Factors associated with the development of oral allergy syndrome: A retrospective questionnaire survey of Japanese university students

Background: Oral allergy syndrome (OAS) is an IgE-mediated food allergy. Ingestion of causative antigens leads to the development of local symptoms such as numbness of the oral mucosa in most cases and anaphylaxis in a few cases. The prevalence of OAS including in healthy people has not been investi...

Full description

Bibliographic Details
Main Authors: Mai Matsumoto, Motoi Takenaka, Kiyoshi Aoyagi, Yoshihito Tomita, Kazuhiko Arima, Keiko Yamauchi-Takihara, Hiroyuki Murota
Format: Article
Language:English
Published: Elsevier 2021-10-01
Series:Allergology International
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1323893021000150
_version_ 1818597795708272640
author Mai Matsumoto
Motoi Takenaka
Kiyoshi Aoyagi
Yoshihito Tomita
Kazuhiko Arima
Keiko Yamauchi-Takihara
Hiroyuki Murota
author_facet Mai Matsumoto
Motoi Takenaka
Kiyoshi Aoyagi
Yoshihito Tomita
Kazuhiko Arima
Keiko Yamauchi-Takihara
Hiroyuki Murota
author_sort Mai Matsumoto
collection DOAJ
description Background: Oral allergy syndrome (OAS) is an IgE-mediated food allergy. Ingestion of causative antigens leads to the development of local symptoms such as numbness of the oral mucosa in most cases and anaphylaxis in a few cases. The prevalence of OAS including in healthy people has not been investigated. Thus, we conducted a questionnaire survey of Japanese university students. Methods: We conducted a cross-sectional study of 2688 first-year students using a questionnaire survey in marksheet format and examined the epidemiological characteristics of OAS. Results: Only 2.7% of students were aware of the term “oral allergy syndrome”. A total of 143 (5.3%) students had OAS. There were significant associations between OAS and other allergic diseases including allergic rhinitis (AR) (OR: 3.8, 95% CI: 2.7–5.5), atopic dermatitis (AD) (OR: 4.6, 95%CI: 3.3–6.6), and bronchial asthma (BA) (OR: 3.0, 95%CI: 2.0–4.5). The onset age of OAS showed bimodal peaks at 0 and 10 years, and the latter peak coincided with the peak onset age of AR. Conclusions: Awareness of OAS was low in our study, which will make it difficult to treat properly and prevent its development. This survey confirmed the association between OAS and other allergic diseases, especially AR, which suggests that OAS is involved in the allergic march. A novel finding was that sensitization to antigens for OAS occurred around the same time as sensitization to antigens for AR. These results will help medical professionals diagnose OAS and develop lifestyle guidelines to prevent OAS-related symptoms such as anaphylaxis.
first_indexed 2024-12-16T11:53:29Z
format Article
id doaj.art-e9668cecbe164143bf2e6f489178e280
institution Directory Open Access Journal
issn 1323-8930
language English
last_indexed 2024-12-16T11:53:29Z
publishDate 2021-10-01
publisher Elsevier
record_format Article
series Allergology International
spelling doaj.art-e9668cecbe164143bf2e6f489178e2802022-12-21T22:32:38ZengElsevierAllergology International1323-89302021-10-01704458462Factors associated with the development of oral allergy syndrome: A retrospective questionnaire survey of Japanese university studentsMai Matsumoto0Motoi Takenaka1Kiyoshi Aoyagi2Yoshihito Tomita3Kazuhiko Arima4Keiko Yamauchi-Takihara5Hiroyuki Murota6Department of Dermatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, JapanDepartment of Dermatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, JapanDepartment of Public Health, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, JapanDepartment of Public Health, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, JapanDepartment of Public Health, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, JapanHealth and Counseling Center, Osaka University, Osaka, JapanDepartment of Dermatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan; Corresponding author. Department of Dermatology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto-machi, Nagasaki-shi, Nagasaki 852-8523, Japan.Background: Oral allergy