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Archives de pédiatrie
Volume 21, n° 12
pages 1392-1395 (décembre 2014)
Doi : 10.1016/j.arcped.2014.07.003
Diversification alimentaire et risque allergique
Solid food introduction and allergic risk

N. Pham-Thi a, , E. Bidat b
a CNRS U8147, hôpital Necker–Enfants-Malades, hôpital du Kremlin-Bicêtre, AP–HP, 149, rue de Sèvres, 75015 Paris, France 
b Hôpital Ambroise-Paré, AP–HP, 9, avenue Charles-de-Gaulle, 92100 Boulogne-Billancourt, France 

Auteur correspondant.

La diversification alimentaire en pédiatrie a subi durant ces dernières décennies de nombreux bouleversements. Les recommandations initiales, empiriques, n’ont pas fait la preuve de leur efficacité, elles sont peut être responsables de l’augmentation des allergies. La tendance actuelle, faisant suite à des études, est une avance de la diversification. Les conseils risquent évoluer aux vues de la compréhension des mécanismes de sensibilisation et de développement des allergies. Il n’existe pas de modalités précises et prouvées quant à l’ordre et le calendrier précis d’introduction des aliments. Il semble que l’âge d’introduction des aliments solides puisse être favorable entre 4 et 6 mois. Retarder l’introduction d’un potentiel allergène n’a jamais apporté la preuve d’une efficacité préventive. Il est possible qu’il soit préférable d’induire une tolérance orale précoce que de provoquer une allergie par sensibilisation transcunée en ingérant toute nouvelle protéine alimentaire présente dans l’environnement de l’enfant.

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Solid food introduction in childhood suffered in recent decades many changes due to findings of increased allergies with a likely mismatch schemes and a recent reversal of recommendations for delaying the introduction of foods. The advice may still change due to the latest findings on the mechanisms of sensitization. There is little or no certainty on the date and to provide food at the right time. It seems that the introduction of solid foods may be favorable age between 4 and 6 months. Delaying the introduction of allergenic potential has not yet demonstrated a preventive effect. It could be preferable to induce an early oral tolerance that cause allergy with transcutaneous sensitization by ingesting any new dietary protein introduced in the environment of the infant.

The full text of this article is available in PDF format.

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