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Proposed Changes to NHMRCs 2012 Infant Feeding Guidelines submission

ID: 
13
This submission reflects the views of
Organisation Name: 
Centre for Food & Allergy Research, NHMRC CRE
Please identify the best term to describe the Organisation: 
Clinical research organisation
Personal Details
Question 1
Do you agree with the proposed change? If no, please provide rationale and relevant citations: 
yes
Question 2
Do you agree with the proposed change? If no, please provide rationale and relevant citations: 
yes
Question 3
Do you agree with the proposed change? If no, please provide rationale and relevant citations: 
yes -- however, as a NHMRC Centre for Research Excellence, the Centre for Food & Allergy would like our position on the timing of introduction of solids to be noted for the Infant Feeding Guidelines. The Centre for Food & Allergy Research (CFAR) urges the NHMRC to supplement its wording on introduction of solid foods to include the following language: “Recent research has provided substantial high-quality evidence that delaying the introduction of some allergenic foods in the infant diet actually increases the risk of food allergy.” In recognition of new research findings on infant feeding and food allergy, CFAR will be working with ASCIA this year to carefully review the latest evidence regarding infant feeding and make recommendations for revised guidelines. Current studies do not support the delay of introduction of solids in general or allergenic solids for the prevention of food allergy. The Australian Healthnuts study found that introducing egg into the infant diet later (after 4-6 months) was associated with higher rates of egg allergy. (Koplin et al J Allergy Clin Immunol. 2010 Oct;126(4):807-13) More recent research has found that delaying the introduction of peanuts to infants (4 – 11 mos) at high risk of developing peanut allergy resulted in a 5-fold increase in rate of the allergy (du Toit et al N Engl J Med 2015; 372:803-813).

Page reviewed: 16 September, 2015