Personalized Nutrition Approach in Food Allergy: Is It Prime Time Yet?

D’Auria, Enza; Abrahams, Mariëtte; Zuccotti, Gian Vincenzo; Venter, Carina

doi:10.3390/nu11020359

Cited by 37 publications

(27 citation statements)

References 121 publications

(134 reference statements)

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“…Nevertheless, fish contains important nutrients and omega-3 fatty acids play an important role in development of the central nervous system (47,48). We feel reasonable to recommend fish introduction during the second semester of life, timing based on local tradition, weaning approach, and family preferences (49,50).…”

Section: Single Allergenic Foodsmentioning

confidence: 99%

The Role of Diet Diversity and Diet Indices on Allergy Outcomes

et al. 2020

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Nutrients in foods are not eaten in isolation and food intake interacts in a complex manner, affecting health and disease outcomes. For this reason, focusing on the whole "pattern" of dietary intake instead of the single nutrients or groups of nutrients when studying diseases outcomes is increasingly appealing and growing. Diet diversity refers to the variety of foods being eaten, and the terms, diversity or variety, are often used interchangeably. When the overall diet is characterized by healthy foods, diet diversity will reflect a diversity/variety of healthy foods eaten over a period of time. The introduction of solid foods in the 1st year of life is considered a measure of increased diet diversity. Consuming a diverse range of foods and food allergens in the first year of life may increase intake of important nutrients and positively affect the gut microbiome structure and function. Intake of omega-3 fatty acids and fibers/prebiotics may be particularly important but more information is required about dose and which individuals are most likely to benefit. Increased diet diversity in the first year of life is also associated with reduced food allergy outcomes. In addition to diet diversity, diet indices are considered measures of overall diet quality and can be used as a simple assessment of dietary intake. The focus of this paper is to review and critically address the current knowledge of the association between diet diversity and diet indices and allergy outcomes. Based on the current evidence, we recommend the introduction of solid foods, including common allergenic solids, during the 1st year of life, according to the infant's neuro-developmental abilities and familial or cultural habits. For infants with severe AD and/or FA, medical assessment may be advisable before introducing common food allergens into the diet. Limited evidence exist about the role of diet indices in pregnancy and allergic disease in the offspring, and the most promising results indicate a reduction in childhood wheeze and/or asthma intake.

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Section: Single Allergenic Foodsmentioning

confidence: 99%

The Role of Diet Diversity and Diet Indices on Allergy Outcomes

et al. 2020

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“…Sources of this heterogeneity need further consideration, but likely relate to the dose of LCn3PUFA used in clinical trials, baseline and achieved LCn3PUFA status, the timing of supplementation, common genetic variants throughout fatty acid metabolism and immunity, and microbiome composition [65]. Current recommendations emphasize an individualized approach to nutrition and further, well-designed human studies with challenge-proven food allergy are necessary [66].…”

Section: Omega-3 and Omega-6mentioning

confidence: 99%

Nutrition and the Immune System: A Complicated Tango

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Enthusiasm exists for the potential of diet to impact the immune system, prevent disease and its therapeutic potential. Herein, we describe the challenge to nutrition scientists in defining this relationship through case studies of diets and nutrients in the context of allergic and autoimmune diseases. Moderate-quality evidence exists from both human intervention and observational studies to suggest that diet and individual nutrients can influence systemic markers of immune function and inflammation; numerous challenges exist for demonstrating the impact of defined diets and nutrient interventions on clearly influencing immune-mediated-clinical disease endpoints. A growing body of evidence suggests that further consideration of dietary patterns, immune system and gut microbiome composition and function, and subsequent epigenetic modifications are needed to improve our understanding of diet–immune system interactions.

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“…There is no cure for CMA, and actual disease management is based on strict avoidance of cow's milk protein-containing foods, access to rescue medication, and use of substitutive formulas (21)(22)(23)(24)(25).…”

Section: Introductionmentioning

confidence: 99%

Dietary Prevention of Atopic March in Pediatric Subjects With Cow's Milk Allergy

et al. 2020

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Cow's milk allergy (CMA) is one of the most prevalent food allergies and the most expensive allergic diseases in the pediatric age. There is no cure for CMA, and actual disease management is based on strict avoidance of cow milk protein-containing foods, access to rescue medication, and use of substitutive formulas. Early-life CMA could be one of the first steps of the "allergic march" (AM), leading to the occurrence of other atopic manifestations later in the life, including asthma and oculorhinitis, with subsequent further increase of costs for health care systems and families of affected children. In the last years, diet is emerged as a relevant strategy to prevent allergic diseases through, at least in part, epigenetic modulation of immune system. We provide an overview of studies that investigate the potential role of different dietary strategies in preventing the AM in pediatric patients with CMA.

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Personalized Nutrition Approach in Food Allergy: Is It Prime Time Yet?

Cited by 37 publications

References 121 publications

The Role of Diet Diversity and Diet Indices on Allergy Outcomes

The Role of Diet Diversity and Diet Indices on Allergy Outcomes

Nutrition and the Immune System: A Complicated Tango

Dietary Prevention of Atopic March in Pediatric Subjects With Cow's Milk Allergy

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