Nutrition Research and Practice

The Korean Nutrition Society (한국영양학회)
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Nutrient intakes of infants with atopic dermatitis and relationship with feeding type

  • Han, Youngshin (Environmental Health Center for Atopic Diseases, Samsung Medical Center) ;
  • Lee, Youngmi (Department of Food and Nutrition, Myongji University) ;
  • Park, Haeryun (Department of Food and Nutrition, Myongji University) ;
  • Park, Sunyoung (Cancer Center, Samsung Medical Center) ;
  • Song, Kyunghee (Department of Food and Nutrition, Myongji University)
  • Received : 2014.09.17
  • Accepted : 2014.12.01
  • Published : 2015.02.01
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Abstract

BACKGROUND/OBJECTIVES: The prevalence of atopic dermatitis in infants is increasing worldwide. However, the nutrient intake status of infants with atopic dermatitis has not been studied properly. This study was conducted to compare the nutrient intake status of infants in the weaning period with atopic dermatitis by feeding type. MATERIALS/METHODS: Feeding types, nutrient intake status and growth status of 98 infants with atopic dermatitis from age 6 to 12 months were investigated. Feeding types were surveyed using questionnaires, and daily intakes were recorded by mothers using the 24-hour recall method. Growth and iron status were also measured. RESULTS: The result showed that breastfed infants consumed less energy and 13 nutrients compared to formula-fed or mixed-fed infants (P < 0.001). The breastfed group showed a significantly lower intake rate to the Dietary Reference Intakes for Koreans than the other two groups (P < 0.001). In addition, they consumed less than 75% of the recommended intakes in all nutrients, except for protein and vitamin A, and in particular, iron intake was very low, showing just 18.7% of the recommended intake. There was no significant difference in growth by feeding type, but breastfed infants showed a significantly higher rate of iron deficiency anemia (P < 0.001). CONCLUSIONS: Continuous management programs should be prepared for breastfed infants with atopic dermatitis, who are in a period when rapid growth takes place and proper nutrient intake is essential.

