Elimination Diets in Lactating Mothers of Infants with Food Allergy.

Francesca Saretta, Riccardo Castagnoli, Elio Novembre, Lucia Liotti, Stefania Arasi, Carla Mastrorilli, Francesca Mori, Mattia Giovannini, Simona Barni, Luca Pecoraro, Angela Klain, Mariannita Gelsomino, Michele Miraglia Del Giudice

Journal: Nutrients 2024;16(14):

PMID: 39064760

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Abstract

Breastfeeding is the most important nutrition source for infants. However, managing breastfed infants with signs and symptoms related to food allergy can be difficult. Many studies have shown the presence of different food allergens in breast milk, but the clinical role of these antigens in human milk is still much debated. Milk is the main suspect in exclusively breastfed infants with signs and symptoms attributable to food allergy, even if other foods may be responsible. This narrative review analyzes the recommendations provided by international guidelines to determine the diagnosis and management of IgE-mediated and non-IgE-mediated food allergies in exclusively breastfed infants. Dietary restrictions in lactating mothers of infants with suspected FA are usually not necessary. Only in the very few cases where significant allergy signs and symptoms occur in the infant during exclusive breastfeeding should the lactating mother follow an elimination diet for the suspected food for a short period.

Address: Pediatric Allergy Unit, Department of Life Sciences and Public Health, University Foundation Policlinico Gemelli IRCCS, Catholic University of the Sacred Heart, 00168 Rome, Italy.; Pediatric Unit, Department of Mother and Child Health, Salesi Children's Hospital, 60123 Ancona, Italy.; Allergy Unit, Meyer Children's Hospital IRCCS, 50139 Florence, Italy.; Allergy Unit, Meyer Children's Hospital IRCCS, 50139 Florence, Italy.; Department of Health Sciences, University of Florence, 50139 Florence, Italy.; Pediatric Hospital Giovanni XXIII, Pediatric and Emergency Department, AOU Policlinic of Bari, 70126 Bari, Italy.; Pediatric Unit, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, 37126 Verona, Italy.; Pediatric Department, Latisana-Palmanova Hospital, Azienda Sanitaria Universitaria Friuli Centrale, 33100 Udine, Italy.; Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy.; Pediatric Clinic, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.; Translational Research in Pediatric Specialties Area, Division of Allergy, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.; Department of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.; Department of Health Sciences, University of Florence, 50139 Florence, Italy.

DOI: 10.3390/nu16142317

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MeSH Terms: Humans, Lactation, Breast Feeding, Food Hypersensitivity, Infant, Female, Milk, Human, Diet, Infant, Newborn, Mothers, Elimination Diets