Infants and Allergies
G. Douglas Andersen, DC, DACBSP, CCN
Late last year, the results of an extensive Italian study involving diet,
environment and infant allergies came across my desk. The study compared
more than 300 high-risk infants with multiple types of intervention. The
focus of the intervention was in three areas:
- mother's diet;
- infant's diet;
- environmental factors.
The mothers in the intervention group's dietary modifications
included:
- No more than six ounces of milk per day were given to nursing
mothers.
- No eggs were allowed in the diet of nursing mothers.
The infants in the intervention group's dietary modifications
included:
- No solid foods were introduced until the 5th month of life.
- Solid foods were introduced at a rate of no more than one new food every 7-10
days.
- Only low-allergy solid foods were given from the 5th through 12th months.
- The solid foods that were considered low allergy included:
cereal from rice, corn or tapioca; vegetables excluding all beans
and tomatoes; olive oil; no dairy products except for Parmesan
cheese; no eggs; turkey, lamb and rabbit were allowed, but no beef,
pork, chicken or fish.
- From the 12th month to the 24th month, all foods were introduced
except eggs, nuts and cocoa, which were not given until after two
years of age.
The environmental controls for the intervention group included:
- no smoking in the child's house;
- no cats, dogs or other pets with fur;
- weekly carpet cleaning;
- isolation from nurseries and preschool until two years of age.
The authors concluded that many of the preventive measures in theÔ infants. At
the end of the three year follow-up, when the intervention group was compared
to the nonintervention group, the authors determined the top six factors that
caused infant allergies. They were:
- introduction of formula during the first week of life;
- weaning before four months of age;
- feeding beef at less than six months of age;
- feeding cow's milk at less than six months of age;
- second-hand tobacco smoke exposure;
- entering day care before two years of age.
Conclusion
Although this was just one study, the intervention was extensive.
The results are pleasing in that many common causes of infant
allergies are easy to control.
Reference
1. Marini et al. Effects of a dietary and environmental prevention program on
the incidence of allergic symptoms in high atopic risk infants: three years follow-up.
Acta Pediatrica 1996;85:414(1-21).
G. Douglas Andersen, DC, DACBSP, CCN
Brea, California
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