2022
DOI: 10.3389/fnut.2022.843437
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Food Protein-Induced Allergic Proctocolitis: The Effect of Maternal Diet During Pregnancy and Breastfeeding in a Mediterranean Population

Abstract: BackgroundThe aim of the current investigation was to explore the association of food protein-induced allergic proctocolitis (FPIAP) with the maternal diet during pregnancy and breastfeeding in Greek infants.MethodsA multicenter retrospective case-control study was conducted in 6 regions in Greece, with 96 mothers of infants with and 141 mothers of infants without a history of FPIAP. Maternal dietary habits during pregnancy and breastfeeding were evaluated with the following validated questionnaires: (a) The M… Show more

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Cited by 13 publications
(15 citation statements)
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“…Environmental and nutritional factors during pregnancy and breastfeeding may affect the development of FPIAP [ 17 ], as we reported in a previous study [ 11 ]. A maternal MedDiet, with large amounts of whole grain products, fish, shellfish, fruits and home-cooked food, has been shown to be associated with a lower risk of FPIAP [ 12 ] and other allergies [ 14 ], while increased intake of vegetable oils, margarine and “fast foods” appears to be related to a higher risk [ 12 , 18 ].…”
Section: Discussionmentioning
confidence: 87%
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“…Environmental and nutritional factors during pregnancy and breastfeeding may affect the development of FPIAP [ 17 ], as we reported in a previous study [ 11 ]. A maternal MedDiet, with large amounts of whole grain products, fish, shellfish, fruits and home-cooked food, has been shown to be associated with a lower risk of FPIAP [ 12 ] and other allergies [ 14 ], while increased intake of vegetable oils, margarine and “fast foods” appears to be related to a higher risk [ 12 , 18 ].…”
Section: Discussionmentioning
confidence: 87%
“…A retrospective, observational, multicenter study was conducted between May 2018 and November 2020 on 96 mothers and their breastfed infants with a diagnosis of FPIAP confirmed by a pediatric allergist, recruited from 6 regions in Greece Athens, Thessaloniki, Amaliada, Volos, Kavala and Kozani) with different environmental characteristics, as previously described [ 11 ].…”
Section: Methodsmentioning
confidence: 99%
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“…It usually presents with a bloody mucoid stool in a well-appearing healthy infant aged one to four weeks. It occurs mainly in exclusively breastfed infants (60%) and resolves when the mother eliminates CMP and soy proteins from their diet[ 45 ]. As skin allergy tests and IgE are negative in infants with FPIAP, the diagnosis is usually made by exclusion and confirmed with an elimination/rechallenge test with CMP or soymilk protein[ 46 ].…”
Section: Cow’s Milk Protein Allergymentioning
confidence: 99%