Body Composition

Cow's milk protein allergy damages not only the baby's health but also the mother's health.

TL;DR

The metabolic health of breastfeeding mothers who follow an elimination diet for CMPA is affected even with dietician support.

Key Findings

Body fat percentage in breastfeeding mothers on a cow's milk elimination diet decreased significantly after one month, while muscle and water ratios did not change.

  • Comparison of body measurements before and after the diet showed a significant decrease in fat (p < 0.001)
  • Muscle ratios did not change significantly (p = 0.332)
  • Water ratios did not change significantly (p = 0.189)
  • Body composition was measured using the Bioelectrical Impedance Method (Tanita MC-580)
  • Measurements were repeated 1 month after the initial assessment

Calcium levels in breastfeeding mothers on elimination diet increased significantly after one month of dietary intervention.

  • Calcium increase was statistically significant (p < 0.001)
  • All mothers were administered a diet containing an average of 1000 mg of calcium per day
  • Mothers were also prescribed 400 units per day of vitamin D
  • The diet was designed to contain an average of 2000 kcal per day

Despite recommendations for a 2000 kcal/day diet, actual calorie, fat, and protein intake were significantly reduced at the second evaluation.

  • Calorie intake was significantly reduced (p < 0.001)
  • Fat intake was significantly reduced (p = 0.011)
  • Protein intake was significantly reduced (p = 0.009)
  • All reductions were statistically significant at p < 0.05
  • This occurred despite dietician support and a prescribed 2000 kcal/day diet

The study cohort consisted of 86 infants diagnosed with cow's milk food protein-induced allergic proctocolitis (FPIAP) and their breastfeeding mothers.

  • Mean age of patients was 3.8 ± 1.8 months
  • Male to female ratio was 18/17
  • 54.3% of patients had only cow's milk protein allergy (CMPA)
  • 45.7% had multiple food allergies including milk
  • The study design was a prospective cohort study

Nearly half of infants diagnosed with cow's milk food protein-induced allergic proctocolitis also had multiple food allergies.

  • 45.7% of patients had multiple food allergies including milk
  • 54.3% had only CMPA
  • All 86 patients were on an elimination diet
  • The study specifically focused on cow's milk food protein-induced allergic proctocolitis (FPIAP)

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Citation

Demir A, Tan H, Hac&#x131; &, Kaya M, &#xc7;elik F, Soy&#xf6;z &, et al.. (2026). Cow's milk protein allergy damages not only the baby's health but also the mother's health.. Allergologia et immunopathologia. https://doi.org/10.15586/aei.v54i2.1361