Kwong Kenny Yat-Choi, Chen Erica, Tran Paulina, Leibel Sydney, Masood Maryam, Boyle Spencer, Scott Lyne
Division of Allergy-Immunology, Department of Pediatrics, Los Angeles County + University of Southern California Medical Center, Los Angeles, CA, USA.
Division of Allergy-Immunology, Childrens Hospital of Philadelphia, Philadelphia, PA, USA.
Asia Pac Allergy. 2022 Jul 12;12(3):e24. doi: 10.5415/apallergy.2022.12.e24. eCollection 2022 Jul.
Early introduction of allergenic foods is recommended to reduce the risk of developing food allergies, but it is unclear whether recommendations are being followed.
We examine patterns of allergenic food introduction in inner-city children enrolled in an academic pediatric practice in the greater Los Angeles area.
This was a prospective study with patients ages 12 to 24 months recruited from the pediatrics continuity clinic at an inner-city tertiary medical center in the greater Los Angeles area. Caregivers were asked via anonymous surveys about their child's history of atopic diseases and at what age they first introduced egg, soy, wheat, peanut, tree nuts, fish, shrimp, and shellfish into their child's diet.
Two hundred caregivers responded to the survey. The average age of introduction of egg was 9.2 months, soy 10 months, wheat 9.3 months, peanut 10.5 months, tree nuts 10.9 months, fish 10.9 months, shrimp 11.3 months, and shellfish 11.5 months. Between ages 4-11 months, 65.3% of children were introduced egg, 19.1% soy, 55.8% wheat, 28.6% peanut, 17.1% tree nuts, 28.1% fish, 13.6% shrimp, and 7.0% shellfish. By age 24 months, 92% of children were introduced egg, 37.7% soy, 85.4% wheat, 67.3% peanut, 47.7% tree nuts, 67.8% fish, 48.2% shrimp, and 30.2% shellfish. Of the 14 children with eczema or egg allergy, 26.1% were introduced peanut by age 4-6 months and 50% by age 4-11 months.
Despite recommendations, inner-city caregivers may not be introducing allergenic foods in a timely manner to their children.
建议尽早引入易致敏食物以降低发生食物过敏的风险，但尚不清楚这些建议是否得到遵循。
我们研究了大洛杉矶地区一家学术性儿科诊所收治的市中心儿童引入易致敏食物的模式。
这是一项前瞻性研究，从大洛杉矶地区市中心一家三级医疗中心的儿科连续性诊所招募了12至24个月大的患者。通过匿名调查询问看护人其孩子的特应性疾病史以及他们首次将鸡蛋、大豆、小麦、花生、坚果、鱼、虾和贝类引入孩子饮食的年龄。
200名看护人回复了调查。引入鸡蛋的平均年龄为9.2个月，大豆为10个月，小麦为9.3个月，花生为10.5个月，坚果为10.9个月，鱼为10.9个月，虾为11.3个月，贝类为11.5个月。在4至11个月大的儿童中，65.3%引入了鸡蛋，19.1%引入了大豆，55.8%引入了小麦，28.6%引入了花生，17.1%引入了坚果，28.1%引入了鱼，13.6%引入了虾，7.0%引入了贝类。到24个月大时，92%的儿童引入了鸡蛋，37.7%引入了大豆，85.4%引入了小麦，67.3%引入了花生，47.7%引入了坚果，67.8%引入了鱼，48.2%引入了虾，30.2%引入了贝类。在14名患有湿疹或鸡蛋过敏的儿童中，26.1%在4至6个月大时引入了花生，50%在4至11个月大时引入了花生。
尽管有相关建议，但市中心的看护人可能没有及时给孩子引入易致敏食物。
