RT Journal Article
T1 Spanish Pediatricians' Positions Regarding Prevention, Diagnosis, Nutritional Management, and Challenges in Cow's Milk Protein Allergy
A1 Martin‐Masot, Rafael
A1 Navas-López, Víctor Manuel
A1 Díaz-Martín, Juan José
A1 Santamaría- Orleans, Alicia
K1 Leche
K1 Alergia a los alimentos
AB Management of cow’s milk protein allergy (CMPA) can vary depending on the experience and area of expertise of the clinician responsible for the patient’s follow-up, which may or may not align with the recently published literature. To analyze the perspectives of Spanish pediatricians on this topic, a survey was conducted. The survey aimed to determine the current opinions and attitudes of 222 primary care and hospital pediatricians toward CMPA prevention and nutritional management. Participating pediatricians completed the questionnaire, providing insights into their daily clinical practices, including access to testing, attitudes with respect to various aspects of CMPA diagnosis, prevention, oral food challenges, and treatment. The findings revealed that pediatricians generally agree on the use of extensively hydrolyzed formulas (eHFs) to prevent CMPA in high-risk atopic children, despite limited evidence supporting the widespread use of this practice. However, consensus was lacking regarding the utility of formulas with prebiotics and probiotics for expediting tolerance development. In most cases, pediatricians preferred eHFs for the nutritional management of CMPA, followed by hydrolyzed rice formulas (HRFs), with amino-acid-based formulas (AAFs) being the third option. Certain issues remained controversial among pediatricians, such as prevention methods, symptom assessment, and the role of probiotics. These variations in management approaches reflect the influence of clinician experience and area of expertise, underscoring the need for standardized guidelines in this field.
PB MDPI
YR 2023
FD 2023
LK https://hdl.handle.net/10630/33405
UL https://hdl.handle.net/10630/33405
LA eng
NO Martín-Masot, R.; Díaz-Martín, J.J.; Santamaría-Orleans, A.; Navas-López, V.M. Spanish Pediatricians’ Positions Regarding Prevention, Diagnosis, Nutritional Management, and Challenges in Cow’s Milk Protein Allergy. Nutrients 2023, 15, 3586. https://doi.org/ 10.3390/nu15163586
NO This research was funded by Laboratorios Ordesa S.L. However, Laboratorios Ordesa S.L. had no role in the analysis or interpretation of the data.
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 31 ene 2026