Evidence map›Paper›PMID 36733768›Full record

ReviewFrontiers in pediatrics2022

The prevalence of food allergy in cesarean-born children aged 0-3 years: A systematic review and meta-analysis of cohort studies.

Xiaoxian Yang, Chuhui Zhou, Chentao Guo, Jie Wang, Innie Chen, Shi Wu Wen, Daniel Krewski, Liqun Yue, Ri-Hua Xie

Abstract readReview
In one paragraph

Review in Frontiers in pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
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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

25 citing papers in PubMed.

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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

9 authors.

Xiaoxian YangSchool of Health and Nursing, Wuxi Taihu University, Wuxi, China.
Chuhui ZhouAffiliated Foshan Maternity & Child Healthcare Hospital, Southern Medical University, Foshan, China.
Chentao GuoDepartment of Epidemiology, Xishan Center for Disease Control and Prevention, Wuxi, China.
Jie WangAffiliated Foshan Maternity & Child Healthcare Hospital, Southern Medical University, Foshan, China.
Innie ChenDepartment of Obstetrics & Gynecology, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Shi Wu WenDepartment of Obstetrics & Gynecology, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Daniel KrewskiSchool of Epidemiology and Public Health, University of Ottawa Faculty of Medicine, Ottawa, ON, Canada.
Liqun YueDepartment of Nursing, The Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Ri-Hua XieAffiliated Foshan Maternity & Child Healthcare Hospital, Southern Medical University, Foshan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Previous studies reported a higher risk of food allergy for cesarean-born children than vaginal-born children. This study aims to systematically compare the prevalence of food allergy among cesarean-born and vaginal-born children aged 0-3 years. Methods: Three English and two Chinese databases were searched using terms related to food allergies and cesarean sections. Cohort studies that reported the prevalence of food allergy in cesarean-born and vaginal-born children aged 0-3 years were included. Two reviewers performed study selection, quality assessment, and data extraction. The pooled prevalence of food allergy in cesarean-born and vaginal-born children was compared by meta-analysis. Results: Nine eligible studies, with 9,650 cesarean-born children and 20,418 vaginal-born children aged 0-3 years, were included. Of them, 645 cesarean-born children and 991 vaginal-born children were identified as having food allergies. The pooled prevalence of food allergy was higher in cesarean-born children (7.8%) than in vaginal-born children (5.9%). Cesarean section was associated with an increased risk of food allergy [odds ratio (OR): 1.45; 95% confidence interval (CI): 1.03-2.05] and cow's milk allergy (OR: 3.31; 95% CI: 1.98-5.53). Additionally, cesarean-born children with a parental history of allergy had an increased risk of food allergy (OR: 2.60; 95% CI: 1.28-5.27). Conclusion: This study suggests that cesarean sections was associated with an increased risk of food and cow's milk allergies in children aged 0-3 years. Cesarean-born children with a parental history of allergy demonstrated a higher risk for food allergy than did vaginal-born children. These results indicate that caregivers should be aware of the risks of food allergies in cesarean-born children, reducing the risk of potentially fatal allergic events. Further research is needed to identify the specific factors affecting food allergies in young children. Systematic Review Registration: http://www.crd.york.ac.uk/prospero, identifier: International Prospective Register of Systematic Reviews (NO. CRD42019140748).

Indexed as

cesarean-bornchildren aged 0–3 yearsfood allergymeta-analysisprevalence of food allergy

Identifiers

PMID36733768
PMCPMC9887154

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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.