Matsubara Yuri, Ae Ryusuke, Ohya Yukihiro, Akiyama Hiroshi, Imai Takanori, Matsumoto Kenji, Fukuie Tatsuki, Aoyama Yasuko, Makino Nobuko, Nakamura Yosikazu, Saito Hirohisa
Division of Public Health, Center for Community Medicine.
Division of Allergy, Department of Medical Specialties, National Center for Child Health and Development.
Arerugi. 2018;67(6):767-773. doi: 10.15036/arerugi.67.767.
The number of patients with food allergy in Japan is increasing year by year, although the precise prevalence of them is not clear. We aimed to determine the estimated number of people with food allergies in Japan and produce new methods of the investigation of them.
We determined the number of people with food allergies using government data and statistics such as demographic statistic and the number of students.
In infants, the number of patients with a food allergy was 800000 as per the self-reported prevalence; however, as per the physician's diagnoses, 300000-500000 of them had a food allergy. In students, the selfreported number was 600000, while 350000 cases were diagnosed by physicians. In adults, the consumer agency investigated the patients who visited the hospital with the immediate hypersensitivity. In this study, the participants were limited to patients who visited the hospital. This made the estimation of the overall prevalence of food allergy in Japan.
For children, if we add the questionnaire to the existing study, which questions them regarding the symptoms of food allergy, the diagnosis by the physician, and the blood test, we can better investigate the prevalence of food allergies and changing pattern by the year. In adults, we propose that future investigations consisting of the National Health and Nutrition Survey and a comprehensive survey of living conditions should be conducted, because few studies have reported on food allergies.
在日本,食物过敏患者的数量逐年增加,尽管其确切患病率尚不清楚。我们旨在确定日本食物过敏患者的估计人数,并提出调查这些患者的新方法。
我们利用政府数据和统计资料,如人口统计数据和学生人数,来确定食物过敏患者的人数。
在婴儿中,根据自我报告的患病率,食物过敏患者人数为80万;然而,根据医生的诊断,其中30万至50万患有食物过敏。在学生中,自我报告的人数为60万,而医生诊断出35万例。在成年人中,消费者机构对因速发型超敏反应前往医院就诊的患者进行了调查。在本研究中,参与者仅限于前往医院就诊的患者。这使得对日本食物过敏总体患病率的估计变得困难。
对于儿童,如果我们在现有研究中增加问卷调查,询问他们食物过敏症状、医生诊断以及血液检测等问题,就能更好地调查食物过敏的患病率及其逐年变化情况。对于成年人,我们建议未来应进行包括国民健康与营养调查以及生活状况综合调查在内的研究,因为关于食物过敏的研究报道较少。