Can dietary strategies in early life prevent childhood food allergy? A report from two iFAAM workshops.

Graham Roberts, Kate Grimshaw, Kirsten Beyer, Robert Boyle, Gideon Lack, Moira Austin, Vanessa Garcia-Larsen, Linus Grabenhenrich, Susanne Halken, Thomas Keil, Charlotte Madsen, Lynne Regent, Sabine Schnadt, Hania Szajewska, Ronald Van Ree, E N Clare Mills

Journal: Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology 2020;49(12):1567-1577

PMID: 31631412

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Abstract

Food allergy affects a small but significant number of children and adults. Food allergy is responsible for considerable morbidity and is the commonest cause of anaphylaxis in children. One of the aims of the European Union-funded "Integrated Approaches to Food Allergen and Allergy Risk Management" (iFAAM) project was to improve our understanding of the best way to prevent the development of food allergy. Groups within the project worked on integrating the current prevention evidence base as well as generating new data to move our understanding forward. This paper from the iFAAM project is a unique addition to the literature on this topic as it not only outlines the recently published randomized controlled trials (as have previous reviews) but also summarizes two iFAAM-associated project workshops. These workshops focused on how we may be able to use dietary strategies in early life to prevent the development of food allergy and summarized the range of opinions amongst experts in this controversial area.

Address: University of Southampton Faculty of Medicine, Southampton, UK.; NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UK.; The David Hide Asthma and Allergy Research Centre, St Mary's Hospital, Isle of Wight, UK.; University of Southampton Faculty of Medicine, Southampton, UK.; Department of Dietetics, Salford Royal NHS Foundation Trust, Salford, UK.; Department of Pediatric Pneumology and Immunology, Charite Universitatsmedizin, Berlin, Germany.; Section of Paediatrics (Allergy and Infectious Diseases), Imperial College London, London, UK.; King's College London, King's Health Partners, MRC & Asthma UK Centre in Allergic Mechanisms of Asthma, and the Department of Paediatric Allergy, Guy's and St Thomas' NHS Foundation Trust, London, UK.; The Anaphylaxis Campaign, Farnborough, UK.; John Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.; Institute for Social Medicine, Epidemiology and Health Economics, Charite - Universitatsmedizin Berlin, Berlin, Germany.; Hans Christian Andersen Children's Hospital, Odense University Hospital, Odense, Denmark.; Technical University of Denmark, Lyngby, Denmark.; German Allergy and Asthma Association, Mönchengladbach, Germany.; Department of Paediatrics, The Medical University of Warsaw, Warsaw, Poland.; Departments of Experimental Immunology and of Otorhinolaryngology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.; Institute of Inflammation and Repair, University of Manchester, Manchester, UK.

DOI: 10.1111/cea.13515

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MeSH Terms: Allergens, Child, Diet, Education, Female, Food Hypersensitivity, Humans, Male, Risk Management