How do teenagers manage their food allergies?

Monks, H.; Gowland, M. Hazel; MacKenzie, Heather; Erlewyn-Lajeunesse, Michel; King, Rosemary; Lucas, Jane S.; Roberts, Graham

doi:10.1111/j.1365-2222.2010.03586.x

Cited by 109 publications

(210 citation statements)

References 31 publications

Supporting

Mentioning

194

Contrasting

Unclassified

Order By: Relevance

“…8,9 An unexpected, worrisome finding in this study is that 11% of milk, egg, or peanut reactions resulted from these exposures. In some cases, reactions occurred to a food that was given in a larger amount than before, which is a nuance worth considering when taking a medical history of young children with possible The annualized rate or reactions for all foods was 0.81 (95% CI: 0.76-0.85).…”

Section: Figurementioning

confidence: 82%

“…4 Errors in daily management can result in allergic reactions and undertreatment of severe reactions. [5][6][7][8][9][10][11][12][13][14][15][16] The primary aim of this study was to determine the frequency and circumstances of allergic reactions to foods, and treatment responses, in a prospective study of infants and preschoolaged children with likely egg or milk allergies. The cohort we examined is participating in an observational study on the natural course of milk/egg allergy and is being observed for the development of peanut allergy.…”

Section: Discussionmentioning

confidence: 99%

“…Severity grading of 52 reactions treated with epinephrine were severe (40), moderate (4), and mild (8). Data were analyzed to assess epinephrine use according to reaction severity, with all severe reactions warranting epinephrine administration based on current guidelines.…”

Section: Circumstances Of Epinephrine Administrationmentioning

confidence: 99%

See 2 more Smart Citations

Allergic Reactions to Foods in Preschool-Aged Children in a Prospective Observational Food Allergy Study

et al. 2012

View full text Add to dashboard Cite

WHAT'S KNOWN ON THIS SUBJECT: Infants and children with diagnosed food allergy are at risk for acute, potentially life-threatening symptoms. Limited data are available on the frequency, severity, and circumstances of reactions and caretaker medical response. WHAT THIS STUDY ADDS:This study describes food allergy reaction frequency, circumstances, and response. Pitfalls that may inform improved anticipatory guidance included lack of vigilance, misreading ingredient labels, allergen cross-contact, nonaccidental allergen feeding, and underutilization of epinephrine for severe reactions. abstract OBJECTIVE: To examine circumstances of allergic reactions to foods in a cohort of preschool-aged children. METHODS:We conducted a prospective, 5-site observational study of 512 infants aged 3 to 15 months with documented or likely allergy to milk or egg, and collected data prospectively examining allergic reactions. , with accidental exposures attributed to unintentional ingestion, label-reading errors, and cross-contact. Foods were provided by persons other than parents in 50.6% of reactions. Of 834 reactions to milk, egg, or peanut, 93 (11.2%) were attributed to purposeful exposures to these avoided foods. A higher number of food allergies (P , .0001) and higher foodspecific immunoglobulin E (P , .0001) were associated with reactions. Of the 11.4% of reactions (n = 134) that were severe, 29.9% were treated with epinephrine. Factors resulting in undertreatment included lack of recognition of severity, epinephrine being unavailable, and fears about epinephrine administration. RESULTS:CONCLUSIONS: There was a high frequency of reactions caused by accidental and nonaccidental exposures. Undertreatment of severe reactions with epinephrine was a substantial problem. Areas for improved education include the need for constant vigilance, accurate label reading, avoidance of nonaccidental exposure, prevention of cross-contamination, appropriate epinephrine administration, and education of all caretakers. Pediatrics 2012;130:e25-e32 AUTHORS:

show abstract

Section: Figurementioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Allergic Reactions to Foods in Preschool-Aged Children in a Prospective Observational Food Allergy Study

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Apesar da importância do tema, ainda existem poucos estudos neste sentido, sendo que a maioria aborda grupos de pacientes com alta prevalência de alergia a amendoim e/ou frutas oleaginosas [3][4][5][6][7][8][9] . Por outro lado, em nosso país, o leite de vaca é um dos principais alérgenos nesta faixa etária e sua exclusão é extremamente difícil, por sua ampla distribuição em produtos alimentícios e sua importância nutricional na alimentação da criança e mesmo assim, não se encontram trabalhos onde se abordem os problemas relacionados a essa restrição.…”

Section: Introductionunclassified

Perceptions of Caregivers of Patients With Cow’s Milk Allergy Regarding the Treatment

