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Published on: August 7, 2017
Infant Feeding Practices and Nut Allergy over Time in Australian School Entrant Children
Jessica Paton1, Marjan Kljakovic, Karen Ciszek
1Academic Unit of General Practice, Australian National University Medical School, P.O. Box 11, Woden, Canberra, ACT 2606, Australia.
Insights
Infant breastfeeding in the first six months was associated with a higher risk of parent-reported nut allergy in children. Alternative feeding practices showed a protective effect against developing nut allergies.
Area of Science:
- Pediatrics
- Allergology
- Public Health
Background:
- Parent-reported nut allergy is a growing concern in childhood.
- Infant feeding practices are hypothesized to influence allergy development.
Purpose of the Study:
- To investigate the association between infant feeding practices and parent-reported nut allergy.
- To identify potential risk and protective factors for nut allergy in school-aged children.
Main Methods:
- Retrospective analysis of data from the Kindergarten Health Check Questionnaire (2006-2009).
- Inclusion of 15,142 children from Australian Capital Territory primary schools.
- Statistical analysis of parent-reported nut allergy and feeding practices.
Main Results:
- 3.2% of children reported peanut allergy and 3.9% reported other nut allergies.
- Breastfeeding in the first six months showed a positive association with nut allergy (OR = 1.53).
- Feeding alternatives to breast milk in the first six months demonstrated a protective effect (OR = 0.71).
Conclusions:
- Breastfeeding during the first six months of life is linked to an increased risk of parent-reported nut allergy.
- Alternative infant feeding strategies may offer protection against nut allergy development.
Abstract:
Aim. To measure the association between infant feeding practices and parent-reported nut allergy in school entrant children. Method. The Kindergarten Health Check Questionnaire was delivered to all 110 Australian Capital Territory (ACT) primary schools between 2006 and 2009. Retrospective analyses were undertaken of the data collected from the kindergarten population. Results. Of 15142 children a strong allergic reaction to peanuts and other nuts was reported in 487 (3.2%) and 307 (3.9%), children, respectively. There was a positive association between parent reported nut allergy and breast feeding (OR = 1.53; 1.11-2.11) and having a regular general practitioner (GP) (OR = 1.42; 1.05-1.92). A protective effect was found in children who were fed foods other than breast milk in the first six months (OR = 0.71; 0.60-0.84). Conclusion. Children were at an increased risk of developing a parent-reported nut allergy if they were breast fed in the first six months of life.
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