Seokhwa Lee; Heejin Lee; Youngshin Han; Kangmo Ahn; Sangil Lee; Sang-Jin Chung

doi:10.5720/kjcn.2011.16.6.627

Articles

Page Path: HOME > Korean J Community Nutr > Volume 16(6); 2011 > Article

Original Article
Excessive Food Restriction in Children with Atopic Dermititis: Seokhwa Lee, Heejin Lee, Youngshin Han, Kangmo Ahn, Sangil Lee, Sang-Jin Chung; Korean Journal of Community Nutrition 2011;16(6):627-635.
DOI: https://doi.org/10.5720/kjcn.2011.16.6.627
Published online: December 31, 2011

Department of Foods and Nutrition, Kookmin University, Seoul, Korea.

¹Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Corresponding author: Sang-Jin Chung, 861-1 Jeongneungdong, Seongbukgu, Department of Foods and Nutrition, Kookmin University, Seoul 136-702, Korea. Tel: (02) 910-4777, Fax: (02) 910-5249, schung@kookmin.ac.kr

• Received: October 4, 2011 • Revised: October 20, 2011 • Accepted: November 28, 2011

178 Views
0 Download
6 Crossref

Full Article

Download PDF

Abstract
NOTES
REFERENCES

Abstract

The prevalence of Atopic Dermatitis (AD), a non-infective chronic inflammatory skin disease, is increasing worldwide. Avoiding the allergen is the basic principle in the treatment of AD. However, when the allergen is food, excessive restriction can lead to nutrition deficiency. The objective of the study was to examine the status of the dietary restriction and compare the caregiver's restriction practice with doctor's recommendation in Korean children with AD. A total of 158 children diagnosed with Atopic Dermatitis were recruited for this study. Information about foods that aggravate AD symptoms and food restriction were collected from the mothers of 158 children aged 6 month-5 year with AD using questionnaires. Food restriction recommendation by doctor was collected through medical chart. McNemar and Margianl homogeneity tests were used to detect a relationship between food restriction recommended by doctor and current practice by mother. There were significant proportion differences of food restriction for each food between by doctor and mother. We found 75.9% of children were avoiding eggs although only 61.4% were recommended for egg restriction by a doctor. Children with restriction of more than 4 kinds of food were 53.2% compared to 13.3% by doctor. Excessive restrictors tended to be younger and diagnosed at younger age. The caregivers of excessive restrictors had trends of "being older" and "having higher income". Avoidance of common foods in children without food allergy could result in malnutrition or impaired growth. Nutrition education is needed for sound practice and nutrition care in children with Atopic Dermatitis as well as interactive communication between caregivers and experts.
Keywords: atopic dermatitis; food restriction; children

NOTES

This work was supported by Ministry of Environment in Korea.

This work was supported by the research program 2010 of Kookmin University in Korea.

