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Updated: Jul 7, 2025

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Published on: May 31, 2021
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.
Background:
Accumulating evidence suggests that food-induced anaphylaxis (FIA) may induce different psychological disorders (PDs). In this study, we aimed to further evaluate the effect of FIA, specifically when occurring in early life, on subsequent PDs development.
Methods:
We conducted a population-based, retrospective, matched-cohort study of pediatric patients (age ≤ 18 years) treated at the "Clalit" healthcare organization during the period 2001-2021. Children diagnosed with FIA were propensity score-matched with patients without any allergies (controls) of similar demographic parameters. Associations between FIA and different PDs were examined by multivariable regression models.
Results:
The cohorts comprised 545 FIA patients and 4514 controls. Most patients were <3 years old [87.6% of controls (N = 3955) and 87.3% of the FIA cohort (N = 476)]. In this age group, the major food allergens were cow's milk (N = 258; 54.2%), eggs (N = 60; 12.6%), and peanuts (N = 20; 4.2%). The multivariable regression model identified an association between FIA and any PDs (p < .001), sleeping disorders (p < .001), and eating disorders (p = .050). Kaplan-Meier curves revealed that patients who experienced FIA before 3 years of age had an increased cumulative risk over the follow-up time of developing any PDs, sleeping disorders, and eating disorders.
Conclusion:
FIA during the first 3 years of life increases the risk of later developing eating and sleeping disorders, which can last into adulthood. Further attention should be focused on accurately diagnosing these children.
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