• 대한영양사협회학술지
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• 제24권2호
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• pp.181-190
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• 2018

The purpose of this study was to suggest strategies for effective food allergen labeling in order to prevent food allergies in school meal service. Food allergy experience, eating behavior, and perceptions of food allergen labeling in school meal service were surveyed and compared according to the food allergy experiences of middle school girls in Incheon. Seventy-eight students (17% of total subjects) experienced food allergies. For eating behaviors, students with food allergy experience had significantly higher scores for using nutritional knowledge in their life than inexperienced subjects. For the perception of food allergen labeling in school meal service, girls who had experienced food allergies more often checked labeling of school meals for allergenic foods than those who had no experience of food allergies (P<0.001). The most desirable method for displaying allergenic foods was an indication of the allergenic food name among students who had experienced food allergies and allergenic food number of the current method for students who had not experienced food allergies (P<0.001). Students who had not experienced food allergies showed significantly lower interest in food allergen labeling than subjects who had experienced food allergies (P<0.001). For the importance score of information items in nutrition labeling, allergenic food score was significantly higher in students who had experienced food allergies (3.9 vs. 3.4 points, P<0.001). These results indicate that students who have experienced food allergies are more interested in food allergen labeling of school meals and that they are more aware. Efforts to improve labeling method such as directly labeling allergenic food name and a more visible indication are required for efficient utilization of food allergen labeling in school meal service.

• Journal of Nutrition and Health
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• 제56권2호
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• pp.184-202
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• 2023

본 연구는 식품알레르기 경험이 있는 미취학아동의 양육자를 대상으로 양육자가 식품알레르기 관리를 위해 필요한 교육이 무엇인지 파악하고자 하였다. 양육자 400명을 대상으로 2022년 7월 온라인 업체를 통해 설문조사를 진행하였으며, 모든 데이터는 SPSS 통계 (ver. 25)를 사용하여 분석되었다. 미취학아동의 식품알레르기 경험에도 불구하고 양육자의 식품알레르기 지식수준은 낮았다. 특히 '원인식품' (74.2%)과 '식품반응' (65.2%) 관련된 문항의 오답률이 높았다. 또한, 식품알레르기 지식수준을 '상', '중', '하'로 구분하여 평가한 결과 미취학아동의 연령에 따라 아동의 나이가 어릴수록 지식수준이 유의하게 높았다 (p < 0.05). 양육자의 식품알레르기 관리여부를 4가지 문항으로 측정한 결과, '식재료 및 조리기기 분리사용' (50.5%), '식품알레르기 유발표시 확인' (34.0%) 관리율이 낮았다. 식품알레기 진단여부에 따라 식재료 및 조리기기를 분리사용 관리에 유의적인 차이가 있었으며, 의사진단을 받은 미취학아동의 양육자 중 59.4%가 분리사용 관리를 하고 있었다 (p < 0.01). 또한, 식품알레르기 지식이 높아질수록 관리의 총점이 높아졌다 (r = 0.137, p < 0.01). 본 연구결과를 바탕으로 살펴볼 때 지식수준이 낮거나, 자녀가 만 4세 이상, 자가진단을 하는 양육자의 경우 식품알레르기 관리율이 낮았다. 따라서 해당 양육자의 지식수준을 높일 수 있는 '유발식품제한', '식품알레르기 유발표시 확인', '식재료 및 조리기기 분리사용' 하는 방법 등 맞춤 교육이 필요하다고 사료된다.

• Nutritional Sciences
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• 제2권2호
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• pp.119-124
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• 1999

Food allergies play an important role in Atopic Dermatitis (AD). Dietary manipulation is essential in the management of AD. However, there has been a paucity of data reporting the prevalence of food allergies in AD patients in Korea. In this study, the Food Open Challenge Tests (FOCT) were conducted to investigate food allergies in AD patients. The skin-prick test and the detection of specific IgE, as well as allergy history of patient were used to detect food allergies in all AD patients. Elimination diet was conducted for two weeks prior to FOCTs. The prevalence of food allergies by FOCT is as follows: milk (67.3%); chicken (64.2%); pork (62.8%); eggs (61.0%); beef(55.4%) ; wheat (52.0%) and soybean (45.2%). Allergenic food items in Korean AD patients were different from people in other foreign countries. The seven major foods those tested positively by FOCTs were completely eliminated from the replaced diets for two weeks, and were subsequently reintroduced one at a time. Results from FOCTs were not comparable with allergy history or skin-prick tests or specific IgE detection. The sensitivity and specificity of skin-prick tests and specific IgE detection were lower than FOCTs. Allergy history, skin-prick tests, and specific IgE detection are useful for the identification of food allergen but its clinical significance differed according to food items. Therefore, we conclude that even though a 10-day delay was necessary after food challenge, FOCT is a useful and valid method to confirm food allergies and may be essential for the effective control of food allergies for treatment of AD.

