Prevalence and cumulative incidence of food hyper-sensitivity in the first 10 years of life

Journal article

Venter, C., Patil, V., Grundy, J., Glasbey, G., Twiselton, R., Arshad, S. H. and Dean, T. (2016). Prevalence and cumulative incidence of food hyper-sensitivity in the first 10 years of life. Pediatric Allergy and Immunology. 27 (5), pp. 452-458. https://doi.org/10.1111/pai.12564
AuthorsVenter, C., Patil, V., Grundy, J., Glasbey, G., Twiselton, R., Arshad, S. H. and Dean, T.
Abstract

Background - Prevalence, incidence and natural history of food hypersensitivity (FHS) and its trends in an unselected cohort of older children are unclear.Methods - A birth cohort born on the Isle of Wight (UK) between 2001 and 2002 was followed up prospectively. Children were clinically examined and skin prick tested at set times and invited for food challenges when indicated. At 10 years of age, children were also invited for a blood test.Results - A total of 969 children were recruited at 12 weeks of pregnancy, and 92.9%, 88.5%, 91.6% and 85.3% were assessed at 1, 2, 3 and 10 years. Prevalence of sensitization to any allergen over 10 years was 186 of 969 (19.2%; 95% CI: 16.84–21.8) and 108 of 969 (11.2%; 95% CI: 9.31–13.29) children were sensitized to at least one predefined food allergen. Excluding wheat (due to cross-reactivity with pollen), 40 of 969 (4.1%; 95% CI: 3.19–5.32) children were sensitized to a predefined food allergen. Using food challenges and/or a good clinical history, the cumulative incidence of food hypersensitivity (FHS) in the first decade of life was 64 of 947 (6.8%, 95% CI: 5.2–8.4), while the prevalence of FHS at 10 years was 30 of 827 (3.6%, 95% CI: 2.54–5.15). The vast majority, 25 of 827 (3.0%, 95% CI: 1.8–4.2), suffered from IgE-mediated food allergy, while 5 of 827 (0.6%, 95% CI: 0.07–1.3) had non-IgE-mediated food allergy/food intolerance.Conclusions - By the age of 10 years, 6.8% of children suffered from FHS based on food challenges and a good clinical history. There was a large discrepancy between reported and diagnosed FHS.

Year2016
JournalPediatric Allergy and Immunology
Journal citation27 (5), pp. 452-458
PublisherWiley
Digital Object Identifier (DOI)https://doi.org/10.1111/pai.12564
Publication dates
Online06 May 2016
Print13 Jul 2016
Publication process dates
Accepted16 Mar 2016
Deposited11 Aug 2021
Accepted author manuscript
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Open
Additional information

This is the peer reviewed version of the following article: Venter C, Patil V, Grundy J, Glasbey G, Twiselton R, Arshad SH, Dean T. Prevalence and cumulative incidence of food hyper-sensitivity in the first 10 years of life. Pediatr Allergy Immunol 2016: 27: 452–458, which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/pai.12564/full. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.

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