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Cashew is Healthy for the Entire Family

Feasibility and Safety of Introducing Cashew Nut Spread

in Infant Diets - A Randomized Trial

Cashew and Children

Results: Compliance in Inter-
vention 1 (92%) was higher than
Author(s): Debra J. Palmer, Desiree T. Silva, Susan L. Prescott
in Intervention 2 (79%), p = .04.
First published: 08 June 2023
Only one infant had delayed (at
five hours) facial swelling and
Abstract eczema flare to cashew introduc-
Background tion at 6.5 months, but no cashew
To reduce peanut allergy prevalence, infant feeding guidelines now recom-
allergy at one (1) year. Only one
mend introducing peanuts in an age-appropriate form (such as peanut butter) infant (Control) had a cashew
as part of complementary feeding. However, due to a lack of randomized trial
allergy at one (1) year, and this
evidence, most infant feeding and food allergy prevention guidelines do not infant had not been introduced
include tree nuts. The aims of this trial were to determine safety and feasibil-
to cashews prior to 12 months of
ity of dosage consumption recommendations for infant cashew nut spread age.
introduction.

Methods Conclusion
This is a parallel, three-arm (1:1:1 allocation), single-blinded (outcome as- Regular infant consumption of one
sessors), randomized controlled trial. General population term infants were teaspoon of cashew nut spread three
randomized at 6–8 months of age to either a one teaspoon (Intervention 1 times per week from 6 to 8 months of
n = 59) or increasing dosage regime of one teaspoon at 6–7 months, two tea- age was found to be feasible and safe.
spoons at 8–9 months, and three teaspoons from 10 months of age onwards
(Intervention 2 n = 67) cashew nut spread, both three times per week, or no
specific advice on cashew introduction (Control n = 70). At one (1) year of
age, food challenge-proven IgE-mediated cashew nut allergy was assessed.

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