Ultra‐processed foods, allergy outcomes and underlying mechanisms in children: An EAACI task force report

医学 过敏 食物过敏 哮喘 环境卫生 卫生假说 微生物群 免疫学 生物信息学 生物
作者
Roberto Berni Canani,Laura R. Carucci,Serena Coppola,Enza D’Auria,Liam O’Mahony,Franziska Roth‐Walter,Εmilia Vassilopoulou,Carlo Agostoni,Ioana Agache,Cezmi A. Akdiş,Fiorenza De Giovanni Di Santa Severina,Gaby Faketea,Matthew Greenhawt,Karin Hoffmann‐Sommergruber,Karin Hufnagl,Rosan Meyer,Gregorio P. Milani,Anna Nowak‐Węgrzyn,Bright I. Nwaru,Inês Pádua,Lorella Paparo,Diego Peroni,Imke Reese,Caroline Roduit,Peter Smith,Alexandra F. Santos,Eva Untersmayr,B.J. Vlieg-Boerstra,Carina Venter
出处
期刊:Pediatric Allergy and Immunology [Wiley]
卷期号:35 (9)
标识
DOI:10.1111/pai.14231
摘要

Abstract Background Consumption of ultra‐processed foods [UPFs] may be associated with negative health outcomes. Limited data exist regarding the potential role of UPFs in the occurrence of allergic diseases. The underlying mechanisms underpinning any such associations are also poorly elucidated. Methods We performed a systematic review and narrative evidence synthesis of the available literature to assess associations between UPF consumption and pediatric allergy outcomes ( n = 26 papers), including data on the association seen with the gut microbiome ( n = 16 papers) or immune system ( n = 3 papers) structure and function following PRISMA guidelines. Results Dietary exposure to fructose, carbonated soft drinks, and sugar intake was associated with an increased risk of asthma, allergic rhinitis, and food allergies in children. Commercial baby food intake was associated with childhood food allergy. Childhood intake of fructose, fruit juices, sugar‐sweetened beverages, high carbohydrate UPFs, monosodium glutamate, UPFs, and advanced glycated end‐products (AGEs) was associated with the occurrence of allergic diseases. Exposure to UPFs and common ingredients in UPFs seem to be associated with increased occurrence of allergic diseases such as asthma, wheezing, food allergies, atopic dermatitis, and allergic rhinitis, in many, but not all studies. Conclusion More preclinical and clinical studies are required to better define the link between UPF consumption and the risk of allergies and asthma. These observational studies ideally require supporting data with clearly defined UPF consumption, validated dietary measures, and mechanistic assessments to definitively link UPFs with the risk of allergies and asthma.
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