PMID- 28497919 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2092-7355 (Print) IS - 2092-7363 (Electronic) IS - 2092-7355 (Linking) VI - 9 IP - 4 DP - 2017 Jul TI - Accurate Determination of Childhood Food Allergy Prevalence and Correction of Unnecessary Avoidance. PG - 322-328 LID - 10.4168/aair.2017.9.4.322 [doi] AB - PURPOSE: Because the true prevalence of food allergy (FA), as based on the results of an oral food challenge test (OFC), is unknown, it is likely that children with suspected FA unnecessarily eliminate potentially causative foods. This study aimed to identify the prevalence of FA and to determine the proportion of children who unnecessarily eliminate food. METHODS: To identify children with FA, a primary survey was conducted via a questionnaire with all children aged 0-18 years in Niijima village (remote islands of Japan). In the secondary survey, a detailed medical interview was conducted by doctors with children who currently did not eat some foods. The third survey involved serum food-specific immunoglobulin E (IgE) tests and an OFC for children with suspected FA. RESULTS: Of 376 enrolled children, 374 (99.5%) completed the questionnaire. Some foods were eliminated by 18.6% and 13.0% of all children and those >/=6 years old, respectively. The target population for the secondary survey included 69 children who all completed the medical interview. The target population for the third survey consisted of 35 children, of whom 26 (74.3%) underwent the blood test. An OFC was performed 35 times with 20 children. As a result, the prevalence of FA was 4.9% in children of all ages and 4.7% in those >/=6 years old. Moreover, 55.0% children were able to cease eliminating food intake. CONCLUSIONS: It is possible that a considerable number of children unnecessarily eliminate food because of suspected FA. CI - Copyright (c) 2017 The Korean Academy of Asthma, Allergy and Clinical Immunology . The Korean Academy of Pediatric Allergy and Respiratory Disease FAU - Okada, Yuki AU - Okada Y AD - Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan. y.okada0422@gmail.com. AD - Niijima Clinic, Tokyo, Japan. AD - Department of Pediatrics, Jichi Medical University, Tochigi, Japan. FAU - Yamashita, Takumi AU - Yamashita T AD - Shikinejima Clinic, Tokyo, Japan. AD - Department of Pediatrics, Tokyo Metropolitan Bokutoh Hospital, Tokyo, Japan. FAU - Kumagai, Hideki AU - Kumagai H AD - Department of Pediatrics, Jichi Medical University, Tochigi, Japan. FAU - Morikawa, Yoshihiko AU - Morikawa Y AD - Clinical Research Support Center, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan. FAU - Akasawa, Akira AU - Akasawa A AD - Department of Allergy, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan. LA - eng PT - Journal Article PL - Korea (South) TA - Allergy Asthma Immunol Res JT - Allergy, asthma & immunology research JID - 101518382 PMC - PMC5446947 OTO - NOTNLM OT - Epidemiology OT - food allergy OT - oral food challenge test COIS- There are no financial or other issues that might lead to conflict of interest. EDAT- 2017/05/13 06:00 MHDA- 2017/05/13 06:01 PMCR- 2017/07/01 CRDT- 2017/05/13 06:00 PHST- 2016/07/05 00:00 [received] PHST- 2016/12/06 00:00 [revised] PHST- 2017/01/17 00:00 [accepted] PHST- 2017/05/13 06:00 [entrez] PHST- 2017/05/13 06:00 [pubmed] PHST- 2017/05/13 06:01 [medline] PHST- 2017/07/01 00:00 [pmc-release] AID - 9.322 [pii] AID - 10.4168/aair.2017.9.4.322 [doi] PST - ppublish SO - Allergy Asthma Immunol Res. 2017 Jul;9(4):322-328. doi: 10.4168/aair.2017.9.4.322.