Clin Nutr Res.  2013 Jan;2(1):52-58. 10.7762/cnr.2013.2.1.52.

Nutrient Intake and Food Restriction in Children with Atopic Dermatitis

• Lim H
• Song K
• Kim R
• Sim J
• Park E
• Ahn K
• Kim J
• Han Y

• KMID: 2279715
• DOI: http://doi.org/10.7762/cnr.2013.2.1.52

Abstract

This study was performed to investigate the status of food restriction and the list of restricted foods in children with moderate to severe atopic dermatitis (AD), and to find out the effect of food restriction on the changes in nutrient intake and the severity of the disease. Sixty two patient children aged 12 months to 13 years presenting AD with a SCORing of Atopic Dermatitis (SCORAD) index between 20 and 50 were enrolled. The presence of food limitation, and list of restricted foods were surveyed through the caretakers and the patients were divided into 3 groups by the number of restricted food: non-restricted group, one to three restricted group, and more than three restricted group. Dietary intake was assessed for 3 months using a food frequency questionnaire (FFQ). Half of the subjects restricted foods. The restriction was higher in the order of soda, food additives, walnut, peanut, and other nuts as a single food item; and shellfish and crustacean group, processed foods, nuts, milk & dairy products, and meats as a food group. More than three restricted group ingested more fruits and less fish and meats, resulting in high consumption of vitamin C (p = 0.027). No significant difference in the ratio of nutrient intake by the number of restricted foods was observed in other nutrients. Significant improvement of AD symptom was observed in non-restricted group (p = 0.036) and one to three restricted group (p = 0.003). It is necessary to provide proper nutrition information and systematic and continuous nutrition management for balanced nutrient intake and disease improvement in children with AD.

Keyword

Nutrient intake; Food restriction; Atopic dermatitis; Children

MeSH Terms

Ascorbic Acid
Child*
Dairy Products
Dermatitis, Atopic*
Food Additives
Fruit
Humans
Juglans
Meat
Milk
Nuts
Shellfish
Surveys and Questionnaires
Ascorbic Acid
Food Additives

Figure

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  Figure 1 Comparison of the change in SCORAD index by the number of restricted foods. Significantly different by t-test. *p < 0.05, †p < 0.01. SCORAD index: SCORing of atopic dermatitis index. NRF: number of restricted foods.

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