December 2014. Volume 10. Number 4

Gluten, breastfeeding and celiac disease, what’s new?

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Størdal K, White RA, Eggesbø M. Early feeding and risk of celiac disease in a prospective birth cohort. Pediatrics. 2013;132:e1202-9.

Reviewers: González Rodríguez MP1, Flores Antón B2.
1CS Algete. Imsalud. Madrid. España.
2Hospital Universitario de Fuenlabrada. Madrid. España.
Correspondence: María Paz González Rodríguez. Email: pazgonz@gmail.com
Reception date: 19/08/2014
Acceptance date: 23/08/2014
Publication date: 17/09/2014

Abstract

Authors' conclusions: the introduction of gluten later than 6 months of age is associated with an increased risk of celiac disease (CD). This study also reports an association between breastfeeding prolonged beyond 12 months' age and an increased risk for CD.

Reviewers' commentary: the aim of the study is to determine the existence of a “window period” for gluten introduction and also to know if breastfeeding at the time of gluten introduction is associated with a lower risk of CD. Given the design, the small effect size and the borderline significance of the main results, it is reassuring to follow current recommendations to maintain exclusive breastfeeding for the first six months (180 days) and to introduce gluten before seven months.

How to cite this article

González Rodríguez MP, Flores Antón B. El gluten, la lactancia materna y la enfermedad celiaca, ¿qué hay de nuevo? Evid Pediatr. 2014;10:63.

AVC | Critically appraised articles

Størdal K, White RA, Eggesbø M. Early feeding and risk of celiac disease in a prospective birth cohort. Pediatrics. 2013;132:e1202-9.

Reviewers: González Rodríguez MP1, Flores Antón B2.
1CS Algete. Imsalud. Madrid. España.
2Hospital Universitario de Fuenlabrada. Madrid. España.
Correspondence: María Paz González Rodríguez. Email: pazgonz@gmail.com
Reception date: 19/08/2014
Acceptance date: 23/08/2014
Publication date: 17/09/2014

How to cite this article

González Rodríguez MP, Flores Antón B. El gluten, la lactancia materna y la enfermedad celiaca, ¿qué hay de nuevo? Evid Pediatr. 2014;10:63.

References

  1. Ivarsson A, Myléus A, Norström F, van der Pals M, Rosén A, Högbert L, et al. Prevalence of childhood celiac disease and changes in infant feeding. Pediatrics. 2013;131:e687-94.
  2. Szajewska H, Chmielewska A, Piescik-Lech M, Ivarsson A, Kolacek S, Mearin ML, et al. Systematic review: early infant feeding and the prevention of coeliac diseases. Aliment Pharmacol Ther. 2012;36:607-18.
  3. Agostoni C, Decsi T, Fewtrell M, Goulet O, Kolacek S, Koletzko B, et al. Complementary feeding: a commentary by the ESPGHAN Committee on Nutrition. J Pediatr Gastroenterol Nutr. 2008;46:99-110.
  4. Principios de orientación para la alimentación complementaria del niño amamantado. Organización Panamericana de la Salud, Washington DC, 2003.
  5. Silano M, Agostoni C, Guandalini S. Effect of the timing of gluten introduction on the development of celiac disease. World J Gastroenterol. 2010;16:1939-42.
17/09/2014

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