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Röhrl, Daniela V. ; Brandstetter, Susanne ; Siziba, Linda P. ; Rothenbacher, Dietrich ; Gaertner, Vincent D. ; Harner, Susanne ; Köninger, Angela ; Apfelbacher, Christian J. ; Melter, Michael ; Genuneit, Jon ; Kabesch, Michael ; the KUNO Kids Study Group, .

Food allergy in infants assessed in two German birth cohorts 10 years after the EuroPrevall Study

Röhrl, Daniela V., Brandstetter, Susanne, Siziba, Linda P. , Rothenbacher, Dietrich, Gaertner, Vincent D. , Harner, Susanne, Köninger, Angela, Apfelbacher, Christian J. , Melter, Michael, Genuneit, Jon , Kabesch, Michael and the KUNO Kids Study Group, . (2021) Food allergy in infants assessed in two German birth cohorts 10 years after the EuroPrevall Study. Pediatric Allergy and Immunology 33, e13689.

Date of publication of this fulltext: 01 Dec 2021 05:47
Article
DOI to cite this document: 10.5283/epub.51019


Abstract

Background The prevalence of food allergies (FA) in children increased rapidly at the turn of the century. The EuroPrevall study identified Germany as a country with very high prevalence of FA at that time. Using two large German birth cohorts, we provide an update of the status quo 10 years later. Methods KUNO Kids and Ulm SPATZ Health studies are two ongoing prospective birth cohorts. ...

Background The prevalence of food allergies (FA) in children increased rapidly at the turn of the century. The EuroPrevall study identified Germany as a country with very high prevalence of FA at that time. Using two large German birth cohorts, we provide an update of the status quo 10 years later. Methods KUNO Kids and Ulm SPATZ Health studies are two ongoing prospective birth cohorts. Information on FA was obtained by questionnaires at birth and after 6, 12, and 24 months. Univariable and multivariable logistic regression analyses were performed to investigate risk factors during pregnancy, birth, and early childhood. Results In 1139 and 1006 children from KUNO Kids and SPATZ, the point prevalence of parent-reported FA symptoms at the ages of 1 and 2 years was 13.2% (95% CI: 11.2-15.2) and 13.9% (95% CI: 11.5-17.2) in KUNO Kids. Doctor's diagnosed FA at 1 and 2 years was 2.4% (95% CI: 1.6-3.4) and 2.7% (95% CI: 1.2-4.3) in KUNO Kids and 2.3% (95% CI: 1.3-3.6) and 3% (95% CI: 2.0-4.5) in SPATZ. Cow's milk and citrus fruits were most frequently suspected by parents to cause FA symptoms. Atopy in the child was associated with a higher frequency of FA at any time, whereas atopy in first-degree relatives was only associated with FA at year 1. Smoke exposure during pregnancy was a risk for FA at age 2. Conclusion The prevalence of food allergy seems to have plateaued in the last 10 years in Germany. FA is often suspected by parents but only rarely diagnosed by oral food challenge. Risk factor analysis may help to establish personalized health approaches.



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Details

Item typeArticle
Journal or Publication TitlePediatric Allergy and Immunology
Publisher:Wiley
Place of Publication:HOBOKEN
Volume:33
Page Range:e13689
Date30 October 2021
InstitutionsMedicine > Lehrstuhl für Frauenheilkunde und Geburtshilfe (Schwerpunkt Frauenheilkunde)
Medicine > Lehrstuhl für Kinder- und Jugendmedizin
Identification Number
ValueType
10.1111/pai.13689DOI
KeywordsNATURAL-HISTORY; EGG ALLERGY; ASTHMA; PREVALENCE; SENSITIZATION; CHILDHOOD; ECZEMA; TRENDS; ATOPY; RISK; birth cohort; epidemiology; food hypersensitivity; infant
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgPartially
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-510192
Item ID51019

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