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

doi:10.5720/kjcn.2013.18.5.515

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Original Article
Effects of Nutrition Education Promoting Vegetable, Fruit, and Fish Intake on the Severity of Atopic Dermatitis in Children: Results from a One-year Follow Up Study: Heejin Lee, Kangmo Ahn, Youngshin Han, Sang-Jin Chung; Korean Journal of Community Nutrition 2013;18(5):515-524.
DOI: https://doi.org/10.5720/kjcn.2013.18.5.515
Published online: October 31, 2013

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: April 19, 2013 • Revised: August 13, 2013 • Accepted: October 15, 2013

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
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REFERENCES

Abstract

Atopic dermatitis (AD) is believed to be associated with the intake of antioxidant nutrients and fatty acids due to its immunological dysfunction. The purpose of this study was to examine the effects of nutrition education promoting vegetable, fruit, and fish intake on the severity of AD in children. Children with AD aged 6 months to 5 years were randomly assigned into education and control groups, and followed for 1 year. Seventy-six children completed the study (38 for control, 38 for education). The education group received education promoting the intakes of antioxidant-rich foods (vegetables, fruits) and n-3 fatty acid foods (fish). A 24-hour food recall was collected for the diet information. After education, all vegetables (p < 0.001), fruits (p < 0.01), and fish (p < 0.05) intakes per 1000 kcal increased significantly in the education group, whereas only vegetable intake increased in the control group (p < 0.001). The SCORAD index, the severity of atopic dermatitis, decreased significantly in the education group (p < 0.05). Increased consumption of dietary vitamin E was significantly associated with reduction in the SCORAD index, after adjusting for age and gender (p < 0.05). A nutritional education program to increase vegetable, fruit, and fish intake may be effective in reducing the severity of AD, and vitamin E intake may be associated with the decreased severity of AD. More controlled studies on the relationship between these intakes and severity of AD, with intensive diet and/or supplement intervention programs, are needed to obtain conclusive results.
Keywords: atopic dermatitis; children; severity; fruit and vegetable; vitamin E

NOTES

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

This work was supported by the research program 2012 of Kookmin University in Korea

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Table 1

General characteristics of the subjects

1) N (%)

2) Mean ± SD

SCORAD: Scoring index of atopic dermatitis

Table 2

Comparison of nutrient intakes of subjects before and after nutrition education (per 1000 kcal)

1) Mean ± SD

^*: p < 0.05, ^**: p < 0.01, ^***: p < 0.001: significantly different between pre-test and post-test by paired t-test in each group

Table 3

Comparison of vegetable,fruit and fish intakes of subjects before and after nutrition education (g/1000 kcal)

1) Mean ± SD

^*: p < 0.05, ^**: p < 0.01, ^***: p < 0.001: significantly different between pre-test and post-test by paired t-test

^#: p < 0.05: significantly different between control group and education group by student's t-test

Table 4

Comparison of SCORAD index of subjects before and after nutrition education

1) Mean ± SD

^*: p < 0.05, ^**: p < 0.01, ^***: p < 0.001: significantly different between pre-test and post-test by paired t-test

^#: p < 0.05: significantly different between control group and education group by ANCOVA after adjusting for age and sex

SCORAD: Scoring index of atopic dermatitis

Table 5

Severity change of Atopic Dermatitis by change of nutrient intakes per 1000 kcal

1) β coefficients and 95% CI were calculated by using simple and multiple linear regression analysis

SCORAD: Scoring index of atopic dermatitis

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Nutritional Intervention for a Korean Adolescent with Atopic Dermatitis: a Case Report
Sunghee Kim, Sung-Im Lee, Shin-Sook Kang
Clinical Nutrition Research.2021; 10(4): 364. 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

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Effects of Nutrition Education Promoting Vegetable, Fruit, and Fish Intake on the Severity of Atopic Dermatitis in Children: Results from a One-year Follow Up Study

Korean J Community Nutr. 2013;18(5):515-524. Published online October 31, 2013

DOI: https://doi.org/10.5720/kjcn.2013.18.5.515

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Effects of Nutrition Education Promoting Vegetable, Fruit, and Fish Intake on the Severity of Atopic Dermatitis in Children: Results from a One-year Follow Up Study

Table 1

General characteristics of the subjects

1) N (%)

2) Mean ± SD

SCORAD: Scoring index of atopic dermatitis

Table 2

Comparison of nutrient intakes of subjects before and after nutrition education (per 1000 kcal)

1) Mean ± SD

^*: p < 0.05, ^**: p < 0.01, ^***: p < 0.001: significantly different between pre-test and post-test by paired t-test in each group

Table 3

Comparison of vegetable,fruit and fish intakes of subjects before and after nutrition education (g/1000 kcal)

1) Mean ± SD

^*: p < 0.05, ^**: p < 0.01, ^***: p < 0.001: significantly different between pre-test and post-test by paired t-test

^#: p < 0.05: significantly different between control group and education group by student's t-test

Table 4

Comparison of SCORAD index of subjects before and after nutrition education

1) Mean ± SD

^*: p < 0.05, ^**: p < 0.01, ^***: p < 0.001: significantly different between pre-test and post-test by paired t-test

^#: p < 0.05: significantly different between control group and education group by ANCOVA after adjusting for age and sex

SCORAD: Scoring index of atopic dermatitis

Table 5

Severity change of Atopic Dermatitis by change of nutrient intakes per 1000 kcal

1) β coefficients and 95% CI were calculated by using simple and multiple linear regression analysis

SCORAD: Scoring index of atopic dermatitis

Table 1 General characteristics of the subjects

1) N (%)

2) Mean ± SD

SCORAD: Scoring index of atopic dermatitis

Table 2 Comparison of nutrient intakes of subjects before and after nutrition education (per 1000 kcal)

1) Mean ± SD

^*: p < 0.05, ^**: p < 0.01, ^***: p < 0.001: significantly different between pre-test and post-test by paired t-test in each group

Table 3 Comparison of vegetable,fruit and fish intakes of subjects before and after nutrition education (g/1000 kcal)

1) Mean ± SD

^*: p < 0.05, ^**: p < 0.01, ^***: p < 0.001: significantly different between pre-test and post-test by paired t-test

^#: p < 0.05: significantly different between control group and education group by student's t-test

Table 4 Comparison of SCORAD index of subjects before and after nutrition education

1) Mean ± SD

^*: p < 0.05, ^**: p < 0.01, ^***: p < 0.001: significantly different between pre-test and post-test by paired t-test

^#: p < 0.05: significantly different between control group and education group by ANCOVA after adjusting for age and sex

SCORAD: Scoring index of atopic dermatitis

Table 5 Severity change of Atopic Dermatitis by change of nutrient intakes per 1000 kcal

1) β coefficients and 95% CI were calculated by using simple and multiple linear regression analysis