Pediatric
food
allergies
(FA)
are
a
significant
and
growing
health
concern,
especially
in
developed
countries.
The
most
recent
data
on
FA
epidemiology
children,
depicts
dramatic
picture
terms
of
prevalence,
incidence,
severity
(1,2).
Food
allergy
derives
from
negative
interaction
between
genetic
background
environmental
factors,
leading
to
breakdown
immune
tolerance
antigens
(3).During
the
last
decades
one
impressive
changes
factors
was
related
increased
exposure
ultraprocessed
foods
(UPF),
as
underlined
paper
by
Carucci
et
al.
included
this
issue.
In
Western
countries,
consumption
UPF
has
at
alarming
rate,
so
that
more
than
half
total
daily
dietary
energy
intake
children
(3,4).
ready
use
foods,
their
palatability,
low
costs
well
eye-catching
appearance,
make
very
attractive.
At
same
time
have
poor
nutritional
profile,
being
highly
processed,
rich
sugar,
fat
fibers
(3,5).The
highlights
mechanistic
role
UPF,
pathogenesis
eosinophilic
esophagitis
(EoE).
authors
underline
how
specific
component
(i.e.,
advanced
glycation
end
products)
activating
alarmin
signal
cause
alteration
epithelial
barrier
with
subsequent
abnormal
allergen
activation
type
2
(Th2)
inflammation.
result
pathway
may
direct
"switch
on"
EoE
inflammation,
also
demonstrated
clinical
preclinical
(3,5,6).
These
could
be
relevant
for
defining
innovative
strategies
preventing
managing
EoE.The
interesting
review
Nuyttens
elucidate
pathophysiology
gastrointestinal
classifying
IgE-,
non-IgE-mediated,
mixed
forms,
based
mechanisms
(7).Despite
presence/absence
IgE
against
failure
gut
microbiome
(GM)
alterations
mainstay
(8).The
pivotal
GM
system
led
concept
"GM-immune
axis"
(9).
This
mutual
dynamic
starts
early
life,
beginning
first
1000
days,
crucial
frame
which
axis
is
extremely
vulnerable.
During
period
several
negatively
or
positively
influence
axis,
setting
basis
current
future
status
child
(3,10)
Some
influencing
structure
function
life
(e.g.,
caesarean
delivery,
antibiotics
proton
pump
inhibitors
use,
consumption,
anti-septic
agents
exposure)
leads
decrease
microbial
diversity,
dysfunctional
GM,
resulting
lower
production
immunomodulatory
compounds
such
short
chain
fatty
acids
butyrate)
playing
regulating
differentiation
regulatory
T
(Treg)
cells.(3,10,11)
(Fig.
1).The
breakthrough
paradigm
shift
prevention.
Indeed,
many
years,
avoidance
prevention
infants
risk;
but
evidence
suggests
delaying
introduction
allergenic
not
prevent
sensitization
even
increase
risk
developing
FA,
described
research
topic
(7).
Accordingly,
EAACI
recommendations
prevention,
emphasize
protective
high
(12).In
addition,
avoiding
drugs
antibiotics,
inhibitors),
promoting
breastfeeding,
diet
fibres,
fermented
antioxidants,
omega-3
mother
babies,
effective
(3,10).
1).In
provided
Leone
al.,
management
pediatric
been
only
strict
identified
allergens,
years.
For
cow's
milk
(CMA)
management,
addition
CM
avoidance,
substitutes
formula
CMA
treatment,
different
formulae
Robert
E.
al,
comparing
opinions
group
Middle
East
expert
those
European
Society
Paediatric
Gastroenterology,
Hepatology
Nutrition
(ESPGHAN)
experts,
symptoms
(13).
decades,
"GM
changed
passing
passive
pro-active
approach
(10).The
modern
requires
personalized
aimed
education
about
ensure
an
optimal
growth
development;
it
includes
active
therapy
approach,
exploiting
ability
some
modulate
potentially
facilitating
occurrence
(10,14).Lastly,
et.
other
therapies,
oral
immunotherapy
(OIT),
described,
offering
new
hope
gradually
desensitizing
through
controlled
antigen
exposure,
help
biological
therapies
reduce
potential
side
effects
therapeutic
efficacy
OIT
(14).
Based
important
all
impacting
gut-microbiome
(red
arrow)
beneficial
able
(green
arrows).
Once
developed,
needs
managed
multistep
including
A)
Dietary
(allergen
substitutes,
healthy
diet);
B)
Adequate
macro
micro-nutrients
(stimulation
body
development);
C)
Active
tolerance).
