World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) guidelines update – XVI - Nutritional management of cow's milk allergy

Cow's milk allergy (CMA) is one of the most common presentations of food allergy in early childhood. Management of CMA involves individualized avoidance of cow's milk and other mammalian milk and foods containing these. Optimal elimination of cow's milk avoidance includes: label reading; information about safe and nutritious substitute foods; appropriate choice of infant formula or a plant-based food; establishing tolerance to baked milk and monitoring nutritional intake and growth. Substitute formulas are divided into soy formula (not hydrolyzed), milk-based extensively hydrolyzed formulas, rice based extensive, and partially hydrolyzed formulas and amino acid-based formulas. The use of other mammalian milks is not recommended for the management of cow's milk allergy due to a high level of cross-reactivity and nutritional concerns. For toddlers who are eating well, children, and adults, a suitable plant-based beverage may be a suitable alternative to a specialized formula, following careful nutritional considerations. Families need to be instructed on finding suitable nutritious foods and how to prepare suitable meals at home. Individuals with CMA also need to know how to identify and treat acute severe reactions.

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Publication Details

Journal
World Allergy Organization Journal
Published
2024-08-01
DOI
https://doi.org/10.1016/j.waojou.2024.100931
Citations
16
Primary Topic
Food Allergy and Anaphylaxis Research
Type
article
Field-Weighted Citation Impact
5.74

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article

World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) guidelines update – XVI - Nutritional management of cow's milk allergy

Rose Kamenwa, Carina Venter, Ruby Pawankar, Rosan Meyer et al.
16 citations
World Allergy Organization Journal
Food Allergy and Anaphylaxis Research
5.74
article

World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) guidelines update – XVI - Nutritional management of cow's milk allergy

Rose Kamenwa, Carina Venter, Ruby Pawankar, Rosan Meyer, Amal Assa’ad, Antonio Bognanni, Shriya Amara, Anna Nowak‐Węgrzyn, Maurizio Mennini, Alessandro Fiocchi, Marion Groetch
article en
16 citations

Abstract

Cow's milk allergy (CMA) is one of the most common presentations of food allergy in early childhood. Management of CMA involves individualized avoidance of cow's milk and other mammalian milk and foods containing these. Optimal elimination of cow's milk avoidance includes: label reading; information about safe and nutritious substitute foods; appropriate choice of infant formula or a plant-based food; establishing tolerance to baked milk and monitoring nutritional intake and growth. Substitute formulas are divided into soy formula (not hydrolyzed), milk-based extensively hydrolyzed formulas, rice based extensive, and partially hydrolyzed formulas and amino acid-based formulas. The use of other mammalian milks is not recommended for the management of cow's milk allergy due to a high level of cross-reactivity and nutritional concerns. For toddlers who are eating well, children, and adults, a suitable plant-based beverage may be a suitable alternative to a specialized formula, following careful nutritional considerations. Families need to be instructed on finding suitable nutritious foods and how to prepare suitable meals at home. Individuals with CMA also need to know how to identify and treat acute severe reactions.

World Allergy Organization JournalVol. 17(8)
Cincinnati Children's Hospital Medical Center (US), Humanitas University (IT), University of California, Los Angeles (US), University of Winchester (GB), Aga Khan University Hospital Nairobi (KE), Jacobi Medical Center (US), Children's Hospital Colorado (US), Aga Khan University Nairobi (KE), Bambino Gesù Children's Hospital (IT), Azienda Ospedaliera Sant'Andrea (IT), Impact (CA), University of Warmia and Mazury in Olsztyn (PL), Nippon Medical School (JP), University of Colorado Denver (US), McMaster University (CA), Icahn School of Medicine at Mount Sinai (US)
Cincinnati Children's Hospital Medical Center, Università degli Studi di Napoli Federico II, Louisiana State University, McMaster University, North American Society for Pediatric Gastroenterology, Hepatology and Nutrition, European Food Safety Authority, Ospedale Pediatrico Bambino Gesù, Canada Excellence Research Chairs, Government of Canada, Humanitas University, Humanitas Research Hospital, University of California, Los Angeles
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Openalex Percentile: Top 3%
Food Allergy and Anaphylaxis Research
5.74
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