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Bir İl Merkezinde 6-14 Yaş Grubu Çocuklarda ve Ailelerinde Görülen Besin Alerjisi ve Alerjik Hastalıkların Sıklığı

Year 2015, Volume: 17 Issue: 2, 21 - 28, 05.01.2016
https://doi.org/10.24938/kutfd.124918

Abstract

Bu çalışmada bir il merkezinde seçilen 4 okulda okuyan 6-14 yaş grubu çocuklarda ve ailelerinde besin alerjisi ve alerjik hastalıkların sıklığının araştırılması amaçlanmıştır.

Tanımlayıcı tipteki bu çalışma Bursa il merkezinde yer alan seçilmiş 4 okulda gerçekleştirilmiştir. Bu okullarda 6-14 yaş grubunda bulunan toplam 4195 çocuktan 3944 çocuğun ebeveyni çalışmaya katılmayı kabul etmiştir (katılım hızı %94’tür). Çalışmaya katılmayı kabul eden öğrencilerin ebeveynlerine çocuklarında ve aile bireylerinde görülen besin alerjisi ve alerjik hastalıkların sıklığını sorgulayan sorulardan oluşan bir anket formu uygulanmıştır. Çalışma için üniversite etik kurulundan ve milli eğitim müdürlüğünden yazılı izin alınmıştır.

Öğrencilerin (n=3944) yaşam boyu en az bir kez besin alerjisi bulguları varlığı (yaşam boyu veya kümülatif prevalans) %13.4 (529), doktor tarafından yaşam boyu en az bir kez besin alerjisi tanısı konması %6.4 (253) olarak saptanmıştır. Doktor tarafından en az bir kez besin alerjisi tanısı konulan çocukların %29,6’sının birinci derece aile yakınlarından en az birinde (anne, baba, kardeşler) besin alerjisi öyküsü mevcuttur. Doktor tarafından yaşam boyu en az bir kez besin alerjisi tanısı konulan çocukların anne veya babasında görülen alerjik hastalıklar sırasıyla besin alerjisi %12,2, astım %10,7, alerjik rinit %9,1, alerjik konjonktivit %5,9, atopik dermatit %5,1; kardeşlerindeki alerjik hastalık sıklığı astım %10,7, alerjik rinit %9,5, besin alerjisi %9,1, alerjik konjonktivit %4,3 olarak saptanmıştır.

Bursa’da ailelerin doldurduğu anketlerle tespit edilen doktor tarafından yaşam boyu en az bir kez besin alerjisi tanısı konulan 6-14 yaş grubu çocuklarda ve aile bireylerinde görülen alerjik hastalığı tespit etmeye yönelik yapılan bu çalışma alerjik hastalık seyrinde aile öyküsünün son derece önemli olduğunu göstermektedir.

