Increased prevalence of eating disorders as a biopsychosocial implication of food allergy

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 diag...

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Autores principales: Wróblewska, Barbara, Szyc, Anna Maria, Markiewicz, Lidia Hanna, Zakrzewska, Magdalena, Romaszko, Ewa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6019672/
https://www.ncbi.nlm.nih.gov/pubmed/29944672
http://dx.doi.org/10.1371/journal.pone.0198607
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author Wróblewska, Barbara
Szyc, Anna Maria
Markiewicz, Lidia Hanna
Zakrzewska, Magdalena
Romaszko, Ewa
author_facet Wróblewska, Barbara
Szyc, Anna Maria
Markiewicz, Lidia Hanna
Zakrzewska, Magdalena
Romaszko, Ewa
author_sort Wróblewska, Barbara
collection PubMed
description 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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spelling pubmed-60196722018-07-07 Increased prevalence of eating disorders as a biopsychosocial implication of food allergy Wróblewska, Barbara Szyc, Anna Maria Markiewicz, Lidia Hanna Zakrzewska, Magdalena Romaszko, Ewa PLoS One Research Article 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. Public Library of Science 2018-06-26 /pmc/articles/PMC6019672/ /pubmed/29944672 http://dx.doi.org/10.1371/journal.pone.0198607 Text en © 2018 Wróblewska et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Wróblewska, Barbara
Szyc, Anna Maria
Markiewicz, Lidia Hanna
Zakrzewska, Magdalena
Romaszko, Ewa
Increased prevalence of eating disorders as a biopsychosocial implication of food allergy
title Increased prevalence of eating disorders as a biopsychosocial implication of food allergy
title_full Increased prevalence of eating disorders as a biopsychosocial implication of food allergy
title_fullStr Increased prevalence of eating disorders as a biopsychosocial implication of food allergy
title_full_unstemmed Increased prevalence of eating disorders as a biopsychosocial implication of food allergy
title_short Increased prevalence of eating disorders as a biopsychosocial implication of food allergy
title_sort increased prevalence of eating disorders as a biopsychosocial implication of food allergy
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6019672/
https://www.ncbi.nlm.nih.gov/pubmed/29944672
http://dx.doi.org/10.1371/journal.pone.0198607
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