Dietary Management of Infantile Colic: A Systematic Review
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Infantile colic, the cause of 10–20% of all early paediatrician visits, can lead to parental exhaustion and stress. A systematic review was conducted to examine whether dietary change provides an effective therapy for infantile colic. Six databases were searched from 1960, and 24 studies selected for inclusion. In breastfed infants, evidence suggests that a hypoallergenic maternal diet may be beneficial for reducing symptoms of colic. In formula-fed infants, colic may improve after changing from a standard cow’s milk formula to either a hydrolysed protein formula or a soy-based formula. Fibre-supplemented formulae had no effect. Removal of poorly digested carbohydrates from the infant’s diet has promise, but additional clinical studies must be conducted before a recommendation can be made. Use of a universal definition to measure symptoms of infantile colic and consistent analysis of urine and faecal samples would improve the evidence in this area.
KeywordsInfantile colic Diet Breastfed infants Formula-fed infants
Conflict of interest
The authors declare no conflicts of interest.
- 2.Jarman, R., & Sewell, J. (2000). Common behavioural and developmental problems. In Paediatric handbook. Blackwell, Oxford, pp 144–145.Google Scholar
- 14.Canadian Pediatric Society. (2001). Joint statement on Shaken Baby Syndrome. Paediatrics & Child Health, 6(9), 663–667.Google Scholar
- 19.Garrison, M. M., & Christakis, D. A. (2000). Early childhood: colic, child development, and poisoning prevention: a systematic review of treatments for infant colic. Pediatrics, 106(1 part 2), 184–190.Google Scholar
- 25.National Health and Medical Research Council. (2009). NHMRC additional levels of evidence and grades for recommendations for developers of guidelines, stage 2 consultation. Canberra, Australia: NHMRC.Google Scholar
- 26.American Dietetic Association. (2008). ADA evidence analysis manual: Steps in the ADA evidence analysis process (4th ed.). Chicago, IL: Scientific Affairs and Research, American Dietetic Association.Google Scholar
- 42.Piper, K. M., et al. (2007). The bioactive nature of human breastmilk. Breastfeeding Reviews, 15(3), 5–10.Google Scholar
- 51.Nyeko, R., et al. (2010). Lactose intolerance among severely malnourished children with diarrhoea admitted to the nutrition unit, Mulago hospital, Uganda. BMC Pediatrics, 31(10), 1–9.Google Scholar
- 52.Whelan, K., et al. (2007). Kings stool chart. Kings College London [cited Oct 2010]; Available from: http://www.kcl.ac.uk/schools/biohealth/research/nutritional/stoolchart.