Yale University School of Medicine, Department of Pediatrics, New Haven, CT, United States.
University of Arizona, Andrew Weil Center for Integrative Medicine, Tucson, AZ, United States.
Complement Ther Med. 2021 May;58:102695. doi: 10.1016/j.ctim.2021.102695. Epub 2021 Feb 23.
The prevalence of allergic disease has been rapidly increasing in the developed world for over fifty years. The prevention of allergic disease remains one of the most elusive topics in medicine. Integrative medicine emphasizes prevention of disease and utilizes many interventions to help modify long-term outcomes of health. Primary prevention refers to the arrest of manifestations of a disease before they present clinically. Preventing allergy is not simply about preventing sensitization, but also about developing tolerance. This narrative review article will discuss integrative medicine approaches that may help to prevent atopic disease in the pediatric population. It is organized chronologically to aid in counseling patients: 1) prevention during pregnancy and 2) prevention after birth. While research into allergy prevention is in its infancy, Integrative Medicine is well-suited to provide many insights into the prevention and mitigation of atopic disease.
过敏性疾病在发达国家的流行已经迅速增加了五十多年。预防过敏性疾病仍然是医学上最难以捉摸的课题之一。整体医学强调疾病的预防，并利用许多干预措施来帮助改变健康的长期结果。一级预防是指在疾病出现临床症状之前阻止其表现。预防过敏不仅仅是预防致敏，还包括建立耐受。本文综述性文章将讨论整体医学方法，这些方法可能有助于预防儿科人群的特应性疾病。它是按照时间顺序组织的，以帮助为患者提供咨询：1）怀孕期间的预防，2）出生后的预防。虽然过敏预防的研究还处于起步阶段，但整体医学非常适合为预防和减轻特应性疾病提供许多见解。
