Unlike the conclusions of the revised Cochrane review the export group set up by the Section on Paediatrics , European Academy of Allergology and Clinical Immunology ( SP-EAACI ) do not find that the exclusion of the four trials dem and s a change of the previous recommendations regarding primary dietary prevention of allergic diseases .
Based on analysis of published peer- review ed observational and interventional studies the results still indicate that breastfeeding is highly recommended for all infants irrespective of atopic heredity .
A dietary regimen is effective in the prevention of allergic diseases in high-risk infants , particularly in early infancy regarding food allergy and eczema .
The most effective dietary regimen is exclusively breastfeeding for at least 4 - 6 months or , in absence of breast milk , formulas with documented reduced allergenicity for at least the first 4 months , combined with avoidance of solid food and cow 's milk for the first 4 months
Maternal abstention from cow milk and egg in allergy risk pregnancies
To study the possibility of intrauterine sensitization , 212 women were enrolled on a voluntary basis into a prospect i ve , r and omized study , comparing the effects of an elimination diet and normal food during late pregnancy . The diet group took no cow milk and no egg from week 28 to delivery , and extra calcium and casein hydrolysate ( Nutramigen ® ) supplement was given to fill the nutritional needs of mother and child . The control group took normal food , including approximately 1/2 liter of milk/day and 3–5 eggs/week . All families had a history of allergy in mother , father , or sibling . Maternal weight gain during pregnancy was significantly lower in the diet group . Birth weights showed no significant difference between the two main groups , but smokers in the elimination diet group had significantly smaller babies . IgE antibodies to cow milk and egg were significantly higher in atopic than in non‐atopic women before the trial . The diet caused a significant fall in IgG‐antibodies to cow milk and egg in both atopic and non‐atopic subjects . Cord blood IgE determination revealed no significant difference between the groups . No IgE antibodies to cow milk or egg were detected in any of the cord sera . The participating babies are being followed up until 18 months of age
Unlike the conclusions of the revised Cochrane review the export group set up by the Section on Paediatrics , European Academy of Allergology and Clinical Immunology ( SP-EAACI ) do not find that the exclusion of the four trials dem and s a change of the previous recommendations regarding primary dietary prevention of allergic diseases .
Based on analysis of published peer- review ed observational and interventional studies the results still indicate that breastfeeding is highly recommended for all infants irrespective of atopic heredity .
A dietary regimen is effective in the prevention of allergic diseases in high-risk infants , particularly in early infancy regarding food allergy and eczema .
The most effective dietary regimen is exclusively breastfeeding for at least 4 - 6 months or , in absence of breast milk , formulas with documented reduced allergenicity for at least the first 4 months , combined with avoidance of solid food and cow 's milk for the first 4 months