• 항공우주의학회지
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• 제31권1호
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• pp.17-20
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• 2021

As the coronavirus disease 2019 (COVID-19) pandemic continues, doctors face many difficulties in managing patients with respiratory allergies. As research continues, much new knowledge has emerged about the link between COVID-19 infection and respiratory allergies. Studies to date have shown that there is no significant increase in the risk of COVID-19 infection in patients with respiratory allergies. However, in patients undergoing treatment for moderate to severe asthma or allergic rhinitis, more severe clinical manifestations, increased hospitalization period, and increased mortality may occur, so patients need to be managed with more care. In addition to personal efforts, social consideration should be accompanied to prevent deterioration in patients' quality of life with respiratory allergies due to COVID-19. Lastly, as clinical doctors, we should treat patients with respiratory allergies to protect ourselves appropriately by actively utilizing remote medical treatment and minimizing tests that generate droplets. Also, by appropriately educating patients and continuing drug treatment, efforts should be made to ensure that patients receive the best treatment even in a pandemic situation.

• 동아시아식생활학회지
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• 제25권6호
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• pp.1058-1064
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• 2015

This study aimed to evaluate the educational effects of an education program about food allergies in elementary school children. We conducted an education program consisting of eight classes for a total of 4,744 students at 100 elementary schools in Seoul and investigated changes in knowledge and awareness about food allergies in participants using a questionnaire. A total of 576 students (12.1%) reported that they have taken medical treatment because of a food allergy. After education, the knowledge score of participants significantly increased from 2.7 to 3.3 out of 5.0 (p<0.001). The ratio of having a friend with a food allergy decreased from 24.7% to 19.8% (p<0.001). The participants responding as having helped a friend with a food allergy significantly increased from 15.5% to 17.7% (p=0.003). Before education, 16.8% of respondents answered that they felt pity for friends with food allergies, whereas this percentage significantly decreased after education (p=0.034). Among 576 students with food allergies, 21.5% reported that they felt depressed due to their food allergies before education. However, the percentage significantly decreased after education (p<0.001). These results suggest that the education program about food allergies for elementary school students needs to be extended more widely to children.

• 한국지역사회생활과학회지
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• 제27권3호
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• pp.521-531
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• 2016

This study was conducted to measure the prevalence of food allergies among kindergarten and elementary school children and their parents' perceptions of the Food Allergen Labeling System in school food service (FALSSFS). The surveys were conducted by the parents of children in Yangsan-si, Gyeongsangnam-do, Korea. According to the results, the prevalence of food allergies among the children was 21.9% (current group 8.1% and experienced group 13.8%). The features of the food allergy of the children were as follows : The onset time of allergy was at 1-2 years for 59 children (40.7%), at 3-4 years for 41 children (28.3%), and the main symptoms of allergy were 'rash and skin hives' (47.1%) and 'itching' (30.2%). In terms of the family history, the prevalence of allergies among the mothers was the highest with a value of 31.9%. The allergenic foods were egg (14.7%), pork (11.6%), and milk (8.9%) in the order. Most of the parents had a low perception of the FALSSFS. 26.2% of the parents requested preventive education related to food allergies at school, making this the most requested item, followed by "helping students understand students with food allergies" with a value of 20.2%. The benefit of the FALSSFS was to increase the safety of school food and promote the emotional health of children with allergies.

• 대한지역사회영양학회지
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• 제22권4호
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• pp.298-306
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• 2017

Objectives: The purpose of this study was to investigate the awareness and nutritional management of food allergy (FA) by preschooler's faculty members in child care centers. Methods: A questionnaire survey was conducted among faculty members of child care centers in Seoul. The questionnaire was designed to identify the prevalence of food allergies, requirements of food allergy support and differences in food management depending on the presence of allergic diseases. After excluding incomplete responses, the data of 171 faculties in 137 child care centers (95.0%) were used for statistical analysis. Results: According to the 137 collected questionnaires, 96 child care centers asked parents about their children's allergic disease and 151 children from 66 child care centers had food allergies. A reported 89 children from 43 child care centers had food restrictions. However, 9 child care centers (21.0%) were not aware of food restriction for children with food allergies. Only 6 child care centers (14.0%) supplied substitute foods with the same amount and type of nutrients. Forty eight faculties (28.1%) received training about food allergies. Although there were some differences according to institution type, most of the faculty members wanted food allergy-related support. Conclusions: This study identified a lack of food allergy training for faculty members in child care centers. For proper management, it is necessary for faculty members of child care centers to be educated on overall food allergies. Food allergy-related support such as menus without allergenic ingredients, guidelines on emergency care for food allergies and anaphylaxis should be provided for faculty members in child care centers.

