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Lee, Lee, Han, Ahn, Lee, and Chung: Excessive Food Restriction in Children with Atopic Dermititis
Original Article
Korean Journal of Community Nutrition

Korean Journal of Community Nutrition 2011; 16(6): 627-635.

Published online: 31 December 2011

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

Excessive Food Restriction in Children with Atopic Dermititis

Seokhwa Lee, Heejin Lee, Youngshin Han1, Kangmo Ahn1, Sangil Lee1, Sang-Jin Chung

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 4 October 2011       Revised 20 October 2011       Accepted 28 November 2011

Copyright © 2011 The Korean Society of Community Nutrition

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

Figures and Tables

Table 1
General characteristics of the subjects with atopic dermatitis
kjcn-16-627-i001

AD = atopic dermatitis

1) Mean ± SD

Table 2
Foods that aggravate symptoms of atopic dermatitis reported by mother
kjcn-16-627-i002
Table 3
Number of restricted foods in the subjects with atopic dermatitis
kjcn-16-627-i003

Number (%)

1) By Marginal Homogeneity test

Table 4
Restricted foods by doctor and by mothers in the subjects with atopic dermatitis
kjcn-16-627-i004

Number (%)

1) By McNemar test

Table 5
Comparison of characteristics between excessive and non excessive restrictors
kjcn-16-627-i005

AD = atopic dermatitis

1) n (%), by χ2 test

2) Mean ± SD, by student t-test

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.

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