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The Comparison of Growth and Nutrient Intakes in Children with and without Atopic Dermatitis


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The Comparison of Growth and Nutrient Intakes in Children with and without Atopic Dermatitis

Article information

Korean J Community Nutr. 2012;17(3):271-279
Publication date (electronic) : 2012 June 30
doi : https://doi.org/10.5720/kjcn.2012.17.3.271
Seung-joo Park, Jae Sun Lee1, Kangmo Ahn2, Sang-Jin Chung
Department of Foods and Nutrition, Kookmin University, Seoul, Korea.
1Center for Health Promotion, Healthcare Center, Samsung Medical Center, Seoul, Korea.
2Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Corresponding author: Sang-Jin Chung, Department of Foods and Nutrition, Kookmin University, 861-1 Jeongneungdong, Seongbukgu, Seoul 136-702, Korea. Tel: (02) 910-4777, Fax: (02) 910-5249, schung@kookmin.ac.kr
Received 2012 March 21; Revised 2012 May 01; Accepted 2012 May 05.

Abstract

The prevalence of atopic dermatitis (AD) has increased recently all over the world. Several studies worldwide reported growth retardation associated with AD, but few studies were reported in Korea. Therefore, the objective of this study was to identity the differences in growth and nutrient intakes between Korean children with and without AD. The participants were 71 AD children and age, gender-matched 81 control children aged 10 to 36 months. Demographic information was gathered by questionnaires. Height and weight were measured at clinic and health centers. Height and weight for age, and weight for height were converted as deviation in Z scores using World Health Organization Standard. A 24 hour dietary recall method was performed to estimate nutrient intakes. A higher percentage of AD children had insufficient energy and intakes of calcium, phosphorus, iron, zinc and vitamin B2 , defined as intakes lower than 75% of the Dietary Reference Intakes for Korean, compared to the control group (P < 0.001, P < 0.001 0.001, P = 0.003, P = 0.001, P = 0.014, P = 0.001, respectively). The percentages of children with height and weight for age Z score below than-1 (stunted) were significantly higher in the AD group (P < 0.001 0.001 and P < 0.001 0.001, respectively). Multiple food restriction, defined as ≥ 3 food elimination, was associated with insufficient energy and intakes of calcium, phosphorus, iron, zinc, vitamins A and B2 . In conclusion, children with AD need regular nutrient assessment and education about alternative food choices to avoid r food elimination in order to prevent growth retardation or inadequate nutrient intakes. Further longitudinal studies for growth and nutrient intakes should be performed to understand the patterns of growth in children with AD.

Keywords: atopic dermatitis; children; nutrient intakes; growth

Notes

This work was supported by the Korea Research Foundation Grant funded by the Korean Government (MOEHRD) (KRF-2007-331-C00281).

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Article information Continued

Copyright © 2012 The Korean Society of Community Nutrition

Table 1

Children's general characteristics in the study

Table 1

1) N (%)

2) Mean ± SE, p value by Student t-test

3) p-value by chi-square test among the two groups

AD: Atopic Dermatitis, SCORAD (scoring of atopic dermatitis)

Table 2

Comparison of children's average nutrients intakes in AD and control

Table 2

1) Mean ± SE, p value by Student t-test

2) Adjusted Mean ± SE, p-value by ANCOVA(Anaysis of covariance) after adjusting energy intake

AD: Atopic Dermatitis

Table 3

Percentage of children consuming nutrients less than 75% of DRIs in AD and control

Table 3

1) N (%)

DRI: Adequate Intake or Recommended Intake

AD: Atopic Dermatitis

Protein: Recommended intake per weight kg

EER: Estimated Energy Requirement

p-value by chi-square test among two groups

Table 4

The number and food groups eliminated in diet of children with AD

Table 4

1) N (%)

AD: Atopic Dermatitis

Table 5

Linear trend of percentage of subjects consuming nutrients less than 75% of DRIs in control and AD groups divided by number of food eliminated (<3 vs ≥3)

Table 5

1) N (%)

AD: Atopic Dermatitis

DRI: Adequate Intake or Recommended Intake

EER: Estimated Energy Requirement

Protein : Recommended intake per weight kg

p-value by linear trend among three groups

Table 6

Comparison of growth status by Z score standard between AD and control

Table 6

1) N (%)

2) p-value by chi-square test among two groups

AD: Atopic Dermatitis