The metabolic health of breastfeeding mothers who follow an elimination diet for CMPA is affected even with dietician support.
Key Findings
Results
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
Results
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
Results
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
Methods
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
Results
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)
Demir A, Tan H, Hacı &, Kaya M, Çelik F, Soyöz &, 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