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Impaired health-related quality of life in adolescents with allergy to staple foods

Protudjer, Jennifer Lisa Penner (författare)
Karolinska Institutet
Jansson, Sven-Arne (författare)
Umeå universitet,Yrkes- och miljömedicin,The Centre for Allergy Research, Karolinska Institutet, P.O. Box 287, 17177 Stockholm, Sweden,Karolinska Institutet ; Umeå University
Middelveld, Roelinde (författare)
Karolinska Institutet
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Ostblom, Eva (författare)
Karolinska Institutet
Dahlen, Sven-Erik (författare)
Karolinska Institutet
Arnlind, Marianne Heibert (författare)
SBU, Stockholm ; Karolinska Institutet
Bengtsson, Ulf (författare)
Sahlgrens University Hospital, Gothenburg
Kallström-Bengtsson, Ingrid (författare)
Swedish Asthma & Allergy Fdn, Stockholm
Marklund, Birgitta (författare)
Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV)
Rentzos, Georgios (författare)
Sahlgrens University Hospital, Gothenburg
Sundqvist, Ann-Charlotte (författare)
Sachs Children & Youth Hosp, Södersjukhuset, Stockholm
Åkerström, Johanna (författare)
Sahlgrens University Hospital, Gothenburg
Ahlstedt, Staffan (författare)
Karolinska Institutet
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 (creator_code:org_t)
2016-09-30
2016
Engelska.
Ingår i: Clinical and Translational Allergy. - : Wiley. - 2045-7022. ; 6
Relaterad länk:
https://doi.org/10.1...
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https://urn.kb.se/re...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Background: Cow's milk, hen's egg and wheat are staple foods in a typical western diet. Despite the ubiquity of these foods, the impact of staple food allergy on health-related quality of life (HRQL) amongst adolescents is incompletely understood. The aims of this study were to make use of the Swedish version of EuroPrevall's disease-specific food allergy quality of life questionnaire-teenager form (FAQLQ-TF) and to investigate the association between objectively-diagnosed staple food allergy and HRQL amongst adolescents. Methods: In this cross-sectional study, 58 adolescents aged 13-17 years [n = 40 (69 %) boys] with objectively-diagnosed allergy to the staple foods cow's milk, hen's egg and/or wheat and living in Stockholm, Sweden were included. Adolescents completed the FAQLQ-TF, which has a corresponding scale of 1 = best HRQL, and 7 = worst HRQL. Overall HRQL and domain-specific HRQL were established. Adolescents also reported symptoms, adrenaline auto injector (AAI) prescription and presence of other food allergies. A history of anaphylaxis was defined among those reporting difficulty breathing, inability to stand/collapse, and/or loss of consciousness. Clinically different HRQL was set at a mean difference of >= 0.5. Results: Overall mean HRQL was poorer than average [mean: 4.70/7.00 (95 % CI 4.30-5.01)]. The domain risk of accidental exposure was significantly associated with clinically better HRQL than the domain allergen avoidance and dietary restrictions (mean difference = 0.76; p < 0.001). Girls had clinically worse, but not statistically significantly different mean HRQL than boys (mean difference = 0.71; p < 0.07). HRQL tended to be worse amongst those with allergies to more than three foods or an AAI prescription. The number and types of symptoms, including a history of anaphylaxis were not associated with worse HRQL. Conclusions: As ascertained via a food allergy-specific questionnaire, adolescents with staple food allergy report poorer than average HRQL, specifically in relation to emerging independence and the need for support. Girls have clinically worse HRQL than boys. The number and type of previous symptoms and history of anaphylaxis were not associated with worse HRQL.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Nyckelord

Adolescents
Food allergy
Health-related quality of life
Hälsovetenskap
Health and Caring Sciences

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