Hartford Hospital

Conditions In Full

Search for

Preventing Food Allergies in Infants and Children

En Español (Spanish Version)

What Are Food Allergies?

image for food allergy articleIt can sometimes feel like children with food allergies surround you. Your best friend is breastfeeding and cannot eat dairy because her baby is allergic. You cannot pack peanut butter and jelly sandwiches for your child’s lunch because her classmates may be allergic. Deviled eggs are off limits at family gatherings because of your nephew’s allergy.

With all the buzz about food allergies, you may be wondering how you can protect your child. Learn the basics about food allergies and if there is anything you can do to keep your child allergy-free.

What Are Food Allergies?

When someone has a food allergy, their immune system reacts to a food they eat. Reactions can range from mild, to severe, to life-threatening. Some of the most common reactions include:

  • Hives
  • Runny nose
  • Itching or swelling of the lips, tongue, or throat
  • Upset stomach, cramps, bloating, or diarrhea
  • Wheezing or difficulty breathing
  • Anaphylactic shock—This is a life-threatening reaction that requires medical care right away.

Infants and children can be allergic to a variety of foods. The most common are:

  • Milk
  • Eggs
  • Shellfish
  • Peanuts and tree nuts (such as walnuts, pecans, almonds, and cashews)
  • Cereal grains such as wheat and barley

If you or your child’s doctor think that your child has a food allergy, your child may need to be tested. Food allergies are most often diagnosed through skin tests and blood tests.

Food allergies affect 1 out of every 13 children less than 18 years of age in the United States. In recent years, the number of children with food allergies has been increasing, especially peanut allergy. This has many doctors worried.

Can Food Allergies Be Prevented?

If you have a food allergy, you know how difficult it can be to keep your diet free of the offending food. And you probably want to save your child from that hassle. Is there anything you can do to prevent food allergies in your child? A lot of research is being done to try to answer that question.

Not long ago, the American Academy of Pediatrics (AAP) recommended that pregnant women avoid eating peanuts. It was thought that this might eliminate peanut allergy in young children. However, recent studies have not found a connection between eating peanuts during pregnancy and peanut allergy in children. The AAP now states that there is no evidence to suggest that restricting certain foods will prevent allergies in infants. However, if your newborn will be at high risk for developing food allergies , it is a good idea to discuss your options with your doctor. All pregnant women should eat a balanced, healthy diet to provide the best start for their babies.

Some mothers of children with food allergies need to avoid eating certain foods while breastfeeding. But can avoiding common allergic foods prevent an allergy in an infant who is not yet allergic? While some studies have shown a benefit and others have not, the AAP has not found enough evidence to recommend that breastfeeding mothers avoid common allergic foods like milk, eggs, and peanuts. Once again, if your new child is at high risk for developing food allergies, it is a good idea to discuss your options with your doctor.

Some studies have suggested that in infants who are at risk of developing allergies due to family history, exclusive breastfeeding rather than formula-feeding for the first four months may reduce the risk of cow’s milk allergy. But not all studies have shown that breastfeeding reduces the risk of food allergies. Nevertheless, for this and other reasons, many organizations such as the National Institute of Allergy and Infectious Diseases recommend that all infants be breastfed exclusively until 4-6 months of age unless there is a medical reason not to do so.

When it is finally time for your baby to eat solid foods, you may wonder when to introduce common allergic foods. The AAP recommends waiting to introduce solid foods until your baby is 4-6 months of age and whole cow milk until 12 months of age. But this is mainly to make sure your baby gets all the nutrition they needs from breast-milk or formula. It used to be recommended that common allergic foods like eggs, nuts, and fish not be introduced into your child’s diet for up to several years. But recent guidelines do not recommend longer delay of foods that commonly cause allergies. Newer studies are showing that delaying giving these foods may not prevent food allergies. In some cases, it may even increase the chance that your child will develop an allergy.

What Can Parents Do?

