Exclusive breastfeeding and incident atopic dermatitis in childhood: a systematic review and meta-analysis of prospective cohort studies

Yang, Ya‐Wen; Tsai, Chu‐Lin; Lu, Caijuan

doi:10.1111/j.1365-2133.2009.09049.x

Cited by 137 publications

(102 citation statements)

References 64 publications

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“…A meta-analysis of 18 prospective studies was performed in 2001 and found that breast-feeding throughout the first 3 months of life was protective in children with a family history of atopy, but this effect was diminished in those without family history of atopy [124]. Another meta-analysis of prospective cohort studies was performed in 2008 and found insufficient evidence that exclusive breast-feeding for at least 3 months is protective against AD, even in children with a positive family history of atopy [125]. The conflicting results observed are likely due to confounding effects from differences of region, health literacy, socioeconomic status, and other health behaviors in mothers who exclusively breast-feed versus those who do not.…”

Section: Breast-feedingmentioning

confidence: 99%

Environmental risk factors and their role in the management of atopic dermatitis

Kantor

Silverberg

2016

Expert Review of Clinical Immunology

278

225

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Introduction-The etiology of atopic dermatitis (AD) is multifactorial with interaction between genetics, immune and environmental factors.Areas covered-We review the role of prenatal exposures, irritants and pruritogens, pathogens, climate factors, including temperature, humidity, ultraviolet radiation, outdoor and indoor air pollutants, tobacco smoke exposure, water hardness, urban vs. rural living, diet, breastfeeding, probiotics and prebiotics on AD.Expert commentary-The increased global prevalence of AD cannot be attributed to genetics alone, suggesting that evolving environmental exposures may trigger and/or flare disease in predisposed individuals. There is a complex interplay between different environmental factors, including individual use of personal care products and exposure to climate, pollution, food and other exogenous factors. Understanding these complex risk factors is crucial to developing targeted interventions to prevent the disease in millions. Moreover, patients require counseling on optimal regimens for minimization of exposure to irritants and pruritogens and other harmful exposures.

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Section: Breast-feedingmentioning

confidence: 99%

Environmental risk factors and their role in the management of atopic dermatitis

Kantor

Silverberg

2016

Expert Review of Clinical Immunology

278

225

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“…The best approach to prevent allergy is exclusive breastfeeding for 4-6 months (17-27 weeks) 8 that has been shown to have significant protective effect against atopic dermatitis in comparison to conventional CMF 44,45 .…”

Section: Prevention Of Cmpamentioning

confidence: 99%

Consensus statement on diagnosis, treatment and follow-up of cow's milk protein allergy among infants and children in Turkey

et al. 2016

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The present paper aims to provide experts' consensus on diagnosis and management of cow's milk protein allergy (CMPA) among infants and children in Turkey, based on review of available evidence-based guidelines, publications and experts' clinical experience. The experts agreed that CMPA diagnosis should be based on symptomatic evaluation and diagnostic elimination diet as followed by implementation of an open challenge test after disappearance of symptoms and confirmation of CMPA diagnosis in re-appearance of symptoms. For breastfed infants, differential diagnosis involves withdrawal of cow's milk-containing products from the mother's diet, while calcium supplements and appropriate dietary advice are given to mothers to prevent nutritional deficiency. For infants not breastfed exclusively, cow's milk-based formula and any complementary food containing cow's milk protein (CMP) should be avoided. The first line treatment should be extensively hydrolyzed formula (eHF) with use of amino acid-based formula (AAF) in severe cases such as anaphylaxis, enteropathy, eosinophilic esophagitis and food protein induced enterocolitis along with cases of multiple system involvement, multiple food allergies and intolerance to eHF. Introduction of supplementary foods should not be delayed in CMPA, while should be made one by one in small amounts and only after the infant is at least 17 weeks of age. Infants who are at-risk can be identified by family history of atopic disease. Exclusive breastfeeding for 4-6 months (17-27 weeks) is recommended as the best method of infant allergy prevention. There is no evidence that modifying the mother's diet during pregnancy and/or breast-feeding and delaying solid or even potentially allergic foods beyond 4-6 months in infants may be protective against allergy among at-risk infants. When exclusive breastfeeding is not possible, at-risk infants should get a partially or extensively hydrolyzed formula (pHF or eHF) to prevent allergy until risk evaluation by a health professional. In conclusion, the present consensus statement provides recommendations regarding diagnosis, prevention and management of CMPA in infants and children in Turkey, and thus expected to guide physicians to optimize their approach to CMPA and decrease burden of the disease on infants and their caregivers.

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“…Efek protektif ASI terhadap DA juga ditemukan pada beberapa penelitian lainnya. 26,[37][38][39][40][41][42][43][44] Di lain pihak, beberapa studi melaporkan bahwa ASI tidak memengaruhi risiko terjadinya DA 45,46 atau bahkan berkaitan dengan meningkatnya risiko DA. 15,[47][48][49] Kami belum berhasil membuktikan peran pemberian ASI eksklusif untuk mencegah kejadian DA pada anak berusia 7-24 bulan.…”

Section: Pembahasanunclassified

Manfaat Pemberian ASI Eksklusif dalam Pencegahan Kejadian Dermatitis Atopi pada Anak

Halim

Munasir

Rohsiswatmo

2016

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D ermatitis atopi (DA) adalah kelainan inflamasi kronis pada kulit yang sering terjadi pada anak. Masalah ini menjadi semakin penting karena prevalens yang meningkat di seluruh dunia.1-5 Prevalens DA pada anak meningkat 2-3 kali selama tiga dekade terakhir terutama di negara maju, seperti di Amerika Serikat, Jepang, dan negara-negara di Eropa Barat (10%-20%).3-9 Prevalens DA yang lebih rendah terdapat pada negara berkembang di Eropa Timur, Afrika, dan Asia Tengah.3,5,10 Sebuah studi kohort di Jakarta pada tahun 2010 dilaporkan prevalens DA 16,4% pada anak berusia 0-6 bulan. 11Sekitar 80% anak dengan DA akan mengalami asma dan rinitis alergi (allergic march) di kemudian hari.

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Exclusive breastfeeding and incident atopic dermatitis in childhood: a systematic review and meta-analysis of prospective cohort studies

Abstract: There is no strong evidence of a protective effect of exclusive breastfeeding for at least 3 months against AD, even among children with a positive family history.

Cited by 137 publications

References 64 publications

Environmental risk factors and their role in the management of atopic dermatitis

Environmental risk factors and their role in the management of atopic dermatitis

Consensus statement on diagnosis, treatment and follow-up of cow's milk protein allergy among infants and children in Turkey

Manfaat Pemberian ASI Eksklusif dalam Pencegahan Kejadian Dermatitis Atopi pada Anak

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