| A/B/C |
Statement: There is some evidence that the diversity of the child’s diet in the first year of life has a protective effect on the development of atopic diseases. A divers diet also includes fish and a limited amount (up to 200 mL per day) of milk or natural yogurt and hen’s egg as part of the complementary food. |
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Recommendations: Depending on the readiness of the infant, the feeding of complementary food should start from the beginning of the 5th, at the earliest, to the beginning of the 7th month of life, at the latest. (B) |
| There is no proof of a preventive effect of dietary restriction by avoiding potent food allergens in the first year of life. Therefore, no restriction should be made. (A) |
| For prevention of hen’s egg allergy, well-cooked (e.g., baked or hard-boiled), but no “raw” eggs (not even scrambled eggs), should be introduced with the complementary food and given regularly. (B) |
| For prevention of peanut allergy, introduction and regular consumption of peanuts in an age-appropriate form (e.g. peanut butter) may be considered in infants with atopic dermatitis living in families with regular peanut consumption. (C) |
| A peanut allergy should first be ruled out, especially in infants with moderate to severe atopic dermatitis. (A) |
| Level of evidence |
Studies for the statements on complementary foods regarding diversity, fish, milk (yogurt): |
| Crane 2018 (2+); Turati 2016 (2++); Nwaru 2014 (2++); Roduit 2014 (2++); Roduit 2018 (2++); Oien 2019 (2++); Klingberg 2019 (2++); Vasileiadou 2018 (2+); Lumia 2015 (2+); Shoda (2+) |
| Recent studies on recommendation to avoid dietary restriction are lacking; recommendation is based on previous recommendations and, with regard to food allergy, on the EAACI guideline |
| Level of consensus: |
Strong consensus |
