Food allergies in older people: An emerging health problem

IF 3.9 2区医学 Q2 ALLERGY

World Allergy Organization Journal Pub Date : 2024-09-01 DOI:10.1016/j.waojou.2024.100967

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引用次数: 0

Abstract

The prevalence of food allergy (FA) is steadily increasing worldwide. Literature about FA in older people is very scarce since this is predominantly considered as a pediatric condition. However, FA can persist and/or develop across the life course. Given the growing increase in prevalence as well as their persistence, it can be expected that FA will soon represent an important issue in older people. Several age-related factors may potentially mask FA symptoms and/or mediate them in older people. These include mechanisms related to immune senescence, inflammation, and changes in gastrointestinal function as well as micronutrient deficiencies and the use of multiple medications. A multidimensional approach, taking into account the complexity in older people, it is thus important in the evaluation and management of FA during aging. The main and safest strategy in the management of FA is the allergen avoidance since their ingestion may lead to reactions ranging from mild to life-threatening. However, food restrictions should be carefully evaluated, especially in older people, for the risk of nutritional deficiencies and undernutrition.

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老年人食物过敏：新出现的健康问题

食物过敏（FA）的发病率在全球范围内稳步上升。有关老年人食物过敏的文献非常少，因为这主要被认为是一种儿科疾病。然而，食物过敏可在整个生命过程中持续存在和/或发展。鉴于其发病率的不断增加及其持续性，可以预见，FA 很快就会成为老年人的一个重要问题。一些与年龄相关的因素可能会掩盖和/或介导老年人的 FA 症状。这些因素包括与免疫衰老、炎症、胃肠功能变化以及微量元素缺乏和使用多种药物有关的机制。因此，考虑到老年人的复杂性，采用多维方法对评估和管理衰老过程中的 FA 非常重要。过敏性哮喘的主要和最安全的治疗策略是避免摄入过敏原，因为摄入过敏原可能导致轻微到危及生命的各种反应。然而，应仔细评估食物限制，尤其是老年人，以防营养缺乏和营养不良的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

World Allergy Organization Journal Immunology and Microbiology-Immunology

CiteScore

9.10

自引率

5.90%

发文量

审稿时长

9 weeks

期刊介绍： The official pubication of the World Allergy Organization, the World Allergy Organization Journal (WAOjournal) publishes original mechanistic, translational, and clinical research on the topics of allergy, asthma, anaphylaxis, and clincial immunology, as well as reviews, guidelines, and position papers that contribute to the improvement of patient care. WAOjournal publishes research on the growth of allergy prevalence within the scope of single countries, country comparisons, and practical global issues and regulations, or threats to the allergy specialty. The Journal invites the submissions of all authors interested in publishing on current global problems in allergy, asthma, anaphylaxis, and immunology. Of particular interest are the immunological consequences of climate change and the subsequent systematic transformations in food habits and their consequences for the allergy/immunology discipline.