Department of Nutrition and Dietetics, Monash Medical Centre, Southern Clinical School of Medicine, Monash University, Block E, Level 5, 246 Clayton Rd, Clayton, VIC 3168, Australia.
Matern Child Health J. 2012 Aug;16(6):1319-31. doi: 10.1007/s10995-011-0842-5.
Infantile colic, the cause of 10-20% of all early paediatrician visits, can lead to parental exhaustion and stress. A systematic review was conducted to examine whether dietary change provides an effective therapy for infantile colic. Six databases were searched from 1960, and 24 studies selected for inclusion. In breastfed infants, evidence suggests that a hypoallergenic maternal diet may be beneficial for reducing symptoms of colic. In formula-fed infants, colic may improve after changing from a standard cow's milk formula to either a hydrolysed protein formula or a soy-based formula. Fibre-supplemented formulae had no effect. Removal of poorly digested carbohydrates from the infant's diet has promise, but additional clinical studies must be conducted before a recommendation can be made. Use of a universal definition to measure symptoms of infantile colic and consistent analysis of urine and faecal samples would improve the evidence in this area.
婴儿绞痛，占所有儿科医生早期就诊的 10-20%，可导致父母疲惫和压力。进行了一项系统评价，以检查饮食改变是否为婴儿绞痛提供有效的治疗方法。从 1960 年开始，六个数据库进行了搜索，并选择了 24 项研究进行纳入。在母乳喂养的婴儿中，有证据表明，母亲食用低变应原饮食可能有助于减轻绞痛症状。在配方奶喂养的婴儿中，换用水解蛋白配方或大豆配方的配方奶后，绞痛可能会改善。添加纤维的配方奶没有效果。从婴儿饮食中去除不易消化的碳水化合物有一定前景，但在提出建议之前，还需要进行更多的临床研究。使用通用定义来衡量婴儿绞痛的症状，并对尿液和粪便样本进行一致的分析，可以提高该领域的证据水平。
