Open Access, Peer-reviewed
eISSN 2951-3146
    Korean J Community Nutr. 2012 Jun;17(3):271-279. Korean.
    Published online Jun 30, 2012.
    https://doi.org/10.5720/kjcn.2012.17.3.271
    Copyright © 2012 The Korean Society of Community Nutrition
    Original Article

    The Comparison of Growth and Nutrient Intakes in Children with and without Atopic Dermatitis

    Seung-joo Park, Jae Sun Lee,1 Kangmo Ahn,2 and Sang-Jin Chung
      • Department of Foods and Nutrition, Kookmin University, Seoul, Korea.
      • 1Center for Health Promotion, Healthcare Center, Samsung Medical Center, Seoul, Korea.
      • 2Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
    • Corresponding author: Sang-Jin Chung, Department of Foods and Nutrition, Kookmin University, 861-1 Jeongneungdong, Seongbukgu, Seoul 136-702, Korea. Tel: (02) 910-4777, Fax: (02) 910-5249, Email: schung@kookmin.ac.kr
    Received March 21, 2012; Revised May 01, 2012; Accepted May 05, 2012.

    Abstract

    The prevalence of atopic dermatitis (AD) has increased recently all over the world. Several studies worldwide reported growth retardation associated with AD, but few studies were reported in Korea. Therefore, the objective of this study was to identity the differences in growth and nutrient intakes between Korean children with and without AD. The participants were 71 AD children and age, gender-matched 81 control children aged 10 to 36 months. Demographic information was gathered by questionnaires. Height and weight were measured at clinic and health centers. Height and weight for age, and weight for height were converted as deviation in Z scores using World Health Organization Standard. A 24 hour dietary recall method was performed to estimate nutrient intakes. A higher percentage of AD children had insufficient energy and intakes of calcium, phosphorus, iron, zinc and vitamin B2 , defined as intakes lower than 75% of the Dietary Reference Intakes for Korean, compared to the control group (P < 0.001, P < 0.001 0.001, P = 0.003, P = 0.001, P = 0.014, P = 0.001, respectively). The percentages of children with height and weight for age Z score below than-1 (stunted) were significantly higher in the AD group (P < 0.001 0.001 and P < 0.001 0.001, respectively). Multiple food restriction, defined as ≥ 3 food elimination, was associated with insufficient energy and intakes of calcium, phosphorus, iron, zinc, vitamins A and B2 . In conclusion, children with AD need regular nutrient assessment and education about alternative food choices to avoid r food elimination in order to prevent growth retardation or inadequate nutrient intakes. Further longitudinal studies for growth and nutrient intakes should be performed to understand the patterns of growth in children with AD.

    Keywords
    atopic dermatitis; children; nutrient intakes; growth

    Tables

    Table 1
    Children's general characteristics in the study

    Table 2
    Comparison of children's average nutrients intakes in AD and control

    Table 3
    Percentage of children consuming nutrients less than 75% of DRIs in AD and control

    Table 4
    The number and food groups eliminated in diet of children with AD

    Table 5
    Linear trend of percentage of subjects consuming nutrients less than 75% of DRIs in control and AD groups divided by number of food eliminated (<3 vs ≥3)

    Table 6
    Comparison of growth status by Z score standard between AD and control

    Notes

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

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    MeSH Terms
    Aged
    Calcium
    Child
    Dermatitis, Atopic
    Humans
    Iron
    Korea
    Phosphorus
    Prevalence
    Riboflavin
    Surveys and Questionnaires
    Vitamins
    World Health Organization
    Zinc
    Metrics
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    Tables
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