While the advice is a change from the government's previous recommendations, many pediatricians and allergists have been recommending that babies be introduced to foods containing peanuts since the LEAP study was published.
Children at high risk should be tested with a specialist.
One way to introduce peanuts in a safe manner is to mix smooth peanut butter with breast milk, formula, or warm water. But, according to new guidelines from the National Institutes of Health, giving babies peanut-based foods early might prevent allergies. Though many doctors believed that giving babies peanuts earlier could help, "we needed studies to like this to back things up". "If a child has a lot of allergies already, then we should definitely consider testing before we try peanuts". Tony Fauci said in a statement.
Infants at moderate risk of developing a peanut allergy are those with mild to moderate eczema. For instance, once a child has been introduced to peanut products, how long should they continue to eat them and how much?
The major guidelines say that infants will need to get heavy ingredients in their diet with which they get used to with that ingredients. The benefits can be enormous.
Peanut allergies can persist through adulthood.
"Peanut allergy just kept increasing in prevalence", said Baker, who is also a member of the expert panel that created the new guidelines.
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It may scare parents, but it shouldn't, Greenhawt said.
For years, American paediatricians advised avoiding peanuts until age three for children thought to be at risk, a recommendation that was dropped in 2008.
New guidelines say babies at high risk of developing a peanut allergy should be given peanuts around 6 months of age - a departure from the idea that they should be kept away from peanuts until they are 3 years old. Whole peanuts should not being given as they present a choking hazard. Her older brother Zach, now 3, had a peanut allergy he later outgrew and Camden had an egg allergy, so Schreiner was anxious.
However, safety is an important factor when introducing peanuts to little ones. "We don't have to constantly be reading labels".
Wasserman says even with the new guidelines she'd have a hard time following them with a new baby.
A clinical study in London looked at 640 infants prone to developing a severe peanut allergy. "Most everyone else is going to be within the first six months", Rodarte added.
"The simple message is to start peanut early for those with eczema, at around six months, and give it regularly", Chan said. The physicians noted that food allergies of all kinds are a leading cause of emergency room visits. If the risk of a reaction is moderate to high, the child should be given the peanut products in a doctor's office or specialty facility.