Association between timing of food introduction in on first year old and the prevalence of allergies

Authors

  • Ismael San Mauro-Martín Grupo de Investigación GENUA (Genómica Nutricional Aplicada), Centros de Investigación en Nutrición y Salud.
  • Patricia Bodega-Villanueva Grupo de Investigación GENUA (Genómica Nutricional Aplicada), Centros de Investigación en Nutrición y Salud.
  • Elena Romero-Caamaño Grupo de Investigación GENUA (Genómica Nutricional Aplicada), Centros de Investigación en Nutrición y Salud.
  • Victor Micó-Moreno Grupo de Investigación GENUA (Genómica Nutricional Aplicada), Centros de Investigación en Nutrición y Salud.
  • Elena Garicano-Vilar Grupo de Investigación GENUA (Genómica Nutricional Aplicada), Centros de Investigación en Nutrición y Salud.

DOI:

https://doi.org/10.14306/renhyd.18.3.57

Keywords:

Food allergy, Infant feeding, Allergy, Breastfeeding

Abstract

Introduction: Food allergy is an abnormal response after ingestion of an allergen in a food where there is a proven immune mechanism. During the period of breastfeeding, infants are introducing new foods in small quantities and separately for possible allergies. All in relation to the suggested timetable for the introduction of different food groups suggested by the Spanish Agency for Food Safety and Nutrition. Our project focused on studying the possible relationship between the variability of introduction of the different food groups and the development of allergies in infant.

Material and Methods: Retrospective descriptive study in an incidental sample (n = 30). It evolved into an online platform with an Ad Hoc survey, in which data was recollected on the characteristics of allergy, diet, type of birth, and introduction of food were collected.

Results: Allergies were found 36% fruit, 20% egg, nuts and dairy 16% and 12%, grains, legumes, seafood and vegetables 4% respectively. 89% were breastfeeding. 78% were born vaginally. 46.2% compliance with the protocol introduction and 53.8% advance or postpone the introduction.

Conclusions: The data reviewed suggest that food allergies are influenced by several factors that can influence and affect the number of allergic conditions of a particular region, so it is necessary to define these variables in studies to have greater reliability in the necessary studies performed.

Author Biographies

Ismael San Mauro-Martín, Grupo de Investigación GENUA (Genómica Nutricional Aplicada), Centros de Investigación en Nutrición y Salud.

Patricia Bodega-Villanueva, Grupo de Investigación GENUA (Genómica Nutricional Aplicada), Centros de Investigación en Nutrición y Salud.

Elena Romero-Caamaño, Grupo de Investigación GENUA (Genómica Nutricional Aplicada), Centros de Investigación en Nutrición y Salud.

Victor Micó-Moreno, Grupo de Investigación GENUA (Genómica Nutricional Aplicada), Centros de Investigación en Nutrición y Salud.

References

Johansson SG, Hourihane JO, Bousquet J, Bruijnzeel-Koomen C, Dreborg S, Haahtela T, et al. A revised nomenclature for allergy. An EAACI position statement from the EAACI nomenclature task force. Allergy. 2001; 56(9): 813-24.

Fernández M. ¿Qué es la alergia a los alimentos? En: Zubeldia JM, Baeza ML, Jauregui I, Senent C, Editores. Libro de Alergias Alimentarias de la Fundación BBVA. España. 2012; p215-221.

Stein K. Are food allergies on the rise, or is it misdiagnosis? J Am Diet Assoc. 2009; 109(11): 1832, 1834, 1836-7

NIAID-Sponsored Expert Panel, Boyce JA, Assa’ad A, Burks AW, Jones SM, Sampson HA, et al. Guidelines for the diagnosis and management of food allergy in the United States: report of the NIAID-sponsored expert panel. J Allergy Clin Immunol. 2010; 126(6 Suppl): S1-58.

Kavaliūnas A, Surkienė G, Dubakienė R, Stukas R, Zagminas K, Saulytė J, et al. EuroPrevall Survey on Prevalence and Pattern of Self-Reported Adverse Reactions to Food and Food Allergies Among Primary Schoolchildren in Vilnius, Lithuania. Medicina (Kaunas). 2012; 48(5): 265-71.

SENC. Embarazo y lactancia. Necesidades Especiales. En: Guía de Alimentación Saludable 2004.

