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

Abstract 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 upd...

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Main Authors: Giulia C. I. Spolidoro, Sungkutu Nyassi, Daniil Lisik, Athina Ioannidou, Mohamed Mustafa Ali, Yohannes Tesfaye Amera, Graciela Rovner, Ekaterina Khaleva, Carina Venter, Ronald vanRee, Margitta Worm, Berber Vlieg‐Boerstra, Aziz Sheikh, Antonella Muraro, Graham Roberts, Bright I. Nwaru
Format: Article
Language:English
Published: Wiley 2024-02-01
Series:Clinical and Translational Allergy
Subjects:
Online Access:https://doi.org/10.1002/clt2.12338
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author Giulia C. I. Spolidoro
Sungkutu Nyassi
Daniil Lisik
Athina Ioannidou
Mohamed Mustafa Ali
Yohannes Tesfaye Amera
Graciela Rovner
Ekaterina Khaleva
Carina Venter
Ronald vanRee
Margitta Worm
Berber Vlieg‐Boerstra
Aziz Sheikh
Antonella Muraro
Graham Roberts
Bright I. Nwaru
author_facet Giulia C. I. Spolidoro
Sungkutu Nyassi
Daniil Lisik
Athina Ioannidou
Mohamed Mustafa Ali
Yohannes Tesfaye Amera
Graciela Rovner
Ekaterina Khaleva
Carina Venter
Ronald vanRee
Margitta Worm
Berber Vlieg‐Boerstra
Aziz Sheikh
Antonella Muraro
Graham Roberts
Bright I. Nwaru
author_sort Giulia C. I. Spolidoro
collection DOAJ
description Abstract 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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spelling doaj.art-96c3130688444fc4a7a56f8c8a3ca7ef2024-02-26T14:04:44ZengWileyClinical and Translational Allergy2045-70222024-02-01142n/an/a10.1002/clt2.12338Food allergy outside the eight big foods in Europe: A systematic review and meta‐analysisGiulia C. I. Spolidoro0Sungkutu Nyassi1Daniil Lisik2Athina Ioannidou3Mohamed Mustafa Ali4Yohannes Tesfaye Amera5Graciela Rovner6Ekaterina Khaleva7Carina Venter8Ronald vanRee9Margitta Worm10Berber Vlieg‐Boerstra11Aziz Sheikh12Antonella Muraro13Graham Roberts14Bright I. Nwaru15Department of Clinical Sciences and Community Health University of Milan Milan ItalyKrefting Research Centre University of Gothenburg Gothenburg SwedenKrefting Research Centre University of Gothenburg Gothenburg SwedenKrefting Research Centre University of Gothenburg Gothenburg SwedenSchool of Public Health and Community Medicine Institute of Medicine University of Gothenburg Gothenburg SwedenSchool of Public Health and Community Medicine Institute of Medicine University of Gothenburg Gothenburg SwedenACT Institutet Sweden Vejbystrand SwedenFaculty of Medicine University of Southampton Southampton UKSection of Allergy & Immunology School of Medicine University of Colorado Denver Children's Hospital Colorado Aurora Colorado USADepartment of Experimental Immunology and Department of Otorhinolaryngology Amsterdam University Medical Centers Amsterdam The NetherlandsDivision of Allergy and Immunology Department of Dermatology, Allergy and Venerology Charité Universitätsmedizin Berlin Berlin GermanyDepartment of Pediatrics OLVG Hospital Amsterdam The NetherlandsUsher Institute University of Edinburgh Edinburgh UKDepartment of Mother and Child Health The Referral Centre for Food Allergy Diagnosis and Treatment Veneto Region University of Padua Padua ItalyFaculty of Medicine University of Southampton Southampton UKKrefting Research Centre University of Gothenburg Gothenburg SwedenAbstract 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.https://doi.org/10.1002/clt2.12338epidemiologyEuropefood allergysensitizationsystematic review
spellingShingle Giulia C. I. Spolidoro
Sungkutu Nyassi
Daniil Lisik
Athina Ioannidou
Mohamed Mustafa Ali
Yohannes Tesfaye Amera
Graciela Rovner
Ekaterina Khaleva
Carina Venter
Ronald vanRee
Margitta Worm
Berber Vlieg‐Boerstra
Aziz Sheikh
Antonella Muraro
Graham Roberts
Bright I. Nwaru
Food allergy outside the eight big foods in Europe: A systematic review and meta‐analysis
Clinical and Translational Allergy
epidemiology
Europe
food allergy
sensitization
systematic review
title Food allergy outside the eight big foods in Europe: A systematic review and meta‐analysis
title_full Food allergy outside the eight big foods in Europe: A systematic review and meta‐analysis
title_fullStr Food allergy outside the eight big foods in Europe: A systematic review and meta‐analysis
title_full_unstemmed Food allergy outside the eight big foods in Europe: A systematic review and meta‐analysis
title_short Food allergy outside the eight big foods in Europe: A systematic review and meta‐analysis
title_sort food allergy outside the eight big foods in europe a systematic review and meta analysis
topic epidemiology
Europe
food allergy
sensitization
systematic review
url https://doi.org/10.1002/clt2.12338
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