Literature Review: Pregnant and breastfeeding ... - Eat For Health

No significant difference in asthma at 4, 12 and 24 months;Lower food allergy at 12 and 24 months , p = 0.007 and 0.005 respectively;Cumulative reduction in food allergy at 4 years, with similar current prevalence;No significant differences at 7 years for food allergy, atopic dermatitis, allergic rhinitis, asthma, anyatopic disease, lung function or aeroallergen sensitisations42. In a nonrandomised comparison from Sweden, children whose mothers had a diet free from eggs, cow’smilk or fish from birth to three months were significantly less likely to develop eczema up to six monthscompared with the no diet group, but this effect was not sustained from nine to 18 months115 III-2 Hattevig 1989No significant differences between the diet and no diet groups were seen for asthma and adverse reactions ofinfants to eggs, cows’ milk and fish up to 18 months of age43. In a US cohort study, recurrent wheeze, asthma, eczema, or respiratory infection in children at 3 years wasnot associated with either a high maternal adherence to a Mediterranean diet (high dairy, fish, fruit,legumes, nuts, unsaturated fats, vegetables, and whole grains and low red and processed meats); or AHEI-P;or a prudent diet (fruits, tomatoes, cabbage, leafy green vegetables, poultry, fish).44. In a UK cohort study, wheeze in children at 6 months and 3.5 years, eczema at 2.5 years and 7.5 years,hay fever at 7.5 years, bronchial responsiveness and lung function at 8.9 years of age were not generallyassociated with various dietary patterns such as ‘health conscious’, ‘traditional’, ‘processed’, ‘vegetarian’ or‘confectionery’. In a subset of 4198 children, those whose mothers had a ‘health conscious’ diet (salad, fruit, fruit juices,rice, pasta, oat/bran based breakfast cereals, fish, pulses, cheese, nonwhite bread) were more likely to havea positive IgE (aOR 1.07 95% CI 1.00 to 1.14) and and those whose mothers had a ‘traditional’ diet(vegetables, red meat, poultry) were less likely to have a positive IgE (aOR 0.96 95% CI 0.91 to 1.00).45. In a Spanish cohort study, reductions in persistent wheeze, atopic wheeze and atopy in children at 6.5years of age were associated with a high adherence to a Mediterranean diet by their mothers: Persistent wheeze aOR 0.22 95% CI 0.08 to 0.58 Atopic wheeze aOR 0.30 95% CI 0.10 to 0.90 Atopy aOR 0.55 95% CI 0.31 to 0.9746. In a Mexican retrospective cohort study, asthma, wheezing and most allergy symptoms in children at 6-7years of age were not associated with their mothers adhering to a Mediterranean diet (high in vegetables,legumes, fruits and nuts, cereals and fish and low in dairy products, meat, junk food and fat): Asthma (ever in child) aOR 1.03 95% CI 0.67 to 1.56 Wheezing (ever in child) aOR 0.74 95% CI 0.55 to 1.01 Rhinitis (ever in child) aOR 0.64 95% CI 0.36 to 1.151376children8,886children483children1326childrenII Lange 2010II Shaheen 2009II Chatzi 2008III-2 De Batlle 2008Dietary guidelines for pregnant and breastfeeding women: evidence report20