PMID- 31340522 OWN - NLM STAT- MEDLINE DCOM- 20200129 LR - 20200225 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 11 IP - 7 DP - 2019 Jul 23 TI - Infant Feeding, Vitamin D and IgE Sensitization to Food Allergens at 6 Years in a Longitudinal Icelandic Cohort. LID - 10.3390/nu11071690 [doi] LID - 1690 AB - Nordic Nutrition Recommendations (NNR) recommend exclusive breastfeeding until 6 months, partial breastfeeding until 1 year or longer and irrespective of breastfeeding, avoiding solid foods before 4 months. Strong evidence was found for benefits of breastfeeding regarding growth and infections but limited/inconclusive evidence regarding atopic disease and asthma. Vitamin D is of special interest in the Nordic diet. The aim of this prospective study was to compare infant feeding and vitamin D between immunoglobulin E (IgE) sensitized (n = 14) and non-sensitized (n = 130) children at 6 years. Information on diet and vitamin D supplement use were collected with dietary recall (<5 months), 1-d food records (5 and 6 months) and 3-d weighed food records (12 months and 6 years). Serum-specific IgE-antibodies against milk, egg, cod, wheat, soy and peanut (cut-off specific IgE >/= 0.35 kUA/L) were measured at 6 years and serum 25-hydroxyvitamin D at 12 months and 6 years. At 4 months, 57% of IgE sensitized vs. 23% of non-sensitized children (p < 0.01) had received solid food. At 12 months, IgE sensitized children had a lower intake of vitamin D (median (25th, 75th percentiles): 3.9 mug/d (3.2, 7.2) vs. 8.1 mug/d (4.4, 12.3), p = 0.03) and at 6 years, fewer used vitamin D supplements regularly (23% vs. 56%, p = 0.03). Introduction of solid foods prior to 4 months increased the odds of IgE-sensitization, OR = 4.9 (95%, CI = 1.4-16.6) and vitamin D supplement at 6 years decreased the odds of IgE-sensitization, OR = 0.2 (95%, CI = 0.1-0.98), adjusting for maternal smoking. These observations support the NNR in their recommendation against introducing complementary solid foods before the age of 4 months. Furthermore, they support encouraging vitamin D intake for young children at northern latitudes. FAU - Thorisdottir, Birna AU - Thorisdottir B AUID- ORCID: 0000-0001-7320-0116 AD - Unit for Nutrition Research, Faculty of Food Science and Nutrition, School of Health Sciences, University of Iceland and Landspitali University Hospital, 101 Reykjavik, Iceland. bth50@hi.is. AD - Faculty of Sociology, Anthropology and Folkloristics, School of Social Sciences, University of Iceland, 101 Reykjavik, Iceland. bth50@hi.is. FAU - Gunnarsdottir, Ingibjorg AU - Gunnarsdottir I AD - Unit for Nutrition Research, Faculty of Food Science and Nutrition, School of Health Sciences, University of Iceland and Landspitali University Hospital, 101 Reykjavik, Iceland. FAU - Vidarsdottir, Anna Gudrun AU - Vidarsdottir AG AD - Department of Immunology, Landspitali University Hospital, 101 Reykjavik, Iceland. FAU - Sigurdardottir, Sigurveig AU - Sigurdardottir S AD - Department of Immunology, Landspitali University Hospital, 101 Reykjavik, Iceland. AD - Faculty of Medicine, University of Iceland, 101 Reykjavik, Iceland. AD - The Allergy Outpatient Department, Landspitali University Hospital, 108 Reykjavik, Iceland. FAU - Birgisdottir, Bryndis Eva AU - Birgisdottir BE AD - Unit for Nutrition Research, Faculty of Food Science and Nutrition, School of Health Sciences, University of Iceland and Landspitali University Hospital, 101 Reykjavik, Iceland. FAU - Thorsdottir, Inga AU - Thorsdottir I AD - School of Health Sciences, University of Iceland, 101 Reykjavik, Iceland. LA - eng GR - HI15120056/Haskoli Islands/ GR - 2014-2016/Haskoli Islands/ GR - A-2016-034/Landspitali Haskolasjukrahus/ GR - 050424031/Icelandic Centre for Research/ PT - Comparative Study PT - Journal Article DEP - 20190723 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Biomarkers) RN - 1406-16-2 (Vitamin D) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Age Factors MH - Biomarkers/blood MH - *Breast Feeding MH - Child MH - *Dietary Supplements MH - Female MH - Food Hypersensitivity/blood/diagnosis/epidemiology/*immunology MH - Humans MH - Iceland/epidemiology MH - Immunoglobulin E/*blood MH - Infant MH - *Infant Food MH - Infant Formula MH - *Infant Nutritional Physiological Phenomena MH - Longitudinal Studies MH - Male MH - Nutritional Status MH - Prospective Studies MH - Recommended Dietary Allowances MH - Risk Factors MH - Vitamin D/*administration & dosage/metabolism PMC - PMC6683021 OTO - NOTNLM OT - IgE sensitization OT - Nordic diet OT - breastfeeding OT - children OT - complementary feeding OT - infants OT - recommendations OT - solid food OT - vitamin D COIS- The authors declare no conflict of interest. EDAT- 2019/07/26 06:00 MHDA- 2020/01/30 06:00 PMCR- 2019/07/01 CRDT- 2019/07/26 06:00 PHST- 2019/06/14 00:00 [received] PHST- 2019/07/15 00:00 [revised] PHST- 2019/07/19 00:00 [accepted] PHST- 2019/07/26 06:00 [entrez] PHST- 2019/07/26 06:00 [pubmed] PHST- 2020/01/30 06:00 [medline] PHST- 2019/07/01 00:00 [pmc-release] AID - nu11071690 [pii] AID - nutrients-11-01690 [pii] AID - 10.3390/nu11071690 [doi] PST - epublish SO - Nutrients. 2019 Jul 23;11(7):1690. doi: 10.3390/nu11071690.