References

  • Boyce JA, Assa'ad A, Burks AW, Jones SM, Sampson HA, Wood RA et al. Guidelines for the Diagnosis and Management of Food Allergy in the United States: Report of the NIAID-Sponsored Expert Panel. J Allergy Clin Immunol. 2010; 126 (60): 1-58.
  • Sicherer SH and Sampson HA. Food allergy: Epidemiology, pathogenesis, diagnosis, and treatment. J Allergy Clin Immunol. 2014;133 (2):291-307.
  • Yıldırım M, Ergür AT, Saraçlar Y, Tuncer A. Sivas İl Merkezinde Çocuklarda Allerjik Hastalıkların Prevalansı. Çocuk Sağlığı ve Hastalıkları Dergisi. 2002; 45 (3): 226-32.
  • Saraçlar Y, Yiğit Ş, Adalıoğlu G, Tuncer A, Tunçbilek E. Prevalence of allergic disease and influencing factors in primary-school children in the Ankara region of Turkey. J Asthma. 1997; 34 (1): 23-30.
  • Orhan F, Karakas T, Cakir M, Aksoy A, Baki A, Gedik Y. Prevalence of immunoglobulin E-mediated food allergy in 6-9-year-old urban schoolchildren in the eastern Black Sea region of Turkey. Clin Exp Allergy. 2009; 39 (7): 1027-35.
  • Dubakiene R, Surkiene G, Stukas R, Vilesko JP, Kavaliunas A. Food allergies among 5th-9th grade schoolcildren in Vilnius (Lithuania). Ekologia. 2008; 54 (1): 1-4.
  • Steinke M, Fiocchi A, Kirchlechner V, Ballmer-Weber B, Brockow K, Hischenhuber C, et al. Perceived food allergy in children in 10 European nations. Int Arch Allergy Immunol. 2007; 143 (4): 290-5.
  • Eggesbo M, Halvorsen R, Tambs K, Botten G. Prevalance of parentally percived adverse reactions to food in young children. Pediatr Allergy Immunuol. 1999; 10 (2): 122-32.
  • Rona RJ, Chinn S. Parent’s perception of food intolerance in primary school children. Br Med J. 1987; 294 (6576): 863-6.
  • Rance F, Grandmottet X, Grandjean H. Prevalance and main characteristic of schoolchildren diagnosed with food allergies in France. Clin Exp Allergy. 2005; 35(2): 167-72.
  • Wood RA. The natural history of food allergy. Pediatrics. 2003; 111(6 Pt 3): 1631-7.
  • Sicherer SH, Munoz-Furlong A, Sampson HA. Prevalence of peanut and tree nut allergy in the United States determined by means of a random digit dial telephone survey: a 5-year follow-up study. J Allergy Clin Immunol. 2003; 112 (6): 1203-7.
  • Eigenmann PA, Sicherer SH, Borkowski TA, Cohen BA, Sampson HA. Prevalence of IgE-mediated food allergy among children with atopic dermatitis. Pediatrics. 1998; 101 (3): E8.
  • Spergel JM, Paller AS. Atopic dermatitis and the atopic march. J Allergy Clin Immunol. 2003; 112 (6): 118-27.
  • Rhodes HL, Sporik R, Thomas P, Holgate St, Cogswell JJ. Early life risk factors for adult asthma: a birth cohort study of subjects at risk. J Allergy Clin Immunol. 2001; 108 (5): 720-5.
  • Burks AW, James JM, Hiegel A, Wilson G, Wheeler JG, Jones SM, et al. Atopic dermatitis and food hypersensitivity reactions. J Pediatr. 1998; 132 (1): 132-6.
  • Kulig M, Bergmann R, Klettke U, Wahn V, Tacke U, Wahn U. Natural course of sensitization to food and inhalant allergens during the first 6 years of life. J Allergy Clin Immunol. 1999; 103 (6): 1173-9.
  • Björnsson E, Janson C, Plaschke P, Norrman E, Sjöberg O. Prevalence of sensitization to food allergens in adult Swedes. Ann Allergy Asthma Immunol. 1996; 77 (4): 327-32.
  • Liu AH, Jaramillo R, Sicherer SH, Wood RA, Bock SA, Burks AW, Massing M, Cohn RD, Zeldin DC. National prevalence and risk factors for food allergy and relationship to asthma: Results from the National Health and Nutrition Examination Survey 2005-2006. J Allergy Clin Immunol. 2010; 126 (4): 798-806.e13
