ISSN 2415-3060 (print), ISSN 2522-4972 (online)
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JMBS 2021, 6(2): 101–107
https://doi.org/10.26693/jmbs06.02.101
Clinical Medicine

Analysis of Factors Causing Appearance of Food Hypersensitivity in Toddlers

Matsyura O. I. 1,2
Abstract

Food hypersensitivity is a reaction to the food consumed, regardless of the pathogenetic mechanisms that cause the symptoms. It is an actual and controversial problem in pediatric practice. Nowadays there is an active search for the causes of disease progression, a large role is given to the study of genetic and external factors (food, environmental, social). This disease arises many questions due to the similarity of the clinical representation in different kinds of food hypersensitivity and in different pathogenetic mechanisms, which are involved. The purpose of the study is to perform the analysis of factors, which cause appearance of food hypersensitivity in toddlers. Materials and methods. A study of the number of children with food intolerance was conducted using a specially compiled questionnaire. Thus, 4,500 questionnaires were distributed in pre-school and medical establishments to question parents. Results and discussion. Analysis of 3,214 questionnaires was conducted, which enabled to obtain information from parents on anamnesis and living conditions of toddlers. Values of 56 factors were analyzed, calculating correlation coefficients with a formation of food hypersensitivity for each of them. Statistical analysis allowed distinguishing 15 signs among these factors, which significantly correlated with the formation of food hypersensitivity in young children. The investigation enabled not only to detect factors that affect formation of food hypersensitivity in young children, but also to suggest a mathematical model of individual calculation of risk factors for this pathology. Data of conducted mathematical analysis can be used for elaboration of a complex of prophylaxis measures on development of food hypersensitivity in toddlers. Conclusion. The formation of hypersensitivity to cow's milk in children is provoked by the presence of contact reactions in the child, adverse reactions after medication, positive family history (bronchial asthma in relatives, skin diseases in parents (father and / or mother)), smoking in the family, living in the city; at the same time, preventive factors are living in an apartment, in a new building, in a dry apartment. The formation of food hypersensitivity in young children is generally provoked by a positive family history (bronchial asthma, hay fever, urticaria, diseases of the stomach and duodenum in relatives, skin diseases in parents), smoking in the family; frequent consumption of food in a mass catering points; living in the city plays a preventive role

Keywords: food hypersensitivity, toddlers, risk factors, preventive factors, analysis

Full text: PDF (Ukr) 356K

References
  1. Venter C. Food hypersensitivity: diagnosing and managing food allergies and intolerances. J Allergy (Cairo). 2012; 2012: 576017. PMID: 23209482. PMCID: PMC3503320. https://doi.org/10.1155/2012/576017
  2. Aguilar A, Serra J. When a patient with suspected food intolerance has to be studied. Aten Primaria. 2020; 52(3): 140-141. PMID: 32156336. PMCID: PMC7063133. https://doi.org/10.1016/j.aprim.2020.02.002
  3. Begen FM, Barnett J, Barber M, Payne R, Gowland MH, Lucas JS. Parents' and caregivers' experiences and behaviours when eating out with children with a food hypersensitivity. BMC Public Health. 2017; 18(1):38. PMID: 28728569. PMCID: PMC5520367. https://doi.org/10.1186/s12889-017-4594-z
  4. Celakovská J, Ettlerová K, Ettler K, Vaněčková J, Bukač J. Food hypersensitivity in patients suffering from atopic dermatitis and sensitization to soy. Indian J Dermatol. 2014; 59(1): 106. PMID: 24470685. PMCID: PMC3884916. https://doi.org/10.4103/0019-5154.123545
  5. Gocki J, Kołodziejczyk J, Przybyszewski M, Bartuzi Z. Food hypersensitivity in patients with pollen allergy. Przegl Lek. 2016; 73(12): 809-12.
  6. Feldman LY, Thacher JD, van Hage M, Kull I, Melén E, Pershagen G, et al. Early-life secondhand smoke exposure and food hypersensitivity through adolescence. Allergy. 2018; 73(7): 1558-1561. PMID: 29675922. https://doi.org/10.1111/all.13463
  7. Grimshaw KE, Bryant T, Oliver EM, Martin J, Maskell J, Kemp T, et al. Incidence and risk factors for food hypersensitivity in UK infants: results from a birth cohort study. Clin Transl Allergy. 2015; 6: 1. PMID: 26816616. PMCID: PMC4727377. https://doi.org/10.1186/s13601-016-0089-8
  8. Winberg A, Strinnholm Å, Hedman L, West CE, Perzanowski MS, Rönmark E. High incidence and remission of reported food hypersensitivity in Swedish children followed from 8 to 12 years of age - a population based cohort study. Clin Transl Allergy. 2014; 4: 32. PMID: 25905003. PMCID: PMC4406030. https://doi.org/10.1186/2045-7022-4-32
  9. Aucoin M, Bhardwaj S. Major depressive disorder and food hypersensitivity: A case report. Neuropsychobiology. 2019; 78(4): 249-255. PMID: 31600757. https://doi.org/10.1159/000502963
  10. Devulapalli CS. Food intolerance in children. Tidsskr Nor Laegeforen. 2020; 05(7): 140.
  11. Crowe SE. Food allergy vs food intolerance in patients with irritable bowel syndrome. Gastroenterol Hepatol (NY). 2019; 15(1): 38-40.
  12. Pakholchuk OP. Rezultaty populyatsiynoho doslidzhennya poshyrenosti ta faktoriv ryzyku rozvytku kharchovoyi neperenosymosti u ditey shkilnoho viku [Results of the population study of the prevalence and risk factors of the food intolerance in children of different school age]. Zaporozhye Medical Journal. 2015; 2(89): 74-77. [Ukrainian]