Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Short Communication
  • Published:

Consultation with registered dietitian to prevent accidental reactions to food: insight from an egg allergy influenza vaccination cohort

European Journal of Clinical Nutrition volume 71, pages 287–289 (2017)Cite this article

Subjects

Abstract

Egg is an ubiquitous allergen found in many food products. Current food allergy guidelines recognize the importance of consultation with a registered dietitian to ensure nutritional adequacy. However, there is a lack of evidence on its impact on the implementation of allergen avoidance strategies. Taking advantage of a well-characterized cohort of influenza vaccination in egg-allergic children (n=397), we tested the hypothesis that real-life professional dietary advice was associated with a decrease in accidental reactions to egg in allergic children with retrospective questionnaires. Lack of consultation with a dietitian was associated with a 1.89-fold increase in the risk of accidental reactions to egg (confidence interval: 1.47–2.42). The only other independent variable that predicted reactions was having had a history of acute reaction to egg prior diagnosis (relative risk=2.02; confidence interval: 1.64–3.00). These findings support the usefulness of referral to a food allergy-specialized dietitian at time of diagnosis in order to prevent future accidental reactions to egg.

This is a preview of subscription content, access via your institution

Access options

Buy this article

  • Purchase on Springer Link
  • Instant access to full article PDF
Buy now

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Rona RJ, Keil T, Summers C, Gislason D, Zuidmeer L, Sodergren E et al. The prevalence of food allergy: a meta-analysis. J Allergy Clin Immunol 2007; 120: 638–646.

    Article  Google Scholar 

  2. Sampson HA, Aceves S, Bock SA, James J, Jones S, Lang D et al. Food allergy: a practice parameter update-2014. J Allergy Clin Immunol 2014; 134: 1016–25 e43.

    Article  Google Scholar 

  3. Eggesbo M, Botten G, Halvorsen R, Magnus P . The prevalence of allergy to egg: a population-based study in young children. Allergy 2001; 56: 403–411.

    Article  CAS  Google Scholar 

  4. Colver AF, Nevantaus H, Macdougall CF, Cant AJ . Severe food-allergic reactions in children across the UK and Ireland, 1998-2000. Acta Paediatr 2005; 94: 689–695.

    Article  Google Scholar 

  5. Xepapadaki P, Fiocchi A, Grabenhenrich L, Roberts G, Grimshaw KE, Fiandor A et al. Incidence and natural history of hen's egg allergy in the first 2 years of life-the EuroPrevall birth cohort study. Allergy 2016; 71: 350–357.

    Article  CAS  Google Scholar 

  6. Muraro A, Werfel T, Hoffmann-Sommergruber K, Roberts G, Beyer K, Bindslev-Jensen C et al. EAACI food allergy and anaphylaxis guidelines: diagnosis and management of food allergy. Allergy 2014; 69: 1008–1025.

    Article  CAS  Google Scholar 

  7. Barry P, Beattie P, Brown T, Clarke S, East M, Fox A et al Food Allergy in Children and Young People: Diagnosis and Assessment of Food Allergy in Children and Young People in Primary Care and Community Settings. National Institute for Health and Clinical Excellence: Guidance. London, UK, 2011.

    Google Scholar 

  8. Kapoor S, Roberts G, Bynoe Y, Gaughan M, Habibi P, Lack G . Influence of a multidisciplinary paediatric allergy clinic on parental knowledge and rate of subsequent allergic reactions. Allergy 2004; 59: 185–191.

    Article  CAS  Google Scholar 

  9. Des Roches A, Paradis L, Gagnon R, Lemire C, Begin P, Carr S et al. Egg-allergic patients can be safely vaccinated against influenza. J Allergy Clin Immunol 2012; 130: 1213–6 e1.

    Article  Google Scholar 

  10. Gagnon R, Primeau MN, Des Roches A, Lemire C, Kagan R, Carr S et al. Safe vaccination of patients with egg allergy with an adjuvanted pandemic H1N1 vaccine. J Allergy Clin Immunol 2010; 126: 317–323.

    Article  CAS  Google Scholar 

  11. Boyano-Martinez T, Garcia-Ara C, Diaz-Pena JM, Martin-Esteban M . Prediction of tolerance on the basis of quantification of egg white-specific IgE antibodies in children with egg allergy. J Allergy Clin Immunol 2002; 110: 304–309.

    Article  CAS  Google Scholar 

  12. Sampson HA . Utility of food-specific IgE concentrations in predicting symptomatic food allergy. J Allergy Clin Immunol 2001; 107: 891–896.

    Article  CAS  Google Scholar 

  13. Joshi P, Mofidi S, Sicherer SH . Interpretation of commercial food ingredient labels by parents of food-allergic children. J Allergy Clin Immunol 2002; 109: 1019–1021.

    Article  Google Scholar 

  14. Vlieg-Boerstra BJ, van der Heide S, Bijleveld CM, Kukler J, Duiverman EJ, Wolt-Plompen SA et al. Dietary assessment in children adhering to a food allergen avoidance diet for allergy prevention. Eur J Clin Nutr 2006; 60: 1384–1390.

    Article  CAS  Google Scholar 

  15. Simons E, Weiss CC, Furlong TJ, Sicherer SH . Impact of ingredient labeling practices on food allergic consumers. Ann Allergy Asthma Immunol 2005; 95: 426–428.

    Article  Google Scholar 

  16. Caubet JC, Eigenmann PA . Allergic triggers in atopic dermatitis. Immunol Allergy Clin North Am 2010; 30: 289–307.

    Article  Google Scholar 

Download references

Acknowledgements

We thank the participants of the study and their families.

Author contributions

PB, LP and ADR participated in the conceptual design. PB, JL-B, LP, JP and ADR assessed the patients and dispensed the questionnaires. CF compiled the data from the questionnaire. PB, CF, ADR and FG analyzed the data and wrote the manuscript. All authors reviewed and approved the final version of the manuscript.

Ethics, consent and permissions

This project was approved by the CHU Sainte-Justine Research Ethics Committee. All patients signed informed consent before enrollment.

Author information

Authors and Affiliations

  1. Service of Allergy and Clinical Immunology, Centre Hospitalier Universitaire Sainte-Justine, Montreal, Quebec, Canada

    P Bégin, J Lacombe-Barrios, J Paradis, L Paradis & A Des Roches

  2. Department of Medicine, Centre Hospitalier de l’Université de Montréal, Service of Allergy and Clinical Immunology, Montreal, Quebec, Canada

    P Bégin, C Filion, F Graham & L Paradis

Authors
  1. P Bégin
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. C Filion
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. F Graham
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. J Lacombe-Barrios
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. J Paradis
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. L Paradis
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. A Des Roches
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to A Des Roches.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Bégin, P., Filion, C., Graham, F. et al. Consultation with registered dietitian to prevent accidental reactions to food: insight from an egg allergy influenza vaccination cohort. Eur J Clin Nutr 71, 287–289 (2017). https://doi.org/10.1038/ejcn.2016.241

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ejcn.2016.241

This article is cited by

Search

Advanced search

Quick links