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The Associations among Food Allergy History, Food-Induced Anaphylactic Shock, and Health Outcomes.

机译：食物过敏史，食物诱发过敏性休克和健康结果之间的关联。

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摘要

The prevalence of food allergies doubled between 1985 and 2005 and allergies to peanuts among children tripled between 1997 and 2008. Allergen labeling laws and food safety programs focus on the presence of the "Big Eight" allergenic food types: egg, dairy, fish, wheat, shellfish, tree-nuts, soy, and peanuts, even though no studies have compared different allergenic foods in terms of risk of adverse outcomes after food-induced anaphylactic shock (FIAS). Within a multivariate risk assessment framework, odds ratios were used to compare the differences in the effects of different allergenic food types on extended length of hospital stays, respiratory distress or failure, and FIAS, as well as to better understand the association between food allergy history (FAH) and FIAS. The logistic regression analysis of 2525 patient records from a 2008 hospital discharge dataset revealed a tendency for males to suffer more severe outcomes after FIAS compared to females, a finding that is contrary to current understanding of gender responses to food allergens. In addition, patients in this dataset with the highest risk of FIAS were those without a documented FAH. There were no statistically significant differences in the odds ratios of adverse outcomes after peanut-induced FIAS compared to other forms of FIAS, in part due to the small number of patients who experienced FIAS. This study was among the first to use population-based data to assess the public health impacts of different allergenic food types. Future studies should continue to use large datasets to explore these relationships. A risk-based prioritization of food allergen control strategies serves positive social change by helping to relieve the stress, anxiety, and other psychosocial effects that are experienced by people with food allergies through more accurate identification of dangerous antigens in processed foods.
机译：1985年至2005年间，食物过敏的患病率翻了一番，1997年至2008年间，儿童对花生过敏的患病率增加了三倍。过敏原标签法律和食品安全计划的重点是“八大”致敏食物类型的存在：鸡蛋，奶制品，鱼，小麦，贝类，树坚果，大豆和花生，尽管尚无研究在食物诱发的过敏性休克（FIAS）后不良反应发生风险方面对不同的过敏性食物进行比较。在多变量风险评估框架中，使用优势比来比较不同变应性食物类型对延长住院时间，呼吸窘迫或衰竭以及FIAS的影响差异，以及更好地了解食物过敏史之间的关联（FAH）和FIAS。对来自2008年出院数据集的2525位患者记录进行的逻辑回归分析显示，与女性相比，FIAS后男性遭受更严重后果的趋势，这一发现与当前对性别对食物过敏原反应的理解相反。此外，该数据集中FIAS风险最高的患者是那些未记录FAH的患者。与其他形式的FIAS相比，花生诱导的FIAS后不良结局的优势比在统计学上没有显着差异，部分原因是经历FIAS的患者数量很少。这项研究是第一批使用基于人群的数据来评估不同过敏源食物类型对公共健康影响的研究之一。未来的研究应继续使用大型数据集来探索这些关系。以风险为基础的食品过敏原控制策略优先次序，可通过更准确地识别加工食品中的危险抗原，帮助缓解食品过敏者所承受的压力，焦虑和其他社会心理影响，从而为社会带来积极变化。

著录项

  • 作者

    Payne, Derrick Lee, Sr.;

  • 作者单位

    Walden University.;

  • 授予单位 Walden University.;
  • 学科 Agriculture Food Science and Technology.;Health Sciences Epidemiology.
  • 学位 Ph.D.
  • 年度 2011
  • 页码 175 p.
  • 总页数 175
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 建筑科学;
  • 关键词

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