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A paradigm shift in children's allergy prevention

https://doi.org/10.26295/OS.2021.93.77.009

Abstract

Allergy prevention issues are in the focus of emerging science and attention of health care professionals worldwide. The last decade has been marked by a change in approaches to prenatal and postnatal prevention of allergy through elimination diets during pregnancy and breastfeeding. New data reveal the feasibility of early introduction of certain food allergens as complementary foods in order to prevent food allergies in infancy. The preventive strategy of long-term exclusion of highly allergenic foods from the diet of children at risk for the development of allergies changed the vector towards their controlled introduction into the diet during the «window of tolerance» or «critical window», which was defined as 4-6 months of life. Active debate is underway regarding the allergy prevention role of partially hydrolyzed protein formulas in early life nutrition. The change of paradigms in this area testifies to the medico-social significance of the problem, an increase in the number of clinical observations aimed at finding new ways to realize the possibilities of the alimentary factor in the prevention of allergic diseases. The article reflects the latest scientific trends and current recommendations. 

About the Authors

E. A. Pyrieva
Nutrition Federal Research Centre of Nutrition, Biotechnology and Food Safety
Россия

Moscow



E. A. Gordeeva
Сhildren’s outpatient health care center «Nebolit»
Россия

Moscow



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Review

For citations:


Pyrieva E.A., Gordeeva E.A. A paradigm shift in children's allergy prevention. Lechaschi Vrach. 2021;(1):41-45. (In Russ.) https://doi.org/10.26295/OS.2021.93.77.009

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