Zuppa A A, Cota F, Barberi S, De Luca D, Visintini F, Tortorolo G
Cattedra di Neonatologia, Università Cattolica del Sacro Cuore, Roma.
Pediatr Med Chir. 2002 Jan-Feb;24(1):45-52.
The Authors report an update relative to the dietetic prevention strategies in the high allergic risk subject, as proposed from more recent literature. The babies with a familiar history of atopia are defined as population with allergic risk. The Authors examine the role of early exposure to cow's milk formulas and maternal diet during breast-feeding as risk factors for allergic symptoms in such babies. Moreover, they examine the indications for hydrolisated milk (partial and extensive) formulas and soy milk formulas use, as reported in published Meta-analysis and official statements of several Scientific Associations. They conclude that beyond the undoubted preventive role of exclusive breast-feeding in the first 4-6 month after birth, and of the extensively hydrolisated formulas, there are many concerns about the role for partially hydrolisated formulas and soy formulas. The Authors claim for multicentric methodologically correct trials in order to clear the controversies.
作者报告了根据最新文献提出的针对高过敏风险人群的饮食预防策略的更新内容。有特应性家族史的婴儿被定义为有过敏风险的人群。作者研究了早期接触牛奶配方奶粉以及母乳喂养期间母亲饮食作为此类婴儿过敏症状风险因素的作用。此外，他们还研究了已发表的荟萃分析和多个科学协会的官方声明中所报道的水解奶粉（部分水解和深度水解）配方和豆奶配方的使用指征。他们得出结论，除了出生后前4至6个月纯母乳喂养以及深度水解配方奶粉具有毋庸置疑的预防作用外，对于部分水解配方奶粉和豆奶配方的作用存在诸多担忧。作者呼吁进行多中心、方法正确的试验以消除争议。
