Breast-feeding, waiting to introduce foods with gluten didn't prevent autoimmune disorder
WebMD News from HealthDay
By Dennis Thompson
HealthDay Reporter
WEDNESDAY, Oct. 1, 2014 (HealthDay News) -- A newborn's risk of developing celiac disease isn't reduced by breast-feeding. Nor will delaying the introduction of a protein found in wheat called gluten to an infant's diet help prevent celiac disease.
Those are the conclusions from a pair of new studies in the Oct. 2 New England Journal of Medicine.
The new findings put to rest hopes that a child could avoid celiac disease if mothers breast-feed their babies and introduce gluten between 4 and 6 months old, said Dr. Alessio Fasano, co-author of one of the studies and director of the Center for Celiac Research and Treatment at MassGeneral Hospital for Children.
"Contrary to our strong belief, breast-feeding does not help to prevent celiac disease at all," Fasano said. "We're not saying breast-feeding is useless. It can definitely have benefits for other reasons, but not for preventing celiac disease."
Instead, it appeared to researchers that celiac disease is influenced solely by genetics. Inheriting a genetic predisposition to autoimmune disorders proved the only way that researchers could predict a baby's future risk of celiac disease.
"We know some of the genes you must have to develop celiac disease, and if you have two copies of the gene, the risk of developing celiac disease increases dramatically," Fasano said.
Celiac disease is a disorder in which the immune system attacks and damages the small intestine. These attacks are prompted by the consumption of gluten, a protein found in wheat and other related grains, which can promote a vicious immune system response in some people, according to the Celiac Disease Foundation.
Previous research had indicated that breast-feeding might have a protective effect against celiac disease in babies, researchers noted in background information in the study. Other studies had indicated there could be a window between 4 and 6 months during which a child exposed to gluten might be more likely to build up a tolerance.
The first study involved more than 700 Italian infants enrolled between 2003 and 2008, and thought to be at risk because a member of their immediate family had celiac disease.
The children were randomly assigned to two groups, one in which children began eating foods with gluten at 6 months and another where they waited until their first birthday before eating gluten. Researchers then followed the children for five years.
Postponing the introduction of gluten had no effect on a child's long-term risk of developing celiac disease, the study found.
However, it did delay the onset of celiac disease, which could prove vital in protecting a child's healthy development, Fasano said.
"A delay of 8 to 10 months can be important," he said. "This time is crucial for the development of many organs, including the brain." The immune response associated with celiac disease could be detrimental to normal development, so delaying it as long as possible might be worthwhile, according to the study authors.
source : Infant's Early Diet Doesn't Change Celiac Disease Risk, Study Finds
