Doctor, when should I feed solid foods to my infant?

@article{Fiocchi2016DoctorWS,
  title={Doctor, when should I feed solid foods to my infant?},
  author={Alessandro Giovanni Fiocchi and Lamia Dahdah and Sami L. Bahna and Oscar Mazzina and Amal H. Assa'ad},
  journal={Current Opinion in Allergy and Clinical Immunology},
  year={2016},
  volume={16},
  pages={404–411}
}
Purpose of reviewModalities and timing of the introduction of solid foods to infants may influence growth, obesity, atherosclerosis, hyperlipidemia, hypertension, diabetes, and metabolic disease. The most debated effects of solid foods introduction are those on the development of food allergy. Recent findingsFor the first time, in recent years prospective studies have been published about the effects of early vs. delayed introduction of allergenic foods into the infants’ diet on food allergy… 

Which advises for primary food allergy prevention in normal or high‐risk infant?

  • G. RicciF. Cipriani
  • Medicine
    Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology
  • 2016
TLDR
Clear evidence of effectiveness and safety of early introduction are not yet available to recommend a radical change in the current clinical practice, so realistic advice for the general population could be to begin the weaning at 4–5 months with the progressive introduction of different foods.

Avenues for research in food allergy prevention: unheeded ideas from the epidemiology.

TLDR
The epidemiological observations do not limit the emergence of food allergy to dietary factors, but generate a welter of hypotheses on its pathogenesis, which hypothesis is matched by each epidemiological observation(s).

Early solid diet supplementation influences proteomic of rumen epithelium in goat kids

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TLDR
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References

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Randomized Trial of Introduction of Allergenic Foods in Breast-Fed Infants.

TLDR
The trial did not show the efficacy of early introduction of allergenic foods in an intention-to-treat analysis, and the consumption of 2 g per week of peanut or egg-white protein was associated with a significantly lower prevalence of these respective allergies than was less consumption.

Food allergy and the introduction of solid foods to infants: a consensus document. Adverse Reactions to Foods Committee, American College of Allergy, Asthma and Immunology.

  • A. FiocchiA. Assa'adS. Bahna
  • Medicine
    Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology
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Complementary Feeding: A Commentary by the ESPGHAN Committee on Nutrition

TLDR
It is prudent to avoid both early and late introduction of gluten, and to introduce gluten gradually while the infant is still breast-fed, inasmuch as this may reduce the risk of celiac disease, type 1 diabetes mellitus, and wheat allergy.

Can early introduction of egg prevent egg allergy in infants? A population-based study.

Primary prevention of allergic disease through nutritional interventions.

Avoidance or exposure to foods in prevention and treatment of food allergy?

TLDR
The current recommendation that children with confirmed food allergy should avoid foods implicated in immediate reactions is endorsed, and notions of promoting early oral tolerance may have some merit in theory, but in practice research remains inconclusive.

The Australasian Society of Clinical Immunology and Allergy position statement: summary of allergy prevention in children

TLDR
Investigation is needed to determine the relationship between house dust mite exposure at an early age and the development of sensitisation and disease; no recommendation can yet be made about avoidance measures for preventing allergic disease.

Effects of Early Nutritional Interventions on the Development of Atopic Disease in Infants and Children: The Role of Maternal Dietary Restriction, Breastfeeding, Timing of Introduction of Complementary Foods, and Hydrolyzed Formulas

TLDR
There is insufficient data to document a protective effect of any dietary intervention beyond 4 to 6 months of age for the development of atopic disease, and current evidence does not support a major role for maternal dietary restrictions during pregnancy or lactation.

Effect of combined maternal and infant food-allergen avoidance on development of atopy in early infancy: a randomized study.

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