• Nutrition Research and Practice
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• 제9권5호
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• pp.517-522
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• 2015

BACKGROUND/OBJECTIVES: The objective of this study was to investigate food allergens and prevalence rates of food allergies, followed by comparison of consumer attitudes and preferences regarding food allergy labeling by diagnosis of food allergies. SUBJECTS/METHODS: A total of 543 individuals living in Seoul and Gyeonggi area participated in the survey from October 15 to 22 in 2013. RESULTS: The results show that the prevalence of doctor-diagnosed food allergies was 17.5%, whereas 6.4% of respondents self-reported food allergies. The most common allergens of doctor-diagnosed and self-reported food allergy respondents were peaches (30.3%) and eggs (33.3%), respectively, followed by peanuts, cow's milk, and crab. Regarding consumer attitudes toward food labeling, checking food allergens as an item was only significantly different between allergic and non-allergic respondents among all five items (P < 0.001). All respondents reported that all six items (bold font, font color, box frame, warning statement, front label, and addition of potential allergens) were necessary for an improved food allergen labeling system. PLSR analysis determined that the doctor-diagnosed group and checking of food allergens were positively correlated, whereas the non-allergy group was more concerned with checking product brands. CONCLUSIONS: An effective food labeling system is very important for health protection of allergic consumers. Additionally, government agencies must develop policies regarding prevalence of food allergies in Korea. Based on this information, the food industry and government agencies should provide clear and accurate food labeling practices for consumers.

• Nutrition Research and Practice
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• 제7권2호
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• pp.115-121
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• 2013

We examined the characteristics of food allergy prevalence and suggested the basis of dietary guidelines for patients with food allergies and atopic dermatitis. A total of 2,417 patients were enrolled in this study. Each subject underwent a skin prick test as well as serum immunoglobulin E (IgE) measurement. A double-blind, placebo-controlled food challenge was conducted using milk, eggs, wheat, and soybeans, and an oral food challenge was performed using beef, pork, and chicken. Food allergy prevalence was found among 50.7% in patients with atopic dermatitis. Among patients with food allergies (n = 1,225), the prevalence of non-IgE-mediated food allergies, IgE-mediated food allergies, and mixed allergies was discovered in 94.9%, 2.2%, and 2.9% of the patients, respectively. Food allergy prevalence, according to food item, was as follows: eggs = 21.6%, milk = 20.9%, wheat = 11.8%, soybeans = 11.7%, chicken = 11.7%, pork = 8.9% and beef = 9.2%. The total number of reactions to different food items in each patient was also variable at 45.1%, 30.6%, 15.3%, 5.8%, 2.2%, and 1.0% for 1 to 6 reactions, respectively. The most commonly seen combination in patients with two food allergies was eggs and milk. The clinical severity of the reactions observed in the challenge test, in the order of most to least severe, were wheat, beef, soybeans, milk, pork, eggs, and chicken. The minimum and maximum onset times of food allergy reactions were 0.2-24 hrs for wheat, 0.5-48 hrs for beef, 1.0-24 hrs for soybeans, 0.7-24 hrs for milk, 3.0-24 hrs for pork, 0.01-72 hrs for eggs, and 3.0-72 hrs for chicken. In our study, we examined the characteristics of seven popular foods. It will be necessary, however, to study a broader range of foods for the establishment of a dietary guideline. Our results suggest that it may be helpful to identify food allergies in order to improve symptoms in patients with atopic dermatitis.

• 한국식품영양과학회지
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• 제26권1호
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• pp.1-9
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• 1997

한국인의 식품 알레르기 빈도와 그 원인 식품을 조 사하기 위하여 1,469명을 대상으로 실시한 식품 알레르기 에 대한 설문 조사 및 설문 조사 결과 식품 알레르기가 있다고 응답한 167명 중 헙조가 가능한 84명을 대상으로 실시한 알레르기특이 항체 검사(MAST검사) 결과는 다음과 같다. 총 응답자 1,469명 중 남자는 708 명, 여자는 761명이었으며, 연령대에 대체로 균등한 분포를 보였다 경제적 수준은 100~199만원이 726명 (49.4%)으로 가장 많았고 알레르기 가족력이 있다는 응답자는 684명 (46.6%)으로 조사대상자의 약 반수 정도가 가족력이 있는 것으로 나타났다. 병력상 식품 알레르기의 유병율은 11.4%(1,469명 중 167명)였고, 남자에서는 9.7%, 여자에서는 12.9%였다 식품 알레르기의 유병율은 고소득층에서 높은 경향을 보였으며, 알레르기 가족력을 가진 군에서의 식품 알레르기 유병율이 가족력이 없는 군에 비해 약 2배 이상 높았다. 식품 알레르기의 증상은 남녀 모두 피부 알레르기가 가장 많았다. 그 다음으로는 남자에서는 코 알레르기 , 여자에서는 눈 알레르기였다. 원인 식품 알레르겐의 수는 응답자의 약 반수가 1개의 식품에 알레르기를 가진 것으로 나타났다 원인 식품 섭취 후의 증상 발현시간은 30분 이내가 가장 많았고 조사대상자의 약 2/3가 2시간 이내에 알레르기 증상이 나타났다고 하였다. 병력에서 나타난 원인 식품 알레르기는 고등어가 가장 많았고 다음으로는 복숭아, 돼지고기, 닭고기, 우유, 계란의 순 이었다. MAST검사에서 나타난 식품 알레르기의 추정 유병율은 4.1%였으며, 원인 식품항원은 복숭아 및 돼지고기가 가장 많았고 다음으로는 우유 및 새우(각각 20.0%), 땅콩 및 콩(각각 16.7%) 등의 순이었다. 연령 대별로는 10대 이하에서는 우유, 20대~30대에서는 복숭아, 40대 이상에서는 돼지고기가 많이 나타났다.