Evidence map›Paper›PMID 40087912›Full record

Trial reportPediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology2025

Daily egg intake may reduce sensitisation to common allergenic foods among six- to nine-month-old south African infants: A randomized controlled trial.

Regina Nakiranda, Linda Malan, Hannah Ricci, Herculina S Kruger, Arista Nienaber, Marina Visser, Cecile Cooke, Cristian Ricci, Mieke Faber, Cornelius M Smuts

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Daily egg intake may reduce sensitisation to common allergenic foods among six- to nine-month-old south African infants: A randomized controlled trial.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Trial
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Regina NakirandaNorth-West University (Centre of Excellence for Nutrition), Potchefstroom, South Africa.ORCID https://orcid.org/0000-0001-8057-2751
Linda MalanNorth-West University (Centre of Excellence for Nutrition), Potchefstroom, South Africa.ORCID https://orcid.org/0000-0001-6609-0238
Hannah RicciNorth-West University (Centre of Excellence for Nutrition), Potchefstroom, South Africa.
Herculina S KrugerNorth-West University (Centre of Excellence for Nutrition), Potchefstroom, South Africa.
Arista NienaberNorth-West University (Centre of Excellence for Nutrition), Potchefstroom, South Africa.ORCID https://orcid.org/0000-0002-1013-6740
Marina VisserNorth-West University (Centre of Excellence for Nutrition), Potchefstroom, South Africa.
Cecile CookeNorth-West University (Centre of Excellence for Nutrition), Potchefstroom, South Africa.
Cristian RicciNorth-West University (Africa Unit for Transdisciplinary Health Research (AUTHeR), Potchefstroom, South Africa.
Mieke FaberNorth-West University (Centre of Excellence for Nutrition), Potchefstroom, South Africa.
Cornelius M SmutsNorth-West University (Centre of Excellence for Nutrition), Potchefstroom, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to investigate sensitization to eggs and other common allergenic foods, allergic symptoms, and fatty acid status among infants after introducing daily eggs as a complementary food for 6 months.

methodsThis secondary analysis used data from a randomized controlled trial of 500 infants aged 6-9 months in Jouberton, South Africa, who were randomly assigned to receive one egg daily, n = 250 (treatment) or no egg, n = 250 (control) for 6 months. Clinical allergy symptoms were assessed with the Childhood Allergy and Immunology Research questionnaire. Infants were tested with a skin prick test for egg sensitization at baseline and at the end of the study for additional food allergens. The fatty acid composition was analyzed in whole blood at the endpoint.

resultsAt the endpoint, egg sensitization was 1.9% in the egg intervention group and 2.0% in the control group (aOR 0.936 [95% CI 0.229, 3.822]; p = .926) and all foods sensitization was 7.5% in the egg intervention group and 12.9% in the control group (aOR 0.515 [0.264, 1.005]; p = .052). There were no reported acute egg-related allergy symptoms at baseline and midpoint in the two groups. The incidence of allergic disease during the study was 7.5% in the egg intervention group and 13.4% in the control group (aOR = 0.545 [95% CI: 0.283, 1.048]; p = .069). The total and long-chain polyunsaturated fatty acid omega-6/omega-3 ratios were higher in the intervention group (β = .173 [0.291, 2.898], p = .021 and β = .198 [0.149, 0.902], p = .007) with no effect on omega-3 fatty acid composition.

conclusionComplementary feeding with daily eggs may reduce overall allergic sensitization to common allergenic foods.

Indexed as

AllergensEgg HypersensitivityEggsFood HypersensitivityFatty AcidsFemaleHumansInfantMaleSkin TestsSouth AfricaAllergensFatty Acidsallergycomplementary feedingeggsfatty acidsinfantssensitisation

Identifiers

PMID40087912
PMCPMC11909587

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.