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MODERN COMPLEMENTARY FOODS IN THE PREVENTION OF ALLERGIC DISEASES: PROSPECTIVE STUDY RESULTS

https://doi.org/10.15690/vsp.v13i6.1197

Abstract

Background: Rate allergenic properties of the complementary food line based on grains, fruits/vegetables and meat in the diet of infants (0–1 years old). Methods: The study included children aged 4–6 months with natural, mixed or artificial feeding, who had not received any complementary food before. The children were almost healthy or had a burdened allergic history. Complementary foods (porridge, vegetable puree, meat puree and fruit puree) were administered basing on an individual plan depending on age, nutritional status and nature of feces. Tolerability of products and dynamics of mass-height and laboratory parameters were evaluated. At the beginning and at the end of the study, capillary blood was taken to determine the content of hemoglobin in red blood cells (MCH), the equivalent of hemoglobin in reticulocytes (RetHe), iron, ferritin, prealbumin, and specific E class immunoglobulin (IgE) to the proteins in cow's and goat milk, apples, pears, prunes, zucchini, broccoli, cauliflower, rice, maize, buckwheat, turkey meat, and rabbit meat (quantitative allergy diagnostics using an express method). In addition, a scatological study was performed. Results: 60 healthy children received complementary foods based on grains, fruits/vegetables and meat on a step-by-step basis. The level of specific IgE to food allergens in all children under the study was within normal range (0–135 IU/ml) both initially and after the administration of all the complementary foods studied. Conclusion: The investigated complementary foods have a low sensitizing potential, including in children with a burdened allergic history. This allows us to describe them as hypoallergenic products.

About the Authors

Т. E. Borovik
Scientific Centre of Children Health, Moscow; Sechenov First Moscow State Medical University
Russian Federation


N. G. Zvonkova
Scientific Centre of Children Health, Moscow; Sechenov First Moscow State Medical University
Russian Federation


О. L. Lukoyanova
Scientific Centre of Children Health, Moscow
Russian Federation


Т. V. Bushueva
Scientific Centre of Children Health, Moscow
Russian Federation


Т. N. Stepanova
Scientific Centre of Children Health, Moscow
Russian Federation


V. А. Skvortsova
Scientific Centre of Children Health, Moscow
Russian Federation


N. N. Semenova
Scientific Centre of Children Health, Moscow; Sechenov First Moscow State Medical University
Russian Federation


Ye. K. Kutafina
Scientific Centre of Children Health, Moscow
Russian Federation


Ye. L. Semikina
Scientific Centre of Children Health, Moscow
Russian Federation


Ye. А. Kopyl’tsova
Scientific Centre of Children Health, Moscow
Russian Federation


E. G. Gemdzhyan
Scientific Centre for Haematology, Moscow
Russian Federation


References

1. Law M., Morris J. K., Wald N., Luczynska C., Burney P. Changes in atopy over a quarter of a century, based on cross sectional data at three time periods. BMJ. 2005; 330 (7501): 1187–1188.

2. Prescott S., Allen K. J. Food allergy: riding the second wave of the allergy epidemic. Pediatr. Allergy Immunol. 2011; 22 (2): 155–160.

3. World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) Guidelines. Pediatr. Allergy Immunol. 2010; 21 (Suppl. 21): 1–125.

4. Gupta R., Sheikh A., Strachan D. P., Anderson H. R. Time trends in allergic disorders in the UK. Thorax. 2007; 62 (1): 91–96.

5. Пищевая аллергия: руководство для врачей. Серия: Болезни детского возраста от А до Я. Вып. 4. Под ред. А. А. Баранова, Л. С. Намазовой-Барановой, Т. Э. Боровик, С. Г. Макаровой. М.: ПедиатрЪ. 2013. 160 с.

6. Fiocchi A., Assa'ad A., Bahna S. Food allergy and the introduction of solid foods to infants: a consensus document. Adverse Reactions to Foods Committee, American College of Allergy, Asthma and Immunology. Ann. Allergy Asthma Immunol. 2006; 97: 10–20.

7. Greer F. R., Sicherer S. H., Burks A. W. Effects of early nutritional interventions on the development of atopic disease in infants and children: the role of maternal dietary restriction, breastfeeding, timing of introduction of complementary foods, and hydrolyzed formulas. Pediatrics. 2008; 121: 183–191.

8. Национальная программа оптимизации вскармливания детей первого года жизни в Российской Федерации. М. 2011. 68 с.

9. Боровик Т. Э., Звонкова Н. Г., Скворцова В. А., Семенова Н. Н., Лукоянова О. Л., Бушуева Т. В., Степанова Т. Н. Современные подходы к организации прикорма в рамках «Национальной про- граммы оптимизации вскармливания детей первого года жизни в Российской Федерации». Эффективная фармакотерапия. Педиатрия. 2013; 30 (3): 8–13.

10. Турти Т. В., Намазова-Баранова Л. С., Боровик Т. Э., Давыдова И. В., Сновская М. А. Диетологические возможности профилактики атопии у детей в период введения прикорма. Вопросы современной педиатрии. 2012; 11 (4): 38–46.

11. Детское питание. Рук-во для врачей. Под ред. В. А. Тутельяна и И. Я. Коня. М.: МИА. 2013. 744 с.

12. Ziegler E. E., Nelson S. E., Jeter J. M. Iron Stores of Breastfed Infants during the First Year of Life. Nutrients. 2014; 6: 2023–2034. DOI: 10.3390/nu6052023.


Review

For citations:


Borovik Т.E., Zvonkova N.G., Lukoyanova О.L., Bushueva Т.V., Stepanova Т.N., Skvortsova V.А., Semenova N.N., Kutafina Ye.K., Semikina Ye.L., Kopyl’tsova Ye.А., Gemdzhyan E.G. MODERN COMPLEMENTARY FOODS IN THE PREVENTION OF ALLERGIC DISEASES: PROSPECTIVE STUDY RESULTS. Current Pediatrics. 2014;13(6):21-29. (In Russ.) https://doi.org/10.15690/vsp.v13i6.1197

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