Addendum Guidelines for the Prevention of Peanut Allergy in the United States: Report of the National Institute of Allergy and Infectious Diseases–Sponsored Expert Panel

Togias, Alkis; Cooper, Susan; Acebal, Maria L.; Assa’ad, Amal; Baker, James R.; Beck, Lisa A.; Block, Julie; Byrd‐Bredbenner, Carol; Chan, Edmond S.; Eichenfield, Lawrence F.; Fleischer, David M.; Fuchs, George J.; Furuta, Glenn T.; Greenhawt, Matthew; Gupta, Ruchi S.; Habich, Michele; Jones, Stacie M.; Keaton, Kari; Muraro, Antonella; Plaut, Marshall; Rosenwasser, Lanny J.; Rotrosen, Daniel; Sampson, Hugh A.; Schneider, Lynda C.; Sicherer, Scott H.; Sidbury, Robert; Spergel, Jonathan M.; Stukus, David R.; Venter, Carina; Boyce, Joshua A.

doi:10.1111/pde.13093

Cited by 68 publications

(109 citation statements)

References 41 publications

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“…These findings are generally supportive of other data in high-risk patients showing a risk-reducing benefit of early peanut introduction, and risk-reducing benefit for early egg introduction 4. For peanut, US clinical practice guidelines have incorporated these findings and do recommend early peanut introduction in the first year of life for standard risk children 7. However, the findings with respect to egg await incorporation into any clinical practice guideline worldwide.…”

Section: Implications For Practicesupporting

confidence: 78%

Having your cake and EATing it too: early timing of multiple allergen introduction does not increase the risk of developing food allergy in standard risk, breastfed infants

Greenhawt

Venter

2017

Evid Based Med

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Section: Implications For Practicesupporting

confidence: 78%

Having your cake and EATing it too: early timing of multiple allergen introduction does not increase the risk of developing food allergy in standard risk, breastfed infants

Greenhawt

Venter

2017

Evid Based Med

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“…24 It is, however, fair to say that the balance has shifted towards timely introduction of tolerated nuts with continued intake. 25 • Allergy to one food (eg cashew or salmon) within a species does not necessarily necessitate avoidance of ALL foods within the species (tree nuts or fish). 28 Early inclusion of common allergens into the weaning diet is now recommended in most feeding guidelines.…”

Section: Peanut An D Tree Nut Allergymentioning

confidence: 99%

A patient‐specific approach to develop an exclusion diet to manage food allergy in infants and children

Venter

Groetch

Netting

et al. 2018

Clin Experimental Allergy

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Food allergy is becoming increasingly common in infants and young children. This article set out to explain the different factors that should be taken into account during an individualized allergy consultation: Foods to avoid and degree of avoidance, suitable alternatives, self-management skills, co- and cross-reactive allergens and novel allergens alongside the role of the industry in allergen avoidance, importance of nutritional aspects of the diet and the future directions that nutritional guidance make take. Allergy management advice should be individualized to provide a patient-specific approach. Changes in the management of food allergies have in particular occurred in nut, milk and egg allergies over the past few years. There has also been a progressive increase in our understanding of cross-reactivity between different foods and also food and aero-allergens. A patient-specific approach of allergen avoidance should consider factors relating to industry and the environment such as food and nutrition literacy, threshold levels, cross-contact/contamination and safe eating away from home. Increasing migration and travel has also led to exposure of unfamiliar foods. As understanding improves on individual allergens and threshold levels, food labels and food labelling laws are affected. Allergy specialist dietitians should also keep up to date with the latest information on nutrition, the gut microbiome and the immune system to incorporate nutrition strategies in a dietetic consultation using an evidence-based approach.

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“…They recommend that infants with severe eczema, egg allergy or both should have age‐appropriate peanut‐containing foods introduced as early as 4–6 months of age. Infants with mild‐to‐moderate eczema should have peanut‐containing foods introduced around 6 months and infants without eczema or any food allergy should have peanut introduced freely into their diet with other solid foods .…”

Section: Peanut Allergymentioning

confidence: 99%

The role of dietary interventions in the prevention of IgE‐mediated food allergy in children

Toit

Foong

Lack

2017

Pediatric Allergy Immunology

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Over the last 30 years, the prevalence of food allergy has been on the rise and remains a disease that can have a significant impact on the quality of life of children and their families. There are several hypotheses that have been suggested to account for the increasing prevalence, but this review will focus on the impact that dietary factors have on food allergy development. In the past food allergy, prevalence has largely focused on allergen avoidance; however, there is increasing evidence from interventional studies that have shown that early introduction to potential food allergens may have a beneficial role in allergy prevention. This review aims to look at the evidence in support of early introduction of allergens into infant diets to prevent against the development of food allergy.

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Addendum Guidelines for the Prevention of Peanut Allergy in the United States: Report of the National Institute of Allergy and Infectious Diseases–Sponsored Expert Panel

Abstract: Guidelines have been developed for early introduction of peanut-containing foods into the diets of infants at various risk levels for peanut allergy.

Cited by 68 publications

References 41 publications

Having your cake and EATing it too: early timing of multiple allergen introduction does not increase the risk of developing food allergy in standard risk, breastfed infants

Having your cake and EATing it too: early timing of multiple allergen introduction does not increase the risk of developing food allergy in standard risk, breastfed infants

A patient‐specific approach to develop an exclusion diet to manage food allergy in infants and children

The role of dietary interventions in the prevention of IgE‐mediated food allergy in children

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