Increased Prevalence of Eating Disorders As a Biopsychosocial Implication of Food Allergy

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2018 Jun 27

PMID 29944672

Citations 12

Authors

Barbara Wroblewska

Anna Maria Szyc

Lidia Hanna Markiewicz

Magdalena Zakrzewska

Ewa Romaszko

Affiliations

Soon will be listed here.

Abstract

Introduction: The study evaluates the impact of biopsychosocial factors involved in food allergy (FA) on the prevalence of eating disorders (ED). For the 5-year follow-up studies, 75 participants (aged 1-14 years) with early-onset FA and 81 healthy peers were included.

Method: Participants were diagnosed with FA using antibody/cytokine content immunoassay tests. Medical history, including BMI z-scores, was completed using data obtained in response to a validated allergic questionnaire that incorporated the SCOFF and EAT-8 screening questionnaires for ED. FA was confirmed if total IgE was elevated, specific sIgE to food allergens exceeded 0.7 kUA/L and if manifestations were observed. Screening for ED was considered positive if two or more SCOFF and EAT-8 items were confirmed.

Results: In the FA+ group, 50% of female participants and 6.7% of their healthy female peers reported ED. An ED+ result was more frequent in FA+ individuals than in their healthy peers (p = 0.046) although the association is weak. In the FA+/ED+ group, 25.3% of the participants were underweight, and 14.7% were overweight compared to their peers where this reached respectively 4.2% and 2.8% (p<0.005). 74% of the FA+/ED+ individuals reported elimination diet implementation and only 15% declared it was medically consulted. The prevalence of ED in the FA+ male group was consistently correlated with lack of confidence in FA issues (r = 0.5424) and in the FA+ female group with applied medical procedures (r = 0.7069; p<0.005).

Conclusion: These findings suggest that participants with FA especially struggling with lack of confidence in FA issues and those following an uncontrolled, restrictive elimination diet are more prone to food aversion and ED than their healthy peers. Applied procedures are necessary, and their neglect is associated with FA deterioration; however, the possibility of ED and biopsychosocial implications development should not be underestimated.

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References

Ciriaco M, Ventrice P, Russo G, Scicchitano M, Mazzitello G, Scicchitano F . Corticosteroid-related central nervous system side effects. J Pharmacol Pharmacother. 2013; 4(Suppl 1):S94-8. PMC: 3853679. DOI: 10.4103/0976-500X.120975. View

Shanahan L, Zucker N, Copeland W, Costello E, Angold A . Are children and adolescents with food allergies at increased risk for psychopathology?. J Psychosom Res. 2014; 77(6):468-73. PMC: 4307934. DOI: 10.1016/j.jpsychores.2014.10.005. View

Fortunato J, Scheimann A . Protein-energy malnutrition and feeding refusal secondary to food allergies. Clin Pediatr (Phila). 2008; 47(5):496-9. DOI: 10.1177/0009922807310937. View

Farhadi A, Banan A, Fields J, Keshavarzian A . Intestinal barrier: an interface between health and disease. J Gastroenterol Hepatol. 2003; 18(5):479-97. DOI: 10.1046/j.1440-1746.2003.03032.x. View

Stoma M, Slaska-Grzywna B, Zukiewicz-Sobczak W, Kostecka M, Bojanowska M, Dudziak A . Food allergies in rural areas. Postepy Dermatol Alergol. 2016; 33(4):281-5. PMC: 5004217. DOI: 10.5114/ada.2016.61604. View

Santamaria F, Montella S, De Stefano S, Sperli F, Barbarano F, Spadaro R . Asthma, atopy, and airway inflammation in obese children. J Allergy Clin Immunol. 2007; 120(4):965-7. DOI: 10.1016/j.jaci.2007.06.002. View

Sideleva O, Suratt B, Black K, Tharp W, Pratley R, Forgione P . Obesity and asthma: an inflammatory disease of adipose tissue not the airway. Am J Respir Crit Care Med. 2012; 186(7):598-605. PMC: 3480522. DOI: 10.1164/rccm.201203-0573OC. View