REFERENCES

1. Agostoni C, Grandi F, Scaglioni S, Giann ML, Torcoletti M, Radaelli G, Fiocchi A, Riva E. Growth pattern of breastfed and nonbreastfed infants with atopic dermatitis in the first year of life. Pediatrics. 2000; 106(5): E73.Article PubMed PDF
2. Ahn SH, Seo WH, Kim SJ, Hwang SJ, Park HY, Han YS, Chung SJ, Lee HC, Ahn KM, Lee SI. Risk factors of moderate to severe atopic dermatitis in the first 6 months of life. Pediatr Allergy Respir Dis. 2005; 15(3): 242-249.
3. Baum WF, Schneyer U, Lantzsch AM, Klöditz E. Delay of growth and development in children with bronchial asthma, atopic dermatitis and allergic rhinitis. Exp Clin Endocrinol Diabetes. 2002; 110: 53-59.Article PubMed
4. Chang EY, Chung SW, Lee JH. Mother's experience of caring child with a severe atopic dermatitis. Korean Parent Child Health J. 2006; 9(1): 17-32.
5. Cho H, Hong S, Lee S, Yum H. Nutritional status according to sensitized food allergens in children with atopic dermatitis. Allergy Asthma Immunol Res. 2011; 3(1): 53-37.PubMed
6. Chung SJ, Han YS, Chung SW, Ahn KM, Park HY, Lee SI, Cho YY, Choi HM. Marasmus and kwashiorkor by nutritional ignorance related to vegetarian diet and infants with atopic dermatitis in South Korea. Korean J Nutr. 2004; 37(7): 540-549.
7. de Benedictis FM, Franceschini F, Hill D, Naspitz C, Simons FE, Wahn U, Warner JO, de Longueville M. EPAAC Study Group. The allergic sensitization in infants with atopic eczema from different countries. Allergy. 2009; 64(2): 295-303.PubMed
8. Han YS, Chung SJ, Ahn KM, Lee KS, Choi HM, Lee SI. Sensitization of food allergen in breastfed infant with atopic dermatitis. Korean J Community Nutr. 2005; 10(3): 264-270.
9. Hon KL, Leung TF, Kam WY, Lam MC, Fok TF, Ng PC. Dietary restriction and supplementation in children with atopic eczema. Clin Exp Dermatol. 2006; 31(2): 187-191.PubMed
10. Ibáñez MD, Garde JM. Allergy in patients under fourteen years of age in Alergológica 2005. J Investig Allergol Clin Immunol. 2009; 19: Suppl 2. 61-68.
11. Jin YA, Shim JS, Lee CA, Yum HY, Han MY. The allergen sensitization, family history, diet pattern in atopic dermatitis under 2 years of age. Pediatr Allergy Respir Dis. 2003; 13(3): 180-188.
12. Kanny G, Moneret-Vautrin DA, Flabbee J, Beaudouin E, Morisset M, Thevenin F. Population study of food allergy in France. J Allergy Clin Immunol. 2001; 108(1): 133-140.PubMed
13. Kim BS, Kim YY, Park JH, Kim NI, Choue RW. Effects of medical nutrition therapy on dietary quality, plasma fatty acid composition and immune parameters in atopic dermatitis patients. Korean J Community Nutr. 2008; 13(1): 80-90.
14. Lee HY, Lee JR, Roh JY. Epidemiological features of preschool childhood atopic dermatitis in Incheon. Korean J Dermatol. 2009; 47(2): 164-171.
15. Mailhol C, Lauwers-Cances V, Rancé F, Paul C, Giordano-Labadie F. Prevalence and risk factors for allergic contact dermatitis to topical treatment in atopic dermatitis: a study in 641 children. Allergy. 2009; 64(5): 801-806.PubMed
16. Martorell Aragonés A, Flix Toledo R, Martorell Calatayud A, Cerdá Mir JC. Epidemiologic, clinical and socioeconomic factors of atopic dermatitis in Spain: Alergológica-2005. J Investig Allergol Clin Immunol. 2009; 19: Suppl 2. 27-33.
17. Massarano AA, Hollis S, Devlin J, David TJ. Growth in atopic exzema. Arch Dis Child. 1993; 68: 677-679.
18. Min SH. Care giver's perceptions and systematic evaluation of korean websites about baby food for atopic dermatitis infants. Korean J Food Cult. 2010; 25(4): 357-365.
19. Min SH, Oh HS. A study of the care giver's perception on weaning foods in atopic dermatitis infants. Korean J Food Cult. 2004; 19(4): 468-475.
20. Ministry of Health and Welfare. Korea Center for Disease Control and Prevention. Korea National Health and Nutrition Examination Survey (KNHANESIV-3). 2010.
21. Noimark L, Cox HE. Nutritional problems related to food allergy in childhood. Pediatr Allergy Immunol. 2008; 19(2): 188-195.
22. Oh JW, Kim KE, Pyun BY, Lee HR, Choung JT, Hong SJ, Park KS, Lee SY, Song SW, Kim CH, Ahn KM, Nam SY, Shon MH, Kim WK, Lee MH, Kwon BC, Choi SY, Lee SY, Lee HB, Lee SI, Lee JS. Nationwide study for epidemiological change of atopic dermatitis in school aged children between 1995 and 2000 and kindergarten aged children in 2003 in Korea. Pediatr Allergy Respir Dis. 2003; 13(4): 227-237.
23. Oh JW. Food and atopic dermatitis in children. Safe Food. 2006; 1(2): 18-24.
24. Sampson HA, McCaskill CC. Food hypersensitivity and atopic dermatitis: evaluation of 113 patients. J Pediatr. 1985; 107(5): 669-675.
25. Sampson HA, Metcalfe DD. Food allergies. JAMA. 1992; 268(20): 2840-2844.
26. Sampson HA. The evaluation and management of food allergy in atopic dermatitis. Clin Dermatol. 2003; 21(3): 183-192.
27. Sugiyama M, Arakawa H, Ozawa K, Mizuno T, Mochizuki H, Tokuyama K, Morikawa A. Early-life risk factors for occurrence of atopic dermatitis during the first year. Pediatrics. 2007; 119: e716-e723.

