Here is the link to the Clinical Report in the January issue of Pediatrics
on which this news story is based:
http://pediatrics.aappublications.org/cgi/content/full/121/1/183
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
Abstract:
This clinical report reviews the nutritional options during pregnancy,
lactation, and the first year of life that may affect the development of
atopic disease (atopic dermatitis, asthma, food allergy) in early life. It
replaces an earlier policy statement from the American Academy of Pediatrics
that addressed the use of hypoallergenic infant formulas and included
provisional recommendations for dietary management for the prevention of
atopic disease. The documented benefits of nutritional intervention that may
prevent or delay the onset of atopic disease are largely limited to infants
at high risk of developing allergy (ie, infants with at least 1 first-degree
relative [parent or sibling] with allergic disease). Current evidence does
not support a major role for maternal dietary restrictions during pregnancy
or lactation. There is evidence that breastfeeding for at least 4 months,
compared with feeding formula made with intact cow milk protein, prevents or
delays the occurrence of atopic dermatitis, cow milk allergy, and wheezing
in early childhood. In studies of infants at high risk of atopy and who are
not exclusively breastfed for 4 to 6 months, there is modest evidence that
the onset of atopic disease may be delayed or prevented by the use of
hydrolyzed formulas compared with formula made with intact cow milk protein,
particularly for atopic dermatitis. Comparative studies of the various
hydrolyzed formulas also indicate that not all formulas have the same
protective benefit. There is also little evidence that delaying the timing
of the introduction of complementary foods beyond 4 to 6 months of age
prevents the occurrence of atopic disease. At present, there are
insufficient data to document a protective effect of any dietary
intervention beyond 4 to 6 months of age for the development of atopic
disease.
(see link for full report)
Janice Reynolds
-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Jeanne Cygnus
Sent: Tuesday, January 08, 2008 11:24 PM
To: [log in to unmask]
Subject: AAP new guidelines?
Hi everyone...
Saw this article in yesterday's (1/8/08) Chicago Tribune... Titled
"For baby allergies, it's not the food - new guidelines pull diet
restrictions for breast-feeding (sic) moms"
http://www.chicagotribune.com/news/chi-babies_07jan07,0,1532417.story
Ugh. According to this article, the American Academy of Pediatrics is now
saying there is no reason to avoid foods during pregnancy or lactation, no
reason to avoid soy formula (don't know why they picked that over cow's milk
formulations) and no reason to delay the introduction of solids! Why has
the AAP suddenly gone the other direction on breastfeeding in general?
What's going on?!??? Anyone have insights on this?
-Jeanne
Jeanne Cygnus, IBCLC, RLC
Cygnus Lactation Services
(847) 837-4091
www.CygnusLactation.com
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