Food-induced anaphylaxis during infancy is associated with later sleeping and eating disorders

Shay Nemet1, Daniel Elbirt1, Keren Mahlab-Guri1

  • 1Allergy and Clinical Immunology Unit, Kaplan Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Rehovot, Jerusalem, Israel.

Insights

Food-induced anaphylaxis (FIA) in early childhood significantly raises the risk of developing psychological disorders, particularly eating and sleeping disorders. These conditions may persist into adulthood, requiring early diagnosis and intervention.

Area of Science:

  • Pediatric Allergy and Immunology
  • Developmental Psychology
  • Public Health

Background:

  • Food-induced anaphylaxis (FIA) is increasingly linked to psychological disorders (PDs).
  • Early-life FIA may have a specific impact on subsequent PD development.
  • This study investigates the long-term psychological effects of early-onset FIA.

Purpose of the Study:

  • To evaluate the association between early-life food-induced anaphylaxis and the development of psychological disorders.
  • To identify specific types of psychological disorders linked to FIA in pediatric patients.
  • To assess the long-term risk of PDs following FIA in early childhood.

Main Methods:

  • Population-based, retrospective, matched-cohort study.
  • Inclusion of pediatric patients (≤18 years) from 2001-2021.
  • Propensity score matching of FIA patients with controls without allergies.
  • Multivariable regression models and Kaplan-Meier analysis to examine associations.

Main Results:

  • An association was found between FIA and any PDs (p<.001), sleeping disorders (p<.001), and eating disorders (p=.050).
  • Patients experiencing FIA before age 3 had an increased cumulative risk of developing PDs, including eating and sleeping disorders.
  • Major allergens in young children included cow's milk, eggs, and peanuts.

Conclusions:

  • Early-life FIA (before age 3) is a risk factor for developing eating and sleeping disorders later in life.
  • These disorders can manifest and persist into adulthood.
  • Increased clinical attention is needed for accurate diagnosis of psychological disorders in children with FIA.
Abstract

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