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Health-related quality of life in children with objectively diagnosed staple food allergy assessed with a disease-specific questionnaire
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine. The Centre for Allergy Research, Karolinska Institutet, Stockholm, Sweden.
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2015 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 104, no 10, 1047-1054 p.Article in journal (Refereed) Published
Abstract [en]

Aim: Among Swedish children of 0-12 years old, we investigated various food allergy-related exposures associated with health-related quality of life using a food allergy-specific questionnaire among children allergic to the staple foods cow's milk, hen's egg and/or wheat, and contextualised worse food allergy-associated health-related quality of life using a generic questionnaire versus controls. Methods: In total, 85 children with objectively diagnosed allergy to the staple foods were included as cases, and 94 children matched for age and sex were included as controls. We administered a food allergy-specific parent-completed questionnaire originally developed by EuroPrevall to cases only, and a generic health-related quality of life questionnaire (EuroQol Health Questionnaire, 5 Dimensions; EQ 5-D); to both cases and controls. Results: Hen's egg was the most common offending staple food, affecting 76% of cases. Approximately 7% of cases were allergic to all three staple foods. Parent-reported respiratory and cardiovascular symptoms were associated with worse health-related quality of life. Elements of disease severity [previous anaphylaxis (p < 0.001); epinephrine autoinjector prescription (p < 0.003)] were negatively associated with health-related quality of life. Cases had worse health-related quality of life measured by the EQ-5D compared to controls (p < 0.01). Conclusion: The use of a disease-specific questionnaire revealed that disease severity in children with objectively diagnosed allergy to the staple foods cow's milk, hen's egg and/or wheat is associated with worse health-related quality of life. The use of a generic questionnaire confirmed that cases have worse health-related quality of life than controls.

Place, publisher, year, edition, pages
2015. Vol. 104, no 10, 1047-1054 p.
Keyword [en]
Children, Food allergy, Food hypersensitivity Health-related quality of life
National Category
Pediatrics Respiratory Medicine and Allergy
Identifiers
URN: urn:nbn:se:umu:diva-111002DOI: 10.1111/apa.13044ISI: 000362512100025PubMedID: 25983039OAI: oai:DiVA.org:umu-111002DiVA: diva2:871880
Available from: 2015-11-17 Created: 2015-11-02 Last updated: 2015-11-23Bibliographically approved

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