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Published in: Clinical and Translational Allergy 1/2019

Open Access 01-12-2019 | Lactose Intolerance | Research

Prevalence of food hypersensitivity in relation to IgE sensitisation to common food allergens among the general adult population in West Sweden

Authors: G. Rentzos, L. Johanson, Emma Goksör, E. Telemo, Bo Lundbäck, L. Ekerljung

Published in: Clinical and Translational Allergy | Issue 1/2019

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Abstract

Background

The prevalence of self-experienced adverse reactions to foods seems to have an increasing trend in both adults and children. However, it is unclear if the prevalence of food hypersensitivity in the Swedish adult population is still rising, what symptoms are caused by different foods and which are the most common foods to which adults are more frequently IgE-sensitised.

Methods

In a cross-sectional study based on questionnaire responses, interviews and clinical examinations as part of the West Sweden Asthma Study, 1042 subjects from the general population, 17–78 years of age, living in Västra Götaland, Sweden, were included. The subjects reported symptoms for 56 specified foods and blood samples were taken to examine the IgE-sensitisation pattern for 9 common foods.

Results

Approximately 32% of adults reported food hypersensitivity, affecting mostly women and subjects less than 61 years old. The foods most often reported to cause adverse reactions were hazelnut (8.9%), apple (8.4%), milk (7.4%) and kiwi (7.3%). Less than one percent (0.9%) reported symptoms from ingestion of meat. Symptoms mostly affected the gastrointestinal tract (15%) and the skin (2.7%). Sixteen per cent were IgE-sensitised to common foods, most often to hazelnut (13.3%), peanut (4.9%) and almond (3.0%), while 5.9% reported symptoms and were IgE-sensitised to the same food, mainly to hazelnut (5.3%).

