When & How to Introduce Peanut Butter to Your Baby


The investigation is out! It’s time to place this controversial subject to rest. Based on the groundbreaking LEAP (Learning Early About Peanut Allergy) trial published in 2015, introducing peanut butter to your infant at an early age could enable lower the danger of its allergy.  

In this trial, 640 infants among the ages of 4-11 months and at higher danger of peanut allergy have been randomized to either the peanut consumption group or avoidance group till 60 months of age. Upon the completion of the trial, the participants have been tested to establish the presence of a peanut allergy. The benefits showed that 17.2% of these who avoided peanuts tested positive for the allergy. On the other hand, only 3.2% of these exposed to peanuts just before 60 months created an allergy. So, introducing peanut butter to your infant drastically decreased the improvement of peanut allergies in higher-danger infants. (1)

When to Introduce Peanut Butter to a Baby

The American Academy of Pediatrics (AAP) lately came out with suggestions for the introduction of peanuts for peanut allergy prevention. Largely influenced by the LEAP trial, the suggestions are as follows:

  • introduction among 4-6 months for higher-danger infants,
  • introduction about 6 months for mild to moderate-danger infants, and
  • introduction based on household and cultural practice for infants at low danger for peanut allergy.

Risk assessment is primarily based on the presence of eczema and/or egg allergy. Infants with no eczema or any meals allergy are regarded as low-danger for peanut allergy. The recommendation involves detailed measures for testing peanut reactions for higher-danger infants, which you can study more about in How to Help Prevent Peanut Allergy in Kids. (2)

Advancements in Peanut Allergy Treatment

In January of 2020, the FDA approved a new peanut allergy treatment, Palforzia [Peanut (Arachis hypogaea) Allergen Powder-dnfp]. It can be began with youngsters with a peanut allergy diagnosis who are ages 4-17 years old. While youngsters who are making use of this FDA-authorized remedy will have to nevertheless prevent peanuts, it can enable lower their reactivity to any unplanned exposure. As usually, work with your wellness care group to pursue this form of remedy.

What does this imply for parents?

Advancing technologies and science could reveal further possibilities inside the future. So, preserve an eye out for any new developments, and be confident to work with a educated allergist just before pursuing any of these possibilities upon FDA approval. As with any therapy, it is significant to evaluate the dangers and advantages for your kid and household. For security purposes, prevent attempting to desensitize your kid from allergens at property devoid of healthcare supervision.

What to take into account just before introducing peanut butter to your infant

If your infant is at higher-danger for peanut allergy, seek advice from your pediatrician to establish a secure course of action prior to the introduction of peanut-containing foods. Due to choking dangers, prevent providing complete nuts to youngsters just before age 5. It’s also not advised to give peanut butter straight from a spoon or in lumps just before age 4. So, proceed with caution. Instead, attempt crushing, blending, mixing, and chopping nuts to an age-suitable level and attempt the other possibilities under.

When introducing peanut butter to your infant, be on the lookout for probable reactions. Mild allergy symptoms could contain a new rash or hives about the mouth or face. More serious symptoms could consist of lip, face, and tongue swelling, widespread hives, difficulty breathing, repetitive coughing, modify in skin colour, and/or sudden tiredness. If you feel your kid is experiencing a serious allergic reaction, seek healthcare interest/get in touch with 911 instantly. (3)

Easy Ways For Introducing Peanut Butter (4)

  1. Dilute 2 teaspoons of peanut butter with 2-3 teaspoons of hot water, formula, or breast milk and cool just before serving.
  2. Mix 2 teaspoons of peanut butter into 2-3 tablespoons of pureed infant foods.
  3. For older infant take into account generating your personal peanut butter teething biscuits.

If you want an additional selection that does not involve peanut butter, try peanut-containing infant snacks like peanut puffs.

What are the important takeaways?

If your infant is at higher danger for peanut allergy, AAP recommends an early introduction to peanuts. So, be confident to seek advice from with your healthcare provider to establish a program for introducing peanut butter to your infant safely.

While there could not be a remedy for peanut allergies, desensitization to a smaller quantity of peanuts could be probable. Not to mention, it could enable place your thoughts at ease when attempting distinctive packaged foods, restaurants, or whilst at social events. But, if you currently have a kid with a peanut allergy, take a appear at What if Peanuts Could Cure Peanut Allergies?

Bio: Amy Chen, MS, RD, CDE is a registered dietitian in the San Francisco Bay Area. She enjoys writing, spending time with her household, and acquiring effortless recipes.



Originally published in www.superkidsnutrition.com