  • Sicherer SH, Munoz-Furlong A, Sampson HA. Prevalance of seafood allergy in the United States determined by a random telephone survey. J Allergy Clin Immunol. 2004; 114 (1): 159-65.
  • Branum AM, Lukacs SL. Food allergy among children in the United States. Pediatrics. 2009; 124 (6): 1549-55.
  • Schäfer T, Böhler E, Ruhdorfer S, Weigl L, Wessner D, Heinrich J, Filipiak B, Wichmann HE, Ring J. Epidemiology of food allergy/food intolerance in adults: associations with other manifestations of atopy. Allergy. 2001; 56 (12): 1172-9.
  • Hofer T, Wüthrich B. Food allergy. II. Prevalence of organ manifestations of allergy-inducing food. A study on the basis on 173 cases, 1978-1982. Schweiz Med Wochenschr. 1985; 115 (41): 1437-42.
  • Gray CL, Levin ME, Zar HJ, Potter PC, Khumalo NP, Volkwyn L, Fenemore B, du Toit G. Food allergy in south african children with atopic dermatitis. Pediatr Allergy Immunol. 2014; 25(6): 572-9. doi: 10.1111/pai.12270.
  • Yang YS, Byun YS, Kim JH, Kim HO, Park CW. Food hypersensitivity in adult patients with atopic dermatitis in Korea. Clin Exp Dermatol. 2015; 40(1): 6-10. doi: 10.1111/ced.12433. Epub 2014 Sep 15.
  • Baek JO, Hong S, Son DK, Lee JR, Roh JY, Kwon HJ. Analysis of the prevalence of and risk factors for atopic dermatitis using an ISAAC questionnaire in 8,750 Korean children. Int Arch Allergy Immunol. 2013; 162(1): 79-85. doi: 10.1159/000351403.
  • Gaspar-Marques J, Carreiro-Martins P, Papoila AL, Caires I, Pedro C, Araújo-Martins J, Virella D, Rosado-Pinto J, Leiria-Pinto P, Neuparth N. Food Allergy and Anaphylaxis in Infants and Preschool-Age Children. Clin Pediatr (Phila). 2014; 53(7): 652-57.
  • Sampson HA, Burks AW. Adverse Reactions to Foods. Middleton’s Allergy: Principles and Practice: 7th edition. China: Elsevier; 2009: 1139-67.
  • Sampson HA. Update on food allergy. J Allergy Clin Immunol. 2004; 113(5): 805-19.
  • Bock SA, Munoz-Furlong A, Sampson HA. Further fatalities caused by anaphylactic reactions to food, 2001-2006. J Allergy Clin Immunol. 2007; 119(4): 1016-8. Epub 2007 Feb 15.
  • Asher MI, Keil U, Anderson HR, Beasley R, Crane J, Martinez F, Mitchell EA, Pearce N, Sibbald B, Stewart AW. International study of asthma and allergies in childhood (ISAAC): rationale and methods. Eur Resp J. 1995; 8 (3): 483-91.
  • Osterballe M, Hansen TK, Mortz CG, Host A, Bindslev-Jensen C. The prevalance of food hypersensitivity in an unselected population of children and adults. Pediatr Allergy Immunol. 2005; 16(7): 567-73.
  • Gelincik A, Büyüköztürk S, Gül H, Işik E, Işsever H, Ozşeker F, Colakoğlu B, Dal M, Ayvaz O, Güngör G, Akkor A. Confirmed prevalence of food allergy and non-allergic food hypersensitivity in a Mediterranean population. Clin Exp Allergy. 2008; 38(8): 1333-41. doi: 10.1111/j.1365-2222.2008.03019.x. Epub 2008 Jun 4.
  • Sarafino EP. Connections among parent and child atopic illness. Pediatr Allergy Immunol 2000; 11(2): 80-6.
  • Koplin JJ, Allen KJ, Gurrin LC, Peters RL, Lowe AJ, Tang ML, Dharmage SC; HealthNuts Study Team. The Impact of Family History of Allergy on Risk of Food Allergy: A Population-Based Study of Infants. Int J Environ Res Public Health. 2013; 10(11):5364-77. doi: 10.3390/ijerph10115364.
Year 2015, Volume: 17 Issue: 2, 21 - 28, 05.01.2016
https://doi.org/10.24938/kutfd.124918

