Maternal and infant diets for prevention of allergic diseases: Understanding menu changes in 2008

摘要

In 2000, the American Academy of Pediatrics (AAP) Committee on Nutrition published recommendations aimed at minimizing the risk of atopic diseases in infants considered high-risk. The committee noted that conclusive studies were not available for making definite recommendations, but they advised avoidance of certain foods by pregnant and breast-feeding women as well as by infants and young children. This year, the AAP's Committee on Nutrition and Section on Allergy and Immunology published an updated Clinical Report reviewing recent and historical data regarding the impact of nutritional interventions on the development of atopic disease in infants and children. Included in the report are revised statements that replace the former recommendations. In this Editorial, we review the updated report, compare it to recommendations from other professional societies, and entertain some of the vexing issues that allergists must consider as we advise patients and primary care physician colleagues. We do not attempt an extensive review of these topics, because there are multiple excellent reviews and committee reports; however, we incorporate pertinent studies from the past year