World Health Assembly, Infant and young child nutrition. [Fifty-fourth World Health Assembly. 18 May 2001. Agenda item 13.1], WA, Geneva, 2001.

American Academy of Pediatrics. Section on Breastfeeding. Breastfeeding and the use of human milk. Pediatrics. 2012; 129(3): e827-41.

Silvestre D. Salud nutricional de la mujer gestante y lactante. En Fundación Española de la Nutrición (FEN). Libro Blanco de la Nutrición en España 2013. P47-54.

World Health Organization, Feeding and nutrition of infants and young children Guidelines for the WHO European Region, with emphasis on the former Soviet countries, WHO, Geneva, 2003.

Calendario de introducción de alimentos de la AESAN-NAOS. (Disponible en: http://www.naos.aesan.msps.es/csym/alimentacion/categorias/categoria00007.html).

Barnes KC. Genetic epidemiology of health disparities in allergy and clinical immunology. J Allergy Clin Immunol. 2006; 117: 243–254.

Zeiger RS. Food allergen avoidance in the prevention of food allergy in infants and children. Pediatrics. 2003; 111(6 Pt 3): 1662–71.

Fiocchi A, Assa’ad A, Bahna S, Adverse Reactions to Foods Committee; American College of Allergy, Asthma and Immunology Food allergy and the introduction of solid foods to infants: a consensus document. Ann Allergy Asthma Immunol. 2006; 97(1): 10–20.

Katz Y, Rajuan N, Goldberg MR, Eisenberg E, Heyman E, Cohen A, et al. Early exposure to cow’s milk protein is protective against IgE-mediated cow’s milk protein allergy. J Allergy Clin Immunol. 2010; 126(1): 77–82.e1. Epub 2010 Jun 11.

Snijders BE, Thijs C, van Ree R, van den Brandt PA. Age at first introduction of cow milk products and other food products in relation to infant atopic manifestations in the first 2 years of life: the KOALA Birth Cohort Study. Pediatrics. 2008; 122(1): e115–22.

Poole JA, Barriga K, Leung DY, Hoffman M, Eisenbarth GS, Rewers M, et al. Timing of initial exposure to cereal grains and the risk of wheat allergy. Pediatrics. 2006; 117(6): 2175–82.

Du Toit G, Katz Y, Sasieni P, Mesher D, Maleki SJ, Fisher HR, et al. Early consumption of peanuts in infancy is associated with a low prevalence of peanut allergy. J Allergy Clin Immunol. 2008; 122(5): 984–91.

Koplin JJ, Osborne NJ, Wake M, Martin PE, Gurrin LC, Robinson MN, et al. Can early introduction of egg prevent egg allergy in infants? A population-based study. J Allergy Clin Immunol. 2010; 126(4): 807–13.

Greer FR, Sicherer SH, Burks AW, American Academy of Pediatrics Committee on Nutrition; American Academy of Pediatrics Section on Allergy and Immunology. Effects of early nutritional interventions on the development of atopic disease in infants and children: the role of maternal dietary restriction, breastfeeding, timing of introduction of complementary foods, and hydrolyzed formulas. Pediatrics. 2008; 121(1): 183–91.

Agostoni C, Przyrembel H. The timing of introduction of complementary foods and later health. World Rev Nutr Diet. 2013; 108: 63-70.

Grimshaw KE, Maskell J, Oliver EM, Morris RC, Foote KD, Mills EN, Roberts G, Margetts BM. Introduction of complementary foods and the relationship to food allergy. Pediatrics. 2013; 132(6): e1529-38.

Fleischer DM, Spergel JM, Assa’ad AH, Pongracic JA. Primary prevention of allergic disease through nutritional interventions. J Allergy Clin Immunol Pract. 2013; 1(1): 29-36.

Agostoni C, Przyrembel H. The timing of introduction of complementary foods and later health. World Rev Nutr Diet. 2013; 108: 63-70.

Von Berg A. Dietary interventions for primary allergy prevention– what is the evidence? World Rev Nutr Diet. 2013; 108: 71-8.

