Vesta Nutrition , Growing Healthy Families
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About Vesta Nutrition

Growing Healthy Families

Vesta Nutrition is a Seattle-based private nutrition practice providing home-based services. Vesta specializes in pediatric and family nutrition, public speaking and general nutrition coaching. More information is available at www.vestanutrition.com


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  • Comment on Vesta Nutrition's answer…
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    Hi Holly, sorry it took me so long to answer your question.

    The prevention of food allergies is a complex issue. Essentially, it is unknown exactly how one person ends up with a food allergy and another does not. Genetics play a significant role, as your family knows all too well. Whether or not a mother can help prevent a food allergy in her unborn baby has not been well-researched and there are many theories available on when to introduce solid and complimentary foods.

    In 2008, The American Academy of Pediatrics adjusted their recommendations on the prevention of food allergies after it was discovered that delayed introduction of allergens did not prevent an allergy from developing. The new recommendations highlight the lack of evidence that maternal diet during pregnancy or breastfeeding can help prevent atopic disease (asthma, food allergy, eczema, etc…). They also support exclusive breastfeeding of children who are at high risk for developing a food allergy until 4-6 months of age when they could be started on solid foods. One complicating factor, in your case is that most of the existing studies on this topic look at dairy, egg and nut allergies, rather than at Celiac disease, which is a separate condition in many respects.

    There is a study going on currently in the Netherlands that hopes to assess slow introduction of gluten during pregnancy to help prevent Celiac disease. However, the results of this study will not be known for many years and there is not enough existing data to know if this hypothesis is true. As far as we know now, no particular intervention (such as the avoidance of an allergen by the mother during pregnancy) has been shown to have a definitive effect on the development of food allergy.

    Because there is a lack of research supporting any one method of prevention, your plan of action as an expectant mother is largely left up to you. Because you have a very strong family history of Celiac disease and you are sensitive to gluten, your baby will likely grow up in an environment that is mostly gluten-free. There is no concrete data supporting any particular method of food introduction as a way to help prevent Celiac in your baby. When the time comes (around 6 months of age) to introduce solid foods into your baby’s diet, you should work closely with your pediatrician or a dietitian to find the best time to introduce gluten to your baby. This will depend on his/her growth, development and any indicators of food intolerance. Because of the strong genetic component to Celiac disease, your baby will be at increased risk for a sensitivity and should be watched carefully during the initial introduction of any gluten-containing food, but, unfortunately, there is no “window” of time that has been shown to help with Celiac development. If your baby does indeed have Celiac as he/she gets older, take comfort in the fact that your family will be so supportive and it is getting easier by the day to follow a gluten-free diet.

    I hope this was helpful. For more information on food allergy prevention and the management of Celiac disease, check out these websites: www.aap.org, www.celiac.org, www.foodallergy.org
    Please note that nothing I write on this forum should used to prevent, diagnose or treat any medical condition and should not be a substitute for medical care.

    Greer FR, Sicherer SH, Burks, W. Effects of Early Nutritional Interventions on the Development of Atopic Disease in Infants and Children: the Role of Maternal Dietary Restriction, Breastfeeding, Timing of Introduction of Complimentary Foods, and Hydrolyzed Formulas. Published in Pediatrics. 2008; 121(1), 183-191.

    Zeiger RS. Food allergen avoidance in the prevention of food allergy in infants and children. Published in Pediatrics. 2003 Jun;111(6 pt 3):1662-71.

    Du Toit G, Lack G. Can Food Allergy Be Prevented? The Current Evidence. Published in The Pediatric Clinics of North America 58(2011) 481-509.

    Hogen E, Elisabeth C, Rosen A, Auricchip R, Romano J,et al. The PreventCD Study design: towards new strategies for the prevention of coeliac disease. Published in the European Journal of Gastroenterology and Hepatology. 2010 Dec;22(12):1424-30.

  • newborns and gluten intolerance
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    Hi Holly,

    Your question is an interesting one and a little complicated. I'm working on an answer, but I'd like to provide an accurate one, so I need to do a little research. Will get back to you soon.

  • Have you heard of Ellen Satter
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    Hi Sean. Ellyn Satter's approach was originally designed for weight control in children, however her theories can be applied to all families, no matter the child's weight or health issues. Ellyn's "division of responsibility" provides a framework for parents to use when feeding their children that can alleviate stress and allow them to distinguish their roles at mealtime from their child's. I often recommend Satter's books for parents, as do many of the dietitians I work with.

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    newborns and gluten intolerance

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    Have you heard of Ellen Satter

  • See all of my 0 Questions , 2 Answers and 1 Comment