关键词: Vietnam fish allergy seafood allergy shellfish allergy

来  源:   DOI:10.2147/JAA.S448565   PDF(Pubmed)

Abstract:
UNASSIGNED: Increasing seafood consumption is associated with more frequent reports of food allergy. Little is known about seafood allergy (SFA) among adults in Vietnam. We investigated the characteristics of individuals with SFA and the risk factors for severe SFA.
UNASSIGNED: A cross-sectional, web-based survey was conducted among individuals aged ≥ 18 years from universities in Ho Chi Minh City (Vietnam) between December 2021 and July 2022. The survey was based on a structured, validated questionnaire related to FA. Strict definitions of \"convincing allergy\" were used. Multivariate analysis was used to estimate the risk factors for severe SFA after adjusting for covariates. Data were analyzed using JASP (v.0.16.3) and SPSS (v.22.0).
UNASSIGNED: Totally, 1038 out of 2137 (48.57%) individuals completed the questionnaire, of whom 285 (27.46%) had reported SFA. Convincing SFA accounted for 20.13% (209/1038) of the cases, with convincing shellfish allergy being more common than fish allergy. Participants with comorbid shellfish and fish allergy had higher prevalence of atopic dermatitis, peanut/nut allergy, other food allergy, and cutaneous and upper airway symptoms compared to participants with shellfish allergy (p < 0.05). The spectrum of reactive seafood was diverse and characterized by local species. The age of symptom onset was most commonly during late childhood and adolescence, with most reactions persisting into adulthood. A history of anaphylaxis, comorbid peanut, and tree nut allergy, and ≥3 allergens were associated with severe SFA.
UNASSIGNED: Features of causative, coexisting seafood allergy, and risk factors for severe SFA were demonstrated, which can provide a reference for future studies.
摘要:
增加海鲜消费与更频繁的食物过敏报告有关。越南成年人对海鲜过敏(SFA)知之甚少。我们调查了SFA患者的特征和严重SFA的危险因素。
横截面,在2021年12月至2022年7月期间,对来自胡志明市(越南)大学的18岁以上的个人进行了基于网络的调查。这项调查是基于一个结构化的,与FA相关的验证问卷。使用了“令人信服的过敏”的严格定义。在校正协变量后,使用多变量分析来估计严重SFA的危险因素。数据采用JASP(v.0.16.3)和SPSS(v.22.0)进行分析。
完全,2137人中有1038人(48.57%)填写了问卷,其中285人(27.46%)报告了SFA。令人信服的SFA占病例的20.13%(209/1038),令人信服的贝类过敏比鱼过敏更常见。患有贝类和鱼类共病的参与者特应性皮炎的患病率较高,花生/坚果过敏,其他食物过敏,与贝类过敏的参与者相比,皮肤和上呼吸道症状(p<0.05)。反应性海鲜的光谱多种多样,并以当地物种为特征。症状发作的年龄最常见于儿童晚期和青春期,大多数反应持续到成年。有过敏反应史,共病花生,和树坚果过敏,≥3种过敏原与严重的SFA相关。
致病特征同时存在的海鲜过敏,并证明了严重SFA的危险因素,为今后的研究提供参考。
公众号