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001-es BibID:BIBFORM072052
Első szerző:Szajewska, H.
Cím:Systematic review with meta-analysis : early infant feeding and coeliac disease - update 2015 / Szajewska H., Shamir R., Chmielewska A., Pieścik-Lech M., Auricchio R., Ivarsson A., Kolacek S., Koletzko S., Korponay-Szabo I., Mearin M. L., Ribes-Koninckx C., Troncone R.
Dátum:2015
ISSN:0269-2813 1365-2036
Megjegyzések:AimTo systematically update evidence on these practices to find out whetherthere is a need to revise current recommendations.MethodsMEDLINE, EMBASE and the Cochrane Library were searched from July2012 (end of last search) to February 2015 for studies of any design thatassessed the effect of gluten consumption and breastfeeding on the developmentof coeliac disease and/or coeliac disease-related autoimmunity.ResultsWe identified 21 publications, including two, new, large, randomised controlledtrials performed in high-risk infants. Exclusive or any breastfeeding,as well as breastfeeding at the time of gluten introduction, did not reducethe risk of developing coeliac disease during childhood. For infants at highrisk of developing coeliac disease, gluten introduction at 4 months of age invery small amounts, or at 6 or 12 months of age, resulted in similar ratesof coeliac disease diagnosis in early childhood. Later gluten introductionwas associated with later development of coeliac specific autoimmunity andcoeliac disease during childhood, but not total risk reduction. Observationalstudies indicate that consumption of a higher amount of gluten at weaningmay increase the risk for coeliac disease development.ConclusionsInfant feeding practices (breastfeeding, time of gluten introduction) have noeffect on the risk of developing coeliac disease during childhood (at least atspecific timeframes evaluated in the included studies), necessitating anupdate of current European recommendations.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
celiac
Megjelenés:Alimentary Pharmacology & Therapeutics 41 : 11 (2015), p. 1038-1054. -
További szerzők:Shamir, Raanan (gyermekgyógyász) Chmielewska, A. Piescik-Lech, M. Auricchio, Renata Ivarsson, Anneli Kolaček, Sanja Koletzko, Sibylle Korponay-Szabó Ilma (1959-) (gyermekgyógyász) Mearin, Maria Luisa Ribes-Koninckx, Carmen Troncone, Riccardo
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