Early introduction of allergenic foods for the prevention of food allergy from an Asian perspective—An Asia Pacific Association of Pediatric Allergy, Respirology & Immunology (APAPARI) consensus statement

© 2017 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd. Emerging evidence for the early introduction of allergenic foods for the prevention of food allergies, such as peanut allergy in Western populations, has led to the recent publication of guidelines in the USA and Europe...

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Bibliographic Details
Main Authors: Elizabeth Huiwen Tham, Lynette Pei Chi Shek, Hugo P.S. Van Bever, Pakit Vichyanond, Motohiro Ebisawa, Gary W.K. Wong, Bee Wah Lee
Other Authors: National Sagamihara Hospital
Format: Review
Published: 2019
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Online Access:https://repository.li.mahidol.ac.th/handle/123456789/46051
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Institution: Mahidol University
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Summary:© 2017 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd. Emerging evidence for the early introduction of allergenic foods for the prevention of food allergies, such as peanut allergy in Western populations, has led to the recent publication of guidelines in the USA and Europe recommending early peanut introduction for high-risk infants with severe eczema or egg allergy. Peanut allergy is, however, much less prevalent in Asia compared to the West. Varying patterns of food allergy are seen even within Asian countries—such as a predominance of wheat allergy in Japan and Thailand and shellfish allergy in Singapore and the Philippines. Customs and traditions, such as diet and infant feeding practices, also differ between Asian populations. Hence, there are unique challenges in adapting guidelines on early allergenic food introduction to the Asian setting. In this paper, we review the evidence and discuss the possible approaches to guide the timely introduction of allergenic food in high-risk infants in Asia.