Management and disease burden of children and adults with severe IgE-mediated food allergy: Are adults the lost population?
2024

Management of Severe Food Allergies in Children and Adults

Sample size: 367 publication 10 minutes Evidence: moderate

Author Information

Author(s): Blumchen Katharina MD, Hutter Martin MSc, Schnadt Sabine MSc, Bushart Gregor PhD, Mailaender Claudia PhD

Primary Institution: Goethe University, Frankfurt, Germany

Hypothesis

Are adults with severe IgE-mediated food allergies receiving adequate care compared to children?

Conclusion

Adults with severe IgE-mediated food allergies are significantly underserved in terms of care and management compared to children.

Supporting Evidence

  • Emergency training was significantly more common in children (81.4%) than in adults (36.2%).
  • Adults reported higher dissatisfaction with their coping strategies for allergen avoidance compared to children.
  • Only 30% of adults had undergone oral food challenges for diagnosis, compared to 50% of children.

Takeaway

This study shows that adults with severe food allergies often don't get the help they need, while children are better supported.

Methodology

An online survey with 32 questions was conducted among participants with self-reported physician-diagnosed IgE-FA.

Potential Biases

Self-reported data may lead to recall bias and subjective interpretation.

Limitations

The study relied on self-reported data, which may introduce bias, and focused only on those with severe IgE-FA.

Participant Demographics

367 participants, including 237 children (proxy reports by parents) and 130 adults, with a majority being female.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1016/j.waojou.2024.100971

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