Allergology International,
Год журнала:
2025,
Номер
unknown
Опубликована: Фев. 1, 2025
Immune
health
and
metabolic
functions
are
intimately
connected
via
diet
the
microbiota.
cells
continuously
exposed
to
a
wide
range
of
microbes
microbial-derived
compounds,
with
important
mucosal
systemic
ramifications.
Microbial
fermentation
dietary
components
in
vivo
generates
thousands
molecules,
some
which
integral
molecular
circuitry
that
regulates
immune
functions.
These
turn
protect
against
aberrant
inflammatory
or
hyper-reactive
processes
promote
effector
responses
quickly
eliminate
pathogens,
such
as
SARS-CoV-2.
Potent
tolerance
mechanisms
should
ensure
these
do
not
over-react
non-pathogenic
factors
(e.g.
food
proteins),
while
maintaining
ability
respond
infectious
challenges
robust,
effective
well
controlled
manner.
In
this
review
we
examine
shape
microbiota
composition
interactions
host
system,
their
associations
mediated
disorders
strategies
for
intervention.
Allergology International,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 1, 2025
Food
allergy
(FA)
is
a
growing
global
concern,
which
contributes
significantly
to
anaphylaxis
and
severe
allergic
reactions.
Despite
advancements
in
treatments
like
allergen
immunotherapy
biologics,
current
approaches
have
notable
limitations
there
pressing
need
for
new
therapeutic
strategies.
Recent
research
into
taste
receptors
has
unveiled
their
potential
role
FA,
offering
fresh
perspectives
understanding
managing
this
condition.
Taste
receptors,
particularly
type
1
(TAS1Rs/T1Rs,
sweet
receptors)
2
(TAS2Rs/T2Rs,
bitter
receptors),
are
distributed
not
only
the
oral
cavity
but
also
various
extra-oral
tissues,
interactions
with
immune
responses
increasingly
recognized.
This
review
highlights
connections
between
exploring
how
receptor
mechanisms
might
contribute
FA
pathogenesis
treatment.
especially
TAS2Rs,
include
multiple
subtypes
varying
ligand
specificities,
been
implicated
modulating
could
serve
as
targets
novel
therapies.
Additionally,
compounds
such
agents
sweeteners
that
interact
show
promise
influencing
outcomes.
emphasizes
further
of
involvement
suggests
targeting
these
provide
avenues
intervention
future.
Current Opinion in Clinical Nutrition & Metabolic Care,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 10, 2025
This
review
focuses
on
the
latest
information
regarding
role
of
complementary
feeding
practices
and
food
allergen
introduction
in
prevention
allergies.
Early
allergens
for
allergy
is
recommended
by
guidelines
supported
randomized
controlled
trials.
Diet
diversity
recommended,
studies
from
Asia.
A
European
study
indicated
that
diet
after
first
year
life
may
still
be
important
prevention.
The
systematic
reviews
indicate
there
an
association
between
ultra-processed
intake
development.
Plant
based
foods
fiber
play
modulating
gut
microbiome
which
has
been
associated
with
reduced
outcomes.
However,
increased
within
a
diverse
raises
questions
about
excessive
calorie
protein
but
can
managed
focusing
infant
satiety
cues.
clearly
further
supports
allergies
should
not
delayed
once
commenced.
to
support
Nutrients,
Год журнала:
2025,
Номер
17(6), С. 1014 - 1014
Опубликована: Март 14, 2025
Recently,
the
“epithelial
barrier
hypothesis”
has
been
proposed
as
a
key
factor
in
development
of
allergic
diseases,
such
food
allergies.
Harmful
environmental
factors
can
damage
epithelial
barriers,
with
detrimental
effects
on
host
immune
response
and
local
microbial
equilibrium,
resulting
chronic
mucosal
inflammation
that
perpetuates
dysfunction
barrier.
The
increased
permeability
allows
allergens
to
access
submucosae,
leading
an
imbalance
between
type
1
T-helper
(Th1)
2
(Th2)
inflammation,
predominant
Th2
is
allergy
development.
In
this
article
state
art,
we
review
scientific
evidence
hypothesis”,
focus
We
describe
how
loss
integrity
skin
intestinal
modifications
gut
microbiota
composition
contribute
inflammatory
changes
immunological
unbalance
lead
Nutrients,
Год журнала:
2025,
Номер
17(6), С. 1080 - 1080
Опубликована: Март 19, 2025
Background/Objectives:
Pediatric
patients
with
non-IgE-mediated
gastrointestinal
food
allergies
(non-IgE-GIFAs)
may
experience
alterations
of
nutritional
status.
This
non-randomized,
prospective
intervention
study
investigated
the
impact
dietary
counseling
on
status
in
pediatric
non-IgE-GIFAs.
