IS Is probiotic supplementation effective in treating food allergy in children? An integrative review

Introduction: Food allergies are defined as an adverse immunological reaction that is repeated through exposure to a particular food. These reactions range from anaphylaxis (more severe) to gastrointestinal manifestations. The recommended treatment of food allergies is the absolute exclusion of food...

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Principais autores: Filizola Dantas Carneiro, Tatiana, Christiane de Azevedo Machado, Flávia, de Oliveira, Suelen Ferreira
Formato: Online
Idioma:por
Publicado em: Portal de Periódicos Eletrônicos da UFRN
Endereço do item:https://periodicos.ufrn.br/rcp/article/view/23419
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institution Periódicos UFRN
collection Portal de Pediódicos Eletrônicos da UFRN
language por
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author Filizola Dantas Carneiro, Tatiana
Christiane de Azevedo Machado, Flávia
de Oliveira, Suelen Ferreira
spellingShingle Filizola Dantas Carneiro, Tatiana
Christiane de Azevedo Machado, Flávia
de Oliveira, Suelen Ferreira
IS Is probiotic supplementation effective in treating food allergy in children? An integrative review
author_facet Filizola Dantas Carneiro, Tatiana
Christiane de Azevedo Machado, Flávia
de Oliveira, Suelen Ferreira
author_sort Filizola Dantas Carneiro, Tatiana
title IS Is probiotic supplementation effective in treating food allergy in children? An integrative review
title_short IS Is probiotic supplementation effective in treating food allergy in children? An integrative review
title_full IS Is probiotic supplementation effective in treating food allergy in children? An integrative review
title_fullStr IS Is probiotic supplementation effective in treating food allergy in children? An integrative review
title_full_unstemmed IS Is probiotic supplementation effective in treating food allergy in children? An integrative review
title_sort is is probiotic supplementation effective in treating food allergy in children? an integrative review
description Introduction: Food allergies are defined as an adverse immunological reaction that is repeated through exposure to a particular food. These reactions range from anaphylaxis (more severe) to gastrointestinal manifestations. The recommended treatment of food allergies is the absolute exclusion of food from the child's diet.  Objective: This is an integrative literature review with the purpose to evaluate the effectiveness of probiotics in the treatment of food allergies in children, relieving symptoms or inducing tolerance, identifying the most effective strain, dosage and adverse effects. Methodology: We performed a systematic search using the keywords “probiotics”, “treatment”, “food allergy”, “children”, and “infant” in the following scientific databases: Science Direct, the Scientific Electronic Library Online (SciELO), Virtual Health Library (BVS), Latin American and Caribbean Health Sciences (LILACS), PubMed, and MEDLINE. After applying the exclusion criteria, we selected four randomized clinical trials, five reviews and one meta-analysis. In all of them, the children were diagnosed with cow’s milk allergy (CMA). Results: The studies have indicated that the use of extensively hydrolysed milk formula with the addition of Lactobacillus rhamnosus GG with dosage ranging from 1x106 to 5x108 cfu/g is effective in inducing tolerance and reducing severity of eczema in infants with no history of anaphylactic symptoms. Conclusions: Before prescribing probiotics in everyday clinical practice, it should be performed more clinical trials with greater groups of children. The safety of the supplementation in children also needs to be better assessed. Keywords: Probiotics; Efficacy; Food Hypersensitivity; Milk Hypersensitivity; Child.
publisher Portal de Periódicos Eletrônicos da UFRN
publishDate 2021
url https://periodicos.ufrn.br/rcp/article/view/23419
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spelling oai:periodicos.ufrn.br:article-234192021-09-13T11:52:40Z IS Is probiotic supplementation effective in treating food allergy in children? An integrative review Es ¿Es eficaz la suplementación con probióticos en el tratamiento de la alergia alimentaria en los niños? Una revisión integradora A SUPLEMENTAÇÃO COM PROBIÓTICOS É EFICAZ NO TRATAMENTO DE ALERGIA ALIMENTAR EM CRIANÇAS? REVISÃO INTEGRATIVA Filizola Dantas Carneiro, Tatiana Christiane de Azevedo Machado, Flávia de Oliveira, Suelen Ferreira Introduction: Food allergies are defined as an adverse immunological reaction that is repeated through exposure to a particular food. These reactions range from anaphylaxis (more severe) to gastrointestinal manifestations. The recommended treatment of food allergies is the absolute exclusion of food from the child's diet.  