Infant Exposure Might Limit Later Peanut Allergies

I blogged nearly 1 year ago about how early peanut exposure reduces risk of peanut allergy and FINALLY the authorities have caught up with Dr Nat… 😉

Allergies are on the rise in Westernised countries so back in year 2000 the American Academy of Pediatrics (AAP) advised delaying the introduction of allergenic foods (such as peanuts) until after age 3 years.

Subsequently the incidence of peanut allergy more than doubled between 2000 and 2008, and in 2008 the AAP recommendations were withdrawn.

The AAP now recommends that infants be given peanuts before age 1. If there are concerns about peanut reactions, then it’s recommended that the first exposure be given in a doctor’s office with capacity to handle anaphylaxis. It goes without saying that you should discuss any concerns with your doctor and also avoid giving the peanut in a choke-hazard form. Would be terrible to avoid allergy only to asphyxiate to death…

NEJM JW Gen Med Mar 15 2015
N Engl J Med 2015; 372:803, 875
NEJM JW Pediatr Adolesc Med Oct 2015
Pediatrics 2015; 136:600

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