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Quality of Life and Feeding Difficulties Associated with Childhood Fpies and IgE-Mediated Food Allergies
Monday, March 7, 2016
South Exhibit Hall H (Convention Center)
Marion E. Groetch, MS RD, Zara Atal, Anna H. Nowak-Wegrzyn, MD FAAAAI
Rationale:

Food allergies are a growing public health concern. There is little information about the impact of childhood FPIES on quality of life and feeding difficulties.  The primary goal of this survey was to compare these outcomes in children with FPIES versus IgE-mediated food allergy.  

Methods:

Anonymous surveys were administered online to the parents of children with FPIES and IgE-mediated food allergy. The quality of life survey (adapted from Cohen et al, 2004) included 17-questions that were scored from 1 (not troubled) to 7 (extremely troubled); maximum possible score was 119 per family. The feeding survey (adapted from the Montreal Children’s Hospital feeding scale) included 14-questions and was scored from 1 (not difficult) to 7 (very difficult); maximum possible score was 98 per affected child.

Results:

Sixty-one responses to the FPIES survey and 131 responses to the IgE-mediated food allergy survey were analyzed. The median quality of life score for families with at least one child with FPIES was 78 compared to a median score of 70 for families with at least one child with IgE-mediated food allergy, p=.015. The median feeding difficulties score for children with FPIES (n=69; 8 families with 2 affected children) was 48 versus 31 for children with IgE-mediated food allergy (n=155; 27 families with 2 and 7 families with 3 children), p<.00001.

Conclusions:

Parents of children with FPIES report significantly lower quality of life and greater feeding difficulties in their children compared to IgE-mediated food allergy. FPIES may have a higher impact on the families than IgE-mediated food allergy.