Infant feeding and allergy prevention


Grimshaw et al. reported current national recommendations for infant feeding and allergy prevention (1). For Poland, it was reported that the delayed introduction of allergenic food is recommended. This is not correct. In the 2007 national recommendations, it is clearly stated that ‘currently there is no evidence that avoidance or delayed introduction of potentially allergenic foods, such as fish and eggs, reduces the risk of allergic diseases in healthy children’ (2).

It is true that in 1997, the Polish Experts Committee advised the avoidance of allergenic foods from the mother’s diet based on the evidence available at that time. However, current practice is based on more recent and updated guidelines developed by international scientific societies, particularly those developed by the European Society for Paediatric Gastroenterology, Hepatology and Nutrition, the European Society for Pediatric Allergy and Clinical Immunology, and the American Academy of Pediatrics. These guidelines are usually very quickly translated and published in the most popular pediatric journals, often with commentaries from national experts. In practice, they replace outdated national and international recommendations. Thus, in line with current recommendations, allergen avoidance during lactation, as well as during pregnancy, currently is not recommended for allergy prevention in Poland.