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EAACI position paper on diet diversity in pregnancy,infancy and childhood: Novel concepts and implications for studies in allergy and asthma |
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| Authors: | Carina Venter Matthew Greenhawt Rosan W. Meyer Carlo Agostoni Imke Reese George du Toit Mary Feeney Kate Maslin Bright I. Nwaru Caroline Roduit Eva Untersmayr Berber Vlieg-Boerstra Isabella Pali-Schöll Graham C. Roberts Peter Smith Cezmi A. Akdis Ioana Agache Miriam Ben-Adallah Stephan Bischoff Remo Frei Holger Garn Kate Grimshaw Karin Hoffmann-Sommergruber Nonhlanhla Lunjani Antonella Muraro Lars K. Poulsen Harald Renz Milena Sokolowska Catherine Stanton Liam O'Mahony |
| Affiliation: | 1. Section of Allergy and Immunology, Children's Hospital Colorado, University of Colorado Denver School of Medicine, Aurora, CO, USA;2. Imperial College, London, UK;3. Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, Milano, Italy;4. Dietary Counseling and Nutrition Therapy Centre, Munich, Germany;5. Department of Paediatric Allergy, Division of Asthma, Allergy and Lung Biology, King's College London, London, UK Guy's & St Thomas' Hospital, London, UK;6. University of Plymouth, Plymouth, UK;7. Institute of Medicine, Krefting Research Centre, University of Gothenburg, Gothenburg, Sweden;8. University Children's Hospital Zurich, Zurich, Switzerland;9. Institute for Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria;10. Department of Paediatrics, OLVG, Amsterdam, The Netherlands;11. Department of Nutrition and Dietetics, Hanze University of Applied Sciences, Groningen, The Netherlands;12. The David Hide Asthma and Allergy Research Centre, St Mary’s Hospital, Newport, UK;13. School of Medicine, Griffith University, Southport, QLD, Australia;14. Christine Kühne-Center for Allergy Research and Education, Davos, Switzerland Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland;15. Transylvania University, Brasov, Romania;16. Institute of Nutritional Medicine, University of Hohenheim, Stuttgart, Germany;17. Philipps University of Marburg - Medical Faculty, Institute of Laboratory Medicine and Pathobiochemistry, Universities of Giessen and Marburg Lung Center (UGMLC), German Center for Lung Research (DZL), Marburg, Germany;18. Faculty of Medicine, Experimental Sciences & Human Development in Health Academic Units, University of Southampton, Southampton, UK Department of Dietetics, Salford Royal Foundation Trust, Salford, UK;19. Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland University of Cape Town, Cape Town, South Africa;20. Centro di Specializzazione Regionale per lo Studio e la Cura delle Allergie e delle Intolleranze Alimentari presso l'Azienda Ospedaliera, Università di Padova, Padova, Italy;21. Department of Skin and Allergy Diseases, Allergy Clinic, Copenhagen University Hospital at Gentofte, Copenhagen, Denmark;22. Institute of Laboratory Medicine, Universities of Giessen and Marburg Lung Center (UGMLC), German Center for Lung Research (DZL), Philipps Universität Marburg, Marburg, Germany;23. Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland;24. APC Microbiome Ireland, Teagasc Food Research Centre, Fermoy, Ireland |
| Abstract: | To fully understand the role of diet diversity on allergy outcomes and to set standards for conducting research in this field, the European Academy of Allergy and Clinical Immunology Task Force on Diet and Immunomodulation has systematically explored the association between diet diversity and allergy outcomes. In addition, a detailed narrative review of information on diet quality and diet patterns as they pertain to allergic outcomes is presented. Overall, we recommend that infants of any risk category for allergic disease should have a diverse diet, given no evidence of harm and some potential association of benefit in the prevention of particular allergic outcomes. In order to harmonize methods for future data collection and reporting, the task force members propose relevant definitions and important factors for consideration, when measuring diet diversity in the context of allergy. Consensus was achieved on practice points through the Delphi method. It is hoped that the definitions and considerations described herein will also enable better comparison of future studies and improve mechanistic studies and pathway analysis to understand how diet diversity modulates allergic outcomes. |
| Keywords: | asthma atopic dermatitis Diet diversity food allergy prevention rhinitis |