12 / 16
12
- No existe evidencia que la dieta de exclusión
de alérgenos materna durante embarazo y
lactancia reduzca la incidencia de APLV.
- La mejor alimentación para el menor de
6
meses es la LME, de no ser posible se
prefiere el uso de pHf o eHF, siendo éstos de
igual efectividad en cuanto a la reducción de
incidencia, pero el primero de menor costo
y mejor sabor, por ende el de preferencia.
- No existe evidencia que avale un retardo en la
introducción de la PLV en la dieta luego de los
4
a
6
meses.
Faltan estudios que comparen el efecto preventivo
de estas medidas a largo plazo, pero resulta
éticamente difícil no aplicarlas a un grupo
de niños.
1.
Cruchet M. Sylvia. Alergia a proteína de leche de vaca (APVL). Rev. Chil. pediatr.
2002
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2.
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and allergic disease, Nutrition Research
22 (2002) 125-135
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3.
Zeiger RS, Heller S. The development and prediction of atopy in high-risk children: follow-up at age seven years in a prospective
randomized study of combined maternal and infant food allergen avoidance. J Allergy Clin Immunol.
1995;95: 1179-1190
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Disease In The Child. Cochrane Database Of Systematic Reviews
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children, part III: critical review of published peer-reviewed observational and interventional studies and final recommendations. Pediatr
Allergy Immunol
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Greer F, Sicherer S, and Burks A. Effects of Early Nutritional Interventions on the Development of Atopic Disease in Infants and Children:
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Pediatrics
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Zutavern A, Brockow I, Timing of Solid Food Introduction in Relation to Eczema, Asthma, Allergic Rhinitis, and Food and Inhalant
Sensitization at the Age of
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2008; 121:1
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Andrews T, Banks J. Early Exposure to Cow’s Milk Protein Is Protective Against Immunoglobulin E (IgE)-Mediated Cow’s Milk Protein
Allergy. Pediatrics
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Revisado por Dra. Marcela Godoy P., Gastroenteróloga Pediátrica.
Bibliografía: