The Effect of Breastfeeding on Food Allergies in Newborns and Infants

Author:

Koukou Zoi1ORCID,Papadopoulou Eleftheria2,Panteris Eleftherios3ORCID,Papadopoulou Styliani1,Skordou Anna1,Karamaliki Maria1,Diamanti Elisavet4

Affiliation:

1. School of Health Sciences, International Hellenic University (IHU), Sindos, 57400 Thessaloniki, Greece

2. Department of Pediatrics, University Hospital of Heraklion, 71500 Heraklion, Greece

3. Laboratory of Forensic Medicine and Toxicology, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece

4. School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece

Abstract

Breastfeeding is the preferred method of infant feeding and its establishment is one of the primary goals for the infant. Allergic diseases are common in childhood, with increased morbidity. Food allergies are also associated with a strong negative impact on health-related quality of life and is a major public health problem. In addition, maternal exclusion of common allergens during pregnancy and/or lactation suggests that supplementation with regular cow’s milk formula during the first week of life should be avoided. Breast milk contains many active immune factors, such as cytokines, inflammatory mediators, signaling molecules and soluble receptors, which may also reduce the risk of allergic disease. The prophylactic effects of breastfeeding have been the subject of many studies, some with weak evidence. In this narrative review, we aim to provide an up-to-date account of the effects of prophylactic breastfeeding on food allergy and other common allergies in infants and children up to 5 years of age. Colostrum in particular has been shown to be prophylactic against food allergy. The American Academy of Pediatrics cautions that the relationship between duration of breastfeeding and incidence of food allergy in early childhood is unclear. The protective role of breastfeeding has a positive effect on allergy prevention, which is opposed by the early introduction of solid foods, but larger studies are needed to confirm the evidence. There is evidence that breastfeeding is effective in providing partial protection to infants.

Publisher

MDPI AG

Subject

Pediatrics, Perinatology and Child Health

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