Abstract

References

  • Boyce JA, Assa'ad A, Burks AW, Jones SM, Sampson HA, Wood RA et al. Guidelines for the Diagnosis and Management of Food Allergy in the United States: Report of the NIAID-Sponsored Expert Panel. J Allergy Clin Immunol. 2010; 126 (60): 1-58.
  • Sicherer SH and Sampson HA. Food allergy: Epidemiology, pathogenesis, diagnosis, and treatment. J Allergy Clin Immunol. 2014;133 (2):291-307.
  • Yıldırım M, Ergür AT, Saraçlar Y, Tuncer A. Sivas İl Merkezinde Çocuklarda Allerjik Hastalıkların Prevalansı. Çocuk Sağlığı ve Hastalıkları Dergisi. 2002; 45 (3): 226-32.
  • Saraçlar Y, Yiğit Ş, Adalıoğlu G, Tuncer A, Tunçbilek E. Prevalence of allergic disease and influencing factors in primary-school children in the Ankara region of Turkey. J Asthma. 1997; 34 (1): 23-30.
  • Orhan F, Karakas T, Cakir M, Aksoy A, Baki A, Gedik Y. Prevalence of immunoglobulin E-mediated food allergy in 6-9-year-old urban schoolchildren in the eastern Black Sea region of Turkey. Clin Exp Allergy. 2009; 39 (7): 1027-35.
  • Dubakiene R, Surkiene G, Stukas R, Vilesko JP, Kavaliunas A. Food allergies among 5th-9th grade schoolcildren in Vilnius (Lithuania). Ekologia. 2008; 54 (1): 1-4.
  • Steinke M, Fiocchi A, Kirchlechner V, Ballmer-Weber B, Brockow K, Hischenhuber C, et al. Perceived food allergy in children in 10 European nations. Int Arch Allergy Immunol. 2007; 143 (4): 290-5.
  • Eggesbo M, Halvorsen R, Tambs K, Botten G. Prevalance of parentally percived adverse reactions to food in young children. Pediatr Allergy Immunuol. 1999; 10 (2): 122-32.
  • Rona RJ, Chinn S. Parent’s perception of food intolerance in primary school children. Br Med J. 1987; 294 (6576): 863-6.
  • Rance F, Grandmottet X, Grandjean H. Prevalance and main characteristic of schoolchildren diagnosed with food allergies in France. Clin Exp Allergy. 2005; 35(2): 167-72.
  • Wood RA. The natural history of food allergy. Pediatrics. 2003; 111(6 Pt 3): 1631-7.
  • Sicherer SH, Munoz-Furlong A, Sampson HA. Prevalence of peanut and tree nut allergy in the United States determined by means of a random digit dial telephone survey: a 5-year follow-up study. J Allergy Clin Immunol. 2003; 112 (6): 1203-7.
  • Eigenmann PA, Sicherer SH, Borkowski TA, Cohen BA, Sampson HA. Prevalence of IgE-mediated food allergy among children with atopic dermatitis. Pediatrics. 1998; 101 (3): E8.
  • Spergel JM, Paller AS. Atopic dermatitis and the atopic march. J Allergy Clin Immunol. 2003; 112 (6): 118-27.
  • Rhodes HL, Sporik R, Thomas P, Holgate St, Cogswell JJ. Early life risk factors for adult asthma: a birth cohort study of subjects at risk. J Allergy Clin Immunol. 2001; 108 (5): 720-5.
  • Burks AW, James JM, Hiegel A, Wilson G, Wheeler JG, Jones SM, et al. Atopic dermatitis and food hypersensitivity reactions. J Pediatr. 1998; 132 (1): 132-6.
  • Kulig M, Bergmann R, Klettke U, Wahn V, Tacke U, Wahn U. Natural course of sensitization to food and inhalant allergens during the first 6 years of life. J Allergy Clin Immunol. 1999; 103 (6): 1173-9.
  • Björnsson E, Janson C, Plaschke P, Norrman E, Sjöberg O. Prevalence of sensitization to food allergens in adult Swedes. Ann Allergy Asthma Immunol. 1996; 77 (4): 327-32.
  • Liu AH, Jaramillo R, Sicherer SH, Wood RA, Bock SA, Burks AW, Massing M, Cohn RD, Zeldin DC. National prevalence and risk factors for food allergy and relationship to asthma: Results from the National Health and Nutrition Examination Survey 2005-2006. J Allergy Clin Immunol. 2010; 126 (4): 798-806.e13
