Edit food intake to prevent allergies: a pilot study

Faced with the constant increase in infant allergies. For example, an American team tested a simple nutritional intervention during pregnancy. For example, This pilot study aimed to demonstrate the feasibility of a maternal diet enriched with vegetables. In addition, yogurts, associated with the reduction of processed foods, with the aim of protecting the child to be born against asthma, atopic dermatitis and respiratory allergies. Consequently,

Kindergarten food, key to allergic prevention?

The prevalence of atopic dermatitis and food allergies continues to increase in children. Moreover, Bodén et al. Furthermore, previously demonstrated that a specific maternal diet during pregnancy was associated with a significant reduction in the risk of. Similarly, allergic diseases in children at the age of 4.

This diet. Similarly, rich in vegetables and yogurts, with a reduction in the consumption of red meat, cold cereals, fried potatoes, rice and refined cereals, as well as edit food intake prevent allergies: pure fruit juice, was associated with a reduction in the risk of:

• Atopic dermatitis (ORA = 0.77; 95 % CI = 0.69-0.86)
• Asthme (ORa = 0,84 ; IC 95 % = 0,74-0,96)
• Allergic rhinitis (ora = 0.82; 95 % CI = 0.72-0.94)
• Skipping breathing (wheezing) (ORa = 0. Furthermore, 80 ; IC 95 % = 0,71-0,90)

Cold cereals, particularly targeted, include highly processed products, poor in fibers and proteins, but rich in carbohydrates and added sugars. In addition, To assess membership of this diet, the authors have developed a maternal food index (IAM). (1)

A targeted nutritional intervention: what objectives?

This randomized pilot study. conducted at Children’s Hospital Colorado (n = 19), had three main objectives:

1. Demonstrate the feasibility of an intervention aimed at improving the food intake of women aged 18 to 40
2. Assess whether the intervention increased the IAM compared to the initial value
3. Collect the returns from the participants

The exclusion criteria were: households of more than four edit food intake prevent allergies: members; women with food difficulties; An inability to give informed consent.

Seven food recommendations to protect the unborn child

The participants. recruited from the Chco staff, were randomized in equal parts between an intervention group and a control group. A participant abandoned immediately after giving his consent. The intervention included: one face -to -face session with an approved dietician. two educational videos with seven specific dietetic recommendations:

1. Consume at least 3 cups of vegetables per day
2. Consume half a cup of probiotic yogurt without sugar added 4 times a week
3. Limit sweet cold cereals to 2 times a week maximum
4. Limit fried potatoes to once a week maximum
5. Limit red meat to 3 times a week maximum
6. Limit refined rice and cereals to 2 times a week maximum
7. Limit pure fruit juices to 4 times a week maximum

The participants received recipes, meal plans and weekly racing lists. The intervention group benefited from financial support of $ edit food intake prevent allergies: 50. $ 100 per week (depending on the size of the household) for the purchase of yogurts and vegetables. A questionnaire made it possible to obtain comments on the intervention. A discussion group has collected suggestions for improvement.

The control group received $ 50 per week without nutritional education. The two groups provided 24 -hour food reminders at the start and the end of the study.

The data was analyzed by descriptive stratified statistics by randomization group. The differences between groups were evaluated by the exact Fischer test for categorical variables and T tests for continuous variables. Linear regression has evaluated the differences in variation in IAM between groups.

The maternal food index is significantly

Study membership was high. The participants favored the purchase in store (61 %), monitoring of the online order with withdrawal (33 %) or home delivery (5.6 %). The families of the intervention group spent in the median $ 26.5 edit food intake prevent allergies: ($ 17.9-38.6) on vegetables and $ 8.5 (0.0-13.9 $) in yogurt.

After adjusting the initial values, IAM increased in the 2.25-point intervention group (95 % CI: 0.3-4.2, p = 0.2) compared to the control group. Additionally, The majority of the participants of the intervention group expressed their satisfaction concerning: the usefulness of nutritional instructions (56 %). the usefulness of videos (78 %); the sufficient nature of financial support (89 %); ease of filling questionnaires (56 %); the ease of monitoring the diet (56 %); Easy food preparation (56 %); the overall assessment of the diet (67 %).

About 78 % would recommend this diet to others. All the participants said they could follow this diet for an additional 6 months. without the aversion to vegetables or the preference for processed foods constituting obstacles. However, 33 % did not appreciate yogurt.

The majority (89 %) of the participants believed that a smartphone application would edit food intake prevent allergies: facilitate the regime monitoring. Some have suggested providing more feeding information (33 %) and reducing the number of questionnaires (22 %).

Prevent allergies from pregnancy: a major public health issue

This study is part of the priority public health context to combat dietary imbalances in the United States. more generally in industrialized countries. It echoes a previous study (2) which suggested a link between maternal food intake during pregnancy. multiple allergic diseases in children.

These preliminary results. applicable to the main European countries, suggest a prevention of allergic diseases in utero by targeted nutritional interventions during pregnancy.