Prevalence of food allergy in nursery and kindergarten children in Samsun

Year 2013, Volume: 48 Issue: 4, 288 - 293, 01.12.2013

Faruk Barlık Şükrü Nail Güner Meral Barlık Ayhan Söğüt Recep Sancak

Abstract

Aim: In recent years the frequency of food allergy in children is gradually increasing Food allergy affects growth development and quality of life adversely There is no enough research in the preschool age group which food allergy is seen more frequent In this study we investigated the prevalence of food allergy in nursery and kindergarten children living in Samsun Material and Method: In this study we included the nursery and kindergarten children living in Samsun A standardized self administered questionnaire on food allergy was handed out to 2390 parents We achieved response rate of 53 5 The parents of children with suspected food allergy were called by phone to learn detailed history Results: The prevalence of parental perceived allergic reactions to food was 7 7 99 subjects Of these 51 5 subjects were male There were no differences between the mean age of children with FA 5 03 plusmn;1 0 and the healthy children 5 17 plusmn;0 86 The prevalence of the FA in the three years olds was lower than the other age groups The most common allergic foods were hen rsquo;s egg 25 3 and chocolate 21 2 foods additives 1 2 strawberry 9 2 cow milk 7 1 and nuts 4 1 The most reported systemic reactions to foods were related with skin 53 5 and gastrointestinal systems 31 4 Conclusions: The prevalence of food allergy was similar to our country and the Asia countries but lower than the European and American countries Food allergy should be kept in mind in preschool children with recurrent skin and gastrointestinal tract symptoms Turk Arch Ped 2013; 48: 288 93

Keywords

Food allergy, nursery and kindergarten children, prevalence, Samsun

Samsun ili kreş ve anaokulu çocuklarında besin alerjisi yaygınlığı

Abstract

Amaç: Çocuklarda besin alerjisi giderek daha sık gelişmekte; büyümeyi gelişmeyi ve hayat şartlarını olumsuz yönde etkilemektedir Besin alerjisinin daha sık görüldüğü okul öncesi yaş grubunda yeterli sayıda araştırma bulunmamaktadır Bu araştırmada Samsun ilinde yaşayan kreş ve anaokulu çocuklarında besin alerjisi sıklığının belirlenmesi amaçlanmıştır Gereç ve Yöntem: Çalışmamıza Samsun ilindeki kreş ve anaokullarındaki çocuklar alındı Anket yöntemi kullanılarak 2390 ebeveyne ulaşıldı 53 5 rsquo;i geri toplandı Besin alerjisi olduğu düşünülen çocukların ebeveynlerine telefonla ulaşılarak ayrıntılı öykü ve sorgulama yapıldı Bulgular: Samsun ili kreş ve anaokulu çocuklarında besin alerjisi sıklığı 7 7 olarak saptandı Besin alerjisi saptanan 99 çocuğun 51 5 rsquo;i erkekti Besin alerjisi olan çocukların yaş ortalaması ile 5 03 plusmn;1 0 ve sağlıklı çocuklarınki arasında 5 17 plusmn;0 86 farklılık yoktu p=0 17 Üç yaş grubunda diğer yaş gruplarına göre daha düşük oranda besin alerjisi bildirildi En sık yumurta 25 3 ikinci sıklıkta ise çikolata 21 2 sırasıyla katkı maddeli gıdalar 11 2 çilek 9 2 süt 7 1 ve fındık 4 1 alerjisi bildirildi Bildirilen bulgular arasında en sık cilt bulguları 53 5 sonrasında ise sindirim sistemi 31 4 bulguları bulunmaktaydı Çıkarımlar: Samsun ilindeki besin alerjisi sıklığının ülkemizdeki diğer bölgelere ve uzak doğu ülkelerine benzer Avrupa ve Amerika rsquo;dan daha düşük oranda olduğu gözlendi Tekrarlayan cilt ve sindirim sistemi bulguları bulunan okul öncesi çocuklarda besin alerjisi akılda tutulmalıdır Türk Ped Arfl 2013; 48: 288 93

