Korean J Community Nutr.  2019 Aug;24(4):321-330. 10.5720/kjcn.2019.24.4.321.

Relation of Nutritional Intake and Allergic Rhinitis in Infants: Using the Korea National Health and Nutrition Examination Survey (KNHANES) 2013~2016

• Her ES
• Seo BY

• KMID: 2457243
• DOI: http://doi.org/10.5720/kjcn.2019.24.4.321

Abstract

OBJECTIVES
This study examined the relationship between the presence of allergic rhinitis and the nutritional intake levels of Korean infants.
METHODS
The study involved a total of 1,214 infant subjects aged 1~5 months from the 2013~2016 KNHNES (Korea National Health and Nutrition Examination Survey). The Subjects were classified into two groups based on the presence of allergic rhinitis: Non-allergic rhinitis infants (NARI, n=1,088) and allergic rhinitis infants (ARI, n=126). The general characteristics and family history of allergies, nutrient intake status, nutrient supplement intake, and breast milk and baby food start period data of the two groups were compared. All statistical analyses accounted for the complex sampling design effect and sampling weights.
RESULTS
The mean age was 0.5 years old in the ARI group compared to the NARI group. In the residence, the rate of urban was higher in ARI. The family history revealed a significant difference between the two groups, particularly those of mothers rather than fathers. The nutrient intake levels were high in energy, phosphorus, sodium, potassium, iron, riboflavin, niacin, and polyunsaturated fatty acids. Breastfeeding was significantly higher in the ARI group than in the NARI group. The baby food start period was 0.3 months earlier in NARI group than in ARI group. The height, body weight, and birth weight were higher in ARI group than NARI group. The result of Odds ratio analysis showed that excess energy, protein, calcium, phosphorus, iron, riboflavin, and niacin intake increases the risk of allergic rhinitis.
CONCLUSIONS
These results can be used as data to develop nutrition guidelines for allergic rhinitis infants.

Keyword

infants; nutritional intake level; OR of allergic rhinitis

MeSH Terms

Birth Weight
Body Height
Breast Feeding
Calcium
Fathers
Fatty Acids, Unsaturated
Humans
Hypersensitivity
Infant*
Iron
Korea*
Milk, Human
Mothers
Niacin
Nutrition Policy
Nutrition Surveys*
Odds Ratio
Phosphorus
Potassium
Rhinitis
Rhinitis, Allergic*
Riboflavin
Sodium
Weights and Measures
Calcium
Fatty Acids, Unsaturated
Iron
Niacin
Phosphorus
Potassium
Riboflavin
Sodium

Reference

1. Kim HM, Heo JA, Park YH, Lee JT. The effect of air pollution on allergic diseases considering meteorological factors in metropolitan cities in Korea. J Environ Health Sci. 2012; 38(3):184–194.

2. Ahmed E, Kim KH, Shon ZH, Song SK. Long-term trend of airborne particulate matter in Seoul, Korea from 2004 to 2013. Atmos Environ. 2015; 101:125–133.

3. Kim SH, Yang HJ, Jang AS, Kim SH, Song WJ, Kim TB. Effects of particulate matter in ambient air on the development and control of asthma. Allergy Asthma Respir Dis. 2015; 3(5):313–319.

4. Min S, Cho M, Park K. Risk factors for allergic diseases in school-aged children. J Korean Soc Food Sci Nutr. 2013; 42(9):1387–1394.

5. Asher MI, Montefort S, Bjorksten B, Lai CK, Strachan DP, Weiland SK. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC phases one and three repeat multicountry cross-sectional surveys. Lancet. 2006; 368(9537):733–743.

6. Björkstén B, Clayton T, Ellwood P, Stewart A, Strachan D; ISAAC Phase III Study Group. Worldwide time trends for symptoms of rhinitis and conjunctivitis: Phase III of the International Study of Asthma and Allergies in Childhood. Pediatr Allergy Immunol. 2008; 19(2):110–124.

