Evidence map›Paper›PMID 33636342›Full record

ArticleAnnals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology2021

Provider recommendations and maternal practices when providing breast milk to children with immunoglobulin E-mediated food allergy.

Hannah Wangberg, Samantha R Spierling Bagsic, John Kelso, Kathleen Luskin, Cathleen Collins

Open access · greenAbstract read
In one paragraph

Article in Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 49% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Hannah WangbergDepartment of Allergy, Asthma, and Immunology, Scripps Health, San Diego, California. Electronic address: Wangberg.Hannah@scrippshealth.org.
Samantha R Spierling BagsicScripps Whittier Diabetes Institute, Scripps Health, San Diego, California.
John KelsoDepartment of Allergy, Asthma, and Immunology, Scripps Health, San Diego, California.
Kathleen LuskinDepartment of Allergy, Asthma, and Immunology, Scripps Health, San Diego, California.
Cathleen CollinsDepartment of Allergy, Asthma, and Immunology, Rady Children's Hospital-San Diego, San Diego, California.
Scripps Health · USRady Children's Hospital-San Diego · US

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Scripps Translational Science InstituteUL1TR002550 · NCATS · SCRIPPS RESEARCH INSTITUTE, THE · PI TOPOL, ERIC JEFFREY · 2018 to 2022
$28.9M
Scripps Clinical and Translational Science HubUM1TR004407 · NCATS · SCRIPPS RESEARCH INSTITUTE, THE · PI Eric Jeffrey Topol · 2023 to 2026
$24.2M
Role of dysbiotic commensal bacteria in modulating airway inflammation in a mouse model with human lung immune systemR21AI139649 · NIAID · WASHINGTON UNIVERSITY · PI SHAN, LIANG, WANG, LEYAO · 2019 to 2020
$431k
NCATS NIH HHS UL1 TR002345NCATS NIH HHS UL1 TR002550NCATS NIH HHS UM1 TR004407NIAID NIH HHS R21 AI139649
6 · The paper itself

Abstract

backgroundThere is limited research investigating maternal dietary practices and health care provider recommendations when providing breast milk (BM) to children with immunoglobulin (Ig) E-mediated food allergy.

objectiveTo explore health care provider recommendations and maternal practices when providing BM to children with IgE-mediated food allergy and to assess for possible IgE-mediated reactions to BM while the mother consumed the food to which her child has allergy.

methodsA web-based survey was distributed to breastfeeding (BF) mothers of children with IgE-mediated food allergies. Reported reactions to BM were scored by an allergist, provided only with the details of the possible reaction and not the suspect allergen or route of exposure, as to the likelihood that the reaction was IgE mediated.

resultsA total of 133 mothers completed the survey. After food allergy diagnosis, 47.4% (n = 63) of the mothers reported that they were advised by their health care provider to continue BF without dietary restriction, 17.3% (n = 23) were advised to avoid eating the food(s) their child has allergy to while BF, and in 28.6% (n = 38), this concern was not addressed. A few of the mothers (12%, 16/133) reported that their child experienced an allergic reaction to BM. An allergist evaluated most of these reactions (75%, 12/16) as not likely IgE mediated.

conclusionThis study exposed inconsistent recommendations for mothers providing BM to children with IgE-mediated food allergies. Most mothers were able to consume the food their child has allergy to without adverse sequelae. Standardized, evidence-based recommendations would enhance the well-being of these mother-infant dyads.

Indexed as

Breast FeedingAdultChild, PreschoolFood HypersensitivityHumansImmunoglobulin EInfantMilk, HumanPractice Patterns, Physicians'Surveys and QuestionnairesImmunoglobulin E

Identifiers

PMID33636342
PMCPMC8102364
OpenAlexW3131572134

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.