DOI QR코드

DOI QR Code

Dietary Behaviors of Preschool Children and Food Allergy Prevalence of Preschool Childcare Facilities in Gwangsan-gu, Gwangju Metropolitan City

광주광역시 광산구 보육시설 유아의 식행동과 식품알레르기 발생 현황

  • Yang, Eunju (Department of Food and Nutrition, Honam University)
  • Received : 2020.01.10
  • Accepted : 2020.02.19
  • Published : 2020.02.28

Abstract

This study aimed to evaluate dietary behaviors and food allergy status of preschool children in Gwangsan-gu, Gwangju Metropolitan city. The survey included 592 preschool children aged 1-5 years old in 31 childcare facilities. General characteristics, feeding type, complementary feeding, food allergy, dietary behaviors based on the NQ-P questionnaire, and dietary habits of their family were considered. Exclusively breast-fed children was 32.2% of the subjects and the breast feeding duration was 6.5 months. Subjects who had complementary feeding within 6 months was 77.2% and starting time of complementary feeding was 6.1 months. Fifteen percent of the subjects had food allergies and foods that induced allergy were instant foods, eggs, milk and dairy products, nuts, seafood. Food allergy was not related to breast feeding nor complementary feeding. The NQ-P score and its 3 factors including 'balance', 'moderation', and 'environment' were 59.9, 61.1, 56.0, 62.6, respectively. There were positive relations between children's dietary behaviors and family dietary habits such as breakfast eating frequency and meal regularity. As age of children increased, instant food intake increased and breakfast eating frequency decreased. Proper nutrition education is needed to children, their parents, and their care givers at childcare facilities to improve children's dietary behavior and health.

