Journal List > Korean J Community Nutr > v.21(3) > 1038541

Korean J Community Nutr. 2016 Jun;21(3):247-255. Korean.
Published online June 30, 2016.  https://doi.org/10.5720/kjcn.2016.21.3.247
Copyright © 2016 The Korean Society of Community Nutrition
Food Allergy Management Status by Dietitians and Nutrition Teachers in Elementary and Middle Schools in Incheon
Aruem Yoon,1 and Soo-Kyung Lee2
1Graduate Program of Nutrition Education, Inha University, Incheon, Korea.
2Department of Food and Nutrition, Inha University, Incheon, Korea.

Corresponding author: Soo-Kyung Lee. Department of Food and Nutrition, Inha University, 100 Inharo, Namgu Incheon 22212, Korea. Tel: (032) 860-8121, Fax: (032) 862-8120, Email: skleenutrition@inha.ac.kr
Received March 09, 2016; Revised June 23, 2016; Accepted June 23, 2016.

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.


Abstract

Objectives

Food allergy appears to be increasing in prevalence and can potentially result in significant damaging impact on children's mental and physical health. This study investigated how dietitians/nutrition teachers in Incheon, where a fatal fool allergy incidence occurred, manage food allergy issues in school lunch systems.

Methods

A survey with a pre-tested questionnaire was conducted with 358 dietitians/nutrition teachers in Incheon area. The final analytical sample included questionnaire data from 208 study participants (58.1%). Statistical analyses used SPSS ver 19.0.

Results

A total of 99.5% respondents reported having received food allergy education. The respondents showed a correction rate of the food allergy test slightly higher than 70%, where nutrition teachers and respondents working in elementary schools had correction rates higher than dietitians and those working in middle schools (p<0.05). All respondents reported regular monitoring to identify students with food allergy and making notification of allergy-prone foods on menu in their school. More nutrition teachers provided "elimination meals" (57.6%) or "replacement meals" (37.0%) than dietitians (43.1%, 19.8%, respectively) (p<0.05). Elimination and replacement meals were provided more in elementary schools than in middle schools (p<0.05). Although counseling students with food allergy on nutrition was done by 64.9% of respondents, the areas of counseling were limited to basics of food allergy and how to use the notification system on menu. To prepare for handling food allergy events effectively, networks with regional clinics or hospitals (34.1%), hotline with parents (87.4%), and keeping an Epi-Pen ready (46.7% elementary school) were established. Only 34.1% of respondents knew how to use Epi-Pens.

Conclusions

Dietitians and nutrition teachers in Incheon widely adapted food allergy management methods. It appears that education/training on food allergy for dietitians/nutrition teachers can move on from teaching basics of food allergy to providing applicable food allergy management methods at school system.

Keywords: food allergy; child; school; dietitian; nutrition teacher

Tables


Table 1
Characteristics of the study participants
Click for larger image


Table 2
Food allergy education status1)
Click for larger image


Table 3
Food allergy knowledge status by job title and school
Click for larger image


Table 4
Food allergy management status by job title and school
Click for larger image


Table 5
Nutrition counseling for students with food allergy
Click for larger image


Table 6
Emergency response system for food allergy outbreak at school
Click for larger image

References
1. Sicherer SH, Sampson HA. Food allergy. J Allergy Clin Immunol 2010;125 2 Suppl 2:S116–S125.
2. City of Seoul. Management Manual for Food Allergy Education and Food Service Management [internet]. City of Seoul; 2010 [cited 2016 Mar 1].
Available from: http://fsi.seoul.go.kr/.
3. Kwak DK. Research on Introducing Notification System for Food Allergy-Prone Foods in School Meal System [internet]. Ministry of the Interior; 2012 [cited 2016 Mar 1].
4. Han YS, Chung SJ, Cho YY, Choi HM, Ahn KM, Lee SI. Analysis of the rate of sensitization to food allergen in children with atopic dermatitis. Korean J Community Nutr 2004;9(1):90–97.
5. Hong SJ, Ahn KM, Lee SY, Kim KE. The prevalences of asthma and allergic diseases in Korean children. Korean J Pediatr 2008;51(4):343–350.
6. Yonhap News. High School Students in coma after eating Memiljeon [internet]. Yonhap News; 2011 [cited 2016 Mar 1].
7. Yonhap News. An elementary student brain dead after eating school lunch [internet]. Yonhap News; 2013 [cited 2016 Mar 1].
8. Han Y. Management of food allergy in the community. Food Sci Ind 2015;48(1):24–31.
9. Lee AH, Kim KE, Lee KE, Kim SH, Wang TW, Kim KW. Prevalence of food allergy and perceptions on food allergen labeling in school foodservice among Korean students. Allergy Asthma Respir Dis 2013;1(3):227–234.
10. Ministry of Education and Science Technology. Allergic food label Management plan and Manual [Internet]. Incheon Metropolitan City Office of Education; 2013 [cited 2016 March 1].
11. Kim EG. In: Comparison of the perception for food allergy between nutrition teachers and children in elementary and middle school [master's thesis]. Chung-ang University; 2010.
12. Kim Y, Park E, Lim Y. A study on food allergy practices of dietitians at schools in Korea. Korea Soc Wellness 2014;9(4):251–261.
13. Lee HJ. In: Dietitians' recognition for allergy management in school food services of Gyeongbuk area [master's thesis]. Yeungnam University; 2012.
14. Kim YM, Heo YR, Ro HK. Perception and practices regarding food allergy of elementary and middle school nutritionists in the Jeonnam area. J Korean Soc Food Sci Nutr 2014;43(1):151–161.
15. Kim TH. In: Study on awareness of food allergen labeling [master's thesis]. Kyonggi University; 2013.
16. Won JH. In: A study on the status of awareness and performance of food allergy-related works of nutritionist and nutrition teachers in elementary and high schools in Seoul area [master's thesis]. Sookmyung Women's University; 2015.
17. Lim DH. Epidemiology of anaphylaxis in Korean children. Korean J Pediatr 2008;51(4):351–354.
18. Rhim GS, McMorris MS. School readiness for children with food allergies. Ann Allergy Asthma Immunol 2001;86(2):172–176.
19. Ahn K. Food allergy: Diagnosis and management. Korean J Asthma Allergy Clin Immunol 2011;31(3):163–169.
20. Kim KU. Allergy-prone foods, medical prognosis, and diagnosis. Allergy Asthma Respir Dis 2000;10(1):94s–100s.