Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
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Excessive Food Restriction in Children with Atopic Dermititis

아토피피부염 영유아의 식품섭취 제한에 관한 실태조사

  • Lee, Seok-Hwa (Department of Foods and Nutrition, Kookmin University) ;
  • Lee, Hee-Jin (Department of Foods and Nutrition, Kookmin University) ;
  • Han, Young-Shin (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Ahn, Kang-Mo (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Sang-Il (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Chung, Sang-Jin (Department of Foods and Nutrition, Kookmin University)
  • 이석화 (국민대학교 식품영양학과) ;
  • 이희진 (국민대학교 식품영양학과) ;
  • 한영신 (성균관대학교 의과대학 삼성서울병원 소아과) ;
  • 안강모 (성균관대학교 의과대학 삼성서울병원 소아과) ;
  • 이상일 (성균관대학교 의과대학 삼성서울병원 소아과) ;
  • 정상진 (국민대학교 식품영양학과)
  • Received : 2011.10.04
  • Accepted : 2011.11.28
  • Published : 2011.12.31
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Abstract

The prevalence of Atopic Dermatitis (AD), a non-infective chronic inflammatory skin disease, is increasing worldwide. Avoiding the allergen is the basic principle in the treatment of AD. However, when the allergen is food, excessive restriction can lead to nutrition deficiency. The objective of the study was to examine the status of the dietary restriction and compare the caregiver's restriction practice with doctor's recommendation in Korean children with AD. A total of 158 children diagnosed with Atopic Dermatitis were recruited for this study. Information about foods that aggravate AD symptoms and food restriction were collected from the mothers of 158 children aged 6 month-5 year with AD using questionnaires. Food restriction recommendation by doctor was collected through medical chart. McNemar and Margianl homogeneity tests were used to detect a relationship between food restriction recommended by doctor and current practice by mother. There were significant proportion differences of food restriction for each food between by doctor and mother. We found 75.9% of children were avoiding eggs although only 61.4% were recommended for egg restriction by a doctor. Children with restriction of more than 4 kinds of food were 53.2% compared to 13.3% by doctor. Excessive restrictors tended to be younger and diagnosed at younger age. The caregivers of excessive restrictors had trends of "being older" and "having higher income". Avoidance of common foods in children without food allergy could result in malnutrition or impaired growth. Nutrition education is needed for sound practice and nutrition care in children with Atopic Dermatitis as well as interactive communication between caregivers and experts.

Keywords

References

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