Dietary primary prevention of allergic diseases in children: the Philippine guidelines

Recto, Marysia Stella T.; Genuino, Maria Lourdes G.; Castor, Mary Anne R.; Hao, Roxanne Casis; Tamondong-Lachica, Diana; Sales, M.; Tan, Marilou G.; Mondonedo, Karen S.; Dionisio-Capulong, Regina C.

doi:10.5415/apallergy.2017.7.2.102

Cited by 17 publications

(31 citation statements)

References 79 publications

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“…A summary of included guideline documents is provided in Table 1 . 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 Of the 28 food allergy prevention guideline documents, 10 were specifically titled as "guidelines", 46 , 51 , 55 , 56 , 57 , 60 , 62 , 63 , 64 , 66 and 18 were titled as consensus statements, position statements, joint statements or recommendations and were grouped together as "advice documents". 39 , 40 , 41 , 42 , 43 , 44 , 45 , 48 , 50 , 51 , 52 , 54 , 55 , 56 , 57 , 62 , 63 , 68 Where an organisation had more than 1 version of their guideline document, all versions were included.…”

Section: Resultsmentioning

confidence: 99%

A systematic review of infant feeding food allergy prevention guidelines – can we AGREE?

Vale

Lobb

Netting

et al. 2021

World Allergy Organization Journal

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Food allergy is a significant issue worldwide, particularly in Westernised countries. There is no clear explanation why food allergy appears to have increased so rapidly in recent years, particularly in young children, hence ongoing research to identify effective primary prevention strategies. Food allergy prevention guidelines for health professionals have been developed based on existing clinical trial evidence for effective translation and implementation. As these guidelines underpin clinical practice, it is important to ensure robust processes of development. We conducted a systematic review to identify food allergy prevention guidelines for health professional use; to compare the recommendations made by the identified guideline documents; and to assess the quality of the identified guideline documents. We searched Medline, EMBASE, CINAHL, Scopus, Global Health and Guidelines International Network for the period 1990 to 13 August 2019, to identify articles referring to English-language food allergy prevention guidelines or the guidelines themselves. A grey literature search of Google Scholar and reference checking was also undertaken. The guidelines were compared for recommendation similarities and differences. An Appraisal Guidelines for Research and Evaluation (AGREE II) appraisal was undertaken to assess guideline quality. The electronic database search yielded 1121 publications and reference checking identified an additional 16 publications. After title, abstract and full text screening, data extraction was undertaken on 156 publications and with additional reference checking, 28 food allergy prevention guidelines and advice documents were identified. Comparison of the recommendations within the guidelines and advice documents indicated the greatest variation in recommendations related to exclusive breastfeeding and timing of solid food introduction. Eight of the 10 guidelines and none of the 18 advice documents met the quality threshold set by the reviewers. Overall, documents specifically termed "guidelines" scored better than advice documents when assessed using the AGREE II tool. Variation in recommendations may create confusion for health professionals and result in inconsistent advice being provided to parents, and less translation of the evidence into actual food allergy reduction in the population. Appraisal using the AGREE II tool identified that there is considerable room for improvement in the development of guidelines and advice documents for food allergy prevention. The AGREE II appraisal identified common areas of poorer quality development and/or documentation of processes to inform future guideline development. Based on this study, we recommend the use of validated guideline development tools, to direct food allergy prevention guideline review or development. Use of the AGREE II tool, to direct the review and development of guidelines, is very likely to improve guideline quality.

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Section: Resultsmentioning

confidence: 99%

A systematic review of infant feeding food allergy prevention guidelines – can we AGREE?

Vale

Lobb

Netting

et al. 2021

World Allergy Organization Journal

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“…The recommendation to use pHF for 4–6 months in nonbreastfed and at-risk babies is supported by recommendations from the US and Europe [19,20]. The recent Philippine guidelines recommend the use of pHF-W for at least 6 months to prevent the occurrence of allergies in high-risk non-breastfed infants [21].…”

Section: Phf For Atopy Preventionmentioning

confidence: 99%

“…2). From a cost/benefit perspective, the use of pHF is more cost-effective than the use of standard CMF, especially in preventing AD [21]. However, since all hydrolyzed formulas differ, the allergenicity, tolerability, effectiveness, and clinical impact of pHF differ.…”

Section: Phf For All Nonbreastfed Babiesmentioning

confidence: 99%

A perspective on partially hydrolyzed protein infant formula in nonexclusively breastfed infants

et al. 2019

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The World Health Organization recommends that infants should be exclusively breastfed for the first 6 months of life to provide optimal nutrition in this critical period of life. After this, infants should receive nutritionally adequate and safe complementary foods while breastfeeding continues for up to 2 years of age or beyond. For nonbreastfed infants, infant formula is an available option to provide the nutrition needed. Infant formula is usually prepared from industrially modified cow’s milk and processed to adjust for the nutritional needs of infants. However, cow’s milk is one of the most common causes of food allergy, affecting 2%–5% of all formula-fed infants during their first year of life. One strategy to prevent cow’s milk allergy in nonbreastfed infants is the use of partially hydrolyzed formula (pHF) in high-risk infants, which are infants born in families with atopic disease. However, based on an epidemiological study, approximately half of the infants who develop allergy are not part of the at-risk group. This is because the non-at-risk group is significantly larger than the at-risk group and the non-at-risk infants have approximately 15% risk of developing allergies. This study aimed to evaluate the effects of partially hydrolyzed whey formula (pHF-W) in nonbreastfed infants and determine whether pHF-W can prevent atopic disease in high-risk infants and can be used as routine starter formula regardless of the allergy risk status.

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“…Food allergy guidelines in Asia have been less cohesive, as summarized in Table . Most countries recommended exclusive breastfeeding in the first 6 months of life.…”

Section: The Evolution Of Guidelines On Infant Weaningmentioning

confidence: 99%

Early introduction of allergenic foods for the prevention of food allergy from an Asian perspective—An Asia Pacific Association of Pediatric Allergy, Respirology & Immunology (APAPARI) consensus statement

Tham

Shek

Bever

et al. 2017

Pediatric Allergy Immunology

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Emerging evidence for the early introduction of allergenic foods for the prevention of food allergies, such as peanut allergy in Western populations, has led to the recent publication of guidelines in the USA and Europe recommending early peanut introduction for high-risk infants with severe eczema or egg allergy. Peanut allergy is, however, much less prevalent in Asia compared to the West. Varying patterns of food allergy are seen even within Asian countries-such as a predominance of wheat allergy in Japan and Thailand and shellfish allergy in Singapore and the Philippines. Customs and traditions, such as diet and infant feeding practices, also differ between Asian populations.Hence, there are unique challenges in adapting guidelines on early allergenic food introduction to the Asian setting. In this paper, we review the evidence and discuss the possible approaches to guide the timely introduction of allergenic food in high-risk infants in Asia.

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Dietary primary prevention of allergic diseases in children: the Philippine guidelines

Cited by 17 publications

References 79 publications

A systematic review of infant feeding food allergy prevention guidelines – can we AGREE?

A systematic review of infant feeding food allergy prevention guidelines – can we AGREE?

A perspective on partially hydrolyzed protein infant formula in nonexclusively breastfed infants

Early introduction of allergenic foods for the prevention of food allergy from an Asian perspective—An Asia Pacific Association of Pediatric Allergy, Respirology & Immunology (APAPARI) consensus statement

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