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
Relationship of infant feeding to recurrent wheezing at age 6 years.
OBJECTIVES To investigate the relationship of infant feeding to  recurrent wheezing at age 6 years and to assess whether this relationship is altered by a history of wheezing lower respiratory tract illnesses . DESIGN Prospect i ve , longitudinal study of healthy infants followed up from birth to 6 years of age . SETTING Nonselected health maintenance organization population in Tucson , Arizona . PARTICIPANTS There were 1246 healthy infants enrolled at birth , 988 of whom had data on both infant feeding and wheezing at age 6 years . INTERVENTIONS None . MAIN OUTCOME MEASURES Recurrent wheeze ( four or more episodes in the past year ) was assessed by a question naire that was completed by parents when the children were 6 years old . Children were classified by atopic status on the basis of skin prick tests . RESULTS Breast-feeding information was collected prospect ively , and lower respiratory tract illnesses in the first 3 years of life were diagnosed by the pediatrician . Being breast-fed was associated with lower rates of recurrent wheeze at age 6 years ( 3.1 % vs 9.7 % , P < .01 ) for nonatopic children ; this relationship was not significant for atopic children . The relationship of breast-feeding with recurrent wheeze was apparent among nonatopic children both with and without a wheezing lower respiratory tract illness in the first 6 months of life . When potential confounders , including early wheezing lower respiratory tract illness , were included in a multivariate model , nonatopic children who had not been breast-fed had three times the odds of wheezing recurrently ( odds ratio , 3.03 ; confidence interval , 1.06 to 8.69 ) . Eleven percent of recurrent wheeze among nonatopic children could be attributed to not breast-feeding . CONCLUSIONS Recurrent wheeze at age 6 years is less common among nonatopic children who were breast-fed as infants . This effect is independent of whether the child wheezed with a lower respiratory tract illness in the first 6 months of life
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