Doğu Karadeniz Bölgesi Erişkin Popülasyonda Ankete Dayalı Besin Alerji Prevelansı

Amaç: Besin alerjisi, çocukları ve yetişkinleri etkileyen önemli bir halk sağlığı sorunudur ve son yıllarda beslenme alışkanlıklarının değişmesi ile prevalansı giderek artmaktadır. Tedavisi çok zor olan gıda alerjisi yaşamı tehdit eden bir alerjik reaksiyon olan anafilaksiye yol açabilir. Biz de bu çalışmamızda Doğu Karadeniz bölgesinde ankete dayalı olarak besin allerjisi prevalansını araştırarak literatüre katkı sağlamak istedik. Materyal ve metod: Bu çalışma Kesitsel web tabanlı anket çalışması olarak planlandı. Anket Besin alımını takiben gelişen sağlık sorunlarını ile ilişkili 12 soruyu kapsayacak şekilde hazırlandı. Çalışma popülasyonunun hedef kitlesi Türkiye’de Doğu Karadeniz Bölgesi olarak seçildi. Anket 3 ay süresince yerel sanal yazılı medyada yayınlanarak katılımcıların doldurması sağlandı. Bulgular: Çalışmaya anketi dolduran 920 kişi (604 kadın, 316 erkek) dahil edildi ve katılımcıların 157'si (%17) gıda alerjisi olduğunu belirtti. En sık alerjen besinler baharat (%15), domates (%10,9), inek sütü (%7,5) olarak tespit edildi. En sık semptomalar ürtiker (%63,5), gastrointestinal semptomlar (%30,2), rinit (%15,1), oral alerji sendromu (OAS) (%11,3) olarak bildirildi. Genç yaş (p= 0,004), atopik hastalık varlığı veya ailede atopi öyküsü (p=0,001) besin alerjisi gelişimi için risk faktörleri olarak bulundu. Sonuç: Doğu Karadeniz Bölgesi’nde erişkin populasyonda besin alerji prevelansı %17 olarak oldukça yüksek olarak tespit edildi.

Anahtar Kelimeler:

Besin Alerjisi, Prevelans, Yetişkin, Epidemiyoloji, Anket

The Prevalence of Questionnare Based Food Allergy in Adult Population of Eastern Blacksea Region of Turkey

Objective: Food allergy (FA) is an important public health problem which affects children and adults, its prevelance is increasing with the change of dietary habits in recent years. FA is a life-threatening allergic reaction which can lead to anaphylaxis and is very difficult to treat. In our study, we wanted to contribute to the literature by investigating the prevalence of FA in the Eastern Black Sea Region based on a questionnaire. Methods: This study was planned as a cross-sectional web-based survey study. The questionnaire was prepared including 12 questions related with health problems that develop following food intake. Eastern Black Sea Region of Turkey was chosen as the target group of the study population. The questionnaire was published in local online and printed media during three months and the participants were allowed to fill it out. Results: The study included 920 people (604 female, 316 male) who completed the questionnaire and 157 (17%) of the participants noted that they had food allergies. The most common allergen foods were spices (15%), tomatoes (10.9%), and cow's milk (7.5%). The most common symptoms were urticaria (63.5%), gastrointestinal symptoms (30.2%), rhinitis (15.1%), oral allergy syndrome (OAS) symptoms (11.3%). Young age (p= 0.004), presence of atopic disease or family history of atopy (p=0.001) were found to be risk factors for the development of food allergy. Conclusion: The prevalence of self-reported FA based on web-based survey in Eastern Black Sea residents is relatively high and specific to the region.

Keywords:

ult, Epidemiology, Food Hypersensitivity, Prevalence, Questionnaire,

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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):365-371.
Seth D, Poowutikul P, Pansare M, Kamat D. Food Allergy: A Review. Pediatr Ann. 2020 Jan 1;49(1):e50-e58. doi: 10.3928/19382359-20191206-01
Kivity S. Adult-onset food allergy. Isr Med Assoc J. 2012 Jan;14(1):70-72.
Gelincik A, Büyüköztürk S, Gül H, Işik E, Işsever H, Ozşeker F, et al. Confirmed prevalence of food allergy and non-allergic food hypersensitivity in a Mediterranean population. Clin Exp Allergy. 2008; 38(8):1333-1341. Orhan F, Karakas T, Cakir M, Aksoy A, Baki A, Gedik Y. Prevalence of immunoglobulin E-mediated food allergy in 6-9-year-old urban schoolchildren in the eastern Black Sea region of Turkey. Clin Exp Allergy. 2009;39(7):1027-1035.
Grundy J, Matthews S, Bateman B, Dean T, Arshad SH. Rising prevalence of allergy to peanut in children: Data from 2 sequential cohorts. J Allergy Clin Immunol 2002;110(5):784-789.
Celik G, Mungan D, Bavbek S, Sin B, Ediger D, Demirel Y, et al. The prevalence of allergic diseases and atopy in Ankara, Turkey: a two-step population-based epidemiological study. J Asthma. 1999;36(3):281-290. Asher MI, Montefort S, Björkstén B, Lai CK, Strachan DP, Weiland SK, et al. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys. Lancet. 2006;368(9537):733-743
McBride D, Keil T, Grabenhenrich L, Dubakiene R, Drasutiene G, Fiocchi A, et al. The EuroPrevall birth cohort study on food allergy: baseline characteristics of 12,000 newborns and their families from nine European countries. Pediatr Allergy Immunol 2012; 23(3): 230-239.
Roehr CC, Edenharter G, Reimann S, Ehlers I, Worm M, Zuberbier T, et al. Food allergy and nonallergic food hypersensitivity in children and adolescents. Clin Exp Allergy 2004;34 (10):1534-1541.
Osterballe M, Mortz CG, Hansen TK, Andersen KE, BindslevJensen C. The prevalence of food hypersensitivity in young adults. Pediatr Allergy Immunol 2009;20(7): 68-92.
Feng H, Liu Y, Xiong X, Xu Q, Zhang Z, Wu Y, Lu Y. Epidemiological survey of self-reported food allergy among university students in China. Medicine (Baltimore). 2022;101(31):e29606. doi: 10.1097/MD.0000000000029606.
Schäfer T, Böhler 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):1172–1179.
Woods RK, Abramson M, Bailey M, Walters EH. International prevalences of reported food allergies and intolerances. Comparisons arising from the European Community Respiratory Health Survey (ECRHS) 1991-1994. Eur J Clin Nutr. 2001;55(4):298–304.
Boyce JA, Assa'ad A, Burks AW, Jones SM, Sampson HA, Wood RA, et al. Guidelines for the diagnosis and management of food allergy in the United States: summary of the NIAID-sponsored expert panel report. Nutr Res. 2011 Jan;31(1):61-75. Eggesbø M, Botten G, Halvorsen R, Magnus P. The prevalence of CMA/CMPI in young children: The validity of parentally perceived reactions in a population-based study. Allergy 200;56(5):393-402. PMID: 11350302.
Kondo Y, Uriso A. Oral allergy syndrome. Allergol Int 2009;58(4):485-491.
Oberritter H. Food allergies. Zentralbl Hyg Umweltmed. 1991;191(2-3):316-326.
Pereira B, Venter C, Grundy J, Clayton CB, Arshad SH, Dean T. Prevalence of sensitization to food allergens, reported adverse reaction to foods, food avoidance, and food hypersensitivity among teenagers. J Allergy Clin Immunol 2005;116(4):884–892.
20.Eggesbø M, Botten G, Stigum H, Nafstad P, Magnus P. Is delivery by cesarean section a risk factor for food allergy? J Allergy Clin Immunol 2003;112(2):420–426. PMID: 12897751.
Dean T, Venter C, Pereira B, Arshad SH, Grundy J, Clayton CB et al. Patterns of sensitization to food and aeroallergens in the first 3 years of life. J Allergy Clin Immunol 2007;120(5):1166–1171.
Roehr CC, Edenharter G, Reimann S, I Ehlers, M Worm, T Zuberbier, et al. Food allergy and nonallergic food hypersensitivity in children and adolescents. Clin Exp Allergy 2004; 34(10):1534-41. PMID: 15479267.
Barlık F, Güner Ş N, Barlık M, Söğüt A, Sancak R. Prevalence of food allergy in nursery and kindergarten children in Samsun. Turk Arch Ped 2013;48: 288-293