食物过敏的预防:东西方观点的协调。

IF 3.2 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM
Agnes Sze-Yin Leung, Gary Wing-Kin Wong
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引用次数: 0

摘要

背景:食物过敏和过敏反应的全球流行病学表现出复杂的、异质的模式。虽然食物过敏的流行率在西方国家已趋于稳定,但过敏反应的发病率仍在上升。在发展中地区,数据有限,但城市中心显示食物过敏患病率上升,而农村地区的发病率较低。这些差异可能源于全球环境因素和城市化水平的差异。此外,不同地区的主要食物过敏原差异很大。花生和坚果是美国和欧洲的主要诱因,而鸡蛋、牛奶和贝类在亚洲和拉丁美洲更为常见。在这篇即将到来的综述中,我们将深入研究东部和西部地区预防食物过敏的建议。这些地区在过敏原概况和饮食模式上的差异强调了制定量身定制的食物过敏预防策略的必要性。目前的预防指南侧重于生命早期接触过敏原的时间和途径。在高流行地区,建议早期口服接触,以促进口服耐受性并降低过敏风险。相反,在低患病率地区,不延迟引入致敏固体是首选。此外,早期皮肤暴露可能会增加过敏风险,早期全身使用专用润肤剂的作用需要进一步研究。积极治疗特应性皮炎可以减少婴儿食物过敏的发生率。根据当地情况调整预防方法,并根据新出现的证据不断更新指南,对于全面解决全球食物过敏负担至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevention of Food Allergy: Harmonizing Perspectives from the East and West.

Background: The global epidemiology of food allergies and anaphylaxis exhibits complex, heterogeneous patterns. While food allergy prevalence has stabilized in Western countries, anaphylaxis incidence continues to rise. In developing regions, data are limited, but urban centers show increasing food allergy prevalence, contrasting with lower rates in rural areas. These disparities likely stem from differences in environmental factors and urbanization levels across the globe. Furthermore, the dominant food allergens vary significantly by regions. Peanuts and tree nuts are the primary triggers in the USA and Europe, whereas eggs, milk, and shellfish are more common in Asia and Latin America.

Summary: In this upcoming review, we will delve into the recommendations for preventing food allergies across Eastern and Western regions. These regional differences in allergen profiles and dietary patterns underscore the need for tailored food allergy prevention strategies. Current prevention guidelines focus on the timing and route of allergen exposure in early life. In high-prevalence regions, early oral exposure is recommended to promote oral tolerance and reduce allergy risk. Conversely, in lower-prevalence areas, non-delayed introduction of allergenic solids is preferred. Moreover, early skin exposure may increase allergy risk, and the role of early, whole-body use of specialized emollients requires further study. Proactive treatment of atopic dermatitis may reduce the incidence of food allergies in infants. Adapting prevention approaches to local contexts and continuously updating guidelines based on emerging evidence is crucial to comprehensively addressing the global burden of food allergies.

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来源期刊
Annals of Nutrition and Metabolism
Annals of Nutrition and Metabolism 医学-内分泌学与代谢
CiteScore
6.50
自引率
0.00%
发文量
55
审稿时长
6-12 weeks
期刊介绍: ''Annals of Nutrition and Metabolism'' is a leading international peer-reviewed journal for sharing information on human nutrition, metabolism and related fields, covering the broad and multidisciplinary nature of science in nutrition and metabolism. As the official journal of both the International Union of Nutritional Sciences (IUNS) and the Federation of European Nutrition Societies (FENS), the journal has a high visibility among both researchers and users of research outputs, including policy makers, across Europe and around the world.
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