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CECT 5716以及母乳中负荷的降低,后者可降低感染性乳腺炎的风险:根据欧盟第1924/2006号法规第14条对一项健康声明的评估

CECT 5716 and a reduction of the load in breast milk which reduces the risk of infectious mastitis: evaluation of a health claim pursuant to Article 14 of Regulation (EC) No 1924/2006.

作者信息

Turck Dominique, Bresson Jean-Louis, Burlingame Barbara, Dean Tara, Fairweather-Tait Susan, Heinonen Marina, Hirsch-Ernst Karen Ildico, Mangelsdorf Inge, McArdle Harry J, Naska Androniki, Neuhäuser-Berthold Monika, Nowicka Grażyna, Pentieva Kristina, Sanz Yolanda, Stern Martin, Tomé Daniel, Van Loveren Henk, Vinceti Marco, Willatts Peter, Martin Ambroise, Strain John Joseph, Siani Alfonso

出版信息

EFSA J. 2017 Jul 24;15(7):e04917. doi: 10.2903/j.efsa.2017.4917. eCollection 2017 Jul.

Abstract

Following an application from Biosearch Life, submitted for authorisation of a health claim pursuant to Article 14 of Regulation (EC) No 1924/2006 via the Competent Authority of France, the EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA) was asked to deliver an opinion on the scientific substantiation of a health claim related to CECT 5716 and decreases the load in breast milk. High load in breast milk is a risk factor for infectious mastitis. The scope of the application was proposed to fall under a health claim referring to disease risk reduction. The Panel considers that CECT 5716 is sufficiently characterised. In the context of this application, the load in breast milk can be considered a risk factor for the development of infectious mastitis, as long as evidence is provided that the consumption of CECT 5716 reduces the load in breast milk as well as the incidence of infectious mastitis. Three human intervention studies investigated the effect of CECT 5716 on the load of breast milk in lactating women. One of these studies was conducted in lactating women free of infectious mastitis at baseline. The Panel considers that no conclusions can be drawn from this study for the scientific substantiation of the claim owing to important methodological limitations. The other two studies were conducted in lactating women with infectious mastitis and, therefore, the effect of the intervention on the incidence of infectious mastitis cannot be assessed. The Panel concludes that a cause and effect relationship has not been established between the consumption of CECT 5716 and a reduction of the load in breast milk which reduces the risk of infectious mastitis.

摘要

在Biosearch Life依据欧盟法规(EC)No 1924/2006第14条通过法国主管当局提交健康声称授权申请后,欧洲食品安全局(EFSA)的营养产品、营养与过敏专家组(NDA)被要求就与CECT 5716相关的健康声称的科学依据发表意见,该健康声称称CECT 5716可降低母乳中的[具体物质,原文未明确]含量。母乳中[具体物质,原文未明确]含量高是感染性乳腺炎的一个风险因素。该申请的范围提议属于涉及降低疾病风险的健康声称。专家组认为CECT 5716已得到充分表征。在本申请的背景下,只要有证据表明食用CECT 5716可降低母乳中的[具体物质,原文未明确]含量以及感染性乳腺炎的发病率,母乳中的[具体物质,原文未明确]含量就可被视为感染性乳腺炎发生的一个风险因素。三项人体干预研究调查了CECT 5716对哺乳期妇女母乳中[具体物质,原文未明确]含量的影响。其中一项研究是在基线时无感染性乳腺炎的哺乳期妇女中进行的。专家组认为,由于重要的方法学局限性,该研究无法为该声称的科学依据得出结论。另外两项研究是在患有感染性乳腺炎的哺乳期妇女中进行的,因此无法评估干预措施对感染性乳腺炎发病率的影响。专家组得出结论,食用CECT 5716与降低母乳中[具体物质,原文未明确]含量从而降低感染性乳腺炎风险之间尚未建立因果关系。

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