Objective: This is an integrative literature review with the purpose to evaluate the effectiveness of probiotics in the treatment of food allergies in children, relieving symptoms or inducing tolerance, identifying the most effective strain, dosage and adverse effects. Methodology: We performed a systematic search using the keywords “probiotics”, “treatment”, “food allergy”, “children”, and “infant” in the following scientific databases: Science Direct, the Scientific Electronic Library Online (SciELO), Virtual Health Library (BVS), Latin American and Caribbean Health Sciences (LILACS), PubMed, and MEDLINE. After applying the exclusion criteria, we selected four randomized clinical trials, five reviews and one meta-analysis. In all of them, the children were diagnosed with cow’s milk allergy (CMA). Results: The studies have indicated that the use of extensively hydrolysed milk formula with the addition of Lactobacillus rhamnosus GG with dosage ranging from 1x106 to 5x108 cfu/g is effective in inducing tolerance and reducing severity of eczema in infants with no history of anaphylactic symptoms. Conclusions: Before prescribing probiotics in everyday clinical practice, it should be performed more clinical trials with greater groups of children. The safety of the supplementation in children also needs to be better assessed. Keywords: Probiotics; Efficacy; Food Hypersensitivity; Milk Hypersensitivity; Child. Introducción: Las alergias alimentarias se definen como una reacción inmunológica adversa que se repite a través de la exposición a un alimento en particular. Estas reacciones van desde la anafilaxia (más grave) hasta las manifestaciones gastrointestinales. El tratamiento recomendado para las alergias alimentarias es la exclusión absoluta de los alimentos de la dieta del niño.  Objetivo: Mediante una revisión bibliográfica integradora, se evalúa la eficacia de los suplementos probióticos en el tratamiento de las alergias alimentarias en los niños, la reducción de los síntomas y/o la adquisición de tolerancia, identificando la cepa más eficaz, la relación dosis-respuesta y los efectos adversos de su uso. Metodología: Para la búsqueda de ensayos clínicos y otras revisiones, se utilizaron las bases científicas Science Direct, la Biblioteca Científica Electrónica en Línea (SciELO), la Biblioteca Virtual en Salud (BVS), Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS), PubMed y MEDLINE, con las palabras clave "probióticos", "tratamiento", "alergia alimentaria", "niños" e "infantes". Tras aplicar los criterios de exclusión, se seleccionaron cuatro ensayos clínicos aleatorios, cinco revisiones y un metaanálisis; la muestra de todos los estudios fue de lactantes con alergia a la proteína de la leche de vaca (VLA). Resultados: Los estudios demostraron que el uso de la fórmula infantil hidrolizada extensamente (FEH) con Lactobacillus rhamnosus GG, en dosis de 1x106 a 5x108 ufc/g, es eficaz tanto para acelerar la mejora del eccema atópico como para inducir la tolerancia en niños de 1 mes a 3 años de edad que no tienen reacciones anafilácticas a la leche de vaca. Conclusiones: se deberían realizar más ensayos clínicos con muestras más grandes antes de incluir los probióticos en la práctica clínica, entre otras cosas para evaluar mejor su perfil de seguridad. Palabras clave: Probióticos; Eficacia; Hipersensibilidad alimentaria; Hipersensibilidad a la leche; Niño. Introdução: As alergias alimentares são definidas como uma reação imunológica adversa que se repete mediante a exposição a determinado alimento. Essas reações variam da anafilaxia (mais grave) à manifestações gastrointestinais. O tratamento preconizado das alergias alimentares é a exclusão absoluta do alimento da dieta da criança. Objetivo: Através de uma revisão integrativa de literatura, avaliamos a eficácia da suplementação com probióticos no tratamento de alergias alimentares em crianças, na redução dos sintomas e/ou na aquisição de tolerância, identificando cepa mais eficaz, relação dose-resposta e efeitos adversos de seu uso. Metodologia: Para busca de ensaios clínicos e outras revisões, utilizamos as bases científicas Science Direct, a Scientific Electronic Library Online (SciELO), Biblioteca Virtual em Saúde (BVS), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), PubMed e MEDLINE, com as palavras-chave “probiotics”, “treatment”, “food allergy”, “children”, e “infant”. Após a aplicação dos critérios de exclusão, foram selecionados quatro ensaios clínicos randomizados, cinco revisões e uma metanálise; a amostra de todos os estudos foi de lactentes com alergia à proteína do leite de vaca (APLV). Resultados: Os estudos apontaram que o uso de fórmula infantil extensamente hidrolisada (FEH) com Lactobacillus rhamnosus GG, em doses de 1x106 a 5x108 cfu/g, é eficaz tanto em acelerar a melhora do eczema atópico, como em induzir tolerância em crianças na faixa de idade de 1 mês a 3 anos que não tenham reações anafiláticas ao leite de vaca. Conclusões: Outros ensaios clínicos com amostras maiores devem ser realizados antes de incluir os probióticos na prática clínica, inclusive para avaliar melhor seu perfil de segurança. Palavras-Chave: Probióticos, Eficácia; Hipersensibilidade Alimentar; Hipersensibilidade a Leite; Criança. Portal de Periódicos Eletrônicos da UFRN 2021-08-28 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://periodicos.ufrn.br/rcp/article/view/23419 Revista Ciência Plural; v. 7 n. 3 (2021): Revista Ciência Plural; 251-271 2446-7286 10.21680/2446-7286.2021v7n3 por https://periodicos.ufrn.br/rcp/article/view/23419/14665 Copyright (c) 2021 Revista Ciência Plural

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