Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 Jun;22(6):61-66.
doi: 10.1007/s11882-022-01032-3. Epub 2022 Apr 8.

Real-World LEAP Implementation

Affiliations
Review

Real-World LEAP Implementation

Jennifer J Koplin et al. Curr Allergy Asthma Rep. 2021 Jun.

Abstract

Purpose of review: In 2015, findings from the Learning Early About Peanut allergy (LEAP) trial provided the first convincing evidence that peanut allergy may be preventable through early peanut introduction into the infant diet. Here we discuss implementation of the LEAP study findings around the world and emerging evidence of the impacts on infant feeding and food allergy.

Recent findings: The LEAP findings led to rapid changes in allergy prevention guidelines internationally to recommend early peanut introduction. There is now emerging evidence that this has been followed by a substantial increase in early peanut introduction to infants. Studies investigating the impact of these changes in infant feeding practices on the prevalence of peanut allergy are underway. The LEAP trial represented a significant step forwards in food allergy prevention and new research over the past 5 years has provided insights into how best to implement this intervention in the real world.

Keywords: Complementary foods; Early introduction; Egg allergy; Food allergy; Peanut allergy; Prevention.

PubMed Disclaimer

Conflict of interest statement

Jennifer J. Koplin and Victoria X. Soriano declare that they have no conflict of interest.

References

    1. Du Toit G, Roberts G, Sayre PH, Bahnson HT, Radulovic S, Santos AF, et al. Randomized trial of peanut consumption in infants at risk for peanut allergy. N Engl J Med. 2015;372(9):803–813. doi: 10.1056/NEJMoa1414850. - DOI - PMC - PubMed
    1. Ierodiakonou D, Garcia-Larsen V, Logan A, Groome A, Cunha S, Chivinge J, et al. Timing of allergenic food introduction to the infant diet and risk of allergic or autoimmune disease: a systematic review and meta-analysis. JAMA. 2016;316(11):1181–1192. doi: 10.1001/jama.2016.12623. - DOI - PubMed
    1. Netting MJ, Campbell DE, Koplin JJ, Beck KM, McWilliam V, Dharmage SC, et al. An Australian consensus on infant feeding guidelines to prevent food allergy: outcomes from the Australian Infant Feeding Summit. J Allergy Clin Immunol Pract. 2017;5(6):1617–1624. doi: 10.1016/j.jaip.2017.03.013. - DOI - PubMed
    1. Joshi PA, Smith J, Vale S, Campbell DE. The Australasian Society of Clinical Immunology and Allergy infant feeding for allergy prevention guidelines. Med J Aust. 2019;210(2):89–93. doi: 10.5694/mja2.12102. - DOI - PubMed
    1. Togias A, Cooper SF, Acebal ML, Assa'ad A, Baker JR, Jr, Beck LA, et al. Addendum guidelines for the prevention of peanut allergy in the United States: report of the National Institute of Allergy and Infectious Diseases-sponsored expert panel. J Allergy Clin Immunol. 2017;139(1):29–44. doi: 10.1016/j.jaci.2016.10.010. - DOI - PMC - PubMed

Publication types