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Published on: June 9, 2023
Doctor, when should I feed solid foods to my infant?
Alessandro Fiocchi1, Lamia Dahdah, Sami L Bahna
1aDivision of Allergy, University Department of Pediatrics, Pediatric Hospital Bambino Gesù, Rome, Vatican City, Italy bAllergy and Immunology Section, Louisiana State University Health Sciences Center, Shreveport, Louisiana cDivision of Allergy and Immunology, Cincinnati Children's Medical Center, Cincinnati, Ohio, USA.
Early introduction of peanut may prevent peanut allergy in infants. However, current evidence on early introduction of other allergens like egg, wheat, and milk for preventing food allergies is still debated.
Area of Science:
- Pediatric Allergy and Immunology
- Infant Nutrition
- Public Health
Background:
- Infant feeding practices, including solid food introduction, can impact long-term health outcomes.
- The timing of introducing solid foods, particularly allergenic ones, is a significant area of debate regarding food allergy development.
Purpose of the Study:
- To review recent findings on the effects of early versus delayed introduction of solid foods on food allergy development in infants.
- To examine modifications in international recommendations for introducing solid foods to infants, considering both general and high-risk populations.
Main Methods:
- Review of recent prospective studies on the introduction of allergenic foods in infant diets.
- Analysis of updated recommendations from international societies regarding infant solid food introduction.
Main Results:
- Early peanut introduction shows protective effects against peanut allergy in certain infant risk groups.
- Evidence for early introduction of wheat, cow's milk, sesame, and whitefish to prevent allergies is less conclusive.
- The impact of early egg introduction on egg allergy remains controversial.
Conclusions:
- Recent research has shifted clinical practice recommendations for introducing solid foods to infants.
- Healthcare providers' advice to families is evolving based on new evidence regarding early allergen exposure.
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