7. Williams H, Stewart A, von Mutius E, Cookson W, Anderson HR; International Study of Asthma and Allergies in Childhood (ISAAC) Phase One and Three Study Groups. Is eczema really on the increase worldwide? J Allergy Clin Immunol. 2008; 121(4):947–954.

8. Suh SH. Prevalence of allergic diseases in Korean children. Health Dis. 2010; 2011(4):425–431.

9. Ministry of Health and Welfare. Korea Centers for Disease Control and Prevention. Korea national health and nutrition examination survey raw data use guidelines [Internet]. Korea Centers for Disease Control and Prevention;2015. updated 2019 Mar 07. cited 2019 Jul 23. Available from: https://knhanes.cdc.go.kr/knhanes/sub03/sub03_02_02.do.

10. Cho AR, Lee SY, Kim YH, Yoo Y, Yang HJ, Lee JS. Multicenter study on factors influencing the quality of life of asthmatic children and their caregivers. Pediatr Allergy Respir Dis. 2012; 22(1):37–44.

11. Kim JH, Lee HC, Jang JH, Ahn KM, Han YS, Lee SI. Risk factors influencing growth in children with atopic dermatitis. Pediatr Allergy Respir Dis. 2008; 18(4):339–348.

12. Palit A, Handa S, Bhalla AK, Kumar B. A mixed longitudinal study of physical growth in children with atopic dermatitis. Indian J Dermatol Venereol Leprol. 2007; 73(3):171–175.

13. Huggins KG, Brostoff J. Letter: Local IgE antibodies in allergic rhinitis. Lancet. 1975; 2(7935):618.

14. Ahn HS, Lee SM, Lee MY, Choung JT. A study of the dietary intakes and causative foods in allergic children. Pediatr Allergy Respir Dis. 1999; 9(1):79–92.

15. Min S, Cho M, Park K. Risk factors for allergic diseases in school-aged children. J Korean Soc Food Sci Nutr. 2013; 42(9):1387–1394.

16. Lee SM, Lee SP. Classification and epidemiology of allergic rhinitis. Korean J Med. 2013; 85(5):445–451.

17. Dom S, Droste JH, Sariachvili MA, Hagendorens MM, Bridts CH, Stevens WJ. The influence of parental educational level on the development of atopic sensitization, wheezing and eczema during the first year of life. Pediatr Allergy Immunol. 2009; 20(5):438–447.

18. Corvalan C, Amigo H, Bustos P, Rona RJ. Socioeconomic risk factors for asthma in Chilean young adults. Am J Public Health. 2005; 95(8):1375–1456.

19. Kim SH. Allergic diseases and the residential environments. Archit Res. 2015; 59(2):24–27.

20. Cho SH. Update of asthma management guideline: GINA 2006. Korean J Med. 2007; 72(3):245–255.

21. Raman R. Vasomotor rhinitis-atrophic rhinitis: two ends of an autonomic spectrum. Singapore Med J. 1989; 30(1):94–96.

22. Bousquet J, Van Cauwenberge P, Khaltaev N; Aria Workshop Group; World Health Organization. Allergic rhinitis and its impact on asthma. J Allergy Clin Immunol. 2001; 108(5 Suppl):S147–S334.

23. Ministry of Health and Welfare. Dietary reference intakes for Korean 2015. . Seoul: The Korean Nutrition Society;2015. p. 26–160.

24. Kim EK, Song B, Ju SY. Dietary status of young children in Korea based on the data of 2013 ~ 2015 Korea National Health and Nutrition Examination Survey. J Nutr Health. 2018; 51(4):330–339.

25. Park SJ, Lee JS, Ahn KM, Chung SJ. The comparison of growth and nutrient intakes in children with and without atopic dermatitis. Korean J Community Nutr. 2012; 17(3):271–279.

26. 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.

27. Ehlayel MS, Bener A. Duration of breast feeding and the risk of childhood allergic diseases in a developing country. Allergy Asthma Proc. 2008; 29(4):386–391.

28. Spergel JM, Paller AS. Atopic dermatitis and the atopic march. J Allergy Clin Immunol. 2003; 112(6 Suppl):S118–S127.