食物过敏儿童的食困难:EAACI工作组的报告
Sarah-Anne Hill1, Ulugbek Nurmatov2, Audrey DunnGalvin3
1National Heart and Lung Institute, Imperial College London, London, UK.
概括
患有食物过敏的儿童常有食困难,影响高达40%的儿童. 这种患病率在患有多种食物过敏的儿童中更高,这凸显了需要更好的诊断工具和管理指南的需要.
科学领域:
- 儿科过敏和免疫学
- 胃肠病学 胃肠病学
- 儿童营养 儿童营养
背景情况:
- 营养困难包括儿童的各种饮食挑战.
- 健康儿童的患病率已知,但在食物过敏人口中尚不清楚.
- 缺乏共识阻碍了对儿童食物过敏中食困难的理解.
研究的目的:
- 系统地审查和综合有关食物过敏儿童食困难的流行现有文献.
- 在这个特定的儿科群体内,确定诊断和报告养困难的趋势和挑战.
主要方法:
- 在八个国际数据库中进行系统的文献搜索,截至2022年6月.
- 选了2059个摘要,其中10项研究符合资格标准.
- 由于研究异质性,对定量数据进行叙述综合;不允许进行元分析.
主要成果:
- 十项研究符合纳入标准,使用了12种不同的术语和11种用于诊断养困难的诊断工具.
- 食物过敏儿童的患病率从13.6%到40%不等.
- 在多种食物过敏的儿童中观察到更高的患病率.
结论:
- 患有食物过敏的儿童,特别是患有多种过敏的儿童,普遍存在食困难.
- 术语和诊断工具的显著异质性使得最终的结论变得复杂.
- 需要达成共识的指导方针,并进一步研究儿童食物过敏中食困难的发展和管理是至关重要的.
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