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母乳喂养的误区与真相:它能预防日后的过敏性疾病吗?

Myths and facts about breastfeeding: does it prevent later atopic disease?

作者信息

Vandenplas Y

机构信息

A.Z.-Kinderen, Free University of Brussels, Belgium.

出版信息

Acta Paediatr. 1997 Dec;86(12):1283-7. doi: 10.1111/j.1651-2227.1997.tb14898.x.

Abstract

Exclusive human milk feeding during the first 6 months of life, with delayed introduction of solids, is the recommended feeding for human infants. Human milk reduces the incidence and morbidity related to infection and allergy to cow's milk proteins. Dietary maternal restrictions during (late) pregnancy or lactation cannot be recommended, but may be advised in special cases. A maternal elimination diet seems more effective if associated with environmental hypoallergenic intervention(s). Milk from mothers consuming cow's milk proteins contains small amounts of beta-lactoglobulin, which appear to introduce in the majority of infants both atopic and non-atopic tolerance rather than sensitization. However, it is uncertain whether breastfeeding also reduces the incidence of later atopic disease, since its aetiology is multifactorial.

摘要

在生命的前6个月纯母乳喂养,并延迟引入固体食物,是推荐给人类婴儿的喂养方式。母乳可降低与感染及对牛奶蛋白过敏相关的发病率。不推荐在(孕晚期)妊娠或哺乳期对母亲进行饮食限制,但在特殊情况下可给予建议。如果与环境低敏干预措施相结合,母亲的排除饮食似乎更有效。食用牛奶蛋白的母亲所产的母乳中含有少量β-乳球蛋白,这些β-乳球蛋白似乎能使大多数婴儿产生特应性和非特应性耐受,而非致敏。然而,母乳喂养是否也能降低后期特应性疾病的发病率尚不确定,因为其病因是多因素的。

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