Table 1

General characteristics of the subjects with atopic dermatitis

AD = atopic dermatitis

1) Mean ± SD

Table 2

Foods that aggravate symptoms of atopic dermatitis reported by mother

Table 3

Number of restricted foods in the subjects with atopic dermatitis

Number (%)

1) By Marginal Homogeneity test

Table 4

Restricted foods by doctor and by mothers in the subjects with atopic dermatitis

Number (%)

1) By McNemar test

Table 5

Comparison of characteristics between excessive and non excessive restrictors

AD = atopic dermatitis

1) n (%), by χ² test

2) Mean ± SD, by student t-test

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Relationship between intake of soft drinks and current prevalence of adult atopic dermatitis: based on the Korea National Health and Nutrition Examination Survey data (2015-2016)
Hye Won Kim, Ji-Myung Kim
Journal of Nutrition and Health.2021; 54(5): 501. CrossRef
Evaluation of nutritional status and adequacy of energy and nutrient intakes among atopic dermatitis children under 12 years of age: based on Korea National Health and Nutrition Examination Survey data (2013–2015)
Hye Won Kim, Ji-Myung Kim
Journal of Nutrition and Health.2020; 53(2): 141. CrossRef
Risk factors for food allergy among children in Seoul: focusing on dietary habits and environmental factors
Mijung Jang, KyooSang Kim
Journal of Nutrition and Health.2019; 52(6): 559. CrossRef
Study on Food-Intake and Atopic Dermatitis among Adolescents : Findings from the Korea Youth Risk Behavior Web-based Survey
Jee Hye Lee
Journal of the Korean Dietetic Association.2016; 22(2): 79. CrossRef
Comparison of elementary school students in atopy-friendly and general schools for their knowledge about environmentally-friendly produces and practice levels for dietary guidelines
Sang-Mi Lee, Hoikyung Kim
Korean Journal of Human Ecology.2014; 23(4): 733. CrossRef
The Comparison of Growth and Nutrient Intakes in Children with and without Atopic Dermatitis
Seung-joo Park, Jae Sun Lee, Kangmo Ahn, Sang-Jin Chung
Korean Journal of Community Nutrition.2012; 17(3): 271. CrossRef

PubReader

Cite

CITE: export Copy Download Format; Close

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

Excessive Food Restriction in Children with Atopic Dermititis

Korean J Community Nutr. 2011;16(6):627-635. Published online December 31, 2011

DOI: https://doi.org/10.5720/kjcn.2011.16.6.627

XML Download

We recommend

Excessive Food Restriction in Children with Atopic Dermititis

Table 1

General characteristics of the subjects with atopic dermatitis

AD = atopic dermatitis

1) Mean ± SD

Table 2

Foods that aggravate symptoms of atopic dermatitis reported by mother

Table 3

Number of restricted foods in the subjects with atopic dermatitis

Number (%)

1) By Marginal Homogeneity test

Table 4

Restricted foods by doctor and by mothers in the subjects with atopic dermatitis

Number (%)

1) By McNemar test

Table 5

Comparison of characteristics between excessive and non excessive restrictors

AD = atopic dermatitis

1) n (%), by χ² test

2) Mean ± SD, by student t-test

Table 1 General characteristics of the subjects with atopic dermatitis

AD = atopic dermatitis

1) Mean ± SD

Table 2 Foods that aggravate symptoms of atopic dermatitis reported by mother

Table 3 Number of restricted foods in the subjects with atopic dermatitis

Number (%)

1) By Marginal Homogeneity test

Table 4 Restricted foods by doctor and by mothers in the subjects with atopic dermatitis

Number (%)

1) By McNemar test

Table 5 Comparison of characteristics between excessive and non excessive restrictors