The timing of infant food introduction in families with a history of atopy

Michelle McKean, Aaron B. Caughey, Russell E. Leong, Angela Wong, Michael D. Cabana

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


Objective. To describe the timing of introduction and type of food introduced to infants with a family history of atopy. Methods. We conducted a secondary analysis of foods introduced each month to an interventional birth cohort of 149 infants at risk for atopy. Results. Seven percent of infants received solid food prior to 4 months of age; 13% after 6 months of age. Hyperallergenic foods were introduced on average in the following order: wheat (8.7 months); eggs (11.2 months); soy (13.0 months); fish (13.4 months); peanut (20.2 months); tree nuts (21.8 months); and other seafood (21.8 months). Asian race (odds ratio 3.94; 95% CI 1.14-13.58) and maternal history of food allergy (odds ratio 3.86; 95% CI 1.29-11.56) were associated with late food introduction. Conclusion. Variation in timing of food introduction may reflect cultural preferences and/or previous experience with food allergy, as well as the ambiguous state of current recommendations.

Original languageEnglish (US)
Pages (from-to)745-751
Number of pages7
JournalClinical Pediatrics
Issue number8
StatePublished - Jul 19 2015
Externally publishedYes


  • Allergy
  • Allergy Prevention
  • Cultural background
  • Nutrition
  • Parenting

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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