Assessment of Nutrient Intake and ADHD Score in Atopic Dermatitis Preschoolers

아토피 피부염 미취학 아동의 식행동, 영양 섭취 상태 및 주의력 결핍 과잉 행동 점수 평가

  • 강명화 (호서대학교 식품영양학과) ;
  • 김은영 (숙명여자대학교 식품영양학과) ;
  • 최미경 (공주대학교 식품영양학과)
  • Received : 2009.05.20
  • Accepted : 2009.07.23
  • Published : 2009.08.31

Abstract

This study aimed to examine the relationship between nutrient intake and attention deficit hyperactivity (ADH) of children suffering atopic dermatitis. We examined clinical symptoms as well as the status of ADH and the dietary intake of 47 children with atopic dermatitis aged between 4 and 6 against 84 children in the control group. Family history of the atopic dermatitis group was significantly higher than the control group. There was no significant difference between the diet habit of the two groups. The daily energy intake of the atopic dermatitis group and the control group were 1,189.7 kcal and 1245.0 kcal, respectively. There was no significant difference between the nutrient intake of the two groups. In regards to the clinical symptom items, the point for 'anxieties' was 0.5 in the atopic dermatitis group, which was significantly higher than 0.3 of the control group (p<0.05). In terms of the detailed items in ADH assessed by kindergarten teachers, the point for 'changeable feeling' was 0.8 in the atopic dermatitis group, which was significantly higher than 0.5 of the control group (p<0.05). As for the correlation among nutrient intake, the ADH score and clinical symptoms, total fat intake (p<0.05) and animal fat intake (p<0.05) showed a significantly negative correlation with the point of ADH assessed by the teachers, while the intake of fiber (p<0.05) displayed a significantly negative correlation with the point of ADH assessed by the parents. Since atopic dermatitis and ADH may be caused by the same dietary factors, it will be necessary to conduct more studies in this field in the future. In addition, appropriate nutrition management will be necessary for children in the growing period who suffer from atopic dermatitis.