Conclusions

The prevalence of self-reported food hypersensitivity in West Sweden indicates a rising trend. The correspondence between self-reported symptoms and IgE-sensitisation to foods is generally poor, except for hazelnut and almond which exhibit moderate or fair correlation.
Literature
1.
go back to reference DunnGalvin A, Dubois AE, Flokstra-de Blok BM, Hourihane JO. The effects of food allergy on quality of life. Chem Immunol Allergy. 2015;101:235–52.CrossRef DunnGalvin A, Dubois AE, Flokstra-de Blok BM, Hourihane JO. The effects of food allergy on quality of life. Chem Immunol Allergy. 2015;101:235–52.CrossRef
2.
go back to reference Jansson SA, Heibert-Arnlind M, Middelveld RJ, Bengtsson UJ, Sundqvist AC, Kallstrom-Bengtsson I, et al. Health-related quality of life, assessed with a disease-specific questionnaire, in Swedish adults suffering from well-diagnosed food allergy to staple foods. Clin Transl Allergy. 2013;3:21.CrossRef Jansson SA, Heibert-Arnlind M, Middelveld RJ, Bengtsson UJ, Sundqvist AC, Kallstrom-Bengtsson I, et al. Health-related quality of life, assessed with a disease-specific questionnaire, in Swedish adults suffering from well-diagnosed food allergy to staple foods. Clin Transl Allergy. 2013;3:21.CrossRef
3.
go back to reference Nwaru B, Hickstein L, Panesar S, Muraro A, Werfel T, Cardona V, et al. The epidemiology of food allergy in Europe: a systematic review and meta-analysis. Allergy. 2014;69(1):62–75.CrossRef Nwaru B, Hickstein L, Panesar S, Muraro A, Werfel T, Cardona V, et al. The epidemiology of food allergy in Europe: a systematic review and meta-analysis. Allergy. 2014;69(1):62–75.CrossRef
4.
go back to reference Zuberbier T, Edenharter G, Worm M, Ehlers I, Reimann S, Hantke T, et al. Prevalence of adverse reactions to food in Germany: a population study. Allergy. 2004;59(3):338–45.CrossRef Zuberbier T, Edenharter G, Worm M, Ehlers I, Reimann S, Hantke T, et al. Prevalence of adverse reactions to food in Germany: a population study. Allergy. 2004;59(3):338–45.CrossRef
5.
go back to reference Patelis A, Gunnbjornsdottir M, Borres MP, Burney P, Gislason T, Toren K, et al. Natural history of perceived food hypersensitivity and IgE sensitisation to food allergens in a cohort of adults. PLoS One. 2014;9(1):e85333.CrossRef Patelis A, Gunnbjornsdottir M, Borres MP, Burney P, Gislason T, Toren K, et al. Natural history of perceived food hypersensitivity and IgE sensitisation to food allergens in a cohort of adults. PLoS One. 2014;9(1):e85333.CrossRef
6.
go back to reference Le TM, van Hoffen E, Kummeling I, Potts J, Ballmer-Weber BK, Bruijnzeel-Koomen CA, et al. Food allergy in the Netherlands: differences in clinical severity, causative foods, sensitization and DBPCFC between community and outpatients. Clin Transl Allergy. 2015;5:8.CrossRef Le TM, van Hoffen E, Kummeling I, Potts J, Ballmer-Weber BK, Bruijnzeel-Koomen CA, et al. Food allergy in the Netherlands: differences in clinical severity, causative foods, sensitization and DBPCFC between community and outpatients. Clin Transl Allergy. 2015;5:8.CrossRef
7.
go back to reference Wang X-Y, Zhuang Y, Ma T-T, Zhang B, Wang X-Y. Prevalence of self-reported food allergy in six regions of inner Mongolia, northern China: a population-based survey. Med Sci Monit Int Med J Exp Clin Res. 2018;24:1902. Wang X-Y, Zhuang Y, Ma T-T, Zhang B, Wang X-Y. Prevalence of self-reported food allergy in six regions of inner Mongolia, northern China: a population-based survey. Med Sci Monit Int Med J Exp Clin Res. 2018;24:1902.
8.
go back to reference Chafen JJ, Newberry SJ, Riedl MA, Bravata DM, Maglione M, Suttorp MJ, et al. Diagnosing and managing common food allergies: a systematic review. JAMA. 2010;303(18):1848–56.CrossRef Chafen JJ, Newberry SJ, Riedl MA, Bravata DM, Maglione M, Suttorp MJ, et al. Diagnosing and managing common food allergies: a systematic review. JAMA. 2010;303(18):1848–56.CrossRef
9.
go back to reference Sampson HA. Update on food allergy. J Allergy Clin Immunol. 2004;113(5):805–19 (quiz 20).CrossRef Sampson HA. Update on food allergy. J Allergy Clin Immunol. 2004;113(5):805–19 (quiz 20).CrossRef
10.
go back to reference Sicherer SH, Sampson HA. Food allergy: Epidemiology, pathogenesis, diagnosis, and treatment. J Allergy Clin Immunol. 2014;133(2):291–307 (quiz 8).CrossRef Sicherer SH, Sampson HA. Food allergy: Epidemiology, pathogenesis, diagnosis, and treatment. J Allergy Clin Immunol. 2014;133(2):291–307 (quiz 8).CrossRef
11.