Richter F, Strauss B, Braehler E, Altmann U, Berger U . Psychometric properties of a short version of the Eating Attitudes Test (EAT-8) in a German representative sample. Eat Behav. 2016; 21:198-204. DOI: 10.1016/j.eatbeh.2016.03.006. View

Kacik J, Wroblewska B, Lewicki S, Zdanowski R, Kalicki B . Serum Diamine Oxidase in Pseudoallergy in the Pediatric Population. Adv Exp Med Biol. 2017; 1039:35-44. DOI: 10.1007/5584_2017_81. View

10.

Kurz S, van Dyck Z, Dremmel D, Munsch S, Hilbert A . Variants of early-onset restrictive eating disturbances in middle childhood. Int J Eat Disord. 2015; 49(1):102-6. DOI: 10.1002/eat.22461. View

11.

Flammarion S, Santos C, Guimber D, Jouannic L, Thumerelle C, Gottrand F . Diet and nutritional status of children with food allergies. Pediatr Allergy Immunol. 2010; 22(2):161-5. DOI: 10.1111/j.1399-3038.2010.01028.x. View

12.

Morgan J, Reid F, Lacey J . The SCOFF questionnaire: assessment of a new screening tool for eating disorders. BMJ. 1999; 319(7223):1467-8. PMC: 28290. DOI: 10.1136/bmj.319.7223.1467. View

13.

Armougom F, Henry M, Vialettes B, Raccah D, Raoult D . Monitoring bacterial community of human gut microbiota reveals an increase in Lactobacillus in obese patients and Methanogens in anorexic patients. PLoS One. 2009; 4(9):e7125. PMC: 2742902. DOI: 10.1371/journal.pone.0007125. View

14.

Kilpelainen M, Terho E, Helenius H, Koskenvuo M . Body mass index and physical activity in relation to asthma and atopic diseases in young adults. Respir Med. 2006; 100(9):1518-25. DOI: 10.1016/j.rmed.2006.01.011. View

15.

Bollinger M, Dahlquist L, Mudd K, Sonntag C, Dillinger L, McKenna K . The impact of food allergy on the daily activities of children and their families. Ann Allergy Asthma Immunol. 2006; 96(3):415-21. DOI: 10.1016/S1081-1206(10)60908-8. View

16.

Bryant-Waugh R, Markham L, Kreipe R, Walsh B . Feeding and eating disorders in childhood. Int J Eat Disord. 2010; 43(2):98-111. DOI: 10.1002/eat.20795. View

17.

Mascola A, Bryson S, Agras W . Picky eating during childhood: a longitudinal study to age 11 years. Eat Behav. 2010; 11(4):253-7. PMC: 2943861. DOI: 10.1016/j.eatbeh.2010.05.006. View

18.

Isolauri E, Sutas Y, Makinen-Kiljunen S, Oja S, Isosomppi R, Turjanmaa K . Efficacy and safety of hydrolyzed cow milk and amino acid-derived formulas in infants with cow milk allergy. J Pediatr. 1995; 127(4):550-7. DOI: 10.1016/s0022-3476(95)70111-7. View

19.

van Huisstede A, Rudolphus A, Cabezas M, Biter L, van de Geijn G, Taube C . Effect of bariatric surgery on asthma control, lung function and bronchial and systemic inflammation in morbidly obese subjects with asthma. Thorax. 2015; 70(7):659-67. DOI: 10.1136/thoraxjnl-2014-206712. View

20.

Ciprandi G, Pistorio A, Tosca M, Rosaria Ferraro M, Cirillo I . Body mass index, respiratory function and bronchial hyperreactivity in allergic rhinitis and asthma. Respir Med. 2008; 103(2):289-95. DOI: 10.1016/j.rmed.2008.08.008. View