Evidence does not support specific maternal dietary interventions or allergen avoidance during pregnancy for prevention of atopic disease in children.
There is some evidence to suggest that dietary antigen avoidance by lactating mothers may reduce the severity of atopic dermatitis in infants, and reduce the risk of developing atopic dermatitis in children of high-risk women; larger trials are required.[39]Kramer MS, Kakuma R. Maternal dietary antigen avoidance during pregnancy or lactation, or both, for preventing or treating atopic disease in the child. Cochrane Database Syst Rev. 2012 Sep 12;(9):CD000133.
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD000133.pub3/full
http://www.ncbi.nlm.nih.gov/pubmed/22972039?tool=bestpractice.com
While probiotic treatment has been promoted as a preventive measure, the available data are of low or very low quality.[40]Cuello-Garcia CA, Brożek JL, Fiocchi A, et al. Probiotics for the prevention of allergy: a systematic review and meta-analysis of randomized controlled trials. J Allergy Clin Immunol. 2015 Oct;136(4):952-61.
https://www.jacionline.org/article/S0091-6749(15)00636-3/fulltext
http://www.ncbi.nlm.nih.gov/pubmed/26044853?tool=bestpractice.com
[41]Makrgeorgou A, Leonardi-Bee J, Bath-Hextall FJ, et al. Probiotics for treating eczema. Cochrane Database Syst Rev. 2018 Nov 21;(11):CD006135.
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006135.pub3/full
http://www.ncbi.nlm.nih.gov/pubmed/30480774?tool=bestpractice.com
[42]Tan-Lim CSC, Esteban-Ipac NAR, Recto MST, et al. Comparative effectiveness of probiotic strains on the prevention of pediatric atopic dermatitis: a systematic review and network meta-analysis. Pediatr Allergy Immunol. 2021 Aug;32(6):1255-70.
http://www.ncbi.nlm.nih.gov/pubmed/33811784?tool=bestpractice.com
One Cochrane systematic review determined that skincare interventions (e.g., emollients) utilized during the first year of life are unlikely to prevent atopic dermatitis in healthy infants, and may increase risk of skin infection and possibly food allergy.[43]Kelleher MM, Phillips R, Brown SJ, et al. Skin care interventions in infants for preventing eczema and food allergy. Cochrane Database Syst Rev. 2022 Nov 14;(11):CD013534.
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD013534.pub3/full
http://www.ncbi.nlm.nih.gov/pubmed/36373988?tool=bestpractice.com
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For infants, what are the effects of skin care to prevent or reverse an impaired skin barrier on the development of eczema and food allergies?/cca.html?targetUrl=https://www.cochranelibrary.com/cca/doi/10.1002/cca.4189/fullShow me the answer