Methods:
Patients
both
sexes
aged
0–14
years
newly
diagnosed
non-IgE-GIFAs
received
provided
by
certified
dietitians
immediately
after
diagnosis.
Nutritional
parameters
were
assessed
to
identify
at
baseline
and
12
months
(T12).
Results:
The
included
100
(58%
male,
mean
age
8.5
±
8.8
months).
Non-IgE-GIFAs
phenotypes
protein-induced
enteropathy
(FPE,
44%),
enterocolitis
syndrome
(FPIES,
11%),
allergic
proctocolitis
(FPIAP,
17%),
motility
disorders
(FPIMD,
28%).
At
diagnosis,
1%
was
affected
obesity
(1
FPIAP),
5%
overweight
(2
FPE,
1
FPIAP,
2
FPIMD),
7%
moderately
underweight
(5
FPE
severely
FPE),
stunted
(4
16%
wasted
(11
FPIES,
3
4%
FPIMD).
T12,
improvements
anthropometric
observed,
along
a
reduction
prevalence
malnutrition
excess
(6%
diagnosis
vs.
2%
T12)
undernutrition
subtypes
rate,
including
underweight,
stunting,
wasting
(26%
3%
p
<
0.001).
Conclusions:
can
negatively
patients.
Thus,
could
be
an
effective
strategy
for
preventing
managing
these
Frontiers in Nutrition,
Год журнала:
2025,
Номер
12
Опубликована: Апрель 7, 2025
The
prevalence
of
allergic
diseases
[e.g.,
asthma,
rhinitis
(AR),
atopic
dermatitis
(AD)]
has
increased
significantly
in
recent
years,
which
is
coincides
with
a
shift
modern
eating
habits.
Mediterranean
diet,
due
to
its
anti-inflammatory
properties,
may
be
beneficial
the
prevention
diseases.
However,
effects
on
have
not
been
sufficiently
studied.
We
investigated
relationship
between
adherence
diet
and
This
study
analyzed
(using
modified
score,
mMED)
dermatitis,
12,080
participants
using
data
from
2013-2016
Korean
National
Health
Nutrition
Examination
Survey
(KNHANES).
Multiple
logistic
regression
analyses
were
used
control
for
confounding
factors
such
as
age,
gender,
education
level,
income,
lifestyle.
In
multivariable
adjusted
models,
higher
mMED
had
lower
risk
developing
AD
(OR
0.57;
95%
CI,
0.36-0.92;
p
trend
=
0.0201).
When
stratified
by
sex,
this
reduction
was
more
significant
females
0.50;
0.27-0.96;
<0.05).
Across
components,
fish
peanut
intake
negatively
associated
occurrence
AR
0.55;
0.40-0.76;
<0.05,
OR
0.75;
0.65-0.87;
There
no
association
asthma
scores.
High
especially
women.
Fish
an
important
protective
role
against
Segurança Alimentar e Nutricional,
Год журнала:
2025,
Номер
31, С. e024035 - e024035
Опубликована: Апрель 4, 2025
Introdução:
Para
o
sucesso
das
ações
públicas
relacionadas
à
promoção
da
Segurança
Alimentar
e
Nutricional
(SAN)
ao
desenvolvimento
sustentável,
é
essencial
que
exista
uma
diversidade
de
alimentos
produzidos
pela
agricultura
familiar
(AF)
nos
diferentes
territórios
brasileiros.
Nesse
sentido,
reconhecimento
nas
diversas
regiões
brasileiras
pode
ser
um
recurso
importante
para
direcionamento
políticas
públicas.
Objetivo:
Analisar
a
distribuição
espacial
dos
origem
vegetal
AF
em
do
Brasil.
Métodos:
Trata-se
estudo
descritivo
exploratório
partir
dados
secundários
sobre
produção
obtidos
Censo
Agropecuário
(2017)
realizado
pelo
Instituto
Brasileiro
Geografia
Estatística.
Realizou-se
análises
descritivas
espaciais
total
no
Brasil
Regiões
Geográficas
Intermediárias
(RGI).
Resultados:
Os
mais
foram
milho
grão,
macaxeira
(mandioca,
aipim)
soja
grão.
As
RGI
produziram
média
57
alimentos.
A
apresentou
forte
correlação
(p<0,05)
com
formação
cluster
maior
variedade
Sudeste
menor
Nordeste
brasileiro.
Discussão:
rurais
apresentam
baixa
na
esbarram
restrições
desse
setor
agrícola,
além
serem
afetados
prevalência
Insegurança
Alimentar.
Conclusão:
achados
apontam
necessidade
incentivo
soberania
alimentar
por
meio
públicas,
vistas
garantia
SAN.