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NAN: Foods to Avoid Before Age One

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Offering a baby a variety of healthy, age-appropriate foods will help to establish good eating habits. However, there are some foods that should not be given to young children. These include foods that are choking hazards, such as large chunks of foods, raw carrots and whole grapes. Honey should also not be given to children under age one because of the rare, but possible threat of botulism.

While the American of Academy of Pediatrics formerly recommended that shellfish, peanut butter, and citrus fruits not be given to children younger than one due to allergy concerns this is no longer the case. According to the 2008 American Academy of Pediatrics Clinical Report, although solid foods should not be introduced before 4 to 6 months of age, there is no current convincing evidence that delaying their introduction beyond this period has a significant protective effect on the development of atopic disease regardless of whether infants are fed cow milk protein formula or human milk. This includes delaying the introduction of foods that are considered to be highly allergic, such as fish, eggs, and foods containing peanut protein. The Academy’s latest recommendations are consistent with this report, according to their more recent publication “What you need to know about the new guidelines for the diagnosis and management of food allergy in the U.S..

In 2017, The American Academy of Pediatrics introduced new information for implementing peanut allergy prevention guidelines that were based on the “Addendum guidelines for the prevention of peanut allergy in the United States: Report of the National Institute of Allergy and Infectious Diseases–sponsored expert panel.”  These guidelines recommend early introduction of infant-safe forms of peanut according to an initial risk assessment, which may include allergy testing. For example, infants in a high risk group, characterized by having severe eczema, egg allergies or both, the recommendation is for allergy testing and the introduction of peanut based on the results. For infants with no eczema or food allergies, the recommendation is to introduce peanut-containing foods in an age appropriate way consistent with family practices and cultural preferences.

Michelle LaRoweNAN: Foods to Avoid Before Age One