Evidence map›Paper›PMID 37358892›Full record

ArticleJMIR research protocols2023

The Effectiveness of Early Food Introduction in Preventing Childhood Allergic Diseases: Protocol for a Systematic Review and Meta-Analysis.

Aisha Fadhilah Abang Abdullah, Nor Asiah Muhamad, Rimah Melati Ab Ghani, Nur Hasnah Maamor, Fatin Norhasny Leman, Chun Lai Too, Intan Hakimah Ismail, Nor Afiah Mohd Zulkefli, Ahmad Iqmer Nashriq Mohd Nazan, Salmiah Md Said

Open access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

10 authors at 2 institutions in 1 country.

Aisha Fadhilah Abang Abdullah *Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia.ORCID https://orcid.org/0000-0001-5389-1431
Nor Asiah Muhamad *Sector for Evidence-based Healthcare, National Institutes of Health, Ministry of Health, Selangor, Malaysia.ORCID https://orcid.org/0000-0002-7772-2103
Rimah Melati Ab GhaniSector for Evidence-based Healthcare, National Institutes of Health, Ministry of Health, Selangor, Malaysia.ORCID https://orcid.org/0000-0002-7186-0003
Nur Hasnah MaamorSector for Evidence-based Healthcare, National Institutes of Health, Ministry of Health, Selangor, Malaysia.ORCID https://orcid.org/0000-0001-6440-1725
Fatin Norhasny LemanSector for Evidence-based Healthcare, National Institutes of Health, Ministry of Health, Selangor, Malaysia.ORCID https://orcid.org/0000-0001-7329-8571
Chun Lai TooImmunogenetic Unit, Allergy and Immunology Research Center, Institute for Medical Research, National Institutes of Health, Ministry of Health, Shah Alam, Malaysia.ORCID https://orcid.org/0000-0002-4079-8454
Intan Hakimah IsmailDepartment of Paediatrics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia.ORCID https://orcid.org/0000-0003-4614-0140
Nor Afiah Mohd ZulkefliDepartment of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia.ORCID https://orcid.org/0000-0001-7505-5071
Ahmad Iqmer Nashriq Mohd NazanDepartment of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia.ORCID https://orcid.org/0000-0001-7018-7104
Salmiah Md SaidDepartment of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia.ORCID https://orcid.org/0000-0001-5865-2499
Ministry of Health · MYUniversiti Putra Malaysia · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAllergic diseases affect around 40% of the pediatric population worldwide. The coexistence of asthma, allergic rhinitis, eczema, and food allergy renders allergy treatment and prevention challenging. Infant feeding strategies recommend avoiding allergenic foods to prevent allergy development and anaphylaxis. However, recent evidence suggests that early consumption of food allergens during weaning in infants aged 4-6 months could result in food tolerance, thus reducing the risk of developing allergies.

objectiveThe aim of this study is to systematically review and carry out a meta-analysis of evidence on the outcome of early food introduction for preventing childhood allergic diseases.

methodsWe will conduct a systematic review of interventions through a comprehensive search of various databases including PubMed, Embase, Scopus, CENTRAL, PsycINFO, CINAHL, and Google Scholar to identify potential studies. The search will be performed for any eligible articles from the earliest published articles up to the latest available studies in 2023. We will include randomized controlled trials (RCTs), cluster RCTs, non-RCTs, and other observational studies that assess the effect of early food introduction to prevent childhood allergic diseases.

resultsPrimary outcomes will include measures related to the effect of childhood allergic diseases (ie, asthma, allergic rhinitis, eczema, and food allergy). PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines will be followed for study selection. All data will be extracted using a standardized data extraction form and the quality of the studies will be assessed using the Cochrane Risk of Bias tool. A summary of findings table will be generated for the following outcomes: (1) total number of allergic diseases, (2) rate of sensitization, (3) total number of adverse events, (4) improvement of health-related quality of life, and (5) all-cause mortality. Descriptive and meta-analyses will be performed using a random-effects model in Review Manager (Cochrane). Heterogeneity among selected studies will be assessed using the I

conclusionsThe results acquired from this study will contribute to the existing literature and harmonize recommendations for infant feeding with regard to the prevention of childhood allergic diseases.

trial registrationPROSPERO CRD42021256776; https://tinyurl.com/4j272y8a. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/46816.

Indexed as

allergyanaphylaxischildhoodchildhood allergic diseaseearly food introductionfood allergyinfantpediatricprotocolrandomized controlled trialsystematic reviewweaning

Identifiers

PMID37358892
PMCPMC10337433
OpenAlexW4366597727

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.