Food Allergy, Nutrition, Psychology, and Health

Elena Gupta; Alexandra E Conway; Marylee Verdi; Marion Groetch; Aikaterini Anagnostou; Elissa M Abrams; Anna Nowak-Wegrzyn; Don Bukstein; Juliette C Madan; Matthew Hand; Sarah L Garnaat; Marcus S Shaker

doi:10.1016/j.jaip.2024.09.036

Food Allergy, Nutrition, Psychology, and Health

J Allergy Clin Immunol Pract. 2024 Oct 10:S2213-2198(24)01053-5. doi: 10.1016/j.jaip.2024.09.036. Online ahead of print.

Authors

Affiliations

¹ Geisel School of Medicine at Dartmouth, Hanover, NH.
² Dartmouth College Student Health, Hanover, NH.
³ Division of Pediatric Allergy and Immunology, Icahn School of Medicine at Mount Sinai, New York, NY.
⁴ Department of Pediatrics, Division of Allergy and Immunology, Baylor College of Medicine, Houston, Texas.
⁵ Section of Allergy and Clinical Immunology, University of Manitoba, Winnipeg, MB, Canada.
⁶ Department of Population Health, NYU Grossman School of Medicine, New York, NY; Department of Pediatrics, Gastroenterology and Nutrition, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland.
⁷ Allergy, Asthma, and Sinus Center, Milwaukee, Wis.
⁸ Department of Epidemiology, Geisel School of Medicine at Dartmouth, Hanover, NH; Departments of Pediatrics and Psychiatry, Division of Child Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, NH.
⁹ Department of Pediatrics, Geisel School of Medicine at Dartmouth, Hanover, NH; Section of Pediatric Nephrology, Dartmouth-Hitchcock Medical Center, Lebanon, NH.
¹⁰ Department of Psychiatry, Geisel School of Medicine, Hanover, NH; Department of Psychiatry, Dartmouth Hitchcock Medical Center, Lebanon, NH.
¹¹ Section of Allergy and Immunology, Dartmouth-Hitchcock Medical Center, Lebanon, NH; Departments of Medicine and Pediatrics, Geisel School of Medicine at Dartmouth, Hanover, NH. Electronic address: Marcus.shaker@dartmouth.edu.

PMID: 39393524
DOI: 10.1016/j.jaip.2024.09.036

Abstract

This article explores food allergy and the nascent field of nutritional psychiatry. Individuals with food allergy experience lower levels of "food freedom" than their nonallergic counterparts, which can create cognitive, emotional, social, nutritional, and financial burdens. Patterns of food avoidance may influence neuroinflammatory states and the gut microbiome; these changes may be associated with neuropsychiatric symptoms. Food restriction may promote disruption of the microbiome neuroimmune axis, which has been linked to various allergic diseases. Targeted psychological counseling strategies can provide benefit. Food allergy and restricted diets may impact dietary health benefits.

Keywords: Allergy; Food freedom; Immunology; Microbiome; Nutrition; Psychology.

Publication types

Review