Evidence map›Paper›PMID 36271775›Full record

SynthesisAllergy2023

Frequency of food allergy in Europe: An updated systematic review and meta-analysis.

Giulia C I Spolidoro, Yohannes Tesfaye Amera, Mohamed Mustafa Ali, Sungkutu Nyassi, Daniil Lisik, Athina Ioannidou, Graciela Rovner, Ekaterina Khaleva, Carina Venter, Ronald van Ree and 6 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Allergy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 120 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
120citing papers in PubMed, 10 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

120 citing papers in PubMed, 10 syntheses or guidelines pooled it.

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  15. Understanding the experiences of South Asian adults' management of food allergy.The journal of allergy and clinical immunology. Global · 2026
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60 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Giulia C I SpolidoroDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Yohannes Tesfaye AmeraSchool of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Mohamed Mustafa AliSchool of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Sungkutu NyassiKrefting Research Centre, University of Gothenburg, Gothenburg, Sweden.
Daniil LisikKrefting Research Centre, University of Gothenburg, Gothenburg, Sweden.
Athina IoannidouKrefting Research Centre, University of Gothenburg, Gothenburg, Sweden.
Graciela RovnerACT Institutet Sweden, Gothenburg, Sweden.
Ekaterina KhalevaFaculty of Medicine, University of Southampton, Southampton, UK.
Carina VenterSection of Allergy and Immunology, School of Medicine, University of Colorado Denver, Children's Hospital Colorado, Anschutz Medical Campus, Aurora, Colorado, USA.ORCID 0000-0002-7473-5355
Ronald van ReeDepartment of Experimental Immunology and Department of Otorhinolaryngology, Amsterdam University Medical Centers, Amsterdam, the Netherlands.
Margitta WormDivision of Allergy and Immunology, Department of Dermatology, Allergy and Venerology, Charité Universitätsmedizin Berlin, Berlin, Germany.ORCID 0000-0002-3449-1245
Berber Vlieg-BoerstraDepartment of Pediatrics, OLVG Hospital, Amsterdam, the Netherlands.ORCID 0000-0001-7962-5406
Aziz SheikhUsher Institute, University of Edinburgh, Edinburgh, UK.
Antonella MuraroDepartment of Mother and Child Health, The Referral Centre for Food Allergy Diagnosis and Treatment Veneto Region, University of Padua, Padua, Italy.
Graham RobertsFaculty of Medicine, University of Southampton, Southampton, UK.ORCID 0000-0003-2252-1248
Bright I NwaruKrefting Research Centre, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-2876-6089

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Food allergy (FA) is increasingly reported in Europe, however, the latest prevalence estimates were based on studies published a decade ago. The present work provides the most updated estimates of the prevalence and trends of FA in Europe. Databases were searched for studies published between 2012 and 2021, added to studies published up to 2012. In total, 110 studies were included in this update. Most studies were graded as moderate risk of bias. Pooled lifetime and point prevalence of self-reported FA were 19.9% (95% CI 16.6-23.3) and 13.1% (95% CI 11.3-14.8), respectively. The point prevalence of sensitization based on specific IgE (slgE) was 16.6% (95% CI 12.3-20.8), skin prick test (SPT) 5.7% (95% CI 3.9-7.4), and positive food challenge 0.8% (95% CI 0.5-0.9). While lifetime prevalence of self-reported FA and food challenge positivity only slightly changed, the point prevalence of self-reported FA, sIgE and SPT positivity increased from previous estimates. This may reflect a real increase, increased awareness, increased number of foods assessed, or increased number of studies from countries with less data in the first review. Future studies require rigorous designs and implementation of standardized methodology in diagnosing FA, including use of double-blinded placebo-controlled food challenge to minimize potential biases.

Indexed as

Food HypersensitivityImmunoglobulin EAllergensEuropeFoodHumansSkin TestsAllergensImmunoglobulin EepidemiologyEuropefood allergysensitizationsystematic review

Identifiers

PMID36271775
PMCPMC10099188

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.