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