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Child health
Cohort study
No evidence that introduction of allergenic foods prior to 6 months of age increases reports of wheeze or eczema in young childhood
  1. S Hasan Arshad
  1. Department of Clinical and Experimental Sciences, Southampton General Hospital, Southampton, UK
  1. Correspondence to S Hasan Arshad
    Department of Clinical and Experimental Sciences, Southampton General Hospital, Tremona Road, Southampton, Hants SO16 6YD, UK; sha{at}soton.ac.uk

http://dx.doi.org/10.1136/ebnurs-2011-100449

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Commentary on: Tromp II, Kiefte-de Jong JC, Lebon A, et al. The introduction of allergenic foods and the development of reported wheezing and eczema in childhood: the Generation R study. Arch Pediatr Adolesc Med 2011;165:933–8.OpenUrlCrossRefPubMedWeb of Science

Implications for practice and research

  • ■ A delay in the introduction of solid foods beyond 6 months does not protect from allergic disease and should not be recommended.

  • ■ A randomised controlled trial (RCT) investigating the specific effect of early versus delayed introduction of solid foods is needed.

Context

A delay in introduction of solid foods has been suggested for decades as a means of preventing atopic diseases due to infants' immature immune system and hence inability to handle a wide variety of food antigens.1 The normal response to food antigens is that of immune tolerance. However, …

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