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Published on: May 31, 2021
Consensus communication on early peanut introduction and the prevention of peanut allergy in high-risk infants
David M Fleischer1, Scott Sicherer2, Matthew Greenhawt3
1American Academy of Asthma, Allergy & Immunology (AAAAI), Milwaukee, WI USA.
Insights
Introducing peanuts early in infancy, during complementary feeding, may offer benefits in preventing allergies. This interim guidance reflects a consensus among leading allergy and pediatric organizations worldwide.
Area of Science:
- Pediatric Allergy and Immunology
- Infant Nutrition
- Clinical Consensus
Background:
- Existing guidelines on infant feeding practices are evolving.
- Emerging evidence suggests a link between timing of food introduction and allergy development.
- Consensus among major allergy and pediatric organizations is crucial for timely guidance.
Purpose of the Study:
- To highlight emerging evidence on early peanut introduction in infants.
- To provide interim guidance on complementary feeding practices.
- To inform healthcare professionals and parents about potential allergy prevention strategies.
Main Methods:
- Consensus statement based on emerging scientific evidence.
- Review of current literature and expert opinion.
- Collaboration among international allergy and immunology organizations.
Main Results:
- Emerging evidence supports early peanut introduction over delayed introduction.
- Early introduction may confer benefits in preventing peanut allergy.
- This guidance is interim, pending more formal guidelines.
Conclusions:
- Early peanut introduction during complementary feeding is recommended based on current evidence.
- This consensus provides interim guidance for healthcare providers.
- Further formal guidelines on infant feeding and allergy prevention are forthcoming.
Abstract:
The purpose of this brief communication is to highlight emerging evidence to existing guidelines regarding potential benefits of supporting early, rather than delayed, peanut introduction during the period of complementary food ntroduction in infants. This document should be considered as interim guidance based on consensus among the following organizations: American Academy of Allergy, Asthma & Immunology; American Academy of Pediatrics; American College of Allergy, Asthma & Immunology; Australasian Society of Clinical Immunology and Allergy; Canadian Society of Allergy and Clinical Immunology; European Academy of Allergy and Clinical Immunology; Israel Association of Allergy and Clinical Immunology; Japanese Society for Allergology; Society for Pediatric Dermatology; and World Allergy Organization. More formal guidelines regarding early-life, complementary feeding practices and the risk of allergy development will follow in the next year from the National Institute of Allergy and Infectious Diseases - sponsored Working Group and the European Academy of Allergy and Clinical Immunology.
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