Evidence map›Paper›PMID 34177882›Full record

ReviewFrontiers in immunology2021

Strategies and Future Opportunities for the Prevention, Diagnosis, and Management of Cow Milk Allergy.

Benjamin Zepeda-Ortega, Anne Goh, Paraskevi Xepapadaki, Aline Sprikkelman, Nicolaos Nicolaou, Rosa Elena Huerta Hernandez, Amir Hamzah Abdul Latiff, Miu Ting Yat, Mohamed Diab, Bakr Al Hussaini and 5 more

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
6.6field-weighted citation impact, top 2% 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

29 citing papers in PubMed, 67 citations in OpenAlex.

  1. Trial
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  4. [Effect of interleukinZhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Foods (Basel, Switzerland) · 2024
    Article
  10. Article
  11. Review
  12. Review
  13. Cow's Milk Protein Allergy.Indian journal of pediatrics · 2024
    Review
  14. Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

15 authors at 13 institutions in 12 countries.

Benjamin Zepeda-OrtegaPediatric Allergist Private Practice, Angeles Lomas Hospital Huixquilucan Mexican State, Mexico City, Mexico.
Anne GohDepartment of Paediatrics, KK Women's and Children's Hospital, Singapore, Singapore.
Paraskevi XepapadakiAllergy Department, 2nd Pediatric Clinic, National and Kapodistrian University of Athens, Athens, Greece.
Aline SprikkelmanDepartment of Pediatric Pulmonology and Pediatric Allergology, Beatrix Children's Hospital, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Nicolaos NicolaouMedical School, University of Nicosia, Nicosia, Cyprus.
Rosa Elena Huerta HernandezPediatric Allergy Clinic, Pachuca, Mexico.
Amir Hamzah Abdul LatiffAllergy & Immunology Center, Pantai Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
Miu Ting YatDepartment of Paediatrics, Queen Elizabeth Hospital, Hong Kong, China.
Mohamed DiabPediatric Department Faculty of Medicine, Children Hospital Cairo University, Cairo, Egypt.
Bakr Al HussainiDepartment of Pediatrics, Abdul Aziz University Hospital, Jeddah, Saudi Arabia.
Budi SetiabudiawanDepartment of Child Health, Faculty of Medicine, Univesitas Padjadjaran, Bandung, Indonesia.
Urszula KudlaR&D, FrieslandCampina, Amersfoort, Netherlands.
R J Joost van NeervenR&D, FrieslandCampina, Amersfoort, Netherlands.
Leilani MuhardiMedical Affairs, Friesland Campina AMEA, Singapore, Singapore.
John O WarnerInflammation Repair and Development, National Heart and Lung Institute Imperial College, London, United Kingdom.
Cairo University · EGDr. Hasan Sadikin General Hospital · IDFrieslandCampina (Netherlands) · NLHospital Kuala Lumpur · MYKing Abdul Aziz University Hospital · SAKK Women's and Children's Hospital · SGMexican Association for the Clinical Research · MXNational and Kapodistrian University of Athens · GRQueen Elizabeth Hospital · CNUniversity of Cape Town · ZAUniversity of Groningen · NLUniversity of Nicosia · CYWageningen University & Research · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prevalence of food allergy has increased over the last 20-30 years, including cow milk allergy (CMA) which is one of the most common causes of infant food allergy. International allergy experts met in 2019 to discuss broad topics in allergy prevention and management of CMA including current challenges and future opportunities. The highlights of the meeting combined with recently published developments are presented here. Primary prevention of CMA should start from pre-pregnancy with a focus on a healthy lifestyle and food diversity to ensure adequate transfer of inhibitory IgG- allergen immune complexes across the placenta especially in mothers with a history of allergic diseases and planned c-section delivery. For non-breastfed infants, there is controversy about the preventive role of partially hydrolyzed formulae (pHF) despite some evidence of health economic benefits among those with a family history of allergy. Clinical management of CMA consists of secondary prevention with a focus on the development of early oral tolerance. The use of extensive Hydrolysate Formulae (eHF) is the nutrition of choice for the majority of non-breastfed infants with CMA; potentially with pre-, probiotics and LCPUFA to support early oral tolerance induction. Future opportunities are, among others, pre- and probiotics supplementation for mothers and high-risk infants for the primary prevention of CMA. A controlled prospective study implementing a step-down milk formulae ladder with various degrees of hydrolysate is proposed for food challenges and early development of oral tolerance. This provides a more precise gradation of milk protein exposure than those currently recommended.

Indexed as

AnimalsCattleDesensitization, ImmunologicDietary SupplementsFemaleHumansImmune ToleranceInfantInfant FormulaInfant, NewbornMilk HypersensitivityPrebioticsPregnancyProtein HydrolysatesPrebioticsProtein Hydrolysatescow milk allergyearly oral tolerance development milk ladderextensive hydrolysatehydrolysate step-wise approachintermediate extensive hydrolysatemanagementpartially hydrolysateprevention

Identifiers

PMID34177882
PMCPMC8222906
OpenAlexW3169180588

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.