
From the article:
Practical advice for building and improving tolerance as well as preventing symptoms and exacerbations
Primary prevention |
Support breastfeeding, with solid foods from 4–6 months onwards |
Do not avoid exposure to environmental allergens (foods, pets), if not proven necessary |
Strengthen immunity by increasing contact with natural environments (e.g. by taking regular physical exercise and following a healthy diet such as a traditional Mediterranean or Baltic diet) |
Antibiotics should only be used in cases of true need (the majority of microbes are useful and build a healthy immune function) |
Probiotic bacteria in fermented food or other preparations may balance the immune function |
Do not smoke (parental smoking increases the risk of asthma in children) |
Secondary and tertiary prevention |
Regular physical exercise is anti-inflammatory |
Healthy diets are anti-inflammatory (a traditional Mediterranean or Baltic diet may improve asthma control) |
Probiotic bacteria in fermented food or other preparations may be anti-inflammatory |
Respiratory/skin inflammation should be treated early and effectively; maintenance treatment titrated for long-term control |
To stop symptom exacerbations proactively, instructions for guided self-management are provided for 10 allergic conditions (available in both paper and electronic formats) |
Allergen-specific immunotherapy is recommended for more severe symptoms, e.g: |
allergens as such (for foods) |
sublingual tablets or drops (sublingual immunotherapy, or SLIT) (for pollens) |
subcutaneous injections (for pollens, pets, mites, insect stings) |
Smoking should be strictly avoided (the effectiveness of asthma and allergy drugs is reduced in smokers) |
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