Evidence map›Paper›PMID 34444922›Full record

ReviewNutrients2021

Hydrolysed Formulas in the Management of Cow's Milk Allergy: New Insights, Pitfalls and Tips.

Enza D'Auria, Silvia Salvatore, Miriam Acunzo, Diego Peroni, Erica Pendezza, Elisabetta Di Profio, Giulia Fiore, Gian Vincenzo Zuccotti, Elvira Verduci

Open access · goldAbstract readReview
In one paragraph

Review in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
5.7field-weighted citation impact, top 3% 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

27 citing papers in PubMed, 62 citations in OpenAlex.

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  8. Term infant formula macronutrient composition: An update for clinicians.Journal of pediatric gastroenterology and nutrition · 2025
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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

9 authors at 3 institutions in 1 country.

Enza D'AuriaDepartment of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, 20154 Milan, Italy.ORCID 0000-0003-2750-5810
Silvia SalvatoreDepartment of Pediatrics, Ospedale "F. Del Ponte", University of Insubria, 21100 Varese, Italy.
Miriam AcunzoDepartment of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, 20154 Milan, Italy.
Diego PeroniDepartment of Clinical and Experimental Medicine, Section of Pediatrics, University of Pisa, 56126 Pisa, Italy.ORCID 0000-0002-0234-1373
Erica PendezzaDepartment of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, 20154 Milan, Italy.ORCID 0000-0002-4966-7389
Elisabetta Di ProfioDepartment of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, 20154 Milan, Italy.
Giulia FioreDepartment of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, 20154 Milan, Italy.
Gian Vincenzo ZuccottiDepartment of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, 20154 Milan, Italy.ORCID 0000-0002-2795-9874
Elvira VerduciDepartment of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, 20154 Milan, Italy.ORCID 0000-0003-2111-3111
University of Milan · ITUniversity of Insubria · ITUniversity of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An allergy to cow's milk requires the avoidance of cow's milk proteins and, in some infants, the use of a hypoallergenic formula. This review aims to summarize the current evidence concerning different types of hydrolysed formulas (HF), and recommendations for the treatment of IgE- and non-IgE-mediated cow's milk allergy and functional gastrointestinal disorders in infancy, for which some dietary intervention and HF may be of benefit to both immune and motor mechanisms. Current guidelines recommend cow's milk protein (i.e., whey or casein) extensively hydrolysed formula (eHF) as the first choice for cow's milk allergy treatment, and amino acid formulas for more severe cases or those with reactions to eHF. Rice hydrolysed formulas (rHF) have also become available in recent years. Both eHF and rHF are well tolerated by the majority of children allergic to cow's milk, with no concerns regarding body growth or adverse effects. Some hydrolysates may have a pro-active effect in modulating the immune system due to the presence of small peptides and additional components, like biotics. Despite encouraging results on tolerance acquisition, evidence is still not conclusive, thus hampering our ability to draw firm conclusions. In clinical practice, the choice of hypoallergenic formula should be based on the infant's age, the severity, frequency and persistence of symptoms, immune phenotype, growth pattern, formula cost, and in vivo proof of tolerance and efficacy.

Indexed as

Amino AcidsAnimalsCattleFemaleHumansImmune ToleranceInfantInfant FormulaInfant, NewbornMaleMilk HypersensitivityMilk ProteinsOryzaProtein HydrolysatesAmino AcidsMilk ProteinsProtein Hydrolysatesamino-acid based formulascow’s milk allergycow’s milk protein-based hydrolysed formulasimmune modulationvegetable protein based hydrolysed formulas

Identifiers

PMID34444922
PMCPMC8401609
OpenAlexW3188754150

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.