[A PROSPECTIVE STUDY ON LIFESTYLE GUIDANCE AND USE OF MANAGEMENT FORMS FOR FOOD ALLERGY IN LICENSED NURSERY SCHOOLS]

Arerugi. 2016;65(6):785-93. doi: 10.15036/arerugi.65.785.
[Article in Japanese]

Abstract

Background: There have been no reports on the use of "foods allergy disease lifestyle guidance and management forms at day care centers" (life management guidance forms) for understanding details of pupils with food allergies.

Objectives: The contents of lifestyle management guidance forms obtained in Sagamihara city from licensed nurseries were investigated prospectively.

Subjects and methods: We compared and analyzed for the use of life management guidance forms initially in 2013 and in the fiscal year of 2014 in Sagamihara city licensed nurseries.

Results: In all, in 2013 and 2014, 9,567 and 10,069 pupils were included in licensed nurseries, and 426 (4.5%) and 447 (4.4%) pupils had food allergies, 61 (0.6%) and 61 (0.6%) had anaphylaxis, respectively.The causative foods in 2013 and 2014, respectively, included unheated hen's egg in 71.6% and 69.6%; heated hen's egg in 54.2% and 54.8%; milk in 23.0% and 23.3%; peanuts in 17.8% and 17.0%; buckwheat in 7.3% and 8.5%; and wheat in 6.3% and 8.3%. There are no significant differences in the distribution of causative foods between 2013 and 2014.Immediate-type food allergy was significantly more frequent in 2014 than in 2013 (73.0% and 78.8%, respectively; p=0.040).

Conclusion: Using a life management guidance form will make it easier to manage food allergies in children.

MeSH terms

  • Anaphylaxis / etiology
  • Child, Preschool
  • Food / adverse effects
  • Food Hypersensitivity / complications
  • Food Hypersensitivity / immunology
  • Food Hypersensitivity / therapy*
  • Humans
  • Infant
  • Infant, Newborn
  • Life Style
  • Male
  • Prospective Studies
  • Schools, Nursery