The new guidance report for pediatricians on the issue of children’s allergies, published in the January issue of the journal Pediatrics gives only one advisory: Breast-feeding helps prevent babies’ allergies. There is no evidence that avoiding certain foods during pregnancy, using soy formula or delaying introduction of solid foods beyond six months will have any effect on preventing food allergies, asthma and allergic rashes.
In August 2000, the doctors group advised mothers of infants with a family history of allergies to avoid cow’s milk, eggs, fish, peanuts and tree nuts while breast-feeding. The report says:
There is no convincing evidence that women who avoid peanuts or other foods during pregnancy or breast-feeding lower their child’s risk of allergies
For infants with a family history of allergies, exclusive breast-feeding for at least four months can lessen the risk of rashes and allergy to cow’s milk
Exclusive breast-feeding for at least three months protects against wheezing in babies, but whether it prevents asthma in older children is unclear.
There is modest evidence for feeding hypoallergenic formulas to susceptible babies if they are not solely breast-fed.
There is no good evidence that soy-based formulas prevent allergies.
There is no convincing evidence that delaying the introduction of foods such as eggs, fish or peanut butter to children prevents allergies. Babies should not get solid food before 4 to 6 months of age, however.
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