Hydrolyzed Formulas for Allergy Prevention

Vandenplas, Yvan*; Bhatia, Jatinder; Shamir, Raanan; Agostoni, Carlo§; Turck, Dominique||; Staiano, Annamaria; Szajewska, Hania#

Journal of Pediatric Gastroenterology & Nutrition:
doi: 10.1097/MPG.0000000000000318
Invited Reviews
Abstract

Objectives: The aim of the present review was to provide recommendations on the use of hydrolysates in infants when formula feeding is initiated.

Methods: We performed an overview of reviews followed by a systematic review of subsequently published trials.

Results: We found 8 systematic reviews; only 1 study of limited quality was published afterwards. Certain extensively hydrolyzed casein and certain partially hydrolyzed whey formulas are appropriate for reducing the risk of allergy in infants at high risk when formula feeding is initiated.

Conclusions: In high-risk infants, when breast-feeding is not possible, hydrolysates of documented safety and efficacy have an indication in infant feeding up to the age 4 to 6 months.

Author Information

*UZ Brussel, Vrije Universiteit Brussel, Brussels, Belgium

Division of Neonatology, Department of Pediatrics, Georgia Regents University, Augusta

Schneider Children's Medical Center of Israel, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel

§Department of Pediatrics, IRCCS Ospedale Maggiore Policlinico, DISCCO, University of Milan, Milan, Italy

||Department of Pediatrics, Jeanne de Flandre Lille University Children's Hospital, Faculty of Medicine, University of Lille 2, Lille, France

Department of Translation Medical Science, Section of Pediatrics, University of Naples “Federico II,” Naples, Italy

#Department of Pediatrics, Medical University of Warsaw, Warsaw, Poland.

Address correspondence and reprint requests to Yvan Vandenplas, Department of Pediatrics, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium (e-mail: yvan.vandenplas@uzbrussel.be).

Received 3 December, 2013

Accepted 16 January, 2014

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C.A. has participated as a clinical investigator or speaker for Soremartec, Nestlé Nutrition Institute, and Nutricia. J.B. has given lectures for Abbott Nutritional Institute and Mead Johnson Nutritionals. R.S. has participated as a clinical investigator, advisory board member, consultant, or speaker for Abbott, Danone, Enzymotec, Ferrero, Nestlé Nutrition Institute, Nutricia, and Teva. H.S. has participated as a clinical investigator, advisory board member, consultant, and/or speaker for Abbott, Arla, Biogaia, Biocodex, Danone, Dicofarm, HiPP, Nestlé, Nestlé Nutrition Institute, Nutricia, Mead Johnson, Merck, and Sequoia. D.T. has participated as a clinical investigator or speaker for Danone and Nestlé. Y.V. has participated as a clinical investigator, advisory board member, consultant, and/or speaker for Abbott Nutrition, Biogaia, Biocodex, Danone, Hero, Nestlé Nutrition Institute, Nutricia, Mead Johnson, Merck, Orafti, Phacobel, Sari Husada, United Pharmaceuticals, Wyeth, and Yakult. A.S. reports no conflicts of interest.

© 2014 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology,