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Article Dans Une Revue World Allergy Organization Journal Année : 2021

Allergic diseases in infancy: I - Epidemiology and current interpretation

Résumé

Objective: Among non-communicable diseases, the prevalence of allergic diseases has increased significantly in the new millennium. The increase of allergic diseases is linked to the changing environment of infants. Methods: This narrative review summarizes the discussions and conclusions from the 8th Human Milk Workshop. Information from the fields of pediatrics, epidemiology, biology, microbiology, and immunology are summarized to establish a framework describing potential avenues for the prevention of allergic diseases in the future. Results: Several environmental circumstances are linked to the development of allergic diseases. While cesarean section is increasing the risk of allergies, early childhood exposure to a farm environment has a protective effect. From their analysis, nutritive and non-nutritive factors influencing the allergy risk in later life have been identified. The effect of breastfeeding on food allergy development is non-univocal. Human milk components including immunoglobulins, cytokines, and prebiotics have been indicated as important for allergy prevention. Conclusion: Many factors linked to the western lifestyle have been associated with the development of allergic diseases. This suggests several theories that may serve as a basis for new protective interventions. While it is indubitable that mother's milk protects from infectious diseases, its role in the prevention of allergic diseases is to be elucidated.
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hal-03455295 , version 1 (29-11-2021)

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Isabella Annesi-Maesano, Manja Fleddermann, Mathias Hornef, Erika von Mutius, Oliver Pabst, et al.. Allergic diseases in infancy: I - Epidemiology and current interpretation. World Allergy Organization Journal, 2021, 14 (11), pp.100591. ⟨10.1016/j.waojou.2021.100591⟩. ⟨hal-03455295⟩
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