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Consensus Communication on Early Peanut Introduction and Prevention of Peanut Allergy in High-Risk Infants
David M Fleischer1, Scott Sicherer2, Matthew Greenhawt3
1American Academy of Allergy, Asthma & Immunology (AAAAI).
Insights
Introducing peanuts early in infancy, during complementary feeding, may offer protective benefits against allergy development. This interim guidance reflects a consensus among leading allergy and pediatric organizations worldwide.
Area of Science:
- Pediatric Allergy and Immunology
- Infant Nutrition
- Immunology
Background:
- Emerging evidence suggests a potential benefit of early peanut introduction in infants.
- Current practices and understanding of allergy development are evolving.
Framework:
- Interim guidance based on expert consensus.
- Recommendations from major allergy and pediatric organizations.
Implementation:
- Focus on early introduction of peanut during complementary feeding.
- Guidance applies to the period of introducing solid foods to infants.
Implications:
- Potential shift in infant feeding guidelines regarding peanut allergy prevention.
- Further formal guidelines are anticipated from national and international bodies.
Abstract:
The purpose of this brief communication is to highlight emerging evidence 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, and Immunology, American Academy of Pediatrics, American College of Allergy, Asthma, and 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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