PMID- 37088367
OWN - NLM
STAT- MEDLINE
DCOM- 20230710
LR  - 20231120
IS  - 2213-2201 (Electronic)
VI  - 11
IP  - 7
DP  - 2023 Jul
TI  - Systematic Review of the Incidence and/or Prevalence of Eating Disorders in 
      Individuals With Food Allergies.
PG  - 2196-2207.e13
LID - S2213-2198(23)00422-1 [pii]
LID - 10.1016/j.jaip.2023.04.010 [doi]
AB  - BACKGROUND: Chronic diseases involving strict dietary adherence have been 
      associated with an increased risk of eating disorders (EDs). This is the first 
      systematic review investigating the rate of EDs among individuals with food 
      allergies (FAs). OBJECTIVE: To report the incidence, prevalence, and types of EDs 
      in individuals with FAs. METHODS: Following Preferred Reporting Items for 
      Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we searched 4 databases 
      for studies published to January 2022 that reported the prevalence or incidence 
      of EDs in samples with immunoglobulin E (IgE) or non-IgE-mediated allergy. Risk 
      of bias was assessed and evidence qualitatively synthesized. RESULTS: From 1,180 
      papers identified, 9 met inclusion criteria. There were 4,161 adult and pediatric 
      participants with IgE-mediated FAs or eosinophilic esophagitis. 
      Avoidant/Restrictive Food Intake Disorder (ARFID) or anorexia nervosa/bulimia 
      nervosa were the main EDs identified. The prevalence of EDs in samples with FA 
      ranged from 0.8% to 62.9%. Among studies investigating IgE-mediated FA (n = 6), 
      the prevalence of anorexia nervosa and/or bulimia nervosa ranged from 17.6 to 
      61%, ARFID was 62.9%, and unspecified EDs was 0.8% to 6%. Among samples with 
      eosinophilic esophagitis (n = 3), ARFID prevalence ranged from 4.5% to 51%. Most 
      studies were limited by small sample size, possible selection bias, and lack of 
      diagnostic EDs tools validated for food allergic populations. CONCLUSIONS: Eating 
      disorders appear prevalent in individuals with FA; however, prevalence estimates 
      varied widely. Large studies with healthy control groups and validated measures 
      to identify EDs in individuals with FA are needed to accurately determine the 
      prevalence of EDs.
CI  - Copyright (c) 2023 American Academy of Allergy, Asthma & Immunology. Published by 
      Elsevier Inc. All rights reserved.
FAU - Ciciulla, Daniela
AU  - Ciciulla D
AD  - Population Health, Murdoch Children's Research Institute, Parkville, Victoria, 
      Australia; Department of Paediatrics, University of Melbourne, Melbourne, 
      Victoria, Australia; Centre for Food and Allergy Research (CFAR), Murdoch 
      Children's Research Institute, Parkville, Victoria, Australia. Electronic 
      address: daniela.ciciulla@mcri.edu.au.
FAU - Soriano, Victoria X
AU  - Soriano VX
AD  - Population Health, Murdoch Children's Research Institute, Parkville, Victoria, 
      Australia; Department of Paediatrics, University of Melbourne, Melbourne, 
      Victoria, Australia.
FAU - McWilliam, Vicki
AU  - McWilliam V
AD  - Population Health, Murdoch Children's Research Institute, Parkville, Victoria, 
      Australia; Department of Paediatrics, University of Melbourne, Melbourne, 
      Victoria, Australia; Department of Allergy and Immunology, Royal Children's 
      Hospital, Melbourne, Victoria, Australia.
FAU - Koplin, Jennifer J
AU  - Koplin JJ
AD  - Population Health, Murdoch Children's Research Institute, Parkville, Victoria, 
      Australia; Centre for Food and Allergy Research (CFAR), Murdoch Children's 
      Research Institute, Parkville, Victoria, Australia; Child Health Research Centre, 
      University of Queensland, Brisbane, St. Lucia, Queensland, Australia.
FAU - Peters, Rachel L
AU  - Peters RL
AD  - Population Health, Murdoch Children's Research Institute, Parkville, Victoria, 
      Australia; Department of Paediatrics, University of Melbourne, Melbourne, 
      Victoria, Australia.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Systematic Review
DEP - 20230423
PL  - United States
TA  - J Allergy Clin Immunol Pract
JT  - The journal of allergy and clinical immunology. In practice
JID - 101597220
SB  - IM
MH  - Adult
MH  - Humans
MH  - Child
MH  - Prevalence
MH  - Incidence
MH  - *Eosinophilic Esophagitis/epidemiology
MH  - *Feeding and Eating Disorders/epidemiology
MH  - *Food Hypersensitivity/epidemiology
OTO - NOTNLM
OT  - ARFID
OT  - Anorexia nervosa
OT  - Bulimia nervosa
OT  - Eating disorders
OT  - Food allergy
OT  - Systematic review
EDAT- 2023/04/24 00:41
MHDA- 2023/07/10 06:42
CRDT- 2023/04/23 19:34
PHST- 2022/12/13 00:00 [received]
PHST- 2023/03/14 00:00 [revised]
PHST- 2023/04/10 00:00 [accepted]
PHST- 2023/07/10 06:42 [medline]
PHST- 2023/04/24 00:41 [pubmed]
PHST- 2023/04/23 19:34 [entrez]
AID - S2213-2198(23)00422-1 [pii]
AID - 10.1016/j.jaip.2023.04.010 [doi]
PST - ppublish
SO  - J Allergy Clin Immunol Pract. 2023 Jul;11(7):2196-2207.e13. doi: 
      10.1016/j.jaip.2023.04.010. Epub 2023 Apr 23.