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Systematic Review Question

What is the relationship between maternal diet during pregnancy and lactation and risk of child food allergies and atopic allergic diseases?

Conclusion Statement

Food allergy

Pregnancy
Insufficient evidence is available to determine the relationship between lower or restricted consumption of cow milk products during pregnancy only, or during both pregnancy and lactation, and risk of food allergy in the child. (Grade: Grade not assignable)

Insufficient evidence is available to determine the relationship between peanuts, eggs, or wheat consumed during pregnancy and risk of food allergy in the child. (Grade: Grade not assignable)

Limited evidence suggests no relationship between soybean consumed during pregnancy and risk of food allergy in the child.  (Grade: Limited)

No evidence is available to determine the relationship between maternal dietary patterns or fish, tree nuts and seeds, and foods not commonly considered to be allergens, such as meat, vegetables, and fruits consumed during pregnancy and risk of food allergy in the child. (Grade: Grade not assignable)

Lactation
Insufficient evidence is available to determine the relationship between lower or restricted consumption of cow milk products during both pregnancy and lactation and risk of food allergy in the child. (Grade: Grade not assignable)

No evidence is available to determine the relationship between maternal dietary patterns or cow milk products, eggs, peanuts, soybean, wheat, fish, tree nuts and seeds, and foods not commonly considered to be allergens, such as meat, vegetables, and fruits consumed during lactation and risk of food allergy in the child. (Grade: Grade not assignable)

Atopic dermatitis/eczema

Pregnancy
Moderate evidence indicates that lower or restricted consumption of cow milk products during pregnancy does not reduce the risk of atopic dermatitis/eczema in the child. (Grade: Moderate)

Moderate evidence indicates that lower or restricted consumption of egg during pregnancy does not reduce the risk of atopic dermatitis/eczema in the child. (Grade: Moderate)

Insufficient evidence is available to determine the relationship between cow milk products and eggs restricted during both pregnancy and lactation and risk of atopic dermatitis/eczema in the child. (Grade: Grade not assignable)

Limited evidence suggests that fish consumed during pregnancy does not increase the risk of atopic dermatitis/eczema in the child. (Grade: Limited)

Limited evidence suggests that dietary patterns during pregnancy are not associated with risk of atopic dermatitis/eczema in the child. (Grade: Limited)

Insufficient evidence is available to determine the relationship between peanuts, soybean, wheat/cereal, yogurt and probiotic milk products, and foods not commonly considered to be allergens, such as meat, vegetables, and fruits, consumed during pregnancy and risk of atopic dermatitis/eczema in the child. (Grade: Grade not assignable)

No evidence is available to determine the relationship between tree nuts and seeds consumed during pregnancy and risk of atopic dermatitis/eczema in the child. (Grade: Grade not assignable)

Lactation
Insufficient evidence is available to determine the relationship between cow milk products restricted during both pregnancy and lactation, or during lactation only, and risk of atopic dermatitis/eczema in the child. (Grade: Grade not assignable)

Insufficient evidence is available to determine the relationship between egg consumption restricted during both pregnancy and lactation and risk of atopic dermatitis/eczema in the child. (Grade: Grade not assignable)  

No evidence is available to determine the relationship between maternal dietary patterns or yogurt and probiotic milk products, eggs, fish, peanuts, tree nuts and seeds, soybean, wheat/cereal, and foods not commonly considered to be allergens, such as meat, vegetables, and fruits, consumed during lactation and risk of atopic dermatitis/eczema in the child. (Grade: Grade not assignable)

Allergic rhinitis

Pregnancy
Insufficient evidence is available to determine the relationship between cow milk products (fermented or non-fermented) consumed during pregnancy only, or during both pregnancy and lactation, and risk of allergic rhinitis in the child. (Grade: Grade not assignable)

Moderate evidence indicates that lower or restricted consumption of eggs during pregnancy does not reduce the risk of allergic rhinitis in the child. (Grade: Moderate)

Limited evidence suggests that dietary patterns during pregnancy are not associated with risk of allergic rhinitis in the child. (Grade: Limited)

Insufficient evidence is available to determine the relationship between fish, peanuts, tree nuts, soybean, wheat, and foods not commonly considered to be allergens, such as meat, vegetables, and fruits consumed during pregnancy and risk of allergic rhinitis in the child. (Grade: Grade not assignable)

No evidence is available to determine the relationship between seeds consumed during pregnancy and the risk of allergic rhinitis in the child. (Grade: Grade not assignable)

Lactation
Insufficient evidence is available to determine the relationship between cow milk products consumed during both pregnancy and lactation, and risk of allergic rhinitis in the child. (Grade: Grade not assignable)

No evidence is available to determine the relationship between maternal dietary patterns or cow milk products, eggs, fish, peanuts, tree nuts and seeds, soybean, wheat, and foods not commonly considered to be allergens, such as meat, vegetables, and fruits consumed during lactation and risk of allergic rhinitis in the child. (Grade: Grade not assignable)

Asthma

Pregnancy
Limited evidence suggests that a lower consumption of cow milk products during pregnancy does not reduce risk of asthma in the child. (Grade: Limited)

Insufficient evidence is available to determine the relationship between cow milk products consumed during both pregnancy and lactation and risk of asthma in the child. (Grade: Grade not assignable)

Limited evidence suggests no relationship between eggs consumed during pregnancy and risk of asthma in the child. (Grade: Limited)

Limited evidence suggests no relationship between fish consumed during pregnancy and risk of asthma in the child. (Grade: Limited)

Insufficient evidence is available to determine the relationship between maternal dietary patterns or peanuts, tree nuts, soybean, and other foods such as wheat/whole grains, vegetables, fruits, beverages, and margarine consumed during pregnancy and risk of asthma in the child. (Grade: Grade not assignable)

No evidence is available to determine the relationship between seeds consumed during pregnancy and risk of asthma in the child. (Grade: Grade not assignable)

Lactation
Insufficient evidence is available to determine the relationship between cow milk products consumed during both pregnancy and lactation, or during lactation only, and risk of asthma in the child. (Grade: Grade not assignable)

Insufficient evidence is available to determine the relationship between fish, and other foods, such as margarine, oil, butter and butter-spreads, meat, and meat products consumed during lactation and risk of asthma in the child. (Grade: Grade not assignable)

No evidence is available to determine the relationship between maternal dietary patterns or eggs, peanuts, wheat, tree nuts and seeds, and soybean consumed during lactation and risk of asthma in the child. (Grade: Grade not assignable)