No popular authors found.
Ads by Google:

Categories

No categories found.


Get Celiac.com's E-Newsletter





Ads by Google:


Follow / Share


  FOLLOW US:
Twitter Facebook Google Plus Pinterest RSS Podcast Email  Get Email Alerts
SHARE:

Popular Articles

No popular articles found.
Celiac.com Sponsors:

New Food Allergy Guidelines from NIAID


NIAID released its first ever list of guidelines for food allergies. Photo: CC-stephendepolo

Celiac.com 01/06/2011 - The National Institute for Allergy and Infectious Disease (NIAID) released its first ever list of guidelines for food allergies. Developed over two years by a panel of nineteen experts, the guidelines suggested avoiding the ingestion of specific allergens as the best strategy for managing allergies, but made no recommendations for medication.

The panel defined a food allergy as an “adverse health effect arising from a specific immune response that occurs reproducibly on exposure to a given food." The panel also compiled forty-three recommendations as part of what panel-chair Dr. Joshua A. Boyce called an “important starting point toward a more cogent, evidence-based approach to the diagnosis and management of food allergy.” The NIAID list in intended for use by family practice physicians and other medical experts.

After an extensive review of the most common food allergies in the United States, studies suggest an increase in the prevalence of allergies to egg, milk, wheat, soy, peanuts and tree nuts over the past 10-20 years. The guidelines further children who suffer these allergies are likely to develop a tolerance to egg, milk, wheat and soy, though peanut and tree nut allergies are expected to continue through adulthood.

Ads by Google:

According to the guidelines, properly diagnosing these food allergies is crucial because studies returned evidence that as much as 90% of presumed allergies are indeed not food allergies. The NIAID reviewed the most common tests for accurately identifying allergies, pointing to their various strengths and weaknesses, and highlighted the oral food test as the best option. Those at the highest risk for developing a food allergy were noted to be those which a biological parent or sibling who suffers from similar confirmed allergies.

While the NIAID has identified those who would be at a higher risk for advancing an allergy, they did not find evidence that would support the delaying exposure to common allergens has a significant effect on the progression of allergy development. Similarly, they do not advocate that nursing mothers restrict their diet to avoid typical allergen triggers during pregnancy and lactation.

In fact, the guidelines recommend breast-feeding through the first 4-6 months as well as proceeding with vaccinations against measles, mumps and rubella which contains small amounts of egg protein. Advances in vaccine development have allowed for decreased levels of egg protein, making them safe to administer.

The guidelines note that eliminating certain food allergens which can worsen conditions like asthma, atopic dermatitis, and eosinophilic esophagitis, can ease symptoms. They also list epinephrine as the best choice of treatment for anaphylaxis, followed by antihistamines and corticosteroids.

Together with the vast information the guidelines provide in the fields of science and medicine, the list also points to areas where more research is needed. The NIAID issue of recommendations marks a striking advance in research and will continue to shape future of food allergies.

Celiac.com welcomes your comments below (registration is NOT required).












Related Articles



2 Responses:

 
Gary Reetz
Rating: ratingfullratingfullratingfullratingfullratingempty Unrated
said this on
10 Jan 2011 12:31:02 PM PDT
Very good summary. Celiacs need to know, however, any content of gluten that is "hidden" in grocery products (e.g. "natural flavors"). Most of us know that "modified food starch" is likely to contain wheat, but what about the rest of it.

 
Jenny
Rating: ratingfullratingemptyratingemptyratingemptyratingempty Unrated
said this on
17 Jan 2011 10:10:10 AM PDT
This may have taken two years to put together but I believe it is at least that far behind as well. Nothing new has been said here and as Gary commented there's not even talk about the political, Ag Giant food labeling issues. We need to have a safe food system and for those with allergies and intolerances we are far from safe.




Rate this article and leave a comment:
Rating: * Poor Excellent
Your Name *: Email (private) *:




In Celiac.com's Forum Now:


I've been having diarrhea for the last year which I attributed to stress. In the last three months I've been having INTENSE abdominal pain(all over not from gas bc I took anti gas medicine) gas, and bloating. The doctor ordered an upper and lower endoscopy. He found a precancerous polyp (not the ...

I know this is an old post but I was happy to see it here!! There have been numerous times lately that I swell up (like 3 to 4 lbs heavier) the morning after excess salt (chips, salted nuts, pickles, etc...). This happens even when I know I haven't been exposed to gluten plus I don't have the em...

Hey guys - For the last few years I've dealt with energy issues, emotional lethargy, grogginess, and recently OCD, so I decided to go gluten-free 4 weeks ago. After a week of dizzy spells, irritability and insane cravings it felt like a veil had been lifted from me - I felt lighter on my feet, en...

Ok so is this really true?!?! Conventional? Remember, the fecal transplant was first described in the 1950s, but took decades to catch on as a conventional treatment for gut disorders, such as c-dif bacteria, partly because it was seen as crude and somehow objectionable. But it proved to wor...

You are super sweet. I'm sorry your extended family isn't great about get togethers and cards. My family is the same. Once my parents died I don't have anyone who really cares about me except for my husband and kids. My parents started getting really weird about stuff as they got older, and my si...