Evidence map›Paper›PMID 42797009›Full record

ReviewNutrients2026

Early-Life Nutrition: The Interplay of Nutritional, Microbial, Genetic, and Environmental Factors in Food Allergy Development and Prevention.

Maria Rogalidou, Tania Siahanidou

Abstract readReview
In one paragraph

Review in Nutrients, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Maria RogalidouDivision of Gastroenterology, Hepatology & Nutrition, First Department of Pediatrics, Medical School, National & Kapodistrian University of Athens, "Agia Sofia" Children's Hospital, 11527 Athens, Greece.ORCID 0000-0001-5617-2432
Tania SiahanidouNeonatal Unit, First Department of Pediatrics, Medical School, National & Kapodistrian University of Athens, "Agia Sofia" Children's Hospital, 11527 Athens, Greece.ORCID 0000-0001-8991-0649

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFood allergy is an important health concern, particularly during infancy and early childhood. Its development reflects complex interactions between genetic susceptibility and early-life nutritional, microbial, epithelial, immunological, and environmental factors.

objectiveTo examine the role of early-life nutrition in the development and prevention of food allergy, with emphasis on its interplay with the gut microbiome, genetic and epigenetic susceptibility, epithelial barrier function, and environmental exposures.

methodsA structured literature search was conducted primarily in PubMed, supplemented by relevant articles identified through additional bibliographic databases and literature sources. Evidence was thematically synthesized across maternal nutrition, breastfeeding, complementary feeding, allergenic food introduction, dietary diversity, micronutrients, fatty acids, gut microbiome development, genetic and epigenetic mechanisms, and environmental exposures.

resultsEarly life represents a critical window for immune maturation and the establishment of oral tolerance. Nutritional exposures interact with the gut microbiome, epithelial integrity, and immune pathways, potentially influencing tolerance and sensitization. The most consistent evidence for primary prevention supports the timely introduction and continued ingestion of allergenic foods, particularly peanut and egg, during complementary feeding. Evidence remains insufficient or inconsistent to support maternal allergen avoidance, targeted supplementation, hydrolyzed formulas, probiotics, microbiome-directed interventions, or skin-barrier strategies as established preventive approaches. Associations involving microbiome composition, medication exposure, pollution, and other environmental factors remain heterogeneous and are largely observational.

conclusionsFood allergy reflects complex interactions among diet, microbiota, epithelial barriers, host susceptibility, and environmental exposures rather than a single causal factor.

Indexed as

Food HypersensitivityGastrointestinal MicrobiomeInfant Nutritional Physiological PhenomenaNutritional StatusBreast FeedingDietEnvironmental ExposureEpigenesis, GeneticFemaleGenetic Predisposition to DiseaseHumansInfantInfant, NewbornMaternal Nutritional Physiological Phenomenaallergenic food introductioncomplementary feedingearly-life nutritionenvironmental exposuresepithelial barrierfood allergygenetic susceptibilitygut microbiomeimmune developmentoral tolerance

Identifiers

PMID42797009
PMCPMC13610688

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Registered trials

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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.