Contrary to the advice of some pediatricians, a new study
suggests that waiting to introduce babies to cereal grains
might not be a good idea if you want to prevent food allergies.
Babies who didn't eat grains until after they were 6 months
old were more likely to develop wheat allergies, researchers
report.
"We recommend introducing cereal grains between 4
and 6 months of age," said study co-author Dr. Jill
Poole, an assistant professor of allergy, asthma and immunology
at the University of Nebraska.
Poole initially expected the research would confirm the
post-six-months recommendation.
For reasons that aren't entirely clear, food allergies
are becoming more common among U.S. children, affecting
an estimated 3 percent to 6 percent of all children, Poole
said. Wheat allergies are among the top five allergies,
which also include egg, milk, soy and peanut allergies.
There's controversy about when to expose babies to cereal
grains, which are typically the first foods that babies
eat after breast-feeding. Some specialists recommend cereal
grains be introduced after 6 months of age, while others
advise that they be given between 4 and 6 months.
For the new study, Poole -- who was working at the University
of Colorado at the time of the research -- and her colleagues
enrolled 1,612 children between 1993 and 2004 and followed
them through the age of four.
Just one percent of the children -- 16 kids -- developed
wheat allergies. But the study revealed that children who
were first exposed to cereals (wheat, barley, rye and oats)
after six months were 3.8 times more likely to have developed
an allergy than those who first ate cereals earlier.
The risk of wheat allergy also went up by 1.6 times if
the child was exposed to rice cereal after 6 months of age
and by nearly four times if a parent or sibling had asthma,
eczema, or hives, the researchers found.
The study results appear in the June issue of the journal
Pediatrics.
Poole acknowledged that the number of children in the study
who developed grain allergies was very small. But, she added,
there was a "strong association" linking their
allergies to their introduction to cereal grains.
Why would it matter when babies eat cereal grains for the
first time? It seems to have something to do with the immune
system, which overreacts in people with allergies, Poole
said.
"Previously, we had thought if you delay giving foods
to a child, it gives their immune system time to become
mature and develop," she said.
But the study findings seem to debunk that theory, suggesting
that perhaps the body's immune system "needs to see
the food protein earlier to know it's not something harmful,
and it shouldn't react to it," Poole said.
It may also be possible that children who begin eating
grains later may eat more, potentially aggravating their
immune systems, she said.
Dr. Kevin Murphy, clinical professor of pediatrics at the
University of Nebraska, said genetic factors also appear
to play a role in the development of allergies.
He called the new study "excellent," and said
it confirms the advice of the American Academy of Pediatrics
-- introduce cereal grains between 4 and 6 months of age.