go back to reference Verrill L, Bruns R, Luccioli S. Prevalence of self reported food allergy in US adults: 2001, 2006, and 2010. In: Allergy and asthma proceedings. 2015. Verrill L, Bruns R, Luccioli S. Prevalence of self reported food allergy in US adults: 2001, 2006, and 2010. In: Allergy and asthma proceedings. 2015.
12.
go back to reference Winberg A, West CE, Strinnholm A, Nordstrom L, Hedman L, Ronmark E. Assessment of allergy to milk, egg, cod, and wheat in swedish schoolchildren: a population based cohort study. PLoS One. 2015;10(7):e0131804.CrossRef Winberg A, West CE, Strinnholm A, Nordstrom L, Hedman L, Ronmark E. Assessment of allergy to milk, egg, cod, and wheat in swedish schoolchildren: a population based cohort study. PLoS One. 2015;10(7):e0131804.CrossRef
13.
go back to reference Woods RK, Stoney RM, Raven J, Walters EH, Abramson M, Thien FC. Reported adverse food reactions overestimate true food allergy in the community. Eur J Clin Nutr. 2002;56(1):31–6.CrossRef Woods RK, Stoney RM, Raven J, Walters EH, Abramson M, Thien FC. Reported adverse food reactions overestimate true food allergy in the community. Eur J Clin Nutr. 2002;56(1):31–6.CrossRef
14.
go back to reference Woods SC, Begg DP. Food for thought: revisiting the complexity of food intake. Cell Metab. 2015;22(3):348–51.CrossRef Woods SC, Begg DP. Food for thought: revisiting the complexity of food intake. Cell Metab. 2015;22(3):348–51.CrossRef
15.
go back to reference Tang ML, Mullins RJ. Food allergy: Is prevalence increasing? Intern Med J. 2017;47(3):256–61.CrossRef Tang ML, Mullins RJ. Food allergy: Is prevalence increasing? Intern Med J. 2017;47(3):256–61.CrossRef
16.
go back to reference Renz H, Allen KJ, Sicherer SH, Sampson HA, Lack G, Beyer K, et al. Food allergy. Nat Rev Dis Primers. 2018;4:17098.CrossRef Renz H, Allen KJ, Sicherer SH, Sampson HA, Lack G, Beyer K, et al. Food allergy. Nat Rev Dis Primers. 2018;4:17098.CrossRef
17.
go back to reference Iweala OI, Choudhary SK, Commins SP. Food allergy. Curr Gastroenterol Rep. 2018;20(5):17.CrossRef Iweala OI, Choudhary SK, Commins SP. Food allergy. Curr Gastroenterol Rep. 2018;20(5):17.CrossRef
18.
go back to reference Loh W, Tang M. The epidemiology of food allergy in the global context. Int J Environ Res Public Health. 2018;15(9):2043.CrossRef Loh W, Tang M. The epidemiology of food allergy in the global context. Int J Environ Res Public Health. 2018;15(9):2043.CrossRef
19.
go back to reference Willits EK, Park MA, Hartz MF, Schleck CD, Weaver AL, Joshi AY, editors. Food allergy: a comprehensive population-based cohort study. In: Mayo clinic proceedings. Elsevier: Amsterdam; 2018. Willits EK, Park MA, Hartz MF, Schleck CD, Weaver AL, Joshi AY, editors. Food allergy: a comprehensive population-based cohort study. In: Mayo clinic proceedings. Elsevier: Amsterdam; 2018.
20.
go back to reference Rentzos G, Johanson L, Sjolander S, Telemo E, Ekerljung L. Self-reported adverse reactions and IgE sensitization to common foods in adults with asthma. Clin Transl Allergy. 2015;5:25.CrossRef Rentzos G, Johanson L, Sjolander S, Telemo E, Ekerljung L. Self-reported adverse reactions and IgE sensitization to common foods in adults with asthma. Clin Transl Allergy. 2015;5:25.CrossRef
21.
go back to reference Lin XP, Magnusson J, Ahlstedt S, Dahlman-Hoglund A, Hanson LL, Magnusson O, et al. Local allergic reaction in food-hypersensitive adults despite a lack of systemic food-specific IgE. J Allergy Clin Immunol. 2002;109(5):879–87.CrossRef Lin XP, Magnusson J, Ahlstedt S, Dahlman-Hoglund A, Hanson LL, Magnusson O, et al. Local allergic reaction in food-hypersensitive adults despite a lack of systemic food-specific IgE. J Allergy Clin Immunol. 2002;109(5):879–87.CrossRef
22.
go back to reference Nwaru BI, Panesar SS, Hickstein L, Rader T, Werfel T, Muraro A, et al. The epidemiology of food allergy in Europe: protocol for a systematic review. Clin Transl Allergy. 2013;3(1):13.CrossRef Nwaru BI, Panesar SS, Hickstein L, Rader T, Werfel T, Muraro A, et al. The epidemiology of food allergy in Europe: protocol for a systematic review. Clin Transl Allergy. 2013;3(1):13.CrossRef
23.
go back to reference Rona RJ, Keil T, Summers C, Gislason D, Zuidmeer L, Sodergren E, et al. The prevalence of food allergy: a meta-analysis. J Allergy Clin Immunol. 2007;120(3):638–46.CrossRef Rona RJ, Keil T, Summers C, Gislason D, Zuidmeer L, Sodergren E, et al. The prevalence of food allergy: a meta-analysis. J Allergy Clin Immunol. 2007;120(3):638–46.CrossRef
24.
