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Study Ties U.S. Early Peanut-Feeding Guidelines to Sharp Drop in Toddler Allergies

An analysis of 125,000 pediatric records estimates roughly 60,000 cases were averted, with authors cautioning the study does not establish causation.

Overview

  • Published in Pediatrics, the observational study tracked food-allergy diagnoses across dozens of U.S. pediatric practices before and after guidance changes beginning in 2015.
  • Peanut allergies in children ages 0 to 3 fell by more than 27 percent following the 2015 recommendations and by more than 40 percent after the 2017 expansion.
  • Researchers estimate about 60,000 U.S. children avoided peanut allergy as early-introduction advice took hold, echoing protective effects seen in the LEAP randomized trial.
  • U.S. guidance now recommends introducing peanut and other major allergens at 4 to 6 months without routine pretesting, though implementation has been uneven.
  • Experts note the data set may not be nationally representative and infant diets were not directly measured, while overall childhood food allergies have risen and international results remain mixed.