아토피피부염 유아와 정상 유아의 식행동 비교 연구

Comparative Study on Eating Behaviors in Infants With and Without Atopic Dermatitis

Atopic dermatitis (AD) is caused by a variety of factors such as a heredity, environment and food. This study was conducted with 100 children (aged 2 to 5 years, AD) who had been diagnosed with AD at the Samsung Medical Center and 100 children(aged 2 to 5 years, normal group, NO) who had not been diagnosed with AD from September 2012 to June 2013. Infants eating behavior, oral skills, tool using skills, food neophobia, caregivers’ eating behavior and feeding practice were investigated by questionnaire. Father’s age (p<0.001), mother’s age (p<0.01), infants’ appetite (p<0.01), deep sleep (p<0.05) and frequency of bowel movements (p<0.05) were showed significant differences between AD and NO. As for compared eating behavior, rhythmicity (p<0.05) and attention span (p<0.01) of AD were higher than those of NO, however, pickiness (p<0.01) of AD was lower than that of NO. Food neophobia was positively correlated with pickiness (p<0.01), whereas it was negatively correlated with appetite (p<0.01), rhythmicity (p<0.01), approach-withdrawal (p<0.01) and attention span (p<0.01). In caregivers’ feeding practices, restriction of AD was higher than that of NO (p<0.05), however, pressure of AD was lower than that of NO (p<0.01). This study provided basic data for preparing dietary guidelines, nutrition education and counseling for infants with AD. It is necessary to make professional control of the nutritional aspect for AD infants and continuous study performed for factors influencing AD infants.