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Relationship between respiratory and food allergy and evaluation of preventive measures.
Allergol Immunopathol (Madr). 2016 May-Jun; 44(3):263-75.AI

Abstract

Food allergy and respiratory allergy are two frequently associated diseases and with an increasing prevalence. Several reports show the presence of respiratory symptoms in patients with food allergy, while certain foods may be related to the development or exacerbation of allergic rhinitis and asthma. The present update focuses on this relationship, revealing a pathogenic and clinical association between food and respiratory allergy. This association is even more intense when the food hypersensitivity is persistent or starts in the early years of life. Food allergy usually precedes respiratory allergy and may be a risk factor for allergic rhinitis and asthma, becoming a relevant clinical marker for severe atopic asthma. Furthermore, the presence of co-existing asthma may enhance life-threatening symptoms occurring during a food allergic reaction. Recommendations for dietary restrictions during pregnancy and breastfeeding to prevent the development of respiratory allergy are controversial and not supported by consistent scientific data. Current recommendations from medical societies propose exclusive breastfeeding during the first four months of life, with the introduction of solid food in the fourth to the seventh month period of life. A delayed introduction of solid food after this period may increase the risk of developing subsequent allergic conditions. Further studies are encouraged to avoid unjustified recommendations involving useless dietary restrictions.

Authors+Show Affiliations

Department of Allergy, Hospital de la Princesa, Instituto de Investigación Sanitaria Princesa (IP), Madrid, Spain. Electronic address: fvega13@hotmail.com.Department of Allergy, Hospital Nuestra Señora del Prado, Toledo, Spain.Department of Allergy, Hospital Municipal Badalona, Spain; Department of Allergy, Sant Pere Claver Fundació Sanitaria, Barcelona, Spain.Department of Allergy, Hospital Clínico San Carlos, Madrid, Spain.QUIRON Sagrado Corazón, Sevilla, Spain; Hospital Victoria Eugenia Cruz Roja, Sevilla, Spain.Department of Pneumology and Allergy, Hospital Clínic i Universitari, Barcelona, Spain.Department of Allergy, CE Virgen de la Cinta, Huelva, Spain.U.G.C. Allergy, IBIMA, Regional University Hospital of Málaga, UMA, Málaga, Spain.Allergy Unit, Hospital Universitario Arnau de Vilanova, Facultad de Medicina, Universidad Católica de Valencia "San Vicente Mártir", Valencia, Spain.Department of Allergy, Hospital del Tórax-Ofra, HUNS La Candelaria, Santa Cruz de Tenerife, Spain.Department of Allergy, Complejo Hospitalario de Toledo, Toledo, Spain.Department of Allergy, Hospital del Tórax-Ofra, HUNS La Candelaria, Santa Cruz de Tenerife, Spain.Department of Allergy, Hospital El Bierzo, Ponferrada, León, Spain.Asthma and Rhinitis Unit, Department of Otorhinolaryngology, Hospital de Jerez, Cádiz, Spain.Department of Allergy, Hospital Universitario, IBSAL, Salamanca, Spain.Department of Allergy, Hospital Clínico Universitario, Zaragoza, Spain.U.G.C. Allergy, IBIMA, Regional University Hospital of Málaga, UMA, Málaga, Spain.Department of Allergy, Hospital Universitario Marqués de Valdecilla, Santander, Spain.UGC Alergología Sevilla, Hospital el Tomillar, Sevilla, Spain.No affiliation info available

Pub Type(s)

Evaluation Study
Journal Article
Review

Language

eng

PubMed ID

26316421

Citation

Vega, F, et al. "Relationship Between Respiratory and Food Allergy and Evaluation of Preventive Measures." Allergologia Et Immunopathologia, vol. 44, no. 3, 2016, pp. 263-75.
Vega F, Panizo C, Dordal MT, et al. Relationship between respiratory and food allergy and evaluation of preventive measures. Allergol Immunopathol (Madr). 2016;44(3):263-75.
Vega, F., Panizo, C., Dordal, M. T., González, M. L., Velázquez, E., Valero, A., Sánchez, M. C., Rondón, C., Montoro, J., Matheu, V., Lluch-Bernal, M., González, R., Fernández-Parra, B., Del Cuvillo, A., Dávila, I., Colás, C., Campo, P., Antón, E., & Navarro, A. M. (2016). Relationship between respiratory and food allergy and evaluation of preventive measures. Allergologia Et Immunopathologia, 44(3), 263-75. https://doi.org/10.1016/j.aller.2015.05.008
Vega F, et al. Relationship Between Respiratory and Food Allergy and Evaluation of Preventive Measures. Allergol Immunopathol (Madr). 2016;44(3):263-75. PubMed PMID: 26316421.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Relationship between respiratory and food allergy and evaluation of preventive measures. AU - Vega,F, AU - Panizo,C, AU - Dordal,M T, AU - González,M L, AU - Velázquez,E, AU - Valero,A, AU - Sánchez,M C, AU - Rondón,C, AU - Montoro,J, AU - Matheu,V, AU - Lluch-Bernal,M, AU - González,R, AU - Fernández-Parra,B, AU - Del Cuvillo,A, AU - Dávila,I, AU - Colás,C, AU - Campo,P, AU - Antón,E, AU - Navarro,A M, AU - ,, Y1 - 2015/08/25/ PY - 2015/01/19/received PY - 2015/05/02/revised PY - 2015/05/07/accepted PY - 2015/8/29/entrez PY - 2015/9/1/pubmed PY - 2017/2/9/medline KW - Allergic asthma KW - Allergic rhinitis KW - Breastfeeding KW - Epidemiology KW - Food allergy KW - Prevalence KW - Respiratory allergy KW - Solid foods SP - 263 EP - 75 JF - Allergologia et immunopathologia JO - Allergol Immunopathol (Madr) VL - 44 IS - 3 N2 - Food allergy and respiratory allergy are two frequently associated diseases and with an increasing prevalence. Several reports show the presence of respiratory symptoms in patients with food allergy, while certain foods may be related to the development or exacerbation of allergic rhinitis and asthma. The present update focuses on this relationship, revealing a pathogenic and clinical association between food and respiratory allergy. This association is even more intense when the food hypersensitivity is persistent or starts in the early years of life. Food allergy usually precedes respiratory allergy and may be a risk factor for allergic rhinitis and asthma, becoming a relevant clinical marker for severe atopic asthma. Furthermore, the presence of co-existing asthma may enhance life-threatening symptoms occurring during a food allergic reaction. Recommendations for dietary restrictions during pregnancy and breastfeeding to prevent the development of respiratory allergy are controversial and not supported by consistent scientific data. Current recommendations from medical societies propose exclusive breastfeeding during the first four months of life, with the introduction of solid food in the fourth to the seventh month period of life. A delayed introduction of solid food after this period may increase the risk of developing subsequent allergic conditions. Further studies are encouraged to avoid unjustified recommendations involving useless dietary restrictions. SN - 1578-1267 UR - https://www.unboundmedicine.com/medline/citation/26316421/Relationship_between_respiratory_and_food_allergy_and_evaluation_of_preventive_measures_ L2 - http://www.elsevier.es/en/linksolver/ft/pii/S0301-0546(15)00104-4 DB - PRIME DP - Unbound Medicine ER -