Practical Challenges and Considerations for Early Introduction of Potential Food Allergens for Prevention of Food Allergy.

Title

Practical Challenges and Considerations for Early Introduction of Potential Food Allergens for Prevention of Food Allergy.

Creator

Schroer B; Groetch M; Mack DP; Venter C

Publisher

The Journal Of Allergy And Clinical Immunology. In Practice

Date

2020
2020-10-27

Description

Recent randomized controlled trials aimed at the prevention of food allergy have led to sweeping changes in food allergy prevention guidelines. Emphasis is now on the introduction of potential food allergens, particularly peanut and egg, rather than avoidance. Although guidelines recommend against delaying the introduction of other potential allergens, there remains little or no evidence of the benefit of their early introduction. Parents and physicians alike report a need for greater guidance and resources on early potential allergen introduction in the complementary feeding period. A thorough understanding of early introduction literature, current prevention guidelines, and infant nutrition will empower physicians to address patient needs and concerns both when advice is established as effective and where uncertainty remains. We discuss the state of the science, compare recommendations between guidelines, and provide practical options to introduce allergenic foods, alongside other complementary foods, within the first year of life. We include a review of the available literature, including review and suggestions of potential doses of food allergens, and the first published comparison of commercially available products and homemade early introduction foods to help clinicians support their patients. We address the nutritional, dietary, and practical considerations of introducing food allergens in the first year of life while adhering to infant feeding guidelines. Finally, given the limitations of existing guidelines, we review the need for shared decision-making between physicians and parents regarding early allergen introduction.

Subject

Guidelines; Prevention; Complementary feeding; Early introduction; Food allergy; Infant nutrition

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Format

journalArticle

Search for Full-text

Users with a NEOMED Library login can search for full-text journal articles at the following url: https://libraryguides.neomed.edu/home

ISSN

2213-2201

NEOMED College

NEOMED College of Medicine

NEOMED Department

Department of Pediatrics

Update Year & Number

December 2020 List

Citation

Schroer B; Groetch M; Mack DP; Venter C, “Practical Challenges and Considerations for Early Introduction of Potential Food Allergens for Prevention of Food Allergy.,” NEOMED Bibliography Database, accessed April 15, 2021, https://neomed.omeka.net/items/show/11477.

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