go back to reference Commins SP, Platts-Mills TA. Delayed anaphylaxis to red meat in patients with IgE specific for galactose alpha-1,3-galactose (alpha-gal). Curr Allergy Asthma Rep. 2013;13(1):72–7.CrossRef Commins SP, Platts-Mills TA. Delayed anaphylaxis to red meat in patients with IgE specific for galactose alpha-1,3-galactose (alpha-gal). Curr Allergy Asthma Rep. 2013;13(1):72–7.CrossRef
25.
go back to reference Lotvall J, Ekerljung L, Ronmark EP, Wennergren G, Linden A, Ronmark E, et al. West Sweden asthma study: prevalence trends over the last 18 years argues no recent increase in asthma. Respir Res. 2009;10:94.CrossRef Lotvall J, Ekerljung L, Ronmark EP, Wennergren G, Linden A, Ronmark E, et al. West Sweden asthma study: prevalence trends over the last 18 years argues no recent increase in asthma. Respir Res. 2009;10:94.CrossRef
26.
go back to reference Ronmark EP, Ekerljung L, Lotvall J, Toren K, Ronmark E, Lundback B. Large scale questionnaire survey on respiratory health in Sweden: effects of late- and non-response. Respir Med. 2009;103(12):1807–15.CrossRef Ronmark EP, Ekerljung L, Lotvall J, Toren K, Ronmark E, Lundback B. Large scale questionnaire survey on respiratory health in Sweden: effects of late- and non-response. Respir Med. 2009;103(12):1807–15.CrossRef
27.
go back to reference Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159–74.CrossRef Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159–74.CrossRef
28.
go back to reference Burney PG, Potts J, Kummeling I, Mills EN, Clausen M, Dubakiene R, et al. The prevalence and distribution of food sensitization in European adults. Allergy. 2014;69(3):365–71.CrossRef Burney PG, Potts J, Kummeling I, Mills EN, Clausen M, Dubakiene R, et al. The prevalence and distribution of food sensitization in European adults. Allergy. 2014;69(3):365–71.CrossRef
29.
go back to reference Lomidze N, Gotua M. Prevalence of self-reported food allergy in different age groups of georgian population. Georgian Med News. 2015;241:40–4. Lomidze N, Gotua M. Prevalence of self-reported food allergy in different age groups of georgian population. Georgian Med News. 2015;241:40–4.
30.
go back to reference Warm K, Lindberg A, Lundback B, Ronmark E. Increase in sensitization to common airborne allergens among adults: two population-based studies 15 years apart. Allergy Asthma Clin Immunol. 2013;9(1):20.CrossRef Warm K, Lindberg A, Lundback B, Ronmark E. Increase in sensitization to common airborne allergens among adults: two population-based studies 15 years apart. Allergy Asthma Clin Immunol. 2013;9(1):20.CrossRef
31.
go back to reference Vieths S, Scheurer S, Ballmer-Weber B. Current understanding of cross-reactivity of food allergens and pollen. Ann N Y Acad Sci. 2002;964:47–68.CrossRef Vieths S, Scheurer S, Ballmer-Weber B. Current understanding of cross-reactivity of food allergens and pollen. Ann N Y Acad Sci. 2002;964:47–68.CrossRef
32.
go back to reference Almon R, Engfeldt P, Tysk C, Sjostrom M, Nilsson TK. Prevalence and trends in adult-type hypolactasia in different age cohorts in Central Sweden diagnosed by genotyping for the adult-type hypolactasia-linked LCT-13910C>T mutation. Scand J Gastroenterol. 2007;42(2):165–70.CrossRef Almon R, Engfeldt P, Tysk C, Sjostrom M, Nilsson TK. Prevalence and trends in adult-type hypolactasia in different age cohorts in Central Sweden diagnosed by genotyping for the adult-type hypolactasia-linked LCT-13910C>T mutation. Scand J Gastroenterol. 2007;42(2):165–70.CrossRef
33.
go back to reference McWilliam V, Koplin J, Lodge C, Tang M, Dharmage S, Allen K. The prevalence of tree nut allergy: a systematic review. Curr Allergy Asthma Rep. 2015;15(9):54.CrossRef McWilliam V, Koplin J, Lodge C, Tang M, Dharmage S, Allen K. The prevalence of tree nut allergy: a systematic review. Curr Allergy Asthma Rep. 2015;15(9):54.CrossRef
34.
go back to reference Vierk KA, Koehler KM, Fein SB, Street DA. Prevalence of self-reported food allergy in American adults and use of food labels. J Allergy Clin Immunol. 2007;119(6):1504–10.CrossRef Vierk KA, Koehler KM, Fein SB, Street DA. Prevalence of self-reported food allergy in American adults and use of food labels. J Allergy Clin Immunol. 2007;119(6):1504–10.CrossRef
35.
go back to reference Ben-Shoshan M, Harrington DW, Soller L, Fragapane J, Joseph L, St Pierre Y, et al. A population-based study on peanut, tree nut, fish, shellfish, and sesame allergy prevalence in Canada. J Allergy Clin Immunol. 2010;125(6):1327–35.CrossRef Ben-Shoshan M, Harrington DW, Soller L, Fragapane J, Joseph L, St Pierre Y, et al. A population-based study on peanut, tree nut, fish, shellfish, and sesame allergy prevalence in Canada. J Allergy Clin Immunol. 2010;125(6):1327–35.CrossRef