Keywords

References

  1. Barnetson RSC, Rogers M (2002) Childhood atopic eczema. BMJ 324: 376-379. https://doi.org/10.1136/bmj.324.7334.376
  2. Barth GA, Weigl L, Boeing H, Disch R, Borelli S (2001) Food intake of patients with atopic dermatitis. Eur J Dermatol 11: 199-202.
  3. Brawley A, Silverman B, Kearney S, Guanzon D, Owens M, Bennett H, Schneider A (2004) Allergic rhinitis in children with attention-deficit/hyperactivity disorder. Ann Allergy Asthma Immunol 92: 663-667. https://doi.org/10.1016/S1081-1206(10)61434-2
  4. Burks AW, James JM, Hiegel A, Wilson G, Wheeler JG, Jones SM, Zuerlein N (1998) Atopic dermatitis and food hypersensitivity reactions. J Pediatr 132: 132-136. https://doi.org/10.1016/S0022-3476(98)70498-6
  5. Calam R, Gregg L, Simpson B, Morris J, Woodcock A, Custovic A (2003) Childhood asthma, behavior problems, and family functioning. J Allergy Clin Immunol 112: 499-504. https://doi.org/10.1016/S0091-6749(03)01606-3
  6. Chin HY, Jang HS, Jang BS, Jo JH, Kim MB, Oh CK, Kwon KS, Kwon YW (2005) A study on utilization of alternative medicine for patients with atopic dermatitis. Korean J Dermatol 43: 903-911.
  7. Chung SJ, Han YS, Chung SW, Ahn KM, Park HY, Lee SI, Cho YY, Choi HM (2004) Marasmus and kwashiorkor by nutritional ignorance related to vegetarian diet and infants with atopic dermatitis in south Korea. Korean J Nutrition 37: 540-549.
  8. Chung SW, Chang EY, Lee HC (2005) The relationships among severity score, behavioral problem, parental stress, maternal depression, and social support in children with atopic dermatitis. J Asthma Allergy Clin Immunol 25: 39-44.
  9. Chung YM, Kim SJ, Kim NI, Lee EY, Choue RW (2005) Study of dietary fatty acids, blood fatty acid composition, and immune parameters in atopic dermatitis patients. Korean J Nutrition 38: 521-532.
  10. Collier ST, Morris RJ (1987) Assessment of attention deficit disorder and hyperactivity. Handbook of in childhood psychopathology 1st ed. Frame CL. Plenum Press. NY. pp 271-321.
  11. Conners CK (1969) A teacher rating scale for use in drug studies with children. Am J Psychiatry 125: 884-888.
  12. Goyette CH, Conners CK, Ulrich RF (1978) Normative data on revised conners parent and teacher rating scales. J Abnormal Psychology 6: 210-236.
  13. Han YS, Chung SJ, Cho YY, Choi HM, Ahn KM, Lee SI (2004) Analysis of the rate of sensitization to food to food allergen in children with atopic dermatitis. Korean J Community Nutrition 9: 90-97.
  14. Hong SJ (2007) Korean ISAAC study group of Korean association of allergy and respiratory diseases: Report of Korean ISAAC epidemiologic study for asthma and allergic diseases in children. Periatr Allergy Respir Dis(Korea) 17: S55-S66.
  15. Kim DH, Kang KH, Kim KW, Yoo IY (2008) Management of children with atopic dermatitis. Periatr Allergy Respir Dis(Korea) 18: 148-157.
  16. Kim HS, Lee HO (2005) Survey on nutritional status pf preschool children in Asan measured by anthropometric and nutrient intake analysis. J Korean Diet Assoc 11: 114-124.
  17. Kim KA (1994) Cognitive performance and hyperactivity in terms of eating behavior and physical growth among preschool-age children. Master degree thesis. Seoul Women's University, Seoul. p 5-19.
  18. Kim SH (1983) Effects of nutritional deprivation during parental and/or lactating periods and environment on concentration of neurotransmitters and behavior in later life. Korean J Nutrition 16: 243-252.
  19. Lapidus CS, Kerr PE (2001) Social impact of atopic dermatitis. Med Health 84: 294-295.
  20. Lee HR, Oh KJ (1989) Assessment of ADHD with abbreviated conners rating scale. Korean J Psychology 8: 135-143.
  21. Lee SY, Jeong HS, Joo NM (2008) The influence of weaning practices on the eating habits of preschool children. J Korean Diet Assoc 14: 325-336.
  22. Lee YM, Hwang SW (2008) Prevalence and risk factors for atopic dermatitis in pre-school and school aged children. J Korean Acad Child Health Nutr 14: 285-294.
  23. McGee R, Stanton WR, Sears MR(1993) Allergic disorders and attention deficit disorder in children. J Abnorm Child Psychol 21: 79-88. https://doi.org/10.1007/BF00910490
  24. Oh JW (2006) Food and atopic dermatitis in children. Safe Food 1: 18-24.
  25. Oh JW, Kim KE, Pyun BY (2003) Nationwide study for epidemiological changes of atopic dermatitis in school aged children between 1995 and 2000 and kindergarten aged children in 2003 in Korea. Periatr Allergy Respir Dis(Korea) 13: 227-237.
  26. Pelsser LM, Buitelaar JK, Savelkoul HF (2009) ADHD as a (non) allergic hypersensitivity disorder: a hypothesis. Pediatr Allergy Immunol 20: 107-112. https://doi.org/10.1111/j.1399-3038.2008.00749.x
  27. Shin KO, Park HS, Oh SY (2006) Analyses on nutritional and behavioral risk factors of atopic dermatitis (AD) in Korean preschoolers. Korean J Nutrition 39: 795-800.
  28. Sicherer SH, Sampson HA (1999) Food hypersensitivity and atopic dermatitis: pathophysiology, epidemiology, diagnosis, and management. J Allergy Clin Immunol 104: S114-S122. https://doi.org/10.1016/S0091-6749(99)70053-9
  29. Solvoll K, Soyland E, Sandstad B, Drevon CA (2000) Dietary habits among patients with atopic dermatitis. Eur J Clin Nutr 54: 93-97. https://doi.org/10.1038/sj.ejcn.1600901
  30. Son HN, Park MJ, Han JS (2009) A study on dietary habits and food frequency of young children who like sweets. J Korean Diet Assoc 15: 10-21.
  31. Tay YK, Kong KH, Khoo L, Goh GL, Giam YC (2002) The prevalence and descriptive epidemiology of atopic dermatitis in Singapore school children. Br J Dermatol 146: 101-106. https://doi.org/10.1046/j.1365-2133.2002.04566.x
  32. Yang SJ, Yun SJ, Lee JW (2005) Relationship between severity of childhood atopic dermatitis and subject's characteristics including psychological, behavioral and familial problems. Korean J Dermatology 43: 1170-1176.
  33. Yoo IY, Kim DH (2004) Parenting stress and needs of mothers of children with atopic dermatitis. Korean J Child Health Nurs 10: 423-430.