欧洲八大食品之外的食物过敏:系统回顾和荟萃分析

IF 4.6 2区 医学 Q2 ALLERGY
Giulia C. I. Spolidoro, Sungkutu Nyassi, Daniil Lisik, Athina Ioannidou, Mohamed Mustafa Ali, Yohannes Tesfaye Amera, Graciela Rovner, Ekaterina Khaleva, Carina Venter, Ronald van Ree, Margitta Worm, Berber Vlieg-Boerstra, Aziz Sheikh, Antonella Muraro, Graham Roberts, Bright I. Nwaru
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引用次数: 0

摘要

背景 欧洲过敏与临床免疫学学会 2014 年公布的欧洲食物过敏(FA)患病率估计值仅包括所谓的八大食物(牛奶/鸡蛋/小麦/大豆/花生/树坚果/鱼/贝类)。这些估计值最近已得到更新。作为补充,我们试图确定和估算过去十年间报道的对其他食物过敏的患病率。 方法 在六个数据库中检索了 2012-2021 年发表的研究。进行随机效应荟萃分析,得出对每种食物过敏的总流行率。 结果 共纳入 27 项研究,包含 66 种 FA。在最常报告的过敏原中,自我报告的猕猴桃过敏的终生和点流行率范围分别为 0.1%-1.0% 和 0.2%-8.1%,而经食物挑战 (FC) 验证的猕猴桃过敏的点流行率范围为 0.01%-0.10%。自我报告的桃子过敏的点流行率范围为 0.2%-3.2%,而经 FC 验证的桃子过敏的流行率范围为 0.02%-0.05%。自述番茄过敏的终生患病率和点患病率范围分别为 0.01%-1.8% 和 0.2%-2.1%。 结论 一些传统上被认为不重要的食物过敏现在已成为相关的食物过敏原。欧洲对 FA 的关注不应仅限于所谓的八大 FA,还应扩展到其他类型的食物,这些食物在临床和人群风险评估中都需要加以考虑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Food allergy outside the eight big foods in Europe: A systematic review and meta-analysis

Food allergy outside the eight big foods in Europe: A systematic review and meta-analysis

Background

The 2014 estimates of prevalence of food allergy (FA) in Europe published by the European Academy of Allergy and Clinical Immunology included only the eight so-called big foods (cow's milk/egg/wheat/soy/peanut/tree nuts/fish/shellfish). Those estimates have recently been updated. Complementing this, we sought to identify and estimate the prevalence of allergy to other foods that have been reported during the last decade.

Methods

Six databases were searched for studies published 2012–2021. Random-effects meta-analysis was performed to derive pooled prevalence of allergy to each food.

Results

Twenty-seven studies were included, containing a total of 66 FAs. Among the most frequently reported FAs, the lifetime and point prevalence range of self-reported kiwi allergy was 0.1%–1.0% and 0.2%–8.1%, respectively, while the food challenge (FC)-verified kiwi allergy point prevalence range was 0.01%–0.10%. The point prevalence range for self-reported peach allergy was 0.2%–3.2%, while the range for FC-verified peach allergy was 0.02%–0.05%. The lifetime and point prevalence range for self-reported tomato allergy was 0.01%–1.8% and 0.2%–2.1%, respectively.

Conclusion

Allergy to some foods traditionally not considered important are now emerging as relevant FAs. The focus on FA in Europe should not be limited to the so-called eight big FA, but extended to other types of foods which need to be considered both for clinical purposes and population risk assessment.

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来源期刊
Clinical and Translational Allergy
Clinical and Translational Allergy Immunology and Microbiology-Immunology
CiteScore
7.50
自引率
4.50%
发文量
117
审稿时长
12 weeks
期刊介绍: Clinical and Translational Allergy, one of several journals in the portfolio of the European Academy of Allergy and Clinical Immunology, provides a platform for the dissemination of allergy research and reviews, as well as EAACI position papers, task force reports and guidelines, amongst an international scientific audience. Clinical and Translational Allergy accepts clinical and translational research in the following areas and other related topics: asthma, rhinitis, rhinosinusitis, drug hypersensitivity, allergic conjunctivitis, allergic skin diseases, atopic eczema, urticaria, angioedema, venom hypersensitivity, anaphylaxis, food allergy, immunotherapy, immune modulators and biologics, animal models of allergic disease, immune mechanisms, or any other topic related to allergic disease.
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