Yonamine

Contim²,

Castro³

et al. 2013

J. Hum. Growth Dev.

View full text Add to dashboard Cite

Journal of Human Growth and Development 2013; 23(1): 58-64 ORIGINAL RESEARCH Resumo:Este estudo qualitativo teve como objetivo compreender as percepções de familiares de crianças e adolescentes com alergia à proteína do leite de vaca (APLV) em relação à doença e seu tratamento. Foram realizadas nove entrevistas e foi utilizado o método de análise de conteúdo. Surgiram três categorias com subcategorias: tratamento e educação do paciente e familiares (experiências vividas, base do tratamento e como lidar com a doença), resolução da doença (expectativa e melhora gradativa), qualidade de vida (inclusão social, cotidiano familiar e custo dos alimentos). Os familiares vivenciaram dificuldades durante o início do tratamento, mas revelaram que as orientações fornecidas no seguimento tornaram as adaptações à doença mais fáceis. Comentaram sobre as dificuldades em obter a colaboração de outros membros da família em relação à dieta de exclusão, suas experiências frente a uma reação alérgica, dúvidas quanto ao tratamento e lacunas do conhecimento sobre a doença entre outros médicos e na população em geral. Alguns deles acreditavam que não havia tratamento para a APLV, porque não existiam medicamentos ou vacinas, mas mantinham a esperança da descoberta de uma cura. A maioria dos familiares estava satisfeita com a melhora gradativa dos seus filhos, percebida pela redução da gravidade dos sintomas e tolerância a traços de leite. Também comentaram sobre os esforços em proporcionar uma vida normal para seus filhos, as mudanças em suas vidas e a dificuldade em comprar alimentos especiais. Em conclusão, os familiares de crianças e adolescentes com APLV sentem grande impacto da doença.Palavras-chave: pesquisa qualitativa; hipersensibilidade alimentar; criança; hipersensibilidade a leite. Abstract:The aim of this qualitative study was to understand the perceptions of caregivers of children and adolescents with cow's milk allergy regarding the disease and its treatment. Nine caregivers were interviewed and content analysis method was used. Three categories with subcategories emerged: treatment and education of the patient and their caregivers (life experiences, bases of treatment, coping with the disease), resolution of the disease (hope, gradual improvement), quality of life (social inclusion, family daily activities, costs of dietary treatment). Caregivers experienced difficulties during the initial treatment but pointed out that the guidance given during follow-up made the adjustments easier. Family members commented on the difficulties about lack of cooperation from other family members regarding the restrictive diet, their experience coping with the allergic reaction, doubts about the treatment and gaps on knowledge about the disease by other physicians and people. Some of them believed that there is no treatment for the disease, because there are no drugs or vaccines, but they were waiting for cure. The majority of relatives were satisfied with the gradual improvement of patients observed by reduction on the severity of sympt...

show abstract

“…Long-term management is focused on the avoidance of the foods that trigger the allergic reactions, which in turn places a psychological burden on patients and carers that can result in stress and anxiety. There is, in addition, often further anxiety relating to the burden of managing acute reactions -particularly if the decision to administer adrenaline (epinephrine) also falls on the patient and/or carer (3)(4)(5)(6). In some cases, this can have a considerable impact on the day-to-day lives of patients and carers (7).…”

mentioning

confidence: 99%

Disease‐specific health‐related quality of life instruments for IgE‐mediated food allergy

Salvilla

Dubois

Blok

et al. 2014

Allergy

Self Cite

View full text Add to dashboard Cite

This is one of seven interlinked systematic reviews undertaken on behalf of the European Academy of Allergy and Clinical Immunology as part of their Guidelines for Food Allergy and Anaphylaxis, which focuses on instruments developed for IgE-mediated food allergy. Disease-specific questionnaires are significantly more sensitive than generic ones in measuring the response to interventions or future treatments, as well as estimating the general burden of food allergy. The aim of this systematic review was therefore to identify which disease-specific, validated instruments can be employed to enable assessment of the impact of, and investigations and interventions for, IgE-mediated food allergy on health-related quality of life (HRQL). Using a sensitive search strategy, we searched seven electronic bibliographic databases to identify disease-specific quality of life (QOL) tools relating to IgE-mediated food allergy. From the 17 eligible studies, we identified seven disease-specific HRQL instruments, which were then subjected to detailed quality appraisal. This revealed that these instruments have undergone formal development and validation processes, and have robust psychometric properties, and therefore provide a robust means of establishing the impact of food allergy on QOL. Suitable instruments are now available for use in children, adolescents, parents/caregivers, and adults. Further work must continue to develop a clinical minimal important difference for food allergy and for making these instruments available in a wider range of European languages.The term 'food allergy' refers to the subgroup of foodtriggered reactions in which immunologic mechanisms have been implicated, whether immunoglobulin E (IgE)-mediated, non-IgE-mediated, or involving a combination of IgE-and non-IgE-mediated etiologies (1). This review focuses on food allergy that is likely to have an IgE-mediated etiology.Allergy 69 (2014) 834-844

show abstract

How do teenagers manage their food allergies?

Cited by 109 publications

References 31 publications

Allergic Reactions to Foods in Preschool-Aged Children in a Prospective Observational Food Allergy Study

Allergic Reactions to Foods in Preschool-Aged Children in a Prospective Observational Food Allergy Study

Perceptions of Caregivers of Patients With Cow’s Milk Allergy Regarding the Treatment

Disease‐specific health‐related quality of life instruments for IgE‐mediated food allergy

Contact Info

Product

Resources

About