All of this information may make you feel like you cannot win. With new studies coming out all the time and recommendations from groups like AAP changing, you may feel confused about how to protect your child from food allergies. The most important thing is to make sure your child eats a healthy diet. It also helps to know that many children will outgrow milk and egg allergies by the time they enter school. Unfortunately, not as many children outgrow peanut allergies.

Feed your baby only breast-milk preferably or formula until age 4-6 months. If you have any family history of food allergy or reason to be concerned, talk to your doctor. When your child is old enough for solid foods, provide a variety of healthy foods for them. When you are introducing new foods to your child, be familiar with the signs of food allergy. Call the doctor if you notice your child is having a reaction.

You may not be able to prevent food allergies in your child, but you can still give them a good start by eating a healthy diet during pregnancy and breastfeeding, and providing a healthy, balanced diet full of fresh fruits and veggies when they are older.

RESOURCES:

Asthma and Allergy Foundation of America

http://aafa.org

Food Allergy Research & Education

http://www.foodallergy.org

CANADIAN RESOURCES:

Allergy/Asthma Information Association

http://aaia.ca

Canadian Allergy, Asthma, and Immunology Foundation

http://www.allergyfoundation.ca

References:

Allergy overview. Asthma and Allergy Foundation of America website. Available at: http://aafa.org/display.cfm?id=9&sub=20&cont=278. Accessed October 17, 2013.

Boyce JA, Assa'ad A, Burks AW, et al. Guidelines for the diagnosis and management of food allergy in the United States: summary of the NIAID-sponsored expert panel report. Nutr Res. 2011;31(1):61-75.

Du Toit G, Katz Y, Sasieni P, Mesher D, et al. Early consumption of peanuts in infancy is associated with a low prevalence of peanut allergy. J Allergy Clin Immunol. 2008;122(5):984-990.

Du Toit G, Lack G. Can food allergy be prevented? The current evidence. Pediatr Clin North Am. 2011;58(2):481-509, xii.

Facts and statistics. Food Allergy Research & Education website. Available at: http://www.foodallergy.org/facts-and-stats. Accessed October 17, 2013.

Food allergy. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/. Updated January 17, 2013. Accessed October 17, 2013.

Food for thought: preventing food allergies. Kids with Food Allergies website. Available at: http://www.kidswithfoodallergies.org/resourcespre.php?id=108. Published April 2008. Accessed October 17, 2013.

Foods to avoid in pregnancy. NHS Choices website. Available at: http://www.nhs.uk/conditions/pregnancy-and-baby/pages/foods-to-avoid-pregnant.aspx#close. Updated November 4, 2012. Accessed October 17, 2013.

Greer FR, Sicherer SH, Burks AW. Effects of early nutritional intervention on the development of atopic disease in infants and children: the role of maternal dietary restriction, breastfeeding, timing of introduction of complementary foods, and hydrolyzed formula. Pediatrics. 2008;121(1):183-191.

Ho MHK, Wong WHS, Heine RG, et al. Early clinical predictors of remission of peanut allergy in children. J Allergy Clin Immunol. 2008;121(3):731-736.

Question & Answer. American Academy of Pediatrics' Healthy Children website. Available at: http://www.healthychildren.org/English/tips-tools/ask-the-pediatrician/Pages/question.aspx?qid=1499. Updated May 13, 2013. Accessed October 17, 2013.

Sampson HA. What should we be doing for children with peanut allergy? J Pediatr. 2000 Dec;137(6):741.

Savage JH, Matsui EC, Skripak JM, Wood RA. The natural history of egg allergy. J Allergy Clin Immunol. 2007;120(6):1413-1417.

Sicherer SH, Mahr T. Management of food allergy in the school setting. Pediatrics. 2010;126(6):1232-1239.

Switching to solid foods. American Academy of Pediatrics' Healthy Children website. Available at: http://www.healthychildren.org/English/ages-stages/baby/feeding-nutrition/Pages/Switching-To-Solid-Foods.aspx. Updated May 28, 2013. Accessed October 17, 2013.

Last reviewed October 2013 by Michael Woods, MD

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.


 
CreativeChangePowered by: Creative Change, Inc.