  • Sicherer SH, Munoz-Furlong A, Sampson HA. Prevalance of seafood allergy in the United States determined by a random telephone survey. J Allergy Clin Immunol. 2004; 114 (1): 159-65.
  • Branum AM, Lukacs SL. Food allergy among children in the United States. Pediatrics. 2009; 124 (6): 1549-55.
  • Schäfer T, Böhler E, Ruhdorfer S, Weigl L, Wessner D, Heinrich J, Filipiak B, Wichmann HE, Ring J. Epidemiology of food allergy/food intolerance in adults: associations with other manifestations of atopy. Allergy. 2001; 56 (12): 1172-9.
  • Hofer T, Wüthrich B. Food allergy. II. Prevalence of organ manifestations of allergy-inducing food. A study on the basis on 173 cases, 1978-1982. Schweiz Med Wochenschr. 1985; 115 (41): 1437-42.
  • Gray CL, Levin ME, Zar HJ, Potter PC, Khumalo NP, Volkwyn L, Fenemore B, du Toit G. Food allergy in south african children with atopic dermatitis. Pediatr Allergy Immunol. 2014; 25(6): 572-9. doi: 10.1111/pai.12270.
  • Yang YS, Byun YS, Kim JH, Kim HO, Park CW. Food hypersensitivity in adult patients with atopic dermatitis in Korea. Clin Exp Dermatol. 2015; 40(1): 6-10. doi: 10.1111/ced.12433. Epub 2014 Sep 15.
  • Baek JO, Hong S, Son DK, Lee JR, Roh JY, Kwon HJ. Analysis of the prevalence of and risk factors for atopic dermatitis using an ISAAC questionnaire in 8,750 Korean children. Int Arch Allergy Immunol. 2013; 162(1): 79-85. doi: 10.1159/000351403.
  • Gaspar-Marques J, Carreiro-Martins P, Papoila AL, Caires I, Pedro C, Araújo-Martins J, Virella D, Rosado-Pinto J, Leiria-Pinto P, Neuparth N. Food Allergy and Anaphylaxis in Infants and Preschool-Age Children. Clin Pediatr (Phila). 2014; 53(7): 652-57.
  • Sampson HA, Burks AW. Adverse Reactions to Foods. Middleton’s Allergy: Principles and Practice: 7th edition. China: Elsevier; 2009: 1139-67.
  • Sampson HA. Update on food allergy. J Allergy Clin Immunol. 2004; 113(5): 805-19.
  • Bock SA, Munoz-Furlong A, Sampson HA. Further fatalities caused by anaphylactic reactions to food, 2001-2006. J Allergy Clin Immunol. 2007; 119(4): 1016-8. Epub 2007 Feb 15.
  • Asher MI, Keil U, Anderson HR, Beasley R, Crane J, Martinez F, Mitchell EA, Pearce N, Sibbald B, Stewart AW. International study of asthma and allergies in childhood (ISAAC): rationale and methods. Eur Resp J. 1995; 8 (3): 483-91.
  • Osterballe M, Hansen TK, Mortz CG, Host A, Bindslev-Jensen C. The prevalance of food hypersensitivity in an unselected population of children and adults. Pediatr Allergy Immunol. 2005; 16(7): 567-73.
  • Gelincik A, Büyüköztürk S, Gül H, Işik E, Işsever H, Ozşeker F, Colakoğlu B, Dal M, Ayvaz O, Güngör G, Akkor A. Confirmed prevalence of food allergy and non-allergic food hypersensitivity in a Mediterranean population. Clin Exp Allergy. 2008; 38(8): 1333-41. doi: 10.1111/j.1365-2222.2008.03019.x. Epub 2008 Jun 4.
  • Sarafino EP. Connections among parent and child atopic illness. Pediatr Allergy Immunol 2000; 11(2): 80-6.
  • Koplin JJ, Allen KJ, Gurrin LC, Peters RL, Lowe AJ, Tang ML, Dharmage SC; HealthNuts Study Team. The Impact of Family History of Allergy on Risk of Food Allergy: A Population-Based Study of Infants. Int J Environ Res Public Health. 2013; 10(11):5364-77. doi: 10.3390/ijerph10115364.
There are 35 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Gönül Yardımcı This is me