Keywords

References

  1. Ahn KM. 2011. Food allergy: diagnosis and management. Korean J Asthma Allergy Clin Immunol, 31(3):163-169
  2. Cho W, Kim J. 2015. The current state of food allergy of preschool childcare facilities in Hanam. Korean J Community Nutr, 20(4):251-258 https://doi.org/10.5720/kjcn.2015.20.4.251
  3. Cho YM, Ryu SH, Choi MS, Tinyami ET, Seo SC, Chung JT. 2014. Asthma and allergic diseases in preschool children in Korea: findings from the pilot study of the Korean Surveillance System for Childhood Asthma. J of Asthma, 51(4):373-379 https://doi.org/10.3109/02770903.2013.876648
  4. Ehlayel MS, Berner A, 2008. Duration of breasr-feeding and the risk childhood allergic diseases in a developing country. Allergy asthma proc, 29:386-391 https://doi.org/10.2500/aap.2008.29.3138
  5. Her ES, Seo BY. 2019. Relation of nutritional intake and allergic rhinitis in infants-using the Korea National Health and Nutrition Examination Survey (KNHANES) 2013-2016. Korean J Community Nutr, 24(4):321-330 https://doi.org/10.5720/kjcn.2019.24.4.321
  6. Jeon PK, Kwon JY, Hwang EM, Pyun BY. 2003. Survey on the pattern of food intake during early childhood and allergic disease. Pediatr Allergy Respir Dis, 13(1):33-46
  7. Jung YH, Kim JH. 2016. Evaluation of nutrition quotient and related factors in preschool children. Korean J Community Nutr, 21(1):1-11 https://doi.org/10.5720/kjcn.2016.21.1.1
  8. Kim DC, Seo AD, Yang SI, Lee HR, Lee SY. 2016. Breastfeeding increases the risk of food sensitization but not affect food allergy symptoms in young children with atopic dermatitis. Allergy Asthma Respir Dis 4(3):188-194 https://doi.org/10.4168/aard.2016.4.3.188
  9. Kim EK, Song B, Ju SY. 2018. Dietary status of young children in Korea based on the data of 2013-2015 Korea National Health and Nutrition Examination Survey. J Nutr Health, 51(4):330-339 https://doi.org/10.4163/jnh.2018.51.4.330
  10. Kim HY, Kwon S, Lee JS, Choi YS, Chung HR, Kwak TK. Park J, Kang MH. 2012. Development of a nutrition quotient (NQ) equation modeling for children and the evaluation of its construct validity. Korean J Nutr, 45(4):390-399 https://doi.org/10.4163/kjn.2012.45.4.390
  11. Kim JH, Jung YH. 2014. Evaluation of food behavior and nutritional status of preschool children in Nowon-gu of Seoul by using Nutrition Quotient (NQ). Korean J Community Nutr, 19(1):1-11 https://doi.org/10.5720/kjcn.2014.19.1.1
  12. Kim JR, Lim HS. 2015. Relationships between children's Nutrition Quotient and the practice of the dietary guidelines of elementary school students and their mothers. J Nutr Health, 48(1):58-70 https://doi.org/10.4163/jnh.2015.48.1.58
  13. Kim SB, Kim JH. 2017. Food allergy awareness and nutritional management by preschooler's faculty members of child care facilities. Korean J Community Nutr, 22(4):298-306 https://doi.org/10.5720/kjcn.2017.22.4.298
  14. Kim YH, Urm SH, Kim WK. 2011. Prevalence of allergic diseases and risk factors in preschool children. Pediatr Allergy Respir Dis, 21(1):14-20
  15. Kull I, Wickman M, Lilja G, Nordvall S, Pershagen G. 2002. Breast feeding and allergic diseases in fants-a procpective birth cohort study. Arch Dic Child 87:478-81 https://doi.org/10.1136/adc.87.6.478
  16. Lee AR, Yu YL, Kim HJ, Kim KA, Kim KW. 2016a. Status of dietary life related knowledge, self-efficacy, food preference and dietary behaviors of preschoolers in Kyunggi area. Korean J Community Nutr, 21(3):274-283 https://doi.org/10.5720/kjcn.2016.21.3.274
  17. Lee H, Ahn K, Han Y, Chung SJ. 2013. Effects of nutrition education promoting vegetables, fruits, and fish intake on the severity of atomic dermatitis in children: results from a one-year follow up study. Korean J Community Nutr, 18(5):515-524 https://doi.org/10.5720/kjcn.2013.18.5.515
  18. Lee HJ, Kim JH, Song S. 2019. Assessment of dietary behaviors among preschoolers in Daejeon: using Nutrition Quotient for preschoolers (NQ-P). J Nutr Health, 52(2):194-205 https://doi.org/10.4163/jnh.2019.52.2.194
  19. Lee HS, Lee J, Hong SH, Kim JW, Kim SY, Lee KH. 2012. Prevalence and risk factors for allergic disease of children living in Seogwipo, Jeju, Korea. Korean J Asthma Allergy Clin Immunol, 32(2):107-114
  20. Lee JS, Kang MH, Kwak TK, Chung HR, Kwon S, Kim HY, Hwang JY, Choi YS. 2016b. Development of nutrition quotient for Korean preschoolers (NQ-P): item selection and validation for factor structure. J Nutr Health, 49(5):378-394 https://doi.org/10.4163/jnh.2016.49.5.378
  21. Lee S, Lee H, Han Y, Ahn K, Lee S, Chung SJ. 2011. Excessive food restriction in children with atopic dermatitis. Korean J Community Nutr, 16(6):627-635 https://doi.org/10.5720/kjcn.2011.16.6.627
  22. Min S, Cho M, Park K. 2013. Risk factors for allergic disease in school-aged children. J Korean Soc Food Sci Nutr, 42(9):1387-1394 https://doi.org/10.3746/jkfn.2013.42.9.1387
  23. Min SH. 2018. Evaluation of dietary behavior among preschooler in Jecheon area using Nutrition Quotient for preschoolers. Korean J food Cook Sci, 34(4):413-423 https://doi.org/10.9724/kfcs.2018.34.4.413
  24. Nam SY, Yoon HS, Kim WK. 2005. Prevalence of allergic disease in kindergarten age children in Korea. Pediatr Allergy Respir Dis, 15:439-445
  25. Park SJ, Lee JS, Ahn K, Chung SJ. 2012. The comparison of growth and nutrient intakes in children with and without atopic dermatitis. Korean J Community Nutr, 17(3):271-279 https://doi.org/10.5720/kjcn.2012.17.3.271
  26. Saadeh D, Salameh P, Baldi I, Raherison C. 2013. Diet and allergic diseases among population aged 0 to 18 years: myth or reality. Nutrients 5:3399-3423 https://doi.org/10.3390/nu5093399
  27. Sears MR, Greene JM, Willan AR, Taylor DR, Flannery EM, Cowan JO. 2002. Long-term relation between breast feeding and development of atopy and asthma in children and young adults: a longitudinal study. Lancet, 360:901-907 https://doi.org/10.1016/S0140-6736(02)11025-7
  28. Shin JW, Kim WK, Yoon HS. 2009. Assocition of breastfeeding and allergic disease in preschool aged children. Pediatr Allergy Respir Dis, 19(4):374-382
  29. Son DY, Yoon KR, Lee SI. 2002. Study of the most common allergic foods in Korea. Korean J. Food Sci. TECHNOL, 34(5):885-888
  30. Song EY, Rho JO. 2018. Study on the correlation between nutrtion knowledge, dietary attitudes of guardians, and nutritional status of infants and toddlers-Nutrition-Plus program in Jeonju. J Nutr Health, 51(3):242-253 https://doi.org/10.4163/jnh.2018.51.3.242
  31. Thygarajan A, Burks AW. 2008. American academy of pediatrics recommendations on the effects of early nutritional interventions on the development of atopic disease. Curr Opin Pediatr, 20:698-702 https://doi.org/10.1097/MOP.0b013e3283154f88
  32. Yon M, Lee HS, Kim D, Lee J, Nam J, Moon GI, Hong J, Kim CI. 2013. Breast-feeding and obesity in early childhood-based on the KNHANES 2008 through 2011-. Korean J Community Nutr, 18(6):644-651 https://doi.org/10.5720/kjcn.2013.18.6.644
  33. Yon M, Shin HS, Lee HS. 2019. Relationship between complementary feeding introduction and early childhood caries: results from the Korea National Health and Nutrition Examination Survey 2008-2015. Korean J Community Nutr, 24(2):97-105 https://doi.org/10.5720/kjcn.2019.24.2.97
  34. Yoo B, Park Y, Park K, Kim H. 2015. A 9-year trend in the prevalence of allergic disease based on National Health Insurance data. J Prev Med Public Health 48:301-309 https://doi.org/10.3961/jpmph.15.011
  35. Yu JS, Lee CJ, Lee HS, Kim J, Han Y, Ahn K, Lee SI. 2012. Prevalence of atopic dermatitis in Korea: analysis by using National Statistics. J Korean Med Sci, 27:681-685 https://doi.org/10.3346/jkms.2012.27.6.681
  36. Korea Center for Disease Control & Prevention, Korean National Growth Charts 2017. Available from: https://knhanes.cdc.go.kr/knhanes/sub08/sub08_02.do, [accessed 2020. 01. 02]