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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 und 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.

Veröffentlichungsdatum dieses Volltextes: 01 Dez 2021 05:47
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.51019


Zusammenfassung

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.



Beteiligte Einrichtungen


Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftPediatric Allergy and Immunology
Verlag:Wiley
Ort der Veröffentlichung:HOBOKEN
Band:33
Seitenbereich:e13689
Datum30 Oktober 2021
InstitutionenMedizin > Lehrstuhl für Frauenheilkunde und Geburtshilfe (Schwerpunkt Frauenheilkunde)
Medizin > Lehrstuhl für Kinder- und Jugendmedizin
Identifikationsnummer
WertTyp
10.1111/pai.13689DOI
Stichwörter / KeywordsNATURAL-HISTORY; EGG ALLERGY; ASTHMA; PREVALENCE; SENSITIZATION; CHILDHOOD; ECZEMA; TRENDS; ATOPY; RISK; birth cohort; epidemiology; food hypersensitivity; infant
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenZum Teil
URN der UB Regensburgurn:nbn:de:bvb:355-epub-510192
Dokumenten-ID51019

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