Challenge-proven food allergy in Australia

While the prevalence of food allergy in children is said to be increasing, few studies have used oral food challenge to measure this phenomenon at the population level. A group of investigators from the Australian ‘Health Nuts’ allergy study have conducted research to measure the prevalence of challenge-proven IgE-food allergies in a population-based sample of 12-month-old infants.

A sample comprising 2848 infants was recruited at childhood immunization sessions in Melbourne. The prevalence of challenge-proven peanut allergy was 3%; raw egg allergy 9%; and sesame allergy just less than 1%. Oral food challenges to cow's milk and shellfish were not performed. Of those with raw egg allergy, 80% could tolerate baked egg.

Overall, more than 10% of the population-based sample of 1 year old infants had challenge-proven IgE-mediated food allergy to one of the common allergenic foods.

Reference: Osborne et al. 2011. Journal of Allergy and Clinical Immunology. Vol. 127 (3) pp. 668-676.e2