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Dietary management of infantile colic: a systematic review.

Abstract

Infantile colic, the cause of 10-20% of all early paediatrician visits, can lead to parental exhaustion and stress. A systematic review was conducted to examine whether dietary change provides an effective therapy for infantile colic. Six databases were searched from 1960, and 24 studies selected for inclusion. In breastfed infants, evidence suggests that a hypoallergenic maternal diet may be beneficial for reducing symptoms of colic. In formula-fed infants, colic may improve after changing from a standard cow's milk formula to either a hydrolysed protein formula or a soy-based formula. Fibre-supplemented formulae had no effect. Removal of poorly digested carbohydrates from the infant's diet has promise, but additional clinical studies must be conducted before a recommendation can be made. Use of a universal definition to measure symptoms of infantile colic and consistent analysis of urine and faecal samples would improve the evidence in this area.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Department of Nutrition and Dietetics, Monash Medical Centre, Southern Clinical School of Medicine, Monash University, Block E, Level 5, 246 Clayton Rd, Clayton, VIC 3168, Australia.

    , , ,

    Source

    Maternal and child health journal 16:6 2012 Aug pg 1319-31

    MeSH

    Breast Feeding
    Colic
    Crying
    Humans
    Infant
    Infant Formula
    Milk Hypersensitivity
    Milk, Human

    Pub Type(s)

    Journal Article
    Review
    Systematic Review

    Language

    eng

    PubMed ID

    21710185

    Citation

    Iacovou, Marina, et al. "Dietary Management of Infantile Colic: a Systematic Review." Maternal and Child Health Journal, vol. 16, no. 6, 2012, pp. 1319-31.
    Iacovou M, Ralston RA, Muir J, et al. Dietary management of infantile colic: a systematic review. Matern Child Health J. 2012;16(6):1319-31.
    Iacovou, M., Ralston, R. A., Muir, J., Walker, K. Z., & Truby, H. (2012). Dietary management of infantile colic: a systematic review. Maternal and Child Health Journal, 16(6), pp. 1319-31. doi:10.1007/s10995-011-0842-5.
    Iacovou M, et al. Dietary Management of Infantile Colic: a Systematic Review. Matern Child Health J. 2012;16(6):1319-31. PubMed PMID: 21710185.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Dietary management of infantile colic: a systematic review. AU - Iacovou,Marina, AU - Ralston,Robin A, AU - Muir,Jane, AU - Walker,Karen Z, AU - Truby,Helen, PY - 2011/6/29/entrez PY - 2011/6/29/pubmed PY - 2012/10/25/medline SP - 1319 EP - 31 JF - Maternal and child health journal JO - Matern Child Health J VL - 16 IS - 6 N2 - Infantile colic, the cause of 10-20% of all early paediatrician visits, can lead to parental exhaustion and stress. A systematic review was conducted to examine whether dietary change provides an effective therapy for infantile colic. Six databases were searched from 1960, and 24 studies selected for inclusion. In breastfed infants, evidence suggests that a hypoallergenic maternal diet may be beneficial for reducing symptoms of colic. In formula-fed infants, colic may improve after changing from a standard cow's milk formula to either a hydrolysed protein formula or a soy-based formula. Fibre-supplemented formulae had no effect. Removal of poorly digested carbohydrates from the infant's diet has promise, but additional clinical studies must be conducted before a recommendation can be made. Use of a universal definition to measure symptoms of infantile colic and consistent analysis of urine and faecal samples would improve the evidence in this area. SN - 1573-6628 UR - https://www.unboundmedicine.com/medline/citation/21710185/full_citation L2 - https://doi.org/10.1007/s10995-011-0842-5 DB - PRIME DP - Unbound Medicine ER -