아토피피부염 환아의 식품제한에 따른 영양섭취실태

A study on nutrient intakes of infants with atopic dermatitis according to food restriction

This study was to examine the status of the dietary restriction, nutrient intake and growth of the infants with atopic dermatitis aged 6～12 months. A total of 98 infants with atopic dermatitis participated in this study between January and November, 2011. Information about general characteristics, foods that aggravated atopic symptoms and food restriction were collected from the mothers of the infants with atopic dermatitis. Height and weight for age and weight for height were converted as deviation in Z scores using World Health Organization Standard. Statistical analyses for the data were performed using the SPSS software package. The study subjects were divided into three groups (non-food restriction group, Non-FRG), voluntary food restriction group (VFRG) and prescriptive food restriction group (PFRG) on the basis of food restriction. The percentage of food restriction was 58.2%. There was a significant difference in the symptoms aggravating after food intake between Non-FRG and FRG (VFRG and PFRG). Higher percentage of VFRG had insufficient intakes of calcium and phosphorus, defined as intakes lower than 75% of the Dietary Reference Intakes for Koreans, compared to PFRG(p=.025, p=.047, respectively). There were no significant differences in the Z score height and weight for age and weight for height among three groups. In conclusion, higher percentage of Non-FRG had experienced symptoms aggravating after food intake compared to FRG and higher percentage of VFRG had insufficient intakes of calcium and phosphorus compared to PFRG. Therefore, infants with atopic dermatitis need regular nutrient assessment and education about alternative food choices to avoid voluntary food restriction in order to prevent inadequate nutrient intakes.