Yakup Canıtez This is me

Nihat Sapan This is me

Cennet Rağbetli This is me

Publication Date January 5, 2016
Submission Date January 5, 2016
Published in Issue Year 2015 Volume: 17 Issue: 2

Cite

APA Yardımcı, G., Canıtez, Y., Sapan, N., Rağbetli, C. (2016). Bir İl Merkezinde 6-14 Yaş Grubu Çocuklarda ve Ailelerinde Görülen Besin Alerjisi ve Alerjik Hastalıkların Sıklığı. The Journal of Kırıkkale University Faculty of Medicine, 17(2), 21-28. https://doi.org/10.24938/kutfd.124918
AMA Yardımcı G, Canıtez Y, Sapan N, Rağbetli C. Bir İl Merkezinde 6-14 Yaş Grubu Çocuklarda ve Ailelerinde Görülen Besin Alerjisi ve Alerjik Hastalıkların Sıklığı. Kırıkkale Uni Med J. January 2016;17(2):21-28. doi:10.24938/kutfd.124918
Chicago Yardımcı, Gönül, Yakup Canıtez, Nihat Sapan, and Cennet Rağbetli. “Bir İl Merkezinde 6-14 Yaş Grubu Çocuklarda Ve Ailelerinde Görülen Besin Alerjisi Ve Alerjik Hastalıkların Sıklığı”. The Journal of Kırıkkale University Faculty of Medicine 17, no. 2 (January 2016): 21-28. https://doi.org/10.24938/kutfd.124918.
EndNote Yardımcı G, Canıtez Y, Sapan N, Rağbetli C (January 1, 2016) Bir İl Merkezinde 6-14 Yaş Grubu Çocuklarda ve Ailelerinde Görülen Besin Alerjisi ve Alerjik Hastalıkların Sıklığı. The Journal of Kırıkkale University Faculty of Medicine 17 2 21–28.
IEEE G. Yardımcı, Y. Canıtez, N. Sapan, and C. Rağbetli, “Bir İl Merkezinde 6-14 Yaş Grubu Çocuklarda ve Ailelerinde Görülen Besin Alerjisi ve Alerjik Hastalıkların Sıklığı”, Kırıkkale Uni Med J, vol. 17, no. 2, pp. 21–28, 2016, doi: 10.24938/kutfd.124918.
ISNAD Yardımcı, Gönül et al. “Bir İl Merkezinde 6-14 Yaş Grubu Çocuklarda Ve Ailelerinde Görülen Besin Alerjisi Ve Alerjik Hastalıkların Sıklığı”. The Journal of Kırıkkale University Faculty of Medicine 17/2 (January 2016), 21-28. https://doi.org/10.24938/kutfd.124918.
JAMA Yardımcı G, Canıtez Y, Sapan N, Rağbetli C. Bir İl Merkezinde 6-14 Yaş Grubu Çocuklarda ve Ailelerinde Görülen Besin Alerjisi ve Alerjik Hastalıkların Sıklığı. Kırıkkale Uni Med J. 2016;17:21–28.
MLA Yardımcı, Gönül et al. “Bir İl Merkezinde 6-14 Yaş Grubu Çocuklarda Ve Ailelerinde Görülen Besin Alerjisi Ve Alerjik Hastalıkların Sıklığı”. The Journal of Kırıkkale University Faculty of Medicine, vol. 17, no. 2, 2016, pp. 21-28, doi:10.24938/kutfd.124918.
Vancouver Yardımcı G, Canıtez Y, Sapan N, Rağbetli C. Bir İl Merkezinde 6-14 Yaş Grubu Çocuklarda ve Ailelerinde Görülen Besin Alerjisi ve Alerjik Hastalıkların Sıklığı. Kırıkkale Uni Med J. 2016;17(2):21-8.

This Journal is a Publication of Kırıkkale University Faculty of Medicine.