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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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| Item type | Article | ||||
| Journal or Publication Title | Pediatric Allergy and Immunology | ||||
| Publisher: | Wiley | ||||
|---|---|---|---|---|---|
| Place of Publication: | HOBOKEN | ||||
| Volume: | 33 | ||||
| Page Range: | e13689 | ||||
| Date | 30 October 2021 | ||||
| Institutions | Medicine > Lehrstuhl für Frauenheilkunde und Geburtshilfe (Schwerpunkt Frauenheilkunde) Medicine > Lehrstuhl für Kinder- und Jugendmedizin | ||||
| Identification Number |
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| Keywords | NATURAL-HISTORY; EGG ALLERGY; ASTHMA; PREVALENCE; SENSITIZATION; CHILDHOOD; ECZEMA; TRENDS; ATOPY; RISK; birth cohort; epidemiology; food hypersensitivity; infant | ||||
| Dewey Decimal Classification | 600 Technology > 610 Medical sciences Medicine | ||||
| Status | Published | ||||
| Refereed | Yes, this version has been refereed | ||||
| Created at the University of Regensburg | Partially | ||||
| URN of the UB Regensburg | urn:nbn:de:bvb:355-epub-510192 | ||||
| Item ID | 51019 |
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