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Asthma Worsening factors of Adolescent Asthma Patients in Korea -Associated with Intake of Antioxidant Food-

청소년 천식 환자의 천식 악화의 영향 요인 -항산화식이 섭취와 관련하여-

  • Received : 2017.04.18
  • Accepted : 2017.06.20
  • Published : 2017.06.28

Abstract

The purpose of this study was to investigate the association between antioxidant food intake pattern and asthma control status in Korean adolescents. This study was conducted using data from 1,578 patients diagnosed with asthma among the participants in the 11th online health behavior survey. Statistical analyses were performed for sociodemographic variables, known risk factors for asthma worsening, and all variables which were related to food intake pattern. For final decision, logistic regression analysis was used to estimate the associations between antioxidant food intake and asthma worsening. Male gender and smoking experiences were associated with asthma exacerbation. Low intake of antioxidant foods status also significantly increased asthma exacerbations. Antioxidant food intake and smoking prevention education is important for adolescent asthma patients. It is highly needed to recommend taking fruits and vegetables properly.

본 연구의 목적은 한국 청소년 천식 환자의 천식 악화와 항산화 식품 섭취와의 연관성을 알아보는 것이다. 이 연구는 제11차 청소년건강행태 온라인조사 참여자 중 천식으로 진단받은 1,578명의 자료를 이용하여 시행하였다. 알려진 천식 악화의 위험인자들과 사회인구적 변수들과 모든 식품 섭취 행태관련 변수들을 통계적으로 분석하였다. 항산화 식품섭취와 천식 악화와의 연관성을 추정하기위해 로지스틱 회귀분석을 최종적으로 사용하였다. 분석결과 남성 및 흡연경험은 천식악화와 관련이 있었고, 적은 항산화 식품 섭취 또한 천식악화를 의미 있게 높이는 것으로 나타났다. 따라서 천식 청소년을 대상으로 금연과 항산화식이섭취 교육이 중요하다. 과일과 야채를 적절히 섭취하도록 권장하는 것이 필요하다.

Keywords

References

  1. National Asthma Education and Prevention Program: Expert panel report III: Guidelines for the diagnosis and management of asthma. Bethesda, MD: National Heart, Lung, and Blood Institute, 2007.
  2. Global Strategy for Asthma Management and Prevention, Global Initiative for Asthma (GINA). www.ginasthma.org (Accessed on January 30, 2015).
  3. Bousquet JKN. Global surveillance, prevention and control of Chronic Respiratory Diseases. A comprehensive approach, 2015.
  4. Y. H. Lee , S. J. Yoon, E. J. Kim, Y. A. Kim, H. Y. Seo, I. H. Oh. "Economic burden of asthma in Korea." Allergy Asthma Proc, Vol. 32, pp. 35-40, 2011. https://doi.org/10.2500/aap.2011.32.3479
  5. Organization WH. Global surveillance, prevention and control of chronic respiratory diseases. The Global Alliance against Chronic Respiratory Diseases 2007.
  6. M. Masoli, D. Fabian, S. Holt, R. Beasley. "The global burden of asthma: executive summary of the GINA Dissemination Committee report." Allergy, Vol. 59, pp. 469-78, 2004. https://doi.org/10.1111/j.1398-9995.2004.00526.x
  7. The Korean Academy of Tuberculosis and Respiratory Diseases. Korean asthma guideline. https://www.lungkorea.org/thesis/file/asthma_2014
  8. British Guideline on the Management of Asthma. https://www.brit-thoracic.org.uk/guidelines-and-quality-standards/asthma-guideline
  9. H. S. Park, G. S. Choi, J. S. Cho, Y. Y. Kim. "Epidemiology and current status of allergic rhinitis, asthma, and associated allergic diseases in Korea": ARIA Asia-Pacific workshop report. Asian Pac J Allergy Immunol, Vol . 27, pp. 167-71, 2009.
  10. The Korean academy of asthma, allergy and clinical immunology. Korean guideline for asthma. http://www.allergy.or.kr/file/150527_01.pdf
  11. C. P. Schayck, H. A. Smit, "The prevalence of asthma in children: a reversing trend." European Respiratory Journal, Vol. 26, pp. 647-650, 2005. https://doi.org/10.1183/09031936.05.00019805
  12. A. Seaton, A. Soutar, J. Mullins. "The increase in hay fever: pollen, particulate matter and SO2 in ambient air." QJM. Vol. 89, No. 4, pp. 279-84, 1996. https://doi.org/10.1093/qjmed/89.4.279
  13. D. G. Park. Antioxidant compounds and activities in foods. Bulletin of food technology, Vol. 8, No. 2, pp. 115-118, 1995.
  14. G. Devereux, A. Seaton, "Diet as a risk factor for atopy and asthma" J Allergy Clin Immunol, Vol. 115, pp. 1109-17, 2005. https://doi.org/10.1016/j.jaci.2004.12.1139
  15. F. Forastiere, R. Pistelli, P. Sestini, C. Fortes, E, Renzoni, F. Rusconi, et al. "Consumption of fresh fruit rich in vitamin C and wheezing symptoms in children." Thorax, Vol. 55, No. 4, pp. 283-8, 2000. https://doi.org/10.1136/thorax.55.4.283
  16. Centers for disease control & prevention. 11th survey of youth health behavior online survey, 2015.
  17. 2012 Korean Obesity Society Guideline. Korean Journal of Obesity, Vol. 23, pp.217-221.
  18. M. S. Park, J. H. Leem, H. C. Kim, D. K. Lamichhane, S. Y. Oh, M. Ha, H. J. Kwon, "The effects of dietary antioxidants intake and exposure to traffic-related air pollution on asthma in school children." Korean Society of Environmental Health and Toxicology, Vol. 10, pp. 666-667, 2013.
  19. Y. J. Lee, "Daily Smoking Girls' Tobacco Use, Health Behaviors and Family Factors : Analysis of 2015 Korean Youth Risk Behavior Web-based Survey" Journal of Digital Convergence, Vol. 14, pp.377-384, 2016.
  20. B. J. Apelberg, C. G. Corey, A. C. Hoffman, "Symptoms of tobacco dependence among middle and high school tobacco users: results from the 2012 National Youth Tobacco survey." Am J Prev Med, Vol. 45, pp. S4, 2014
  21. Y. M. Cho, M. Y. Woo, "Affecting Nicotine Dependence of Social Psychological Variables in Smoking middle school" Journal of Digital Convergence, Vol. 14, pp.295-303, 2016.
  22. S. Y. Lee. S. J. Hong, B. S. Kim, C. K. Kim, D. J. Lee, D. K. Lee, Y. Y. Koh, J. S. Lee, "The association between recent dietary patten as a risk factor of 12-month asthma symptom prevalence in korean elementary school children." Allergy Asthma & Respiratory Disease, Vol. 16, No. 4, pp. 296-305, 2006.
  23. Y. S. Park, J. H. Song, S. I. Won, "Recognition of Atopic Dermatitis, Asthma and the Smack Intake Status among Middle School Students in Seoul" The East Asian Economic Association, Vol. 21, No. 4, pp. 485-498, 2011.
  24. H. J. Jeong, "Effects of a self-care program for Asthma patients : A Pilot Study" Journal of Digital Convergence, Vol. 14, pp.437-443, 2016.