Incidence and Early-Life Risk Factors for Food Allergy in a Spanish Birth Cohort

Jorge García-Ezquiaga1, Patricia Torija-Berzal1, Sergio Quevedo-Teruel1

  • 1Pediatric Department, Severo Ochoa University Hospital, Leganés, Madrid, Spain.

Insights

Food allergy affects 7.2% of children by age 4. Key risk factors include atopic dermatitis for IgE-mediated allergies and early-life exposures for non-IgE-mediated forms.

Area of Science:

  • Pediatrics
  • Allergology
  • Epidemiology

Background:

  • Rising prevalence of food allergies in children.
  • Need to understand early childhood incidence and risk factors.

Purpose of the Study:

  • Determine cumulative incidence of food allergy in early childhood.
  • Identify associated risk factors for food allergy.

Main Methods:

  • Prospective birth cohort study of 1006 newborns in Spain.
  • Follow-up to 4 years of age with data collection at birth and via interviews.
  • Diagnostic methods included skin prick testing, IgE measurement, and oral food challenges.

Main Results:

  • Cumulative incidence of food allergy was 7.2% by age 4.
  • IgE-mediated food allergy linked to bronchospasm, atopic dermatitis, maternal asthma, and paternal allergic rhinitis.
  • Non-IgE-mediated food allergy associated with proton-pump inhibitor use, no daycare, and early atopic dermatitis.

Conclusions:

  • Food allergy impacts 7.2% of children by age 4 in this Spanish cohort.
  • Atopic dermatitis is a primary risk factor for IgE-mediated food allergy.
  • Modifiable early-life exposures correlate with non-IgE-mediated food allergy.
Abstract

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