Achievements and prospects in the prevention of food allergies

The review presents achievements and prospects in the prevention of food allergies (FA). The incidence of FA has increased worldwide, and this has determined the need to change approaches to the primary prevention of FA, which for a long time relied on elimination strategies in the diet of not only children, but also pregnant and lactating women. The aim of the review is to determine the advantages of early introduction of highly allergenic foods as complementary foods for FA prevention. Literature was searched in the following databases: PubMed, Embase, Cochrane Library, Google. For children at high risk of developing FA, there is convincing evidence of the benefits of early administration of allergenic foods, in particular peanuts and eggs. It is believed that in such cases, not only should these products not be delayed, but they should be administered around the age of 4–6 months to minimize the risk of developing FA. All current guidelines recommend this approach regardless of the risk of developing FA. Conclusion. Taking into account the trends towards the early introduction of allergenic products as a prevention of FA, it can be argued that a significant transition has been made from an elimination strategy to a strategy for the formation of tolerance to food allergens.

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Publication Details

Journal
Russian Pediatric Journal
Published
2025-02-28
DOI
https://doi.org/10.46563/1560-9561-2025-28-1-74-78
Primary Topic
Food Allergy and Anaphylaxis Research
Type
article
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article

Achievements and prospects in the prevention of food allergies

Vera Reviákina, I A Larkova
Russian Pediatric Journal
Food Allergy and Anaphylaxis Research
article

Achievements and prospects in the prevention of food allergies

Vera Reviákina, I A Larkova
article en

Abstract

The review presents achievements and prospects in the prevention of food allergies (FA). The incidence of FA has increased worldwide, and this has determined the need to change approaches to the primary prevention of FA, which for a long time relied on elimination strategies in the diet of not only children, but also pregnant and lactating women. The aim of the review is to determine the advantages of early introduction of highly allergenic foods as complementary foods for FA prevention. Literature was searched in the following databases: PubMed, Embase, Cochrane Library, Google. For children at high risk of developing FA, there is convincing evidence of the benefits of early administration of allergenic foods, in particular peanuts and eggs. It is believed that in such cases, not only should these products not be delayed, but they should be administered around the age of 4–6 months to minimize the risk of developing FA. All current guidelines recommend this approach regardless of the risk of developing FA. Conclusion. Taking into account the trends towards the early introduction of allergenic products as a prevention of FA, it can be argued that a significant transition has been made from an elimination strategy to a strategy for the formation of tolerance to food allergens.

Russian Pediatric JournalVol. 28(1)
Center for Children (US)
Openalex Percentile: Top 92%
Food Allergy and Anaphylaxis Research
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