• Clinical and Experimental Pediatrics
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• 제58권9호
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• pp.330-335
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• 2015

Purpose: The clinical interpretation of children sensitized to allergens is challenging, particularly in children with food allergies. We aimed to examine clinical differences between children with monosensitization and those with polysensitization to common food allergens and to determine risk factors for polysensitization in young children <10 years of age with immediate-type food allergies. Methods: The study included children <10 years of age with signs and symptoms indicative of immediate-type food allergies. Serum total IgE level was measured, and ImmunoCAP analysis for food allergens was performed. Results: The mean age of the study subjects was $1.6{\pm}1.6$ years (75 boys and 51 girls). Thirty-eight children (30.2%) were monosensitized and 88 children (69.8%) were polysensitized. Multivariate logistic regression analysis showed that the development of polysensitization to common food allergens was positively associated with a parental history of allergic rhinitis (adjusted odds ratio [aOR], 6.28; 95% confidence interval [CI], 1.78-22.13; P=0.004), season of birth (summer/fall) (aOR, 3.10; 95% CI, 1.10-8.79; P=0.033), and exclusive breastfeeding in the first 6 months of age (aOR, 3.51; 95% CI, 1.20-10.25; P=0.022). Conclusion: We found significant clinical differences between children with monosensitization and those with polysensitization to common food allergens and identified risk factors for the development of polysensitization in young children with immediate-type food allergies. Clinicians should consider these clinical risk factors when evaluating, counseling, treating, and monitoring young children with food allergies.

• 환경영향평가
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• 제33권3호
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• pp.99-115
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• 2024

도시 녹지는 시민들에게 다양한 긍정적인 효과를 주지만, 생태계디스서비스(Ecosystem Disservice)를 발생시킬 수 있다. 생태계디스서비스는 국제적으로 논의되고 있지만 국내에서는 아직 논의가 미흡하다. 특히, 꽃가루 알레르기는 대표적인 생태계디스서비스로 논의되고 있다. 최근 연구에서는 기후변화에 따라 꽃가루의 부정적인 피해가 증가할 것으로 예측되고 있다. 이런 맥락에서 본 연구는 생태계디스서비스에 대해 논의하는 첫 단계로서 현재 도시 녹지의 꽃가루 알레르기 유발성을 진단하고 기후변화 시나리오상에서 꽃가루 알레르기 유발성의 변화를 확인하고자 한다. 이를 위해, 꽃가루 알레르기 유발성 평가를 위해 개발된 IUGZA (Urban Green Zone Allergenicity Index)를 사용하여 서울어린이대공원을 대상으로 꽃가루 알레르기 유발성을 평가하였다. 현재 서울어린이대공원의 IUGZA는 선행연구에서 제시된 임계값보다 높아 알레르기로 인한 피해가 발생할 수 있는 수준으로 확인되었다. 또한, 기후변화 시나리오에 따라 꽃가루 알레르기 유발성은 점차 높아지는 것으로 확인되었다. 현재와 기후변화가 가장 심한 시나리오를 비교한 결과 현재에는 알레르기 피해 유발 정도가 낮은 수종이 기후변화가 심해지면 높아질 가능성을 확인하였다. 따라서 본연구에서 도출된 결과는 기후변화에 따라 꽃가루로 인한 사회적 피해가 증가할 수 있음을 시사하며 향후 식재 선정 및 관리에 고려가 필요할 만한 수종을 제시하였다는 것에 의의가 있다.

• Nutrition Research and Practice
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• 제7권6호
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• pp.488-494
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• 2013