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References

  1. Leung DY, Bieber T. Atopic dermatitis. Lancet 2003;361:151-60. https://doi.org/10.1016/S0140-6736(03)12193-9
  2. Leung DY, Boguniewicz M, Howell MD, Nomura I, Hamid QA. New insights into atopic dermatitis. J Clin Invest 2004;113:651-7. https://doi.org/10.1172/JCI21060
  3. Williams H, Stewart A, von Mutius E, Cookson W, Anderson HR, International Study of Asthma and Allergies in Childhood (ISAAC) Phase One and Three Study Groups. Is eczema really on the increase worldwide? J Allergy Clin Immunol 2008;121:947-54.e15. https://doi.org/10.1016/j.jaci.2007.11.004
  4. Schultz Larsen F, Hanifin JM. Secular change in the occurrence of atopic dermatitis. Acta Derm Venereol Suppl (Stockh) 1992;176:7-12.
  5. Guillet G, Guillet MH. Natural history of sensitizations in atopic dermatitis. A 3-year follow-up in 250 children: food allergy and high risk of respiratory symptoms. Arch Dermatol 1992;128:187-92. https://doi.org/10.1001/archderm.1992.01680120059004
  6. Sampson HA, Metcalfe DD. Food allergies. JAMA 1992;268:2840-4. https://doi.org/10.1001/jama.1992.03490200092010
  7. Ahn SH, Seo WH, Kim SJ, Hwang SJ, Park HY, Han YS, Chung SJ, Lee HC, Ahn KM, Lee SI. Risk factors of moderate to severe atopic dermatitis in the first 6 months of life. Pediatr Allergy Respir Dis 2005;15:242-9.
  8. Zeiger RS. Dietary aspects of food allergy prevention in infants and children. J Pediatr Gastroenterol Nutr 2000;30 Suppl:S77-86. https://doi.org/10.1097/00005176-200001001-00012
  9. Arshad SH. Food allergen avoidance in primary prevention of food allergy. Allergy 2001;56 Suppl 67:113-6. https://doi.org/10.1034/j.1398-9995.2001.00933.x
  10. Finch J, Munhutu MN, Whitaker-Worth DL. Atopic dermatitis and nutrition. Clin Dermatol 2010;28:605-14. https://doi.org/10.1016/j.clindermatol.2010.03.032
  11. Chung SJ, Han YS, Chung SW, Ahn KM, Park HY, Lee SI, Cho YY, Choi HM. Marasmus and kwashiorkor by nutritional ignorance related to vegetarian diet and infants with atopic dermatitis in South Korea. Korean J Nutr 2004;37:540-9.
  12. Agostoni C, Grandi F, Scaglioni S, Gianni ML, Torcoletti M, Radaelli G, Fiocchi A, Riva E. Growth pattern of breastfed and nonbreastfed infants with atopic dermatitis in the first year of life. Pediatrics 2000;106:E73. https://doi.org/10.1542/peds.106.5.e73
  13. Baum WF, Schneyer U, Lantzsch AM, Kloditz E. Delay of growth and development in children with bronchial asthma, atopic dermatitis and allergic rhinitis. Exp Clin Endocrinol Diabetes 2002;110:53-9. https://doi.org/10.1055/s-2002-23486
  14. Fleischer DM, Leung DY. Eczema and food hypersensitivity. In: Metcalfe DD, Sampson HA, Simon RA, editors. Food Allergy: Adverse Reactions to Foods and Food Additives. 4th ed. Malden (MA): Blackwell Pub.; 2008. p.110-2.
  15. Palit A, Handa S, Bhalla AK, Kumar B. A mixed longitudinal study of physical growth in children with atopic dermatitis. Indian J Dermatol Venereol Leprol 2007;73:171-5. https://doi.org/10.4103/0378-6323.32740
  16. Mehta H, Groetch M, Wang J. Growth and nutritional concerns in children with food allergy. Curr Opin Allergy Clin Immunol 2013;13: 275-9. https://doi.org/10.1097/ACI.0b013e328360949d
  17. Pike MG, Chang CL, Atherton DJ, Carpenter RG, Preece MA. Growth in atopic eczema: a controlled study by questionnaire. Arch Dis Child 1989;64:1566-9. https://doi.org/10.1136/adc.64.11.1566
  18. Patel L, Clayton PE, Addison GM, Price DA, David TJ. Linear growth in prepubertal children with atopic dermatitis. Arch Dis Child 1998;79:169-72. https://doi.org/10.1136/adc.79.2.169
  19. David TJ, Ferguson AP, Newton RW. Nocturnal growth hormone release in children with short stature and atopic dermatitis. Acta Derm Venereol 1991;71:229-31.
  20. Muraro A, Dreborg S, Halken S, Host A, Niggemann B, Aalberse R, Arshad SH, von Berg A, Carlsen KH, Duschen K, Eigenmann P, Hill D, Jones C, Mellon M, Oldeus G, Oranje A, Pascual C, Prescott S, Sampson H, Svartengren M, Vandenplas Y, Wahn U, Warner JA, Warner JO, Wickman M, Zeiger RS. Dietary prevention of allergic diseases in infants and small children. Part II. Evaluation of methods in allergy prevention studies and sensitization markers. Definitions and diagnostic criteria of allergic diseases. Pediatr Allergy Immunol 2004;15:196-205. https://doi.org/10.1111/j.1399-3038.2004.00128.x
  21. Schoetzau A, Filipiak-Pittroff B, Franke K, Koletzko S, Von Berg A, Gruebl A, Bauer CP, Berdel D, Reinhardt D, Wichmann HE; German Infant Nutritional Intervention Study Group. Effect of exclusive breast-feeding and early solid food avoidance on the incidence of atopic dermatitis in high-risk infants at 1 year of age. Pediatr Allergy Immunol 2002;13:234-42. https://doi.org/10.1034/j.1399-3038.2002.01050.x
