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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)