A food allergy is an adverse health effect arising from a specific immune response that occurs reproducibly upon exposure to a given food. In those with food allergies that are thought to cause aggravation of eczema, food avoidance is important. The objective of this study was to research the nutritional status of patients with food allergies. A total of 225 subjects diagnosed with atopic dermatitis underwent a skin prick test as well as measurement of serum immunoglobulin E. Food challenge tests were conducted using seven food items: milk, eggs, wheat, soybeans, beef, pork, and chicken. At post-food challenge visits to the test clinic, participants completed a three-day dietary record, which included two week days and one weekend day, in order to evaluate energy intake and diet quality during the challenge. We analyzed nutrient intake based on differential food allergens. Subjects with a food allergy to milk showed lower intake of Ca, Zn, and vitamin B2, and subjects with a food allergy to egg showed lower intake of vitamin A, B1, B2, niacin, and cholesterol. Subjects with a food allergy to wheat and soybean showed lower intake of Ca, P, Fe, K, Zn, vitamin B2, vitamin B6, and niacin; and subjects with a food allergy to beef, pork, and chicken showed lower intake of Fe and higher intake of K, vitamin A, B2. Subjects with atopic dermatitis were lacking in several nutrients, including vitamin A and vitamin C. A greater number of food allergies showed an association with a greater number of nutrient intake deficiencies. Allergen avoidance is the basic treatment for atopic dermatitis. However, when the allergen is food, excessive restriction can lead to nutrition deficiency. Findings of this study suggest the necessity for enhanced nutritional education in order to provide substitute foods for patients with food allergies who practice food restriction.

• 대한지역사회영양학회지
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• 제21권5호
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• pp.426-439
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• 2016

Objectives: This study was performed to measure the food allergy (FA) awareness and management by the parents of preschool children. Methods: A questionnaire survey was conducted with the parents of preschool children. The questionnaire was designed to identify the prevalence of food allergies, requirements of food allergy support and differences in food management according to the presence or absence allergic diseases, using a modified International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire. After excluding incomplete responses, the data of 158 parents of preschool children (90.3%) was used for statistical analysis. Results: The rate of the preschool children who had experienced food allergy (FA, ever) was 38.6% while diagnosed for food allergy by doctor (Diagnosis of FA, ever) was 17.7%. Forty nine preschool children (80.3%) had food restriction, and twenty three of them (37.7%) had self-restriction without diagnosis. The consumption frequencies of allergenic foods in FA group, such as ramyeon, noodles, bread, eggs, yogurt and ice cream were significantly (p<0.001) lower than those of the other two groups. The major allergenic foods were eggs, milk, wheat and processed foods in FA group. The overall food allergy-related knowledge level of parents was insufficient. Only 26 parents (16.5%) had received training about food allergies. All parents wanted to receive food allergy-related supports. In addition, most of parents wanted information on substitute menu for children with food allergy. Conclusions: This study identified a lack of food allergy training for the parents of preschool children and the necessity for food allergy education. Food allergy-related supports, such as menus without allergenic ingredients, guidelines for managing food allergy & anaphylaxis emergency care plan etc, should be provided to the parents in order to avoid events related to food allergies.

• 한국융합학회논문지
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• 제9권12호
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• pp.287-294
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• 2018

어린이들의 식품 알레르기가 매년 증가하고 있고, 여성의 사회진출 증가로 어린이집에 재원하는 어린이의 비율 또한 증가하는 추세이다. 이에 본 연구에서는 C시에 등록된 가정어린이집 운영자인 원장을 대상으로 어린이집 급식의 식품 알레르기 관리현황과 이에 대한 지식, 태도, 실천을 조사하고 이를 융합적으로 해석하여 어린이들의 안전한 급식제공을 위한 기초자료를 마련하고자 하였다. 연구결과 가정 어린이집 운영자에 비하여 교사와 조리원의 식품알레르기에 대한 교육의 기회가 많이 부족하였고, 알레르기 교육을 받은 운영자의 식품 알레르기 관리에 대한 지식과 태도, 실천이 바람직한 것으로 나타났다. 따라서 어린이집 운영자와 교사, 조리원을 위하여 수준별 맞춤식으로 식품 알레르기에 대한 교육을 계획하고, 다양한 콘텐츠와 매체를 활용하여 제공하여야 하며, 어린이집 급식의 식품 알레르기 관리가 제대로 이루어질 수 있도록 지속적인 홍보와 지원을 아끼지 말아야 할 것이다. 본 연구는 어린이들의 안전한 급식제공을 위해 기여할 수 있으며, 향후 영유아 급식의 알레르기 관리현황의 변화에 대한 지속적 조사와 연구가 진행되어야 할 것이다.