  22. Kull I, Wickman M, Lilja G, Nordvall SL, Pershagen G. Breast feeding and allergic diseases in infants-a prospective birth cohort study. Arch Dis Child 2002;87:478-81. https://doi.org/10.1136/adc.87.6.478
  23. Friedman NJ, Zeiger RS. The role of breast-feeding in the development of allergies and asthma. J Allergy Clin Immunol 2005;115: 1238-48. https://doi.org/10.1016/j.jaci.2005.01.069
  24. Yum H. Association of brestfeeding and allergic diseases. Pediatr Allergy Respir Dis 2009;19:325-8.
  25. Sung YA, Ahn JY, Lee HY, Kim JY, Ahn DH, Hong YJ. A survey of breast-feeding. J Korean Pediatr Soc 1998;41:444-50.
  26. Kim YH. Pediatric Medical Nutrition. Seoul: Korea Medical Book; 2007.
  27. Ziegler EE, Nelson SE, Jeter JM. Iron status of breastfed infants is improved equally by medicinal iron and iron-fortified cereal. Am J Clin Nutr 2009;90:76-87. https://doi.org/10.3945/ajcn.2008.27350
  28. Duchen K, Bjorksten B. Sensitization via the breast milk. In: Mestecky J, Blair C, Ogra PL, editors. Immunology of Milk and the Neonate. New York (NY): Plenum Press; 1991. p.427-36.
  29. Fukushima Y, Kawata Y, Onda T, Kitagawa M. Consumption of cow milk and egg by lactating women and the presence of betalactoglobulin and ovalbumin in breast milk. Am J Clin Nutr 1997; 65:30-5. https://doi.org/10.1093/ajcn/65.1.30
  30. Dewey KG, Peerson JM, Brown KH, Krebs NF, Michaelsen KF, Persson LA, Salmenpera L, Whitehead RG, Yeung DL. Growth of breast-fed infants deviates from current reference data: a pooled analysis of US, Canadian, and European data sets. World Health Organization Working Group on Infant Growth. Pediatrics 1995;96:495-503.
  31. Heinig MJ, Nommsen LA, Peerson JM, Lonnerdal B, Dewey KG. Energy and protein intakes of breast-fed and formula-fed infants during the first year of life and their association with growth velocity: the DARLING Study. Am J Clin Nutr 1993;58:152-61. https://doi.org/10.1093/ajcn/58.2.152
  32. Gale C, Logan KM, Santhakumaran S, Parkinson JR, Hyde MJ, Modi N. Effect of breastfeeding compared with formula feeding on infant body composition: a systematic review and meta-analysis. Am J Clin Nutr 2012;95:656-69. https://doi.org/10.3945/ajcn.111.027284
  33. The Korean Nutrition Society. Dietary Reference Intakes for Koreans. Seoul: The Korean Nutrition Society; 2010.
  34. Lee SI, Choi HM. Nutrition for infants and children. Seoul: Kyomunsa; 2003.
  35. Emmett PM, Rogers IS. Properties of human milk and their relationship with maternal nutrition. Early Hum Dev 1997;49 Suppl:S7-28. https://doi.org/10.1016/S0378-3782(97)00051-0
  36. Morgan JB, Dickerson JW. Nutrition in Early Life. Chichester: Wiley; 2003.
  37. Korean Pediatric Society. The Korean Standard Growth Data of Childhood and Adolescents. Seoul: Korean Pediatric Society; 2007.
  38. Dallman PR, Siimes MA. Percentile curves for hemoglobin and red cell volume in infancy and childhood. J Pediatr 1979;94:26-31. https://doi.org/10.1016/S0022-3476(79)80344-3
  39. Organisation for Economic Co-operation and Development (FR). CO1.5 Breastfeeding rates [Internet]. Paris: OECD Family Database; 2011 [cited 2014 Nov 30]. Available from: http://www.oecd.org/ social/family/database.
  40. Park SJ, Lee JS, Ahn K, Chung SJ. The comparison of growth and nutrient Intakes in children with and without atopic dermatitis. Korean J Community Nutr 2012;17:271-9. https://doi.org/10.5720/kjcn.2012.17.3.271
  41. Oh KH, Kim KS, Seo JS, Choi YS, Shin SM. A study on the nutrient intakes and supplemental food of infants in relation to the method of feeding practics. Korean J Nutr 1996;29:143-52.
  42. Maguire JL, Salehi L, Birken CS, Carsley S, Mamdani M, Thorpe KE, Lebovic G, Khovratovich M, Parkin PC; TARGet Kids! collaboration. Association between total duration of breastfeeding and iron deficiency. Pediatrics 2013;131:e1530-7. https://doi.org/10.1542/peds.2012-2465
  43. Griffin IJ, Abrams SA. Iron and breastfeeding. Pediatr Clin North Am 2001;48:401-13. https://doi.org/10.1016/S0031-3955(08)70033-6
  44. Chang JH, Cheong WS, Jun YH, Kim SK, Kim HS, Park SK, Ryu KH, Yoo ES, Lyu CJ, Lee KS, Lee KC, Lim JY, Choi DY, Choe BK, Choi EJ, Choi BS. Weaning food practice in children with iron deficiency anemia. Korean J Pediatr 2009;52:159-66. https://doi.org/10.3345/kjp.2009.52.2.159
  45. Ahn HS, Bai HS. The longitudinal study of the growth by feeding practice in early infancy. Korean J Nutr 1997;30:336-48.
  46. Kim WJ, Ahn HS, Chung EJ. Mineral intakes and serum mineral concentrations of the pregnant and lactating women. Korean J Community Nutr 2005;10:59-69.
  47. Yoon JS, Jang HK, Park JA. A study on calcium and iron status of lactating women. Korean J Nutr 2005;38:475-86.
  48. Kim KN, Hyun T, Kang NM. A survey on the feeding practices of women for the development of a breastfeeding education program: breastfeeding knowledge and breastfeeding rates. Korean J Community Nutr 2002;7:345-53.