The almond milk: A new approach to the management of cow-milk allergy/intolerance in infants

ArticleinMinerva pediatrica 57(4):173-80 · September 2005with117 Reads
Source: PubMed
Elimination of the offending food is imperative in the management of children with cow-milk allergy/intolerance (CMA/CMI). Herein we report the result of randomized clinical trial carried out to test the efficacy and safety of a new almond-based food (hereinafter named almond milk) in a group of infant with CMI/CMA. A group of 52 infants aged 5 to 9 months and with documented CMI/CMA was enrolled and randomized to: almond milk (Group A, n=26); soy-based formula (Group B, n=13); protein hydrolysate-based formula (n=13). The main efficacy outcomes were the improvement in clinical symptoms and the decrease in serum levels of soluble CD30 (a potential marker for atopic disorders; sCD30). Elimination of the offending food and supplementation with a milk protein-free formula produced a considerable improvement of clinical manifestations within 5-12 days in all cases examined (at the onset of the study: 26.4+/-5.4 U/mL and 7.9+/-5.2 U/mL in IgE+ and IgE- infants respectively, after 6 months of supplementation: 16.6+/-4.8 U/mL and 7.1+/-4.5 U/mL in IgE+ and IgE- infants respectively). No difference in growth rate (increment of weight, length and head circumference) was found, during the entire study, between infants given the almond milk and babies given the soy-based formula or the protein hydrolysate-based formula. Supplementation with the soy-based and protein hydrolysate-based formulas caused the development, in some subjects, of a secondary sensitization (23% to soy-based and 15% protein hydrolysate-based formula), whereas supplementation with the almond milk did not. Though preliminary, the present findings seem to demonstrate that the almond milk may an efficacious substitute of cow milk in infants with CMA/CMI. One could speculate that some active principles contained in the almond milk could contribute to its beneficial effect observed in CMI/CMA-affected infants.
    • "potrzeb żywieniowych. Opisywano pacjentów z hipokalcemią , hipokaliemią, niedokrwistością z niedoboru żelaza oraz niedoczynnością tarczycy wskutek niewystarczającej podaży jodu, których diety bazującej na mleku migdałowym nie weryfikował dietetyk [25, 31, 32] . Mleko owsiane, zasobne w β-glukan, znajduje zastosowanie szczególnie u osób z chorobami przewodu pokarmowego oraz z zaburzeniami gospodarki tłuszczowej [23]. "
    [Show abstract] [Hide abstract] ABSTRACT: We provide a comprehensive review of non-bovine milk and so-called plant-based milk for clinicians. The differences between human and cow milk reflect the fact that milk has been shaped during the evolutionary history of each mammalian species to match the unique developmental needs of its infants. There is increasing interest in the concept that feeding strategies of herds might hardly influence the nutritional quality of milk. In Poland, as well as in other countries, the dairy industry is very influential in the development of dietary guidelines. However, there is an ongoing debate about the goodness of cow milk, and it tends to be highly polarized. Despite cow milk being privileged in governmental feeding programs, consumption of fluid cow milk is declining in traditional milk-drinking countries and there are movements which proclaim the virtues of non-bovine mammals' milk and plant-based alternatives to mammalian milk, i.e. oat, millet, buckwheat, dinkel wheat, corn, rice, soy, almond, hazelnut, earth almond (Cyperus esculentus), and hemp milk. Goat milk, like human milk, is secreted via an apocrine process and it contains high levels of free amino acids, nucleotides, polyamines, and polyunsaturated fatty acids including conjugated linolenic acid (CLA). Cow milk is secreted via a merocrine process and it is consequently less similar to breast milk than goat milk. Infants may be fed only modified goat milk. Where allergy to a major food group is confirmed in a patient, it is important to ensure a suitable alternative in the diet. Due to immunologic cross-reactivities between proteins from milk of ruminants, the routine use of goat, sheep, and buffalo milk in cow milk allergy is not recommended. In many cases cow milk proteins could be replaced with mare, donkey or camel milk. For older children plant-based milk does offer distinct advantages over extensively hydrolyzed formulas with regard to palatability and cost. Calcium remains the most trumpeted nutrient, symbolizing the inherent goodness and superiority of cow's milk as a food. However, most of the plant-based milk dispensed to the Polish market is highly supplemented with calcium (100-120 mg/dl).
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