Keywords

Besin alerjisi, kreş ve anaokulu çocuğu, Samsun, sıklık

References

• Nowak-Wegrzyn A, Sampson HA. Adverse reactions to foods. Med Clin North Am 2006; 90: 97-127.
• Sampson HA. Update on food allergy. J Allergy Clin Immunol 2004; 113: 805-19.
• Untersmayr E, Jensen-Jarolim E. The role of protein digestibility and antacids on food allergy outcomes. J Allergy Clin Immunol 2008; 121: 1301-8.
• McBride D, Keil T, Grabenhenrich L, et al. The EuroPrevall birth cohort study on food allergy: baseline characteristics of 12,000 newborns and their families from nine European countries. Pediatr Allergy Immunol 2012; 23: 230-9.
• Burks AW, Tang M, Sicherer S. et al. ICON: food allergy. J Allergy Clin Immunol 2012; 129: 906-20.
• Cianferoni A, Spergel JM. Food allergy: review, classification and diagnosis. Allergol Int 2009; 58: 457-66.
• Pénard-Morand C, Raherison C, Kopferschmitt C, et al. Prevalence of food allergy and its relationship to asthma and allergic rhinitis in schoolchildren. Allergy 2005; 60: 1165-71.
• 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: 1027-35.
• Rona RJ, Keil T, Summers C, et al. The prevalence of food allergy: a meta-analysis. J Allergy Clin Immunol 2007; 120: 638-46.
• Asher MI, Montefort S, Björkstén B, et al. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys. Lancet 2006; 368: 733-43.
• Calvani M, Alessandri C, Frediani T, et al. Correlation between skin prick test using commercial extract of cow’s milk protein and fresh milk and food challenges. Pediatr Allergy Immunol 2007; 18: 583Grundy J, Matthews S, Bateman B, Dean T, Arshad SH. Rising prevalence of allergy to peanut in children: Data from 2 sequential cohorts. J Allergy Clin Immunol 2002; 110 :784-9.
• Branum AM, Lukacs SL. Food allergy among U.S. children: trends in prevalence and hospitalizations. NCHS Data Brief 2008; 10: 1Roehr CC, Edenharter G, Reimann S, et al. Food allergy and nonallergic food hypersensitivity in children and adolescents. Clin Exp Allergy 2004; 34: 1534-41.
• Osterballe M, Mortz CG, Hansen TK, Andersen KE, BindslevJensen C. The prevalence of food hypersensitivity in young adults. Pediatr Allergy Immunol 2009; 20: 68-92.
• Gelincik A, Büyüköztürk S, Gül H, et al. Confirmed prevalence of food allergy and non-allergic food hypersensitivity in a Mediterranean population. Clin Exp Allergy 2008; 38: 1333-41.
• Obeng BB, Amoah AS, Larbi IA, et al. Food allergy in Ghanaian schoolchildren: data on sensitization and reported food allergy. Int Arch Allergy Immunol 2011; 155: 63-73.
• Gupta RS, Springston EE, Smith B, Warrier MR, Pongracic J, Holl JL. Geographic variability of childhood food allergy in the United States. Clin Pediatr (Phila) 2012; 51: 856-61.
• No authors listed . American Academy of Pediatrics. Committee on nutrition. Hypoallergenic infant formulas. Pediatrics 2000; 106: 346Du Toit G, Katz Y, Sasieni P, et al. Early consumption of peanuts in infancy is associated with a low prevalence of peanut allergy. J Allergy Clin Immunol 2008; 122: 984-91.
• Bock SA, Muñoz-Furlong A, Sampson HA. Fatalities due to anaphylactic reactions to foods. J Allergy Clin Immunol 2001; 107: 191-3.
• Ercan H, Ozen A, Karatepe H, Berber M, Cengizlier R. Primary school teachers’ knowledge about and attitudes toward anaphylaxis Pediatr Allergy Immunol 2012; 23: 428-32.
• Caffarelli C, Coscia A, Ridolo E, et al. Parents’ estimate of food allergy prevalence and management in Italian school-aged children. Pediatr Int 2011; 53: 505-10.