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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 Allergy, Asthma & Immunology (AAAAI), Milwaukee, WI United States of America.
Insights
Introducing peanuts early in infancy, during complementary feeding, may offer benefits for allergy prevention. This interim guidance reflects a consensus among leading allergy and pediatric organizations worldwide.
Area of Science:
- Pediatric Allergy and Immunology
- Infant Nutrition and Allergy Prevention
- Food Allergy Research
Background:
- Existing guidelines on infant feeding practices are evolving.
- Emerging evidence suggests a shift in recommendations for early allergen introduction.
- Concerns about food allergies in infants necessitate updated guidance.
Purpose of the Study:
- To highlight emerging evidence on early peanut introduction in infants.
- To provide interim guidance on complementary feeding and allergy risk.
- To inform healthcare professionals and parents about potential benefits of early peanut exposure.
Main Methods:
- Consensus statement based on emerging scientific evidence.
- Review of current understanding of infant allergy development.
- Collaboration among multiple international allergy and pediatric organizations.
Main Results:
- Early introduction of peanut during complementary feeding may be beneficial.
- Delayed introduction might not be optimal for allergy prevention.
- This guidance is based on a consensus of expert opinion.
Conclusions:
- Interim guidance supports early peanut introduction for infants.
- Further formal guidelines are anticipated from major research groups.
- This approach aims to mitigate the risk of developing peanut allergy.
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 introduction 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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