Table 2: Current recommendations for feeding during the first year of life for prevention of allergic diseases.
| ESPGHAN/EAACI [33,37] | AAP [38] | |
| Definition of infant high risk | A first-degree relative with atopy | Two first-degree relative with atopy |
Exclusion diet pregnancy foods |
Not recommended There is no evidence nutritional risk benefit |
2000: Not recommended, with the possible exception Peanut exclusion 2008: Not recommended There is no evidence to support the exclusion of Peanut diet |
The exclusion diet mother during LM |
Not recommended There is no evidence nutritional risk benefit |
2000: Diet peanut exclusion nuts. Consider exclusion of egg, milk beef and fish. 2008: Not recommended |
LM exclusive |
Recommended for 4-6 months |
2000: 6 months 2008: Suitable for 4-6 months |
Use of hydrolysates |
Reduced allergenicity formulas (extensive hydrolyzed) to 4-6 months as a substitute/supplement LM |
Hydrolysed or otherwise extensive hydrolysates partial to 4-6 months substitute/supplement LM. There are only some evidence that the use of PHWP decreases/DA delays. |
Using formulas soy |
Not recommended |
Not recommended |
Beginning of diversification feed |
Not before 4-6 months |
2000: From 6 months 2008: not before 4-6 months |
Delayed introduction food |
Not recommended There is no evidence that modifications dietary beyond 6 months have preventive effect |
2000: a year cow's milk, egg at 2 years, peanuts, nuts and fish at 3 years 2008: There is no evidence supporting the delay in the introduction of egg, fish and food containing peanut protein |
ESPGHAN: European Society of Pediatric Gastroenterology and Nutrition; EAACI: European Academy of Allergology and Clinical Immunology; AAP: American Academy of Pediatrics.