Top Tweets for #FAS2019
There is an Aronsson JAMA paper from 2019 which suggested higher gluten intake in the first 5 years of life being associated with increased risk of celiac disease among genetically predisposed children #FAS2019
Last talk is on changes in the Canada Food Guide and its relation to food allergy #FAS2019 There is a push to plant-based protein vs meat and a number of them are Top Ten allergens...
New Canadians had a significantly lower rate of reported Food Allergy than those born in Canada. For immigrants of >10 years, it was right in the middle #FAS2019
The rate of increase in ‘probable’ food allergy did not reach statistical significance but there was a trend and it did reach that for milk #FAS2019 This trend also happened for wheat. They tried to eliminate lactose intolerance and gluten sensitivity as causes but...
Hourihane: Recent data has shown strong uptake of early peanut introduction for the prevention of peanut allergy (à la LEAP) in Australia: 94% by the age of 1 in a recent study #FAS2019
The biggest ‘bottleneck’ presently is trying to get early introduction accomplished at every level. There are an increasing number of allergists but there will never be enough to do all the introductions in all the infants necessary #FAS2019
Once a food challenge has been successful it really should be followed by regular ingestion of the food...or you cannot really call it a success #FAS2019
Dr Hourihane: The LEAP study by @GoAllergy is as important to our field as the discovery of penicillin was to infectious disease #FAS2019
Dr Hourihane points out (in terms of having Epi more available in public places) that we do not require children to bring their own fire extinguishers to school 🧯 #FAS2019
In Ireland they’re finally getting to the point of having a 4th allergist....in the country...#FAS2019
Dr Sherman notes that the amount of bacteria in yogurt and kaffir is not high enough to influence the microbiome. The kind of effects that are looked for are on a logarithmic scale higher #FAS2019
Almost all the ‘probiotic’ products you find in health food stores do not contain live strains and therefore are not germane to discussions of likelihood of success for treatment of allergic diseases anyways #FAS2019
What do we recommend to Moms who ask about what they should do during pregnancy to prevent food allergies? Recommend Moms eat a healthy diverse diet during pregnancy and lactation without avoiding any specific foods #FAS2019
However a wide variety of foods having been introduced earlier does correlate with decreased risk for food allergy #FAS2019
We really have no data about the early introduction of foods other than egg and peanut being beneficial...but no data to suggest it’s detrimental either #FAS2019
There is no absolute indication for pre-emptive testing for foods before introduction in the most recent Canadian Pediatric Guidelines #FAS2019
The pooled data with early egg introduction does show reduced risk of egg allergy much like that for peanut #FAS2019
Unfortunately despite all this, there is still no definitive data supporting widespread use of probiotics (as we have them now) for the treatment of allergic diseases #FAS2019
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