Abstract

BackgroundThe prevalence of adverse food reactions in patients with chronic inhalant diseases has seldom been studied in China. This study is to investigate the prevalence of adverse food reactions and the symptoms caused in respiratory patients.MethodsRespiratory patients in allergy clinics were asked to complete a questionnaire. Patients’ information such as age, gender, family history of allergy, and adverse reactions to a list of 48 foods and the symptoms caused, was recorded. Multivariate analyses were performed to determine the prevalence of adverse food reactions and their associated symptoms.Results459 subjects, with an average age of 32 years old, completed the questionnaire; 45.3% were male. Among the 459 subjects, 38.1% (175/459) had an adverse reaction to food: 13.6% had an adverse food reaction to crab, 12.4% had an adverse food reaction to shrimp; and 9.9% had an adverse reaction to shellfish. Peach and nectarine were also shown to be common causative foods with 6.8% of the study group showing an adverse reaction to peach and 5.2% to nectarine. Seafood mainly caused skin symptoms and fruits gave rise to more throat, oral, and gastrointestinal problems.ConclusionThe prevalence of adverse food reactions is high for patients with respiratory diseases. This indicates that adverse food reactions should be considered in the treatment and management of patients with chronic inhalant diseases.

Highlights

  • The prevalence of adverse food reactions in patients with chronic inhalant diseases has seldom been studied in China

  • We investigated the prevalence of Adverse food reactions (AFRs) and relevant symptoms in respiratory patients

  • The questionnaire gathered information on the symptoms caused after the ingestion of certain foods referred to in the Japanese Guideline for Food Allergy 2014 [12]

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Summary

Introduction

The prevalence of adverse food reactions in patients with chronic inhalant diseases has seldom been studied in China. This study is to investigate the prevalence of adverse food reactions and the symptoms caused in respiratory patients. Up to 60% of patients with FA in older children, adolescents and adults have chronic inhalant diseases, such as asthma, rhinitis and conjunctivitis [1]. This was seen in Chinese patients [2]. The prevalence of FA has increased dramatically during the past decades in developed countries. Adverse food reactions (AFRs) are not clinically diagnosed as allergy but more commonly occur in both children and adults. The increasing prevalence of AFRs and FA induces serious public health problems, including medical costs, burden on families, and hospitalization

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