Diversity of complementary diet and early food allergy risk.
Stina Bodén, Anna Lindam, Carina Venter...
https://pubmed.ncbi.nlm.nih.gov/39868464/Actively Recruiting
Led by Stanford University · Updated on 2026-06-26
92
Participants Needed
1
Research Sites
4 weeks
Total Duration
Researchers are exploring whether early feeding of potentially allergenic foods to infants can be increased using either educational materials alone or combined with additional in-person support. This pilot study focuses on infants aged 4 to 11 months and aims to guide pediatricians and allergists on how best to support new parents in introducing allergenic foods. The study involves two groups to compare these educational approaches and their effectiveness in promoting early allergen introduction. Participants are randomly divided into two groups one receives three educational modules about food allergy and infant nutrition spaced one month apart, while the other receives the same materials plus three in-person or live video education sessions for further discussion and questions. Both groups are required or encouraged to introduce known allergenic foods at home and record intake, with supervised feeding sessions at the research clinic during the first three months. The intervention group must complete at least one supervised feeding, while the standard group has the option and must complete one if allergenic foods have not been introduced by month three. Throughout the six-month study, participants complete quizzes after each educational module, and infants undergo assessments including blood draws, skin tape strips, transepidermal water loss measurements, and stool collections at study start and end. Lactating mothers may provide nipple swabs and breast milk samples. Dietary intake is tracked via questionnaires, and anxiety and knowledge surveys are completed before and after the study. Researchers measure the age and frequency of allergenic food introduction as primary outcomes, with ongoing safety and adherence monitoring during the study period.
CONDITIONS
Early Introduction and Sustained Ingestion (EISI) Using Two Educational Opportunities in Infants
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Stanford University
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Enhanced Educational Intervention (Randomized Arm) | Standard of Care (Randomized Arm) |
|---|---|---|
| What is this approach? | Infants receive monthly educational modules on food allergy, feeding practices, and diet diversity. All infants in this arm undergo at least one clinician-supervised introduction of a known allergenic food during the 6-month study. | Infants continue usual feeding practices as determined by caregivers. Educational modules and clinician-supervised feeding are optional; supervised feeding occurs only if allergenic foods are not introduced at home by 3 months. |
| Role in the trial | Serves as the intervention group to test whether structured education and supervised allergenic food introduction influences timing and frequency of allergenic food intake. | Serves as the control group reflecting current feeding habits and typical educational access. |
| Primary use | Designed to encourage early introduction and sustained ingestion of allergenic foods as a potential preventive strategy against food allergy. | Reflects current caregiver-led feeding approaches, with allergenic food introduction varying by parental decision, education, and risk factors. |
| How is it given or performed? | Monthly educational sessions with caregivers cover food allergy basics, safe feeding, diet diversity, and texture advancement. Clinic staff supervise the infant in consuming an allergenic food at least once during the study. Education is structured and delivered once per month for three months, feeding is monitored in clinic. | Feeding decisions are made by the infant’s caregivers, reflecting usual home introduction of foods. Educational modules and supervised feeding are accessible as options, with clinic feeding only if allergenic foods have not been introduced by three months. |
| Evidence status | Evidence for structured early allergenic food introduction has primarily focused on specific allergens such as peanut and egg. Landmark randomized trials and guidelines support early introduction for allergy prevention in high-risk infants, though multi-allergen education and clinic-supervised feeding require further study. | Current standard care reflects varied feeding practices. Evidence shows delayed or inconsistent allergen introduction is common. Guidelines recommend earlier introduction for allergy prevention in some risk groups, but real-world practice often differs. |
| Important limitations | Enhanced intervention relies on caregiver engagement, access to education, and clinic visits for supervised feeding. Limited published data exist on sustained intake for multiple allergens or clinic-based feeding outside high-risk groups. | Varied real-world feeding practices mean some infants may have delayed allergen exposure. Parental beliefs and education levels influence timing, potentially affecting allergy prevention. Not all caregivers access education or clinic support. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - 6 months
Participants receive educational materials about early allergenic food introduction. The intervention group also attends in-person or live video sessions. Both groups complete quizzes and are involved in supervised feeding introductions during the first three months. Intake of allergenic foods and diet diversity are recorded.
Multiple visits including at least one supervised feeding session
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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https://pubmed.ncbi.nlm.nih.gov/25705822/Stanford University
Lead Sponsor