Cited by 700Food Allergy and Anaphylaxis ResearchEosinophilic EsophagitisDrug-Induced Adverse Reactions

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Epidemiologic risks for food allergy

Lack, Gideon·2008·Journal of Allergy and Clinical Immunology

DOI 10.1016/j.jaci.2008.04.032

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Abstract

This article reviews possible risk factors and theories for the development of food allergy. It is noted that previous strategies to prevent food allergy through allergen avoidance during pregnancy, breast-feeding, and infancy have more recently been called into question. Alternative hypotheses are examined with respect to food allergy, namely the hygiene hypothesis, the dietary fat hypothesis, the antioxidant hypothesis, and the vitamin D hypotheses. An alternative hypothesis is proposed, suggesting that sensitization to allergen occurs through environmental exposure to allergen through the skin and that consumption of food allergen induces oral tolerance. This hypothesis provides a possible explanation for the close link between eczema and the development of food allergies. It also suggests novel interventional strategies to prevent the development of food allergies.

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Authors: Lack, G.
Affiliations: St Thomas' Hospital (GB)
Corresponding author: Lack, Gideon
ORCID: Lack, Gideon
Venue: Journal of Allergy and Clinical Immunology
Publisher: Elsevier BV
Published: 2008-06
Volume: 121
Issue: 6
Pages: 1331-1336
ISSN: 0091-6749 (ISSN-L)
DOI: 10.1016/j.jaci.2008.04.032
OpenAlex: W2008218819
Cited by: 700
References: 50
Citations by year: 2026: 44 · 2025: 27 · 2024: 41 · 2023: 49 · 2022: 38 · 2021: 38 · 2020: 48 · 2019: 32 · 2018: 36 · 2017: 36 · 2016: 34 · 2015: 37 · 2014: 39 · 2013: 31 · 2012: 40
FWCI: 4.25
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Journal of Allergy and Clinical Immunology (publishedVersion)
PubMed (publishedVersion)
Research Portal (King's College London) (submittedVersion)
Topics: Health Sciences › Medicine › Immunology and Allergy › Food Allergy and Anaphylaxis Research
Health Sciences › Medicine › Gastroenterology › Eosinophilic Esophagitis
Health Sciences › Medicine › Pharmacology (medical) › Drug-Induced Adverse Reactions
Keywords: food allergy, risk factors, allergen avoidance, hygiene hypothesis, oral tolerance, skin sensitization, atopic dermatitis, allergy prevention, pregnancy, breastfeeding, infancy
MeSH terms: Allergens, Breast Feeding, Diet, Female, Food Hypersensitivity, Humans, Infant, Newborn, Pregnancy, Risk Factors

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