syndrome (OAS) is an IgE-mediated food allergy. Ingestion of causative antigens leads to the development of local symptoms such as numbness of the oral mucosa in most cases and anaphylaxis in a few cases. The prevalence of OAS including in healthy people has not been investigated. Thus, we conducted a questionnaire survey of Japanese university students. Methods: We conducted a cross-sectional study of 2688 first-year students using a questionnaire survey in marksheet format and examined the epidemiological characteristics of OAS. Results: Only 2.7% of students were aware of the term “oral allergy syndrome”. A total of 143 (5.3%) students had OAS. There were significant associations between OAS and other allergic diseases including allergic rhinitis (AR) (OR: 3.8, 95% CI: 2.7–5.5), atopic dermatitis (AD) (OR: 4.6, 95%CI: 3.3–6.6), and bronchial asthma (BA) (OR: 3.0, 95%CI: 2.0–4.5). The onset age of OAS showed bimodal peaks at 0 and 10 years, and the latter peak coincided with the peak onset age of AR. Conclusions: Awareness of OAS was low in our study, which will make it difficult to treat properly and prevent its development. This survey confirmed the association between OAS and other allergic diseases, especially AR, which suggests that OAS is involved in the allergic march. A novel finding was that sensitization to antigens for OAS occurred around the same time as sensitization to antigens for AR. These results will help medical professionals diagnose OAS and develop lifestyle guidelines to prevent OAS-related symptoms such as anaphylaxis.http://www.sciencedirect.com/science/article/pii/S1323893021000150Awareness of OASCross-sectional studyOral allergy syndromeQuestionnaire surveyRisk factors
spellingShingle Mai Matsumoto
Motoi Takenaka
Kiyoshi Aoyagi
Yoshihito Tomita
Kazuhiko Arima
Keiko Yamauchi-Takihara
Hiroyuki Murota
Factors associated with the development of oral allergy syndrome: A retrospective questionnaire survey of Japanese university students
Allergology International
Awareness of OAS
Cross-sectional study
Oral allergy syndrome
Questionnaire survey
Risk factors
title Factors associated with the development of oral allergy syndrome: A retrospective questionnaire survey of Japanese university students
title_full Factors associated with the development of oral allergy syndrome: A retrospective questionnaire survey of Japanese university students
title_fullStr Factors associated with the development of oral allergy syndrome: A retrospective questionnaire survey of Japanese university students
title_full_unstemmed Factors associated with the development of oral allergy syndrome: A retrospective questionnaire survey of Japanese university students
title_short Factors associated with the development of oral allergy syndrome: A retrospective questionnaire survey of Japanese university students
title_sort factors associated with the development of oral allergy syndrome a retrospective questionnaire survey of japanese university students
topic Awareness of OAS
Cross-sectional study
Oral allergy syndrome
Questionnaire survey
Risk factors
url http://www.sciencedirect.com/science/article/pii/S1323893021000150
work_keys_str_mv AT maimatsumoto factorsassociatedwiththedevelopmentoforalallergysyndromearetrospectivequestionnairesurveyofjapaneseuniversitystudents
AT motoitakenaka factorsassociatedwiththedevelopmentoforalallergysyndromearetrospectivequestionnairesurveyofjapaneseuniversitystudents
AT kiyoshiaoyagi factorsassociatedwiththedevelopmentoforalallergysyndromearetrospectivequestionnairesurveyofjapaneseuniversitystudents
AT yoshihitotomita factorsassociatedwiththedevelopmentoforalallergysyndromearetrospectivequestionnairesurveyofjapaneseuniversitystudents
AT kazuhikoarima factorsassociatedwiththedevelopmentoforalallergysyndromearetrospectivequestionnairesurveyofjapaneseuniversitystudents
AT keikoyamauchitakihara factorsassociatedwiththedevelopmentoforalallergysyndromearetrospectivequestionnairesurveyofjapaneseuniversitystudents
AT hiroyukimurota factorsassociatedwiththedevelopmentoforalallergysyndromearetrospectivequestionnairesurveyofjapaneseuniversitystudents