Korean J Community Nutr.  2016 Oct;21(5):426-439. 10.5720/kjcn.2016.21.5.426.

Food Allergy Awareness and Nutritional Management by the Parents of Preschool Children

Affiliations
  • 1Department of Food and Nutrition, College of Natural Sciences, Seoul Women’s University, Seoul, Korea. jheekim@swu.ac.kr

Abstract


OBJECTIVES
This study was performed to measure the food allergy (FA) awareness and management by the parents of preschool children.
METHODS
A questionnaire survey was conducted with the parents of preschool children. The questionnaire was designed to identify the prevalence of food allergies, requirements of food allergy support and differences in food management according to the presence or absence allergic diseases, using a modified International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire. After excluding incomplete responses, the data of 158 parents of preschool children (90.3%) was used for statistical analysis.
RESULTS
The rate of the preschool children who had experienced food allergy (FA, ever) was 38.6% while diagnosed for food allergy by doctor (Diagnosis of FA, ever) was 17.7%. Forty nine preschool children (80.3%) had food restriction, and twenty three of them (37.7%) had self-restriction without diagnosis. The consumption frequencies of allergenic foods in FA group, such as ramyeon, noodles, bread, eggs, yogurt and ice cream were significantly (p<0.001) lower than those of the other two groups. The major allergenic foods were eggs, milk, wheat and processed foods in FA group. The overall food allergy-related knowledge level of parents was insufficient. Only 26 parents (16.5%) had received training about food allergies. All parents wanted to receive food allergy-related supports. In addition, most of parents wanted information on substitute menu for children with food allergy.
CONCLUSIONS
This study identified a lack of food allergy training for the parents of preschool children and the necessity for food allergy education. Food allergy-related supports, such as menus without allergenic ingredients, guidelines for managing food allergy & anaphylaxis emergency care plan etc, should be provided to the parents in order to avoid events related to food allergies.

Keyword

food allergy; preschool children; nutritional management

MeSH Terms

Anaphylaxis
Asthma
Bread
Child
Child, Preschool*
Diagnosis
Education
Eggs
Emergency Medical Services
Food Hypersensitivity*
Humans
Hypersensitivity
Ice Cream
Milk
Ovum
Parents*
Prevalence
Triticum
Yogurt

