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Comparative Study on Eating Habits, Dietary Intake Patterns, and Nutrient Intakes Between Elementary School Children With and Without Atopic Dermatitis

일부 