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Peanut Allergy May be Passed Through Breastmilk



Nursing mothers who have a family history of peanut allergies may want to consider avoiding peanuts and foods that contain them while they are breastfeeding.

New research has shown that peanut allergens, which can cause severe and life threatening allergic reactions in some people, can be passed through a mother's milk to her baby. It is believed that many children who develop peanut allergies had prior exposure to peanuts earlier in life that went unrecognized. That initial exposure, which some researchers now say could have been through their mother's breastmilk, may have led them to be sensitized, leading to an allergic reaction later in childhood.

Dr. Peter Vadas of St. Michael's Hospital at the University of Toronto in Ontario, Canada and his colleagues wanted to determine if peanut allergens could pass from a mother's diet to her breastmilk and ultimately to her baby. The researchers studied 23 healthy, lactating women aged 21 to 35. The women each ate 50 grams of dry roasted peanuts, then researchers tested their breastmilk at hourly intervals for peanut protein and the two major peanut allergens. Peanut protein and the allergens were detected in 11 of the 23 women.

The researchers published their findings in the April 4, 2001 edition of "The Journal of the American Medical Association." It is important to note that the study was funded in part by the Peanut Foundation, a nonprofit industry group, and Nestle Canada, a maker of infant formula.

"We found that peanut protein is capable of passing intact from a nursing mother's diet into her breastmilk," Dr. Vadas told CBS HealthWatch. "That constitutes a potential route of unrecognized exposure of the breastfeeding infants to peanut protein and allergic sensitization to peanuts in the infants."

While not all children exposed to peanuts will develop an allergy, the researchers recommend that nursing mothers who have a family history of peanut allergies avoid peanuts while they are breastfeeding.