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Reference

1. Ministry of Health & Welfare. Korea Centers for Disease Control and Prevention. Atopy · asthma relief school management guide. 2015. p. 3.
2. Prescott SL, Pawankar R, Allen KJ, Campbell DE, Sinn JK, Fiocchi A, et al. A global survey of changing patterns of food allergy burden in children. World Allergy Organ J. 2013; 6(1):21.
3. Leung TF, Yung E, Wong YS, Lam CW, Wong GW. Parent-reported adverse food reactions in Hong Kong Chinese pre-schoolers: epidemiology, clinical spectrum and risk factors. Pediatr Allergy Immunol. 2009; 20(4):339–346.
4. Prescott S, Allen KJ. Food allergy: riding the second wave of the allergy epidemic. Pediatr Allergy Immunol. 2011; 22(2):155–160.
5. Kay AB. T Cells as orchestrators of the asthmatic response. Ciba Found Symp. 1997; 206:56–67.
6. World Allergy Organization. White book on allergy(section 2.5. Food allergy). 2011. p. 47–53.
7. Rona RJ, Keil T, Summers C, Gislason D, Zuidmeer L, Sodergren E, et al. The prevalence of food allergy: a meta-analysis. J Allergy Clin Immunol. 2007; 120(3):638–646.
8. Jung YH, Ko H, Kim HY, Seo JH, Kwon JW, Kim BJ, et al. Prevalence and risk factors of food allergy in preschool children in Seoul. Korean J Asthma Allergy Clin Immunol. 2011; 31(3):177–183.
9. Allen KJ, Hill DJ, Heine RG. 4. Food allergy in childhood. Med J Aust. 2006; 185(7):394–400.
10. Sicherer SH, Sampson HA. Food allergy. J Allergy Clin Immunol. 2010; 125:2 Suppl 2. 116–125.
11. Oh JW, Kim KE, Pyun BY, Lee HR, Choung JT, Hong SJ. Nationwide study for epidemiological change of atopic dermatitis in school aged children between 1995 and 2000 and kindergarten aged children in 2003 in Korea. Pediatr Allergy Respir Dis. 2003; 13(4):227–237.
12. Han YS. Management of food allergy in the community. Food Sci Ind. 2015; 48(1):24–31.
13. Seo WH, Jang EY, Han YS, Ahn KM, Jung JT. Management of food allergies in young children at a child care center and hospital in Korean. Pediatr Allergy Respir Dis. 2011; 21(1):32–38.
14. Simons FE. Anaphylaxis. J Allergy Clin Immunol. 2010; 125:2 Suppl 2. 161–181.
15. Korea Consumer Agency. Information analysis related to allergies. 2012. p. 1–22.
16. Kang MH, Kim EY, Choi MK. Assessment of nutrient intake and ADHD score in atopic dermatitis preschoolers. J East Asian Soc Diet Life. 2009; 19(4):493–502.
17. Shin JW, Kim WK, Yoon HS. Association of breast-feeding and allergic diseases in preschool aged children. Pediatr Allergy Respir Dis. 2009; 19(4):374–382.
18. Yang SH, Kim EJ, Kim YN, Seong KS, Kim SS, Han CK, et al. Comparison of eating habits and dietary intake patterns between people with and without allergy. Korean J Nutr. 2009; 42(6):523–535.
19. Yum H. Association of brestfeeding and allergic diseases. Pediatr Allergy Respir Dis. 2009; 19(4):325–328.
20. 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.
21. Kim DS, Ban JS, Park EA, Lee JY, Lee JO, Chang EY, et al. Survey of food allergy in elementary school students in Dongjak-gu using questionnaire. Korean J Asthma Allergy Clin Immunol. 2011; 31(4):254–259.
22. Lee AH, Kim KE, Lee KE, Kim SH, Wang TH, Kim KW, et al. 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.
23. Kim TH. Study on awareness of food allergen labeling [master’s thesis]. Kyonggi University;2013.
24. Lee HS, Hong SC, Kim JH, Kim JW, Lee KH, Lee JC. Prevalence of food allergy and the sensitization rates of food allergens in school-aged children in Jeju. Korean Public Health Res. 2014; 40(3):49–58.
25. Won JH. A study on the awareness and management of food allergy among nutritionist and nutrition teachers in elementary and high schools in Seoul [master’s thesis]. Sookmyung Women’s University;2015.
26. Ministry of Government Legislation. School Meals Act Enforcement Regulation 2013. cited 2015 Nov 7. Available from: http://www.law.go.kr/lsInfoP.do?lsiSeq=166408&efYd=20150101#000.
27. Lee SI. Development of guidelines on infant feeding and weaning for healthy eating habits. Korea Science and Engineering Foundation;2005. Report No. R01-2002-000-00199-0.
28. Kim HI. Research Methods in Sampling. 1st ed. Kyungmoonsa;2014. p. 9.
29. Kim HB, Park YM. Introduction to Statistics. 1st ed. PNCMEDIA;2014. p. 21.
30. Cho CH. SPSS/AMOS utilization, structural equation modeling, statistical analysis. 2nd ed. Chungram;2014. p. 161–162. .
31. Lee MS, Lee KH. Development and application of dietary education to improve the vegetable intake of preschoolers. J Korean Diet Assoc. 2014; 20(1):26–35.
32. Burks AW, Jones SM, Boyce JA, Sicherer SH, Wood RA, Assa’ad A, et al. NIAID-sponsored 2010 guidelines for managing food allergy: applications in the pediatric population. Pediatrics. 2011; 128(5):955–965.
33. Mori F, Serranti D, Barni S, Pucci N, Rossi ME, de Martino M, et al. A kwashiorkor case due to the use of an exclusive rice milk diet to treat atopic dermatitis. Nutr J. 2015; 14(1):83.
34. Kim YG, Yu KH, Ly SY. Perception of elementary school parents in Gyeongbuk area on allergenic food labeling system and children’s food allergy status. Korean J Hum Ecol. 2013; 22(5):491–506.
35. Lee EJ. A study on food allergy occur status and parental perceptions of food allergen labeling system in school food service [master’s thesis]. Pusan National University;2015.
36. Ministry of Food and Drug Safety. Indication standard of foods etc [internet]. Ministry of Food and Drug Safety;2015. cited 2015 Nov 7. Available from: http://www.mfds.go.kr/index.do?mid=686&geNo=11&seq=9543&cmd=v.
37. Food Allergy Research & Education, Inc. About food allergy [internet]. Food Allergy & Anaphylaxis Network (FAAN) and the Food Allergy Initiative (FAI);2015. cited 2015 Nov 7Available from: http://www.foodallergy.org/most popular-resources.
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