The parent‐reported prevalence and management of peanut and nut allergy in school children in the Australian Capital Territory

Kljakovic, Marjan; Gatenby, Paul A.; Hawkins, Carolyn; Attewell, Robyn; Ciszek, Karen; Kratochvil, Gitta; Moreira, Alayne; Ponsonby, Anne–Louise

doi:10.1111/j.1440-1754.2008.01436.x

Cited by 17 publications

(13 citation statements)

References 20 publications

(54 reference statements)

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“…Although that includes children of all ages and because some outgrow nut allergy with age, higher prevalence in younger age groups such as in this study would be anticipated. However, our findings are consistent with other Australian population-based studies, including data from the Australian Capital Territory where parent-reported nut allergy prevalence amongst 5-year-old school entrants in 2009 was 3.8% (95% CI 3.2-4.4%) [17]. Likewise, the prevalence of parentreported peanut allergy amongst a cohort of 4000 Australian children aged 4-5 years sampled from across each of the statesand along the full latitude gradient of Australia, was found to be 2.9% [18].…”

Section: Discussionsupporting

confidence: 91%

Nut allergy prevalence and differences between Asian‐born children and Australian‐born children of Asian descent: a state‐wide survey of children at primary school entry in Victoria, Australia

Panjari

Koplin

Dharmage

et al. 2016

Clin Experimental Allergy

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Summary Background Asian infants born in Australia are three times more likely to develop nut allergy than non‐Asian infants, and rates of challenge‐proven food allergy in infants have been found to be unexpectedly high in metropolitan Melbourne. To further investigate the risk factors for nut allergy, we assessed the whole‐of‐state prevalence distribution of parent‐reported nut allergy in 5‐year‐old children entering school. Methods Using the 2010 School Entrant Health Questionnaire administered to all 5‐year‐old children in Victoria, Australia, we assessed the prevalence of parent‐reported nut allergy (tree nut and peanut) and whether this was altered by region of residence, socio‐economic status, country of birth or history of migration. Prevalence was calculated as observed proportion with 95% confidence intervals (CI). Risk factors were evaluated using multivariable logistic regression and adjusted for appropriate confounders. Results Parent‐reported nut allergy prevalence was 3.1% (95% CI 2.9–3.2) amongst a cohort of nearly 60 000 children. It was more common amongst children of mothers with higher education and socio‐economic index and less prevalent amongst children in regional Victoria than in Melbourne. While children born in Australia to Asian‐born mothers (aOR 2.67, 95% CI 2.28–3.27) were more likely to have nut allergy than non‐Asian children, children born in Asia who subsequently migrated to Australia were at decreased risk of nut allergy (aOR 0.1, 95% CI 0.03–0.31). Conclusion Migration from Asia after the early infant period appears protective for the development of nut allergy. Additionally, rural regions have lower rates of nut allergy than urban areas.

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Section: Discussionsupporting

confidence: 91%

Nut allergy prevalence and differences between Asian‐born children and Australian‐born children of Asian descent: a state‐wide survey of children at primary school entry in Victoria, Australia

Panjari

Koplin

Dharmage

et al. 2016

Clin Experimental Allergy

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“…Our study results also confirmed our previous finding of a positive association between parental reported nut allergy and the child having a regular GP [25]. We speculate that children with an allergy are more likely to see a regular GP for diagnosis, follow-up, and prescription for adrenalin if the allergy is severe.…”

Section: Discussionsupporting

confidence: 91%

“…Of the remaining 10% of children who were reported not breast fed, parent-reported nut allergy prevalence was 2.72%—the likelihood of developing a reported nut allergy was 1.5 times higher in breast fed children than in nonbreast fed children. These findings are replicated in earlier studies which also concluded that nut allergy was more likely in children who had been breast fed [25]. …”

Section: Discussionsupporting

confidence: 82%

Infant Feeding Practices and Nut Allergy over Time in Australian School Entrant Children

Paton

Kljakovic

Ciszek

et al. 2012

International Journal of Pediatrics

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Aim . To measure the association between infant feeding practices and parent-reported nut allergy in school entrant children. Method . The Kindergarten Health Check Questionnaire was delivered to all 110 Australian Capital Territory (ACT) primary schools between 2006 and 2009. Retrospective analyses were undertaken of the data collected from the kindergarten population. Results . Of 15142 children a strong allergic reaction to peanuts and other nuts was reported in 487 (3.2%) and 307 (3.9%), children, respectively. There was a positive association between parent reported nut allergy and breast feeding (OR = 1.53; 1.11–2.11) and having a regular general practitioner (GP) (OR = 1.42; 1.05–1.92). A protective effect was found in children who were fed foods other than breast milk in the first six months (OR = 0.71; 0.60–0.84). Conclusion . Children were at an increased risk of developing a parent-reported nut allergy if they were breast fed in the first six months of life.

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“…Food‐induced allergic reactions, and life‐threatening food‐related anaphylaxis, are major medical and public health concerns with children reported to be at highest risk . Australia has one of the highest rates of allergic disease in the world with 1 in 20 Australian children found to exhibit an immunological response to specific foods .…”

Section: Introductionmentioning

confidence: 99%

Food allergy in schools: The importance of government involvement

Lawlis

Bakonyi

Williams

2015

Nutrition & Dietetics

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The parent‐reported prevalence and management of peanut and nut allergy in school children in the Australian Capital Territory

Abstract: Among a highly representative sample of children at school entry, 1 in 30 parents reported their child to have a strong allergic reaction to nuts and over 1 in 50 are estimated to have diagnostic test-confirmed peanut sensitisation, based on parent report.

Cited by 17 publications

References 20 publications

Nut allergy prevalence and differences between Asian‐born children and Australian‐born children of Asian descent: a state‐wide survey of children at primary school entry in Victoria, Australia

Nut allergy prevalence and differences between Asian‐born children and Australian‐born children of Asian descent: a state‐wide survey of children at primary school entry in Victoria, Australia

Infant Feeding Practices and Nut Allergy over Time in Australian School Entrant Children

Food allergy in schools: The importance of government involvement

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