Can Parents Stop Peanut Allergies Before They Start?

Medically Reviewed By William C. Lloyd III, MD, FACS
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peanut butter and jelly sandwich

Children sometimes outgrow certain food allergies. But peanut allergies usually don’t go away over time. Allergic reactions to peanuts can be very serious and even fatal in some cases. It's no wonder many parents have taken extreme steps to keep their children "peanut-free." 

However, health experts warn that avoiding possible allergens doesn't really help prevent allergies. Also, research now suggests exposing babies to the protein in peanuts may keep them from developing a peanut allergy.

Known Prevention Strategies

There are a few long-standing ideas about preventing allergies:

  • Breastfeed infants. Drinking only breast milk until 4 to 6 months old gives infants the most health benefits. This is particularly true for babies at high risk for allergies, such as a family history of food allergies. Breast milk is less likely than formula to trigger an allergic reaction. It can also help strengthen the immune system. But breastfeeding isn't always possible. In that case, using hydrolyzed infant formulas instead of cow’s milk formulas can help prevent allergies.

  • Introduce foods one at a time. Once babies are 4 to 6 months old, they can begin sampling a wide range of foods. Starting new foods one at a time can help you see right away if a food could be causing an allergic reaction. Children who have never had a reaction should not avoid potential allergens. This has no proven benefit.

New Evidence

Medical experts say there is no need for healthy children to avoid potential allergens like peanuts. New research takes this one step further. It now suggests exposing babies to the protein in peanuts could keep them from developing peanut allergies.

This finding came from a study of babies 4 to 11 months old who were at high risk for peanut allergy: They had severe eczema (a type of dermatitis), an egg allergy, or both conditions. Their parents gave them small amounts of peanut protein from a peanut butter product every week. The researchers found these babies were about 86% less likely to develop an allergy by the age of five.

Their conclusion: Exposing kids to peanuts when they're infants helps them develop a tolerance to the nuts so they don’t develop an abnormal reaction.

Use Caution With Exposures

This finding could change the way parents and doctors manage allergies in kids. However, parents should still be very cautious about how and when they give their children peanut products. Here's why: The study did not include babies who already showed very strong signs of having a peanut allergy. So it's not clear whether exposing these children to peanuts is safe or effective.

Important factors to keep in mind:

  • Talk with your baby's doctor before giving your child any peanut products. This is especially true for children with eczema or egg allergies. They are at greater risk for a peanut allergy.

  • It's not safe to feed infants and young children peanuts because they can choke on them. Babies do not have the teeth needed to chew peanuts well enough. The muscles used to swallow are also weaker in young children. Peanuts can get trapped in babies' airways, keeping them from breathing.

Work With Your Pediatrician or an Allergy Specialist

Don't feed your baby or young child any peanut products on your own. Ask your pediatrician how and when this can be done safely. 

The doctor will consider your child's and family medical histories and stage of development to help decide when he or she is ready to be exposed to peanut protein. They can also help you choose a good source of peanut protein. This should be done under a doctor’s supervision only. Your child’s doctor may refer you to an allergy specialist

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Medical Reviewer: William C. Lloyd III, MD, FACS
Last Review Date: 2021 Apr 24
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THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on the site. If you think you may have a medical emergency, immediately call your doctor or dial 911.

  1. Du Toit G, Roberts G, Sayre P et al. Randomized Trial of Peanut Consumption in Infants at Risk for Peanut Allergy. N Engl J Med. 2015;372:803-13. 

  2. Advisory: Do Not Feed Peanuts to Infants and Young Children at Risk for Peanut Allergy. American College of Surgeons.  https://www.facs.org/peanutadvisory

  3. What you need to know about the new guidelines for the diagnosis and management of food allergy in the U.S. American Academy of Pediatrics. https://www.aaaai.org/Aaaai/media/MediaLibrary/PDF%20Documents/Practice%20and%20Parameters/Food-Allergy-Summary.pdf

  4. Prevention of Allergies and Asthma in Children. American Academy of Allergy, Asthma & Immunology. http://www.aaaai.org/conditions-and-treatments/library/at-a-glance/prevention-of-allergies-and-asthma-in-children

  5. Otsu K, Dreskin SC. Peanut Allergy: An Evolving Clinical Challenge. Discov Med. 2011 Oct;12(65):319-28.

  6. What is a Food Allergy? Asthma and Allergy Foundation of America. http://www.aafa.org/page/food-allergies.aspx

  7. DuToit G, et al. Effect of Avoidance on Peanut Allergy after Early Peanut Consumption. N Engl J Med 2016; 374:1435-1443. 

  8. Perkin MR et al. Randomized Trial of Introduction of Allergenic Foods in Breast-Fed Infants. N Engl J Med 2016; 374:1733-1743.

  9. Can Food Allergies Be Prevented with Diet? Kids With Food Allergies. Asthma and Allergy Foundation of America. http://www.kidswithfoodallergies.org/page/prevention-of-food-allergies-pregnancy-infancy-diet.aspx