It's not just the food you eat: Environmental factors in the development of food allergies

Joyce E. Yu, Anu Mallapaty, Rachel L. Miller

Research output: Contribution to journalReview articlepeer-review

16 Scopus citations


The dramatic rise in the prevalence of food allergy and food allergy-associated anaphylaxis in the past few decades has fueled investigative interest into understanding this puzzling trend. Here, we review the question as to whether important external environmental determinants beyond dietary habits and exposure to food allergens are involved. This review will summarize our current understanding of these environment determinants, derived from the latest experimental and epidemiological research. Specifically, we will review the role of exposures that affect skin barrier function, development of a diverse microbiome, and food processing. Additional exposures of concern are insufficient sunlight, endocrine disrupting chemicals and pesticides, and use of specific pharmaceutical agents that may drive or modify the risk for food allergy. Despite limitations in the quantity and quality of research to date, many new epidemiological associations and experimental data in support of this paradigm have emerged.

Original languageEnglish
Pages (from-to)118-124
Number of pages7
JournalEnvironmental Research
StatePublished - Aug 2018
Externally publishedYes


  • Environmental determinants
  • Food allergy


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