OAT ALLERGY
Key Allergens
Oats are grains grown for their seeds and are in the Poaceae family of plants. This family includes maize, wheat, durum wheat, rice, rye and barley.
IgE Allergy to cereals is generally rare; prevalence of cereal-related diseases are highest for wheat and lowest for oats.
All varieties of oats contain gluten and avenin, which is a prolamin similar to wheat gliadin which can be the cause of allergic reactions.
Oats are usually a good starter food for babies due to its consistency and that it doesn't contain any of the main panallergens.
Food Intolerances
Oat is a low FODMAP food.
FODMAP stands for
Fermentable
oligosaccharides,
disaccharides,
monosaccharides
and
polyols. Foods high in FODMAPs can cause symptoms of food intolerance, affecting the gastro intestinal system and this can be mistaken for a true IgE food allergy.
Oats contain a moderate amount of
lectins, another cause of food intolerance. Cooking foods with lectins makes them more digestible and can reduce the symptoms of food intolerance.
Oat is also a food low in histamine. So suitable for those on a low histamine diet.
You can read more about
Food Intolerances on the dedicated Food Intolerance Page.
Associated Syndromes
An allergy to wheat has been sometimes been linked to
Exercise Induced Anaphylaxis due to the prolamin proteins.
Coeliac disease is not an allergic condition, but is triggered by gluten found in wheat and there are similarly shaped proteins in lesser quantities in oats to which sensitive individuals may react.
Oats are a common food involved in Food Protein Induced Enterocolitis Syndrome (also known as FPIES).
Cross Reactivity
Oats are in the
Poales order of foods, so there may be some cross reactivity with other foods in the group such as wheat, durum wheat, rice, barley, rye and maize. Read more about
Grain Allergens and Pseudocereals.
Note that this food list is not exhaustive, the most up to date information is available on the Cross Reactivity Tool.
Resources
Websites
Science Direct - Prolamins
Allergen Encyclopedia - Oats
ASCIA - FPIES
Allergy information for: Oat (Avena sativa)
Healthline - Oat Allergy: Symptoms, Causes, and Treatment
The Master Histamine Intolerance Food List
NY Allergy - Oat Allergy
Articles and Journals
Unsafe medications for patients with food allergy, 2024
Disorders related with gluten and sources for gluten free diet, 2023
Commercial Oats and Patients With Celiac Disease, 2023
Food protein-induced enterocolitis syndrome among children in northern Sweden—A retrospective review from 2004–2018, 2023
Evolution of Food Protein-Induced Enterocolitis Syndrome (FPIES) Index Trigger Foods and Subsequent Reactions After Initial Diagnosis, 2023
Food Allergy and Cross Allergic Reactions in Children under Hot Climate, 2023
The clinical cross-reactivity and immunological cross-antigenicity of wheat and barley, 2022
Non-IgE-Mediated Gastrointestinal Food Protein-Induced Allergic Disorders. Clinical Perspectives and Analytical Approaches, 2021
Oat Allergy: Report on 2 Cases, 2020
The Pros and Cons of Using Oat in a Gluten-Free Diet for Celiac Patients, 2019
Food protein-induced enterocolitis syndrome: a review of the new guidelines, 2018
Reducing the incidence of allergy and intolerance to cereals, 2014
Oat sensitization in children with atopic dermatitis: prevalence, risks and associated factors, 2007
Food protein-induced enterocolitis syndrome caused by solid food proteins, 2003
Skin-prick test and RAST responses to cereals in children with atopic dermatitis. Characterization of IgE-binding components in wheat and oats by an immunoblotting method, 1995
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