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
The effects of respiratory infections, atopy, and breastfeeding on childhood asthma
The objectives of the present study were to quantify the association of atopy and respiratory infections with asthma , and exclusive breastfeeding with  respiratory illness , atopy and asthma in children . A cohort study of 2,602 children enrolled prior to birth and followed prospect ively , provided data on respiratory illness , the method of feeding in the first year of life , as reported on a prospect i ve diary card , and current asthma at the age of 6 yrs ( defined as doctor-diagnosed asthma with wheeze in the last year or cough without a cold , and currently taking either preventer or reliever asthma medication ) , as reported by parental question naire .  Atopy  was defined by a positive skin-prick test assessed at the age of 6 yrs . Wheezing lower respiratory illness ( LRI ) in the first year of life , particularly multiple episodes of wheezing LRI , increased the risk for current asthma in both nonatopic ( odds ratio ( OR ) 4.10 , p⪕0.0005 ) and atopic children ( OR 9.00 , p⪕0.0005 ) , but did not increase the risk for atopy . In contrast , up to three upper respiratory tract infections demonstrated a negative association and four or more a positive risk for current asthma in unadjusted ( p=0.006 ) and adjusted ( p=0.057 ) analysis . Following adjustment , exclusive breastfeeding for < 4 months was associated with an increased risk for current asthma ( OR 1.36 , 95 % confidence interval 1.00–1.85 , p=0.047 ) . Wheezing lower respiratory illness in the first year of life and atopy are independently associated with increased risk for current asthma at the age of 6 yrs , suggesting that their effects are mediated via different causal pathways and that these risk factors are multiplicative when they operate concomitantly within individual children . Exclusive breastfeeding protects against asthma via effects on both these pathways , as well as through other as yet undefined mechanisms
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