoms. Conclusion:Overall complementary feeding was viewed as a natural process with the goal of enjoyment of food and development of a broad palate. Opinions on readymade baby food were influenced by parity, education level and previous experience of weaning.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Qualitative Study of Mothers Perceptions of Weaning and the Use of Commercial Infant Food in the United Kingdom

Maslin¹,

Galvin

Shepherd

et al. 2015

Matern Pediatr Nutr

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“…A casecontrol study examining dietary habits of food allergic infants and their age matched controls during their first year of life, found that children who were diagnosed with food allergy by the age of 2 years were less likely to eat fresh fruits and vegetables and home prepared foods compared to controls (40).…”

Section: Towards Primary Preventionmentioning

confidence: 99%

The Diagnosis and Management of Food Allergy in Childhood

Semiç-Jusufagiç

2014

Pediatr Today

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Food allergy has reached epidemic proportions in developed countries over the past few decades for reasons not well understood. With the growing disease burden and the need to improve food allergy diagnosis, better diagnostics tools such as component resolved diagnostics (CRD) have been introduced for clinical use. Still, oral food challenges remain the gold standard tool for establishing food allergy diagnosis. Current food allergy management strategies rely on avoidance of the culprit allergen. Inspired by the success of specific immunotherapy in inhalant allergy, the past decade has been marked by increasing international effort to find curative treatments. The results from several clinical trials, examining success of allergen-specific immunotherapy in food allergy, have recently become available and are discussed within this review article. Conclusion -The results from these clinical trials promise new curative therapies for food allergy sufferers in the near future. Moreover, several ongoing interventional studies looking into early-life introduction of allergenic foods could provide us with specific answers on future primary prevention strategies.

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“…Major opportunities have been identified recently to prevent allergic disorders including the early introduction of allergenic foods to infants [1][2][3][4][5][6][7][8][9] and immunotherapy. 10,11 Breast feeding is still strongly encouraged, but new evidence suggests that the avoidance of allergenic foods in infancy to delay the onset of allergic diseases may have sustained rather than prevented food allergies and eczema.…”

Section: Introductionmentioning

confidence: 99%