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Whey hydrolysate compared with cow's milk-based formula for weaning at about 6 months of age in high allergy-risk infants: effects on atopic disease and sensitization.

Abstract

Ninety-one high atopy-risk infants were prospectively followed up to 18 months of age with regard to the development of allergic/atopic manifestations and sensitization. They were randomized into one of two feeding groups, i.e., a hydrolyzed, ultrafiltered cow's milk whey formula, Profylac (n = 32), or an ordinary cow's milk formula (n = 39), for 12 months, started after exclusive breast-feeding for 0-9 (median 6.0) months. Lactating mothers avoided milk, egg, and fish, as did the infants up to 12 months of age. Twenty of the 91 infants were breast-fed exclusively for more than 9 months and regarded as a control group. All infants were followed-up by questionnaires, physical examinations, skin prick tests, and determination of serum total IgE and cow' milk-specific IgE. The frequency of allergic/atopic disease was similar in the three groups. However, all three infants who developed cow's milk allergy with skin symptoms belonged to the cow's milk formula group. The skin prick test with whey hydrolysate was negative in all, while with cow's milk it was positive in eight infants. Growth was similar in the three groups. The study comprises too few infants to allow us to make statistically based statements. However, the difficulties encountered and the limited effects obtained by the use of whey hydrolysate at weaning at about 6 months of age made us conclude that we can spare high atopy-risk families this extra burden.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Department of Pediatrics, Motala General Hospital, Sweden.

    , ,

    Source

    Allergy 51:3 1996 Mar pg 192-5

    MeSH

    Animals
    Cattle
    Dermatitis, Atopic
    Food Hypersensitivity
    Humans
    Immunoglobulin E
    Infant
    Infant Food
    Milk
    Milk Hypersensitivity
    Milk Proteins
    Whey Proteins

    Pub Type(s)

    Clinical Trial
    Comparative Study
    Journal Article
    Randomized Controlled Trial
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    8781676

    Citation

    Odelram, H, et al. "Whey Hydrolysate Compared With Cow's Milk-based Formula for Weaning at About 6 Months of Age in High Allergy-risk Infants: Effects On Atopic Disease and Sensitization." Allergy, vol. 51, no. 3, 1996, pp. 192-5.
    Odelram H, Vanto T, Jacobsen L, et al. Whey hydrolysate compared with cow's milk-based formula for weaning at about 6 months of age in high allergy-risk infants: effects on atopic disease and sensitization. Allergy. 1996;51(3):192-5.
    Odelram, H., Vanto, T., Jacobsen, L., & Kjellman, N. I. (1996). Whey hydrolysate compared with cow's milk-based formula for weaning at about 6 months of age in high allergy-risk infants: effects on atopic disease and sensitization. Allergy, 51(3), pp. 192-5.
    Odelram H, et al. Whey Hydrolysate Compared With Cow's Milk-based Formula for Weaning at About 6 Months of Age in High Allergy-risk Infants: Effects On Atopic Disease and Sensitization. Allergy. 1996;51(3):192-5. PubMed PMID: 8781676.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Whey hydrolysate compared with cow's milk-based formula for weaning at about 6 months of age in high allergy-risk infants: effects on atopic disease and sensitization. AU - Odelram,H, AU - Vanto,T, AU - Jacobsen,L, AU - Kjellman,N I, PY - 1996/3/1/pubmed PY - 1996/3/1/medline PY - 1996/3/1/entrez SP - 192 EP - 5 JF - Allergy JO - Allergy VL - 51 IS - 3 N2 - Ninety-one high atopy-risk infants were prospectively followed up to 18 months of age with regard to the development of allergic/atopic manifestations and sensitization. They were randomized into one of two feeding groups, i.e., a hydrolyzed, ultrafiltered cow's milk whey formula, Profylac (n = 32), or an ordinary cow's milk formula (n = 39), for 12 months, started after exclusive breast-feeding for 0-9 (median 6.0) months. Lactating mothers avoided milk, egg, and fish, as did the infants up to 12 months of age. Twenty of the 91 infants were breast-fed exclusively for more than 9 months and regarded as a control group. All infants were followed-up by questionnaires, physical examinations, skin prick tests, and determination of serum total IgE and cow' milk-specific IgE. The frequency of allergic/atopic disease was similar in the three groups. However, all three infants who developed cow's milk allergy with skin symptoms belonged to the cow's milk formula group. The skin prick test with whey hydrolysate was negative in all, while with cow's milk it was positive in eight infants. Growth was similar in the three groups. The study comprises too few infants to allow us to make statistically based statements. However, the difficulties encountered and the limited effects obtained by the use of whey hydrolysate at weaning at about 6 months of age made us conclude that we can spare high atopy-risk families this extra burden. SN - 0105-4538 UR - https://www.unboundmedicine.com/medline/citation/8781676/Whey_hydrolysate_compared_with_cow's_milk_based_formula_for_weaning_at_about_6_months_of_age_in_high_allergy_risk_infants:_effects_on_atopic_disease_and_sensitization_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0105-4538&date=1996&volume=51&issue=3&spage=192 DB - PRIME DP - Unbound Medicine ER -