{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T04:49:40Z","timestamp":1782103780558,"version":"3.54.5"},"reference-count":12,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T00:00:00Z","timestamp":1782000000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T00:00:00Z","timestamp":1782000000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n The timing of allergenic food introduction is a recognized modifiable risk factor for the development of IgE\u2010mediated food allergy. There is a paucity of data on the implementation of early introduction of common food allergens in infants fed via feeding tubes. We aimed to compare the characteristics and common food allergen exposure of patients with feeding tubes who received education during their gastroenterology visit versus those who did not.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We conducted a retrospective chart review of patients aged 4 to 24 months with a feeding tube between September 2020 and July 2024. Differences between patients who received education for common food allergen exposure and those who did not were analyzed using Student's t\u2010test for continuous variables and chi\u2010square test for categorical variables.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Seventy\u2010seven patients met the inclusion criteria, contributing a total of 349 visits. Education was associated with younger age (\n p<\/jats:italic>\n \u2009=\u20090.01), atopic dermatitis (\n p<\/jats:italic>\n \u2009=\u20090.02), English as the primary language (\n p<\/jats:italic>\n \u2009=\u20090.02), and non\u2010Hispanic\/Latino ethnicity (\n p<\/jats:italic>\n \u2009<\u20090.001). Education was frequently missed in infants wholly reliant on their feeding tube (\n p<\/jats:italic>\n \u2009=\u20090.01). Although caregivers reported exposure to at least one common food allergen in 63% of all visits, documented exposure to the key allergens, peanut (8%) and egg (12%), was notably low.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n These findings suggest the need for improved and targeted education. Future research may aim to establish evidence\u2010based guidelines for introducing allergenic foods to infants fed via feeding tube.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/ncp.70147","type":"journal-article","created":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T04:35:25Z","timestamp":1782102925000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Common food allergen education and exposure in infants with feeding tubes: A single\u2010center retrospective study highlighting an educational gap"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3359-4338","authenticated-orcid":false,"given":"Nicole","family":"Misner","sequence":"first","affiliation":[{"name":"Morsani College of Medicine, University of South Florida Tampa Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Yavelow","sequence":"additional","affiliation":[{"name":"Morsani College of Medicine, University of South Florida Tampa Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panida","family":"Sriaroon","sequence":"additional","affiliation":[{"name":"Morsani College of Medicine, University of South Florida Tampa Florida USA"},{"name":"Johns Hopkins All Children's Hospital St. Petersburg Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Athanasios","family":"Tsalatsanis","sequence":"additional","affiliation":[{"name":"Morsani College of Medicine, University of South Florida Tampa Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Racha T.","family":"Khalaf","sequence":"additional","affiliation":[{"name":"Morsani College of Medicine, University of South Florida Tampa Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,21]]},"reference":[{"issue":"6","key":"e_1_2_8_2_1","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2018-1235","article-title":"The public health impact of parent\u2010reported childhood food allergies in the United States","volume":"142","author":"Gupta RS","year":"2018","journal-title":"Pediatrics"},{"issue":"11","key":"e_1_2_8_3_1","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1001\/jamapediatrics.2013.2376","article-title":"The economic impact of childhood food allergy in the United States","volume":"167","author":"Gupta R","year":"2013","journal-title":"JAMA Pediatr"},{"issue":"5","key":"e_1_2_8_4_1","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1007\/s11882-016-0614-9","article-title":"Quality of life among food allergic patients and their caregivers","volume":"16","author":"Warren CM","year":"2016","journal-title":"Curr Allergy Asthma 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Immunol"},{"issue":"6","key":"e_1_2_8_8_1","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1016\/j.anai.2019.03.034","article-title":"Pediatricians underestimate parent receptiveness to early peanut introduction","volume":"122","author":"Lai M","year":"2019","journal-title":"Ann Allergy Asthma Immunol"},{"issue":"1","key":"e_1_2_8_9_1","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.jaci.2016.10.010","article-title":"Addendum guidelines for the prevention of peanut allergy in the United States: report of the National Institute of Allergy and Infectious Diseases\u2010sponsored expert panel","volume":"139","author":"Togias A","year":"2017","journal-title":"J Allergy Clin Immunol"},{"issue":"2","key":"e_1_2_8_10_1","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2022-059376","article-title":"Early peanut introduction awareness, beliefs, and practices among parents and caregivers","volume":"152","author":"Samady W","year":"2023","journal-title":"Pediatrics"},{"issue":"7","key":"e_1_2_8_11_1","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2020.10511","article-title":"Assessment of pediatrician awareness and implementation of the addendum guidelines for the prevention of peanut allergy in the United States","volume":"3","author":"Gupta RS","year":"2020","journal-title":"JAMA Netw Open"},{"issue":"1","key":"e_1_2_8_12_1","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.jaci.2022.10.015","article-title":"Social disparities in early childhood prevention and management of food allergy","volume":"151","author":"Dupuis R","year":"2023","journal-title":"J Allergy Clin Immunol"},{"issue":"6","key":"e_1_2_8_13_1","doi-asserted-by":"crossref","first-page":"1190","DOI":"10.1002\/ncp.11055","article-title":"Blenderized tube feedings: practice recommendations from the American Society for Parenteral and Enteral Nutrition","volume":"38","author":"Epp L","year":"2023","journal-title":"Nutr Clin Pract"}],"container-title":["Nutrition in Clinical 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