• 한국인터넷방송통신학회논문지
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• 제24권2호
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• pp.197-203
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• 2024

식품 알레르기는 일반적으로 흔하게 발생하며 연례적으로 사고가 발생한다. 그러나 많은 사람들이 알레르기의 심각성과 식품 성분에 대한 지식이 부족한 상태이다. 현재 시장에 나와 있는 알레르기 관련 애플리케이션들은 특정한 인증을 받은 제품, 식품 성분 미제공, 바코드에만 의존하여 정보를 제공한다는 문제점 등을 가지고 있다. 본 설계에서는 식품 알레르기 환자를 위한 맞춤형 서비스 애플리케이션을 계획한다. 본 애플리케이션은 OCR 기술을 활용하여 이미지의 텍스트를 추출한 후 식품 성분을 읽고 큰 글씨로 표시되도록 하였다. 또한 필터링 기술을 통해 사용자가 섭취하지 못하는 성분을 선택하면 식품 성분 검색시 빠르고 간편하게 제한 식품을 보여주도록 하였다. 마지막으로 바코드를 스캔하거나 제품을 검색하면 해당 제품의 성분 정보를 제공하는 바코드 스캐닝 및 검색 엔진 기술을 통해 식품 성분 정보를 제공한다. 따라서 본 논문은 데이터베이스와 다양한 정보 탐색 방법을 사용하여 식품 알레르기가 있는 사용자들이 식품성분을 간편하게 확인하여 알레르기 반응을 피할 수 있는 앱을 설계하는데 그 목적이 있다.

• 대한영양사협회학술지
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• 제24권3호
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• pp.231-245
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• 2018

This study was conducted to investigate the status of food allergy knowledge and management of the teachers and operators of child care facilities in the Daejeon Area. Surveys of 262 teachers and 50 operators of child care facilities in Dong-gu and Jung-gu in Daejeon were conducted. The prevalence of food allergies was found to be 3.6% (102 children). The average score of teachers in the anaphylaxis knowledge survey was $0.18{\pm}0.22$. Additionally, the needs for food allergy education among teachers and operators was 88.2% and 98%, respectively. The survey revealed that all child care facilities in this study provide food service menus to parents, but only 14 facilities (28%) provided alternative food to children with food allergies, and some of these 14 facilities did not provide adequate alternatives. To ensure the safety and healthy growth of children with food allergies, it is necessary to provide food allergy education to teachers and operators, as well as to establish safe food service and allergy management systems in all child care facilities.

• 한국가정과교육학회지
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• 제28권1호
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• pp.59-69
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• 2016

본 연구는 전남 나주지역 초등학생 5, 6학년을 대상으로 식품 알레르기 특성을 알아보고, 식품 알레르기 경험에 따라 식품 알레르기와 식생활 태도 인식을 비교하여 학교급식에서 알레르기 학생의 효율적인 관리를 위한 기초 자료로 제시하고자 하였다. 본 연구의 결과는 다음과 같다. 첫째, 초등학생의 식품 알레르기 증상으로는 '피부'가 가장 많았고, 알레르기 원인 음식으로는 '원인 식품을 모른다'가 33.5%이었으며, 의사의 진단을 받은 경우는 51.0%이었고, 치료를 받은 적이 있는 경우는 63.9%이었으며, 이로 인해 식품을 제한하고 있는 경우는 53.5%, 식품을 제한하게 된 동기는 병원진단을 통해서가 40.5%로 가장 많았다. 식품 알레르기 가족력은 '없다'가 가장 많았고, 식품알레르기 증상이 심하게 나타나는 계절은 '계절과 상관없다'가 가장 많았다. 알레르기에 영향을 주는 가장 큰 요인으로는 특정 식품이나 음식이 64.1%로 가장 많았고, 알레르기에 대처하는 방법은 '별다른 대처를 하지 않는다'가 가장 높게 나타났으며, 식품 알레르기 예방 치료 방법으로 '원인 식품을 제한한다'가 45.1%로 가장 많았다. 둘째, 식품 알레르기 경험에 따른 식품 알레르기 인식에서는 '식품 알레르기에 대하여 알고 있거나 들어본 적이 있는지 유무', '식품 알레르기 상담 및 교육 참여 여부', '알레르기 원인 식품을 제한해서 나타나는 성장기 아동의 문제점', '식품 알레르기에 관한 학교급식 알림판 정보 제공 관심 여부', '알레르기 주의 식품에 대한 교육 필요 여부', '식품 알레르기와 관련하여 학교에 바라는 점' 항목에서 식품 알레르기 경험에 따라 유의한 차이가 나타났다. 셋째, 식품 알레르기 경험에 따른 식생활 특성은 편식하는 이유에서 유의한 차이를 보였고 하루 식사, 특정 식품 편식, 주된 간식에서는 식품 알레르기 경험에 따라 유의한 차이가 나타나지 않았다.