Surveymonkey.com [página principal en internet]; c1999-2013 [citado 21 Nov 2013]. Disponible en: https://

es.surveymonkey.com/

Encuesta Nacional de Salud 2006. Disponible en http://www.msps.es/

Martin-Moreno JM, Boyle P, Gorgojo L, Maisonneuve P, Fernandez-Rodriguez JC, Salvini S, Willett WC. Development and validation of a food frequency questionnaire in Spain. Int J Epidemiol. 1993; 22: 512-9.

Hidalgo-Castro EM, del Río-Navarro BE, Sienra-Monge JJL. Factores de riesgo de alergia alimentaria. Revista Alergia México 2009; 56(5): 158-64.

Brandtzaeg P. Food allergy: separating the science from the mythology. Nat Rev Gastroenterol Hepatol. 2010; 7(7): 380-400.

Nwaru BI, Takkinen HM, Niemelä O, Kaila M, Erkkola M, Ahonen S, et al. Timing of infant feeding in relation to childhood asthma and allergic diseases. J Allergy Clin Immunol. 2013; 131(1): 78-86.

Hörnell A, Lagström H, Lande B, Thorsdottir I. Breastfeeding, introduction of other foods and effects on health: a

systematic literature review for the 5th Nordic Nutrition Recommendations. Food Nutr Res. 2013; 57.

Smith P. Estrategias nutricionales para prevenir y disminuir las alergias alimentarias y las enfermedades asociadas. Nestlé Nutrition Institute. No. 33 / Noviembre 2012.

Martín MF. Alergia a la leche. En: Zubeldia JM, Baeza ML, Jauregui I, Senent C, Editores. Libro de Alergias Alimentarias de la Fundación BBVA. España. 2012; p223-231.

Alonso Lebrero E. Alergia al huevo. En: Zubeldia JM, Baeza ML, Jauregui I, Senent C, Editores. Libro de Alergias Alimentarias de la Fundación BBVA. España. 2012; p233-239.

Cisteró-Bahima A, Garriga Baraut T. Alergia a frutas y verduras. En: Zubeldia JM, Baeza ML, Jauregui I, Senent C, Editores. Libro de Alergias Alimentarias de la Fundación BBVA. España. 2012; p249-257.

Enrique Miranda E. Alergia a cereales, legumbres y frutos secos. En: Zubeldia JM, Baeza ML, Jauregui I, Senent C, Editores. Libro de Alergias Alimentarias de la Fundación BBVA. España. 2012; p259-266.

Exposición “Alergias alimentarias: ¿las conoces?”. Asociación Madrileña de Alergias Alimentarias. Hospital Universitario Puerta de Hierro de Majadahonda (Madrid). Semana Mundial de la Alergia 2012.

Muñoz Guillen A y Dalmau Serra J. Alimentación del recién nacido sano. Asociación Española de Pediatría. 2008; p 39-47.

Verhasselt V. Neonatal tolerance under breastfeeding influence. Curr Opin Immunol. 2010; 22(5): 623-30.

Samartín Sáenz S. Características de la función inmune celular en pacientes con alergia o intolerancia a las proteínas de la leche de vaca: estudio comparativo [tesis]. Madrid: Universidad Complutense de Madrid; 2003.

Johansson SG, Hourihane JO, Bousquet J, Bruijnzeel-Koomen C, Dreborg S, Haahtela T, et al. EAACI (the European Academy of Allergology and Cinical Immunology) nomenclature task force. A revised nomenclature for allergy. An EAACI position statement from the EAACI nomenclature task force. Allergy. 2001; 56(9): 813-24 Review. Erratum in: Allergy 2001 Dec; 56(12): 1229.

Chandra R. Food hypersensitivity and allergic disease: a selective review. Am J Clin Nutr. 1997; 66: 526S-9S.

Sanz Larruaga ML, Goikoetxea Lapresa MJ. Los análisis de sangre para el estudio de la alergia. En: Zubeldia JM, Baeza ML, Jauregui I, Senent C, Editores. Libro de Alergias Alimentarias de la Fundación BBVA. España. 2012; p3711-378.

Published

2014-06-17

How to Cite

San Mauro-Martín, I., Bodega-Villanueva, P., Romero-Caamaño, E., Micó-Moreno, V., & Garicano-Vilar, E. (2014). Association between timing of food introduction in on first year old and the prevalence of allergies. Spanish Journal of Human Nutrition and Dietetics, 18(3), 145–154. https://doi.org/10.14306/renhyd.18.3.57