COMMENTARY

Infant weaning

Introduction of solids to the infant diet

G A Khakoo, G Lack

Department of Paediatric Allergy, Asthma and Immunology, Imperial College London at St Mary’s Hospital, London, UK

Correspondence to:
Correspondence to:
Dr G Lack
Department of Paediatric Allergy, Asthma and Immunology, Imperial College London at St Mary’s Hospital, Salton House, St Mary’s Hospital, Praed Street, London W2 1NY, UK; gideon.lack@st-marys.nhs.uk

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Commentary on the papers by Morgan et al and Zutavern et al

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Keywords: nutrition; infant; weaning; breast feeding

The first 150 words of the full text of this article appear below.

The Department of Health has recently supported the WHO advice for mothers to exclusively breast feed until 6 months of age.¹ Furthermore, there are expert committee guidelines regarding the introduction of solids in the diet of infants at high risk of developing allergy. The joint guidelines of the European Society for Paediatric Allergology and Clinical Immunology (ESPACI) and the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) recommend that solid food introduction be delayed until 5 months of age. The American Academy of Pediatrics advice is more detailed, suggesting that solids be delayed until 6 months of age, cows’ milk to 1 year, egg to 2 years, and peanuts, tree nuts, and fish to 3 years.² It is not surprising that these guidelines differ as they are based on the limited evidence of two studies. The first, a prospective non-randomised study in an atopic population, suggested that . . . [Full text of this article]

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This article has been cited by other articles:

• Snijders, B. E.P., Thijs, C., van Ree, R., van den Brandt, P. A. (2008). Age at First Introduction of Cow Milk Products and Other Food Products in Relation to Infant Atopic Manifestations in the First 2 Years of Life: The KOALA Birth Cohort Study. Pediatrics 122: e115-e122 [Abstract] [Full Text]  
• Zutavern, A., Brockow, I., Schaaf, B., Bolte, G., von Berg, A., Diez, U., Borte, M., Herbarth, O., Wichmann, H-E., Heinrich, J., the LISA Study Group, (2006). Timing of Solid Food Introduction in Relation to Atopic Dermatitis and Atopic Sensitization: Results From a Prospective Birth Cohort Study. Pediatrics 117: 401-411 [Abstract] [Full Text]