• 대한지역사회영양학회지
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• 제26권5호
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• pp.396-407
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• 2021

Objectives: We examined the common allergenic foods, symptoms and management of food allergies in children attending the facilities registered at Center for Children's Foodservice Management in Gangdong-gu, Korea. Methods: The survey was conducted among the directors or head teachers of 186 children's food service facilities with 7,591 children in 2019. The questionnaire consisted of three parts, including general information about food service facilities, information related to food allergies and allergenic foods and symptoms in individual children. Results: The number of children with food allergy was 271 (3.6%), and the proportion decreased with the increase of age. There were 91 children (33.6%) with a medical certificate, and these children had a significantly higher number of allergenic foods and symptoms than those without a medical certificate. Allergenic food groups included meat, fish, eggs and legumes (59.1%), fruits (12.4%), milk and dairy products (8.9%), cereals (7.8%), vegetables (6.2%), processed foods (3.8%) and oils and sugars (1.9%). Eggs accounted for 22.1%, followed by peanut and tree nuts (18.6%), fruits (12.4%), milk and dairy products (8.9%), shellfish (8.6%), vegetables (6.2%), fish (5.7%), cereals (4.3%) and meat (1.1%). The common allergenic foods were eggs, peanuts, walnuts, kiwi, shrimp, milk, tomatoes, mackerel, blue-green fish, peaches, shellfish (clams and abalone), buckwheat, wheat and soybeans. The most common allergic symptoms were skin and mucous membrane symptoms, such as hives, rash, itching and oral angioedema. Meal management for children with food allergies showed different trends depending on the causative food. Conclusions: The objective diagnosis by an allergist should be done for food allergy management in children's catering facilities. A system for systematic meal management of causative foods should be prepared.

• Journal of Nutrition and Health
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• 제56권5호
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• pp.523-536
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• 2023

Purpose: This study investigated the association between sleep problems and food allergies (FAs) in Chinese preschoolers and assessed whether there is a difference in this association among children with/without siblings. Methods: A cluster-stratified sampling approach was employed to select four districts in Chongqing based on demographic considerations. A total of 16 kindergartens (n = 966 parents) participated in this study. Parents completed the Children's Sleep Habits Questionnaire (CSHQ) and a standard FAs questionnaire. Analysis of covariance and multiple logistic regression were used to assess the associations between sleep problems and FAs after adjusting for relevant confounders. Results: The study found that 16.3% of children had FAs, with eggs, shellfish, and fruit being the most common allergenic foods. The prevalence of FAs was significantly higher in single children (20.63%) than in children with siblings (13.36%). A total of 70.39% of children had CSHQ scores above the clinical cut-off for sleep disorder. Factor analysis revealed five underlying dimensions from the CSHQ. Factor scores, except for the 'difficulty morning waking' factor, were not significantly different between the two groups. Remarkably, the factor scores of 'parasomnias' and 'sleep anxiety' were significantly higher when children had both siblings and FAs. For all subjects, the odds ratios (ORs) of FAs significantly increased with the presence of sleep disorder (OR, 2.35; 95% confidence interval [CI],1.50-3.68) and 'difficulty falling asleep' (OR, 1.34; 95% CI, 1.22-1.48). The subgroup analysis showed that the probability of FAs significantly increased with the 'difficulty falling asleep' (OR, 1.32 vs. 1.38) and sleep disorder (OR, 2.48 vs. 2.14) in children with and without siblings, respectively. The 'parasomnias' was positively associated only with children with siblings. Conclusion: This study suggests that children with siblings might be more susceptible to FAs when accompanied by certain sleep problems. Further studies are warranted to address the underlying dimensions and possible mediation effects of having siblings with sleep problems.