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The Epidemiology of Food Allergy in the Global Context

International journal of environmental research and public health, 2018-09, Vol.15 (9), p.2043 [Peer Reviewed Journal]

2018. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;2018 by the authors. 2018 ;ISSN: 1660-4601 ;ISSN: 1661-7827 ;EISSN: 1660-4601 ;DOI: 10.3390/ijerph15092043 ;PMID: 30231558

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  • Title:
    The Epidemiology of Food Allergy in the Global Context
  • Author: Loh, Wenyin ; Tang, Mimi L K
  • Subjects: Adults ; Age ; Allergens ; Allergies ; Anaphylaxis ; Asthma ; Bayes Theorem ; Children ; Cow's milk ; Developing countries ; Economic development ; Economic growth ; Epidemiology ; Female ; Food ; Food allergies ; Food hypersensitivity ; Food Hypersensitivity - epidemiology ; Genomes ; Global Health - statistics & numerical data ; Global Health - trends ; Health services utilization ; Humans ; Immunoglobulin E ; Immunology ; LDCs ; Male ; Prevalence ; Shellfish ; Studies ; Systematic review
  • Is Part Of: International journal of environmental research and public health, 2018-09, Vol.15 (9), p.2043
  • Description: There is a lack of high-quality evidence based on the gold standard of oral food challenges to determine food allergy prevalence. Nevertheless, studies using surrogate measures of food allergy, such as health service utilization and clinical history, together with allergen-specific immunoglobulin E (sIgE), provide compelling data that the prevalence of food allergy is increasing in both Western and developing countries. In Western countries, challenge-diagnosed food allergy has been reported to be as high as 10%, with the greatest prevalence noted among younger children. There is also growing evidence of increasing prevalence in developing countries, with rates of challenge-diagnosed food allergy in China and Africa reported to be similar to that in Western countries. An interesting observation is that children of East Asian or African descent born in a Western environment are at higher risk of food allergy compared to Caucasian children; this intriguing finding emphasizes the importance of genome-environment interactions and forecasts future increases in food allergy in Asia and Africa as economic growth continues in these regions. While cow's milk and egg allergy are two of the most common food allergies in most countries, diverse patterns of food allergy can be observed in individual geographic regions determined by each country's feeding patterns. More robust studies investigating food allergy prevalence, particularly in Asia and the developing world, are necessary to understand the extent of the food allergy problem and identify preventive strategies to cope with the potential increase in these regions.
  • Publisher: Switzerland: MDPI AG
  • Language: English
  • Identifier: ISSN: 1660-4601
    ISSN: 1661-7827
    EISSN: 1660-4601
    DOI: 10.3390/ijerph15092043
    PMID: 30231558
  • Source: GFMER Free Medical Journals
    MEDLINE
    PubMed Central
    ProQuest Central
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