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Evaluation of diet and growth in children with and without atopic eczema: follow-up study from birth to 4 years

Published online by Cambridge University Press:  08 March 2007

Kirsi Laitinen*
Affiliation:
Department of Paediatrics, Turku University Central Hospital, Turku, Finland Department of Biochemistry and Food Chemistry and Functional Foods Forum, University of Turku, Itäinen Pitkäkatu 4A, 5th Floor, 20520 Turku, Finland
Marko Kalliomäki
Affiliation:
Department of Paediatrics, Turku University Central Hospital, Turku, Finland
Tuija Poussa
Affiliation:
Stat-Consulting, Tampere, Finland
Hanna Lagström
Affiliation:
The Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland
Erika Isolauri
Affiliation:
Department of Paediatrics, Turku University Central Hospital, Turku, Finland Department of Paediatrics, University of Turku, Turku, Finland
*
*Corresponding author: Dr Kirsi Laitinen, fax +358 2 333 6862, email kirsi.laitinen@utu.fi
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Abstract

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Current research into dietary factors contributing to the development of allergic diseases is directed towards new active approaches instead of passive elimination diets. The present study aimed to investigate the explanatory role of the diet in a probiotic intervention study on the appearance of atopic eczema (AE) in childhood and the safety of perinatal supplementation with probiotics (Lactobacillus rhamnosus strain GG; ATCC 53 103). A prospective follow-up study from birth to 48 months of children (n 159) with a family history of allergic disease was carried out. Outcome measures included growth, dietary intake assessed with 4 d food diaries and their association with AE by logistic regression models. Increased intakes of retinol, Ca and Zn, with perinatal administration of probiotics, reduced the risk of AE, whilst an increase in intake of ascorbic acid increased the likelihood of AE. Perinatal administration of probiotics was safe, as it did not influence the height (mean difference 0·04 (95 % CI −0·33, 0·40) sd scores, P=0·852) or the weight-for-height (mean difference −3·35 (95 % CI −7·07, 0·37)%, P=0·077) of the children at 48 months with and without perinatal administration of probiotics. Up to 48 months, AE did not affect height (mean difference −0·05 (95 % CI −0·42, 0·33) sd scores, P=0·815), but mean weight-for-height in children with AE was −5·1 % (95 % CI −8·9, −1·2 %) lower compared with children without (P=0·010). The joint effects of nutrients and probiotics need to be considered in active prevention and management schemes for allergic diseases.

Type
Research Article
Copyright
Copyright © The Nutrition Society 2005

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