Tham Elizabeth Huiwen, Leung Donald Y M
Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Khoo Teck Puat-National University Children's Medical Institute, National University Hospital, National University Health System, Singapore, Singapore.
Allergy Asthma Immunol Res. 2018 Jul;10(4):290-299. doi: 10.4168/aair.2018.10.4.290.
The prevalence and patterns of food allergy are highly variable in different parts of the world. Differences in food allergy epidemiology may be attributed to a complex interplay of genetic, epigenetic, and environmental factors, suggesting that mechanisms of food allergy may differ in various global populations. Genetic polymorphisms, migration, climate, and infant feeding practices all modulate food allergy risk, and possibly also the efficacy of interventions aimed at primary prevention of food allergy development. Approaches to diagnosis, treatment, and prevention of food allergy should thus be tailored carefully to each population's unique genetic and environmental make-up. Future research in the context of food allergy prevention should focus on elucidating factors determining differential responses between populations.
食物过敏的患病率和模式在世界不同地区差异很大。食物过敏流行病学的差异可能归因于遗传、表观遗传和环境因素的复杂相互作用,这表明食物过敏的机制在不同全球人群中可能有所不同。基因多态性、移民、气候和婴儿喂养方式都会调节食物过敏风险,也可能影响旨在初步预防食物过敏发生的干预措施的效果。因此,食物过敏的诊断、治疗和预防方法应根据每个人群独特的遗传和环境构成进行精心调整。未来在食物过敏预防方面的研究应侧重于阐明决定人群间不同反应的因素。