MS, RD, LDN, CBS
Janel holds a Master’s in Nutrition Communication from Tufts University. As the recipient of the 2010 Massachusetts Young Dietitian of the Year award, she believes in making healthy eating simple, sustainable, and delicious.
Keeping up with the latest food allergy recommendations can seem daunting, as new research (sometimes contradicting old research) continues to emerge. What causes food allergies and why they’re on the rise remains unclear, but the fact that they are rising cannot be disputed. Roughly 4% of American children have at least one food allergy, an 18% increase over a decade. An allergic reaction to food occurs when the body’s immune system misinterprets or overreacts to a protein in food, identifying it as harmful or dangerous and triggering a protective response.
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Any food has the potential to cause an allergic response and so far, over 160 foods have been identified! However, only these eight foods account for about 90% of all reactions:
Also be aware that certain seeds, including sesame and mustard seeds, are common food allergy triggers and are considered major allergens in other countries.
The latest research has shown that there is no benefit in delaying the introduction of allergy-causing foods. Therefore, the American Academy of Pediatrics (AAP) recommends not delaying introducing foods such as eggs, dairy, soy, peanuts or fish (in the texture your baby can safely handle) when you introduce solids (around 6 months). See Introducing solids: Signs of readiness for more information as to when your baby is ready to start solids.. However, if you suspect your baby has an allergic reaction to a food or if you have a history of severe eczema or food allergies, talk to your doctor on how best to introduce allergy-causing foods.
As you’re introducing a new potential food allergen to your baby, how do you know if he has an allergy? Symptoms of an allergic reaction may involve the skin, the digestive system, the cardiovascular system and/or the respiratory tract and can vary from person to person, and from incident to incident. It’s important to know that a mild reaction can occur on one occasion and a severe reaction to the same food may occur on a subsequent occasion. This range of reactions may include:
Inform and prepare yourself
Discuss your plan to introduce solid foods with your physician or allergist, especially if you have a family history of allergic diseases (like food allergies, eczema, asthma, hay fever or atopic dermatitis).
Introduce major allergens alongside safe, already well-tolerated first foods
Unless otherwise instructed by your physician, give your baby one major allergen at a time at a rate not faster than one new food every 2-3 days.
Note that when introducing nuts, peanut and tree nut butters are safe at younger ages, but shelled whole peanuts and tree nuts carry choking risks.
You may offer dairy products like cheese and yogurt before age one, but whole cow’s milk should be avoided until after one year of age (while this is unrelated to allergies, it is worth noting because your baby cannot digest whole cow’s milk easily, not to be confused with an allergic reaction).
Watch for any signs of an allergic reaction after introducing each new food
If any of the previously noted reactions occur, stop feeding your child the new food and consult with your child’s doctor for evaluation. If your baby experiences any severe reactions (like difficulty breathing, swelling or severe vomiting or diarrhea) call 911 immediately.
Practice allergy prevention strategies
While there’s no certainty, research indicates the following strategies can be helpful in reducing the risk of allergies in your child:
Research shows that both pre and probiotic ingestion can have beneficial effects on your baby’s developing gastrointestinal and immune systems and may be helpful in preventing allergies.
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Avoid smoking and second-hand smoke. Smoking and exposure to second-hand smoke may increase your baby’s risk for allergic diseases and food allergies. In general, it is recommended to avoid any form of tobacco exposure during pregnancy and during childhood (and thereafter!).
Food Allergies in Children. Healthy Children.org. Date accessed 21 Nov. 2015. Food Allergy. American College of Allergy, Asthma & Immunology. Food Allergies: What You Need to Know. U.S. Food & Drug Administration. Date accessed 14 May 2012.