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

advanced glycation end products allergic rhinitis anti‐foaming asthma atopic dermatitis bulking carbonating eczema emulsifiers flavor enhancers foaming food additives food allergy gelling agents glazing agents gut barrier immune system junk foods microbiome monosodium glutamate preservatives sweeteners thickeners

Journal

Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology
ISSN: 1399-3038
Titre abrégé: Pediatr Allergy Immunol
Pays: England
ID NLM: 9106718

Informations de publication

Date de publication:
Sep 2024
Historique:
revised: 07 08 2024
received: 21 05 2024
accepted: 22 08 2024
medline: 10 9 2024
pubmed: 10 9 2024
entrez: 10 9 2024
Statut: ppublish

Résumé

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. 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. 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. 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.

Sections du résumé

BACKGROUND 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 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 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 CONCLUSIONS
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.

Identifiants

pubmed: 39254357
doi: 10.1111/pai.14231
doi:

Types de publication

Journal Article Systematic Review Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

e14231

Subventions

Organisme : European Academy of Allergy and Clinical Immunology

Informations de copyright

© 2024 European Academy of Allergy and Clinical Immunology and John Wiley & Sons Ltd.

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Auteurs

Roberto Berni Canani (R)

Department of Translational Medical Science, University of Naples Federico II, Naples, Italy.
ImmunoNutritionLab at the CEINGE Advanced Biotechnologies Research Center, University of Naples Federico II, Naples, Italy.
Task Force on Microbiome Studies University of Naples Federico II, Naples, Italy.
European Laboratory for the Investigation of Food-Induced Diseases, University of Naples Federico II, Naples, Italy.

Laura Carucci (L)

Department of Translational Medical Science, University of Naples Federico II, Naples, Italy.
ImmunoNutritionLab at the CEINGE Advanced Biotechnologies Research Center, University of Naples Federico II, Naples, Italy.

Serena Coppola (S)

Department of Translational Medical Science, University of Naples Federico II, Naples, Italy.
ImmunoNutritionLab at the CEINGE Advanced Biotechnologies Research Center, University of Naples Federico II, Naples, Italy.

Enza D'Auria (E)

Allergy Unit-Buzzi Children's Hospital-University of Milan, Milan, Italy.

Liam O'Mahony (L)

Department of Medicine, School of Microbiology, APC Microbiome Ireland, University College Cork, Cork, Ireland.

Franziska Roth-Walter (F)

Department of Interdisciplinary Life Sciences, Messerli Research Institute, University of Veterinary Medicine, Medical University and University of Vienna, Vienna, Austria.
Center of Pathophysiology, Infectiology and Immunology, Institute of Pathophysiology and Allergy Research, Medical University of Vienna, Vienna, Austria.

Emilia Vassilopolou (E)

Department of Nutritional Sciences and Dietetics, School of Health Sciences, International Hellenic University, Thessaloniki, Greece.
Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.

Carlo Agostoni (C)

Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Iaona Agache (I)

Faculty of Medicine, Transylvania University, Brasov, Romania.

Cezmi Akdis (C)

Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland.

Fiorenza De Giovanni Di Santa Severina (F)

Department of Translational Medical Science, University of Naples Federico II, Naples, Italy.
ImmunoNutritionLab at the CEINGE Advanced Biotechnologies Research Center, University of Naples Federico II, Naples, Italy.

Gaby Faketea (G)

Department of Pediatrics, "Karamandaneio" Children's Hospital of Patra, Patras, Greece.
Department of Pharmacology, "luliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Matt Greenhawt (M)

Section of Pediatric Allergy and Immunology, University of Colorado, Children's Hospital Colorado, Aurora, Colorado, USA.

Karin Hoffman (K)

Center of Pathophysiology, Infectiology and Immunology, Institute of Pathophysiology and Allergy Research, Medical University of Vienna, Vienna, Austria.

Karin Hufnagel (K)

Department of Interdisciplinary Life Sciences, Messerli Research Institute, University of Veterinary Medicine, Medical University and University of Vienna, Vienna, Austria.
Center of Pathophysiology, Infectiology and Immunology, Institute of Pathophysiology and Allergy Research, Medical University of Vienna, Vienna, Austria.

Rosan Meyer (R)

Department of Nutrition and Dietetics, Winchester University, Winchester, UK.
Department of Medicine, KU Leuven, Leuven, Belgium.

Gregorio Paolo Milani (GP)

Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Anna Nowak-Wegrzyn (A)

Department of Pediatrics, Hassenfeld Children's Hospital, NYU Grossman School of Medicine, New York, New York, USA.
Department of Pediatrics, Gastroenterology and Nutrition, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland.

Bright Nwaru (B)

Krefting Research Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.

Ines Padua (I)

Department of Sciences, University Institute of Health Sciences, Gandra, Portugal.
i4HB/UCIBIO - Translational Toxicology Research Laboratory, Gandra, Portugal.
CUF Porto Trindade Hospital, Porto, Portugal.

Lorella Paparo (L)

Department of Translational Medical Science, University of Naples Federico II, Naples, Italy.
ImmunoNutritionLab at the CEINGE Advanced Biotechnologies Research Center, University of Naples Federico II, Naples, Italy.

Peroni Diego (P)

Department of Clinical and Experimental Medicine, Section of Pediatrics, University of Pisa, Pisa, Italy.

Imke Reese (I)

Practice for Dietary Advice & Nutrition Therapy in Adverse Food Reactions, Munich, Germany.

Caroline Roduit (C)

Division of Respiratory Medicine and Allergology, Department of Paediatrics, Inselspital, University of Bern, Bern, Switzerland.
CK-CARE, Christine Kühne-Center for Allergy Research and Education (CK-CARE), Davos, Switzerland.

Peter K Smith (PK)

Griffith University, Southport, Queensland, Australia.

Alexandra Santos (A)

Department of Women and Children's Health (Pediatric Allergy), Faculty of Life Sciences and Medicine, School of Life Course Sciences, King's College London, London, UK.
Peter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King's College London, London, UK.
Children's Allergy Service, Evelina London Children's Hospital, Guy's and St Thomas' Hospital, London, UK.

Eva Untersmayr (E)

Center for Pathophysiology, Infectiology and Immunology, Institute of Pathophysiology and Allergy Research, Medical University of Vienna, Vienna, Austria.

Berber Vlieg-Boerstra (B)

Department of Paediatrics, OLVG Hospital, Amsterdam, The Netherlands.
Rijnstate Allergy Centre, Rijnstate Hospital, Arnhem, The Netherlands.

Carina Venter (C)

Section of Pediatric Allergy and Immunology, University of Colorado, Children's Hospital Colorado, Aurora, Colorado, USA.

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