36.
go back to reference Bjornsson E, Janson C, Plaschke P, Norrman E, Sjoberg O. Prevalence of sensitization to food allergens in adult Swedes. Ann Allergy Asthma Immunol. 1996;77(4):327–32.CrossRef Bjornsson E, Janson C, Plaschke P, Norrman E, Sjoberg O. Prevalence of sensitization to food allergens in adult Swedes. Ann Allergy Asthma Immunol. 1996;77(4):327–32.CrossRef
37.
go back to reference Allen KJ, Hill DJ, Heine RG. 4. Food allergy in childhood. Med J Aust. 2006;185(7):394–400.PubMed Allen KJ, Hill DJ, Heine RG. 4. Food allergy in childhood. Med J Aust. 2006;185(7):394–400.PubMed
38.
go back to reference Bjerg A, Ekerljung L, Eriksson J, Naslund J, Sjolander S, Ronmark E, et al. Increase in pollen sensitization in Swedish adults and protective effect of keeping animals in childhood. Clin Exp Allergy. 2016;46(10):1328–36.CrossRef Bjerg A, Ekerljung L, Eriksson J, Naslund J, Sjolander S, Ronmark E, et al. Increase in pollen sensitization in Swedish adults and protective effect of keeping animals in childhood. Clin Exp Allergy. 2016;46(10):1328–36.CrossRef
39.
go back to reference Schafer T, Bohler E, Ruhdorfer S, Weigl L, Wessner D, Heinrich J, et al. Epidemiology of food allergy/food intolerance in adults: associations with other manifestations of atopy. Allergy. 2001;56(12):1172–9.CrossRef Schafer T, Bohler E, Ruhdorfer S, Weigl L, Wessner D, Heinrich J, et al. Epidemiology of food allergy/food intolerance in adults: associations with other manifestations of atopy. Allergy. 2001;56(12):1172–9.CrossRef
40.
go back to reference Gonzalez-Quintela A, Dam Laursen AS, Vidal C, Skaaby T, Gude F, Linneberg A. IgE antibodies to alpha-gal in the general adult population: relationship with tick bites, atopy, and cat ownership. Clin Exp Allergy. 2014;44(8):1061–8.CrossRef Gonzalez-Quintela A, Dam Laursen AS, Vidal C, Skaaby T, Gude F, Linneberg A. IgE antibodies to alpha-gal in the general adult population: relationship with tick bites, atopy, and cat ownership. Clin Exp Allergy. 2014;44(8):1061–8.CrossRef
41.
go back to reference Simrén M, Månsson A, Langkilde AM, Svedlund J, Abrahamsson H, Bengtsson U, et al. Food-related gastrointestinal symptoms in the irritable bowel syndrome. Digestion. 2001;63(2):108–15.CrossRef Simrén M, Månsson A, Langkilde AM, Svedlund J, Abrahamsson H, Bengtsson U, et al. Food-related gastrointestinal symptoms in the irritable bowel syndrome. Digestion. 2001;63(2):108–15.CrossRef
42.
go back to reference Powell N, Huntley B, Beech T, Knight W, Knight H, Corrigan CJ. Increased prevalence of gastrointestinal symptoms in patients with allergic disease. Postgrad Med J. 2007;83(977):182–6.CrossRef Powell N, Huntley B, Beech T, Knight W, Knight H, Corrigan CJ. Increased prevalence of gastrointestinal symptoms in patients with allergic disease. Postgrad Med J. 2007;83(977):182–6.CrossRef
43.
go back to reference Tielemans MM, Jaspers Focks J, van Rossum LG, Eikendal T, Jansen JB, Laheij RJ, et al. Gastrointestinal symptoms are still prevalent and negatively impact health-related quality of life: a large cross-sectional population based study in The Netherlands. PLoS One. 2013;8(7):e69876.CrossRef Tielemans MM, Jaspers Focks J, van Rossum LG, Eikendal T, Jansen JB, Laheij RJ, et al. Gastrointestinal symptoms are still prevalent and negatively impact health-related quality of life: a large cross-sectional population based study in The Netherlands. PLoS One. 2013;8(7):e69876.CrossRef
44.
go back to reference Mahesh P, Wong GW, Ogorodova L, Potts J, Leung T, Fedorova O, et al. Prevalence of food sensitization and probable food allergy among adults in India: the EuroPrevall INCO study. Allergy. 2016;71(7):1010–9.CrossRef Mahesh P, Wong GW, Ogorodova L, Potts J, Leung T, Fedorova O, et al. Prevalence of food sensitization and probable food allergy among adults in India: the EuroPrevall INCO study. Allergy. 2016;71(7):1010–9.CrossRef
Metadata
Title
Prevalence of food hypersensitivity in relation to IgE sensitisation to common food allergens among the general adult population in West Sweden
Authors
G. Rentzos
L. Johanson
Emma Goksör
E. Telemo
Bo Lundbäck
L. Ekerljung
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Clinical and Translational Allergy / Issue 1/2019
Electronic ISSN: 2045-7022
DOI
https://doi.org/10.1186/s13601-019-0261-z

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