NAJVHODNEJŠIE OBDOBIE NA ZAVÁDZANIE LEPKU DO STRAVY DOJČIAT: 4.-7. MESIAC (ZÁVER SYSTEMATICKÉHO PREHĽADU) Celiac disease--prevention strategies through early infant nutrition. Chmielewska A, Szajewska H, Shamir R. World Rev Nutr Diet. 2013;108:91-7. Abstract Celiac disease (CD) is an immune-mediated disease of considerable incidence, which negatively influences the quality of life of affected individuals and their families. The only currently available treatment is a lifelong gluten-free diet. Possible prevention strategies for CD focus on early infant feeding practices, namely breastfeeding and the time and mode of gluten introduction into the infants diet. A systematic review of available data suggested that the risk of developing CD may be decreased by breastfeeding and breastfeeding at the time of gluten introduction. It is not clear whether this strategy prevents the disease or only delays the onset of symptoms. Gluten introduction should not be done earlier than at 4 months of age and not later than 7 months of age since both early and late introduction of gluten have been shown to increase the risk of CD. A large randomized controlled trial is being conducted in 10 European countries to clarify whether breastfeeding and early gluten introduction are effective in preventing CD in genetically susceptible individuals. ***************************** Note, that based on the current data, the ESPGHAN Committee of Nutrition recommended in 2008 avoiding early exposure to gluten before 4months of age or later than 7months. The exposure should be gradual, while the baby is breastfed. The AAP recommended in 2012 that exposure to different foods can be started between 4 and 6months and exposure to gluten is recommended while the infant is on exclusive breastfeeding. onlinelibrary.wiley/doi/10.1111/apt.12023/full ncbi.nlm.nih.gov/pubmed/24029792
Posted on: Tue, 06 Jan 2015 14:00:42 +0000
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