The significance of private standards and associated local level initiatives in agri-food value chains are increasingly recognised. However whilst issues related to compliance and impact at the smallholder or worker level have frequently been analysed, the governance implications in terms of how private standards affect national level institutions, public, private and non-governmental, have had less attention. This article applies an extended value chain framework for critical analysis of Private Standards Initiatives (PSIs) in agrifood chains, drawing on primary research on PSIs operating in Kenyan horticulture (Horticulture Ethical Business Initiative and KenyaGAP). The paper explores the legislative, executive and judicial aspects of governance in these southern PSIs highlighting how different stakeholders shape debates and act with agency. It is argued that governance is exercised ‘beyond the vertical’ in that one can identify wider horizontal processes of governance, including how the scope of key debates is constructed (especially in legislative governance) but analysis of executive governance emphasises the dominant role of the lead buyers
BACKGROUND
Early introduction of peanut is an effective strategy to prevent
peanut allergy in high-risk infants; however, feasibility and effects on
growth and nutritional intake are unknown.
OBJECTIVE
To evaluate the feasibility of introducing peanut in infancy and
explore effects on growth and nutritional intake up to 60 months of age.
METHODS
In the Learning Early About Peanut Allergy (LEAP) trial, 640 atopic
infants aged 4-11 months were randomly assigned to consume (6g peanut
protein/week) or avoid peanut until 60 months of age. Peanut consumption and
early feeding practices were assessed by questionnaire. Dietary intake was
evaluated with prospective food diaries. Anthropometric measurements were
taken at all study visits.
RESULTS
Peanut was successfully introduced and consumed until 60 months with
median peanut protein intake of 7.5g/week (IQR 6.0-9.0) in the consumption
group compared to 0g in the avoidance group. Introduction of peanut in
breastfeeding infants did not affect the duration of breastfeeding. There
were no differences in anthropometric measurements or energy intakes between
groups at any visits. Regular peanut consumption led to differences in
dietary intakes. Consumers had higher intakes of fat and avoiders had higher
carbohydrate intakes; differences were greatest at the upper quartiles of
peanut consumption. Protein intakes remained consistent between groups.
CONCLUSIONS
Introduction of peanut proved feasible in infants at high-risk of
peanut allergy and did not affect the duration of breastfeeding nor impact
negatively on growth or nutrition. Energy balance was achieved in both
groups through variations in intakes from fat and carbohydrate while protein
homeostasis was maintained.
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