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Complementary Feeding: Recommendations for the Introduction of Allergenic Foods and Gluten in the Preterm Infant
Complementary Feeding: Recommendations for the Introduction of Allergenic Foods and Gluten in the Preterm Infant
- Source :
- Nutrients, Vol 13, Iss 2477, p 2477 (2021), Nutrients
- Publication Year :
- 2021
- Publisher :
- MDPI AG, 2021.
-
Abstract
- Background: The aim of this systematic review is to analyze the available literature on the introduction of allergenic foods and gluten among preterm infants. Methods: A systematic review of published studies concerning the introduction of gluten and allergenic foods in preterm infants was performed on PubMed and on the Cochrane Library. Results: Of the 174 PubMed results, 15 papers were considered suitable for the review. A total of 83 records were identified through the Cochrane Library search; eight papers were included in the review. Additional papers were identified from the reference lists of included studies. A secondary search was conducted on the same databases to find recommendations and advice regarding healthy full-term infants that could be translated to preterm infants. Therefore, 59 additional papers were included in the review. Conclusions: Current guidelines for the introduction of solid food cannot be directly transposed to preterm infants. Further research is needed to provide evidence-based guidelines regarding weaning in preterm infants. To date, we can suggest that in preterm infants allergenic foods and gluten may be introduced when complementary feeding is started, any time after 4 months of corrected age, avoiding delayed introduction and irrespective of infants’ relative risk of developing allergy. Avoiding large amounts of gluten during the first few weeks after gluten introduction and during infancy is advised, despite limited evidence to support this recommendation.
- Subjects :
- Male
Pediatrics
Allergenic foods
Celiac disease
Complementary feeding
Food allergy
Gluten
Preterm infants
Weaning
Allergens
Diet
Eating
Female
Food Hypersensitivity
Glutens
Humans
Infant
Infant Food
Infant Nutritional Physiological Phenomena
Infant, Newborn
Infant, Premature
Nutrition Policy
Review
Cochrane Library
allergenic food
0302 clinical medicine
Corrected Age
TX341-641
allergenic foods
030212 general & internal medicine
chemistry.chemical_classification
Nutrition and Dietetics
weaning
Solid food
030211 gastroenterology & hepatology
medicine.medical_specialty
complementary feeding
preterm infant
03 medical and health sciences
medicine
preterm infants
Limited evidence
Premature
food allergy
Nutrition. Foods and food supply
business.industry
Newborn
medicine.disease
Infant newborn
chemistry
gluten
Relative risk
business
celiac disease
Food Science
Subjects
Details
- ISSN :
- 20726643
- Volume :
- 13
- Database :
- OpenAIRE
- Journal :
- Nutrients
- Accession number :
- edsair.doi.dedup.....3489c357ab4005062dc638edda0d53b4
- Full Text :
- https://doi.org/10.3390/nu13072477