Journal List > J Nutr Health > v.51(2) > 1081550

J Nutr Health. 2018 Apr;51(2):140-152. Korean.
Published online April 30, 2018.
© 2018 The Korean Nutrition Society
Parental burden of food-allergic children's parents and influencing factors
EunSun Lee,1 and KyooSang Kim1,2
1Department of Environmental Health Research, Seoul Medical Center, Seoul 02053, Korea.
2Seoul Atopy Asthma Education Information Center, Seoul 02053, Korea.

To whom correspondence should be addressed. tel: +82-2-2276-7755, Email:
Received December 01, 2017; Revised December 19, 2017; Accepted February 26, 2018.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.



Recently, there has been a worldwide increase in the prevalence of food allergies in children and it may cause nutritional imbalance and poor quality of life for growing children due to dietary restrictions. This study was conducted to quantitatively measure the life burden and related factors of mothers who are the primary caretakers of food-allergic children. Moreover, we generated data for use as a scientific basis for the development of a disease management program to reduce the burden on life from raising food-allergic children.


Mothers of 2,005 children aged 2 years or older and enrolled in Seoul Metropolitan Atopy Free Schools in 2016 who have had diagnosis of food allergy in their lifetime were surveyed. The burden on life of parents with food-allergic children was measured using 17 questions from the Food Allergy Quality of Life-Parental Burden (FAQL-PB) questionnaire, and subjects were asked to respond with a scale of 1 ~ 7.


We analyzed the effects of sociodemographic factors of parents and children and the accompanying allergic disease factors on the lives of parents. The number of restricted food items due to food allergy of a child and accompanying diagnosis of atopic dermatitis had a positive (+) effect on the life burden of the parents.


Accurate oral food challenge for food allergies should be administered to prevent excessive restriction of food intake. Moreover, efforts should be taken to prevent morbidity accompanying food allergy and relieve symptoms of asthma, allergic rhinitis and atopic dermatitis.

Keywords: food allergy; food allergy quality of life-parental burden (FAQL-PB); quality of life; preschooler; school children


Table 1
General characteristics of food-allergic children and mothers (n = 2,005)
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Table 2
Self-reported restricted foods in food-allergic children
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Table 3
Varimax rotated factor-loading matrix for 17 FAQL-PB items
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Table 4
Means and standard deviations of FAQL-PB items
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Table 5
Difference of emotional distress and limitations on life by characteristics
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Table 6
Influencing factors on parental burden among in mothers of food-allergic children
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We gratefully thank the Seoul Metropolitan Government and Korea Centers for Disease Control and Prevention for financial support (grant number 16-A01).

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