Specialization Group in Pediatric Nutrition of the Spanish Academy of Nutrition and Dietetics (AEND), Navarra, Spain; Health Research Institute of the Balearic Islands (IdISBa), Balearic Islands, Spain.
Specialization Group in Pediatric Nutrition of the Spanish Academy of Nutrition and Dietetics (AEND), Navarra, Spain; Biomedal SL., Sevilla, Spain; Human Nutrition and Food Science Department, University of Granada, Granada, Spain.
Nutrition. 2022 Jun;98:111633. doi: 10.1016/j.nut.2022.111633. Epub 2022 Feb 16.
Cow's milk protein allergy (CMPA) is a clinical condition that requires appropriate nutritional counseling during breastfeeding and the introduction of complementary feeding. Using evidence-based dietetic advice is critical for correct growth and development during childhood. The aim of this study was to review the most recent literature on nutritional counseling aimed at infants between 0 and 2 y of age diagnosed with CMPA.
Six databases were searched and updated on August 22, 2020. Retrieved articles were screened in duplicate and independently by all the authors, and these were selected according to the following inclusion criteria: clinical trials, reviews, meta-analyses, and clinical practice guidelines published since 2013 on any dietetic intervention aimed at infant populations between 0 and 2 y of age with CMPA. Critical appraisal through the AGREE instrument and CASP tools enabled the risk of bias assessment.
We obtained 2874 results, of which 40 were included for reviewing. The retrieved information enabled us to answer all the research questions, including aspects of the nutritional counseling aimed at mothers who breastfeed infants with CMPA, as well as infants during breastfeeding and the introduction of complementary feeding. We also reviewed the specific nutritional requirements of infants with CMPA to assess nutritional supplementation and the evidence available on the use of probiotics, prebiotics, and symbiotics.
This scoping review collected, in a structured and comprehensive way, the most recent available information regarding nutritional counseling in CMPA for a successful dietetic intervention of the casuistry that may arise during early infancy.
牛奶蛋白过敏（CMPA）是一种临床病症，在母乳喂养和引入补充食物时需要进行适当的营养咨询。使用基于证据的饮食建议对于儿童期的正确生长和发育至关重要。本研究旨在综述最近关于针对诊断为 CMPA 的 0 至 2 岁婴儿的营养咨询的文献。
检索了 6 个数据库，并于 2020 年 8 月 22 日进行了更新。由所有作者重复筛选和独立筛选检索到的文章，并根据以下纳入标准进行选择：2013 年以来发表的针对 0 至 2 岁 CMPA 婴儿人群的任何饮食干预的临床试验、综述、荟萃分析和临床实践指南。通过 AGREE 工具和 CASP 工具进行批判性评估，评估偏倚风险。
我们获得了 2874 项结果，其中 40 项被纳入进行审查。检索到的信息使我们能够回答所有研究问题，包括针对母乳喂养患有 CMPA 的婴儿的母亲的营养咨询方面，以及母乳喂养期间和引入补充食物期间的婴儿。我们还审查了 CMPA 婴儿的特殊营养需求，以评估营养补充以及益生菌、益生元和合生剂使用的证据。
本范围综述以结构化和全面的方式收集了最近关于 CMPA 营养咨询的信息，以成功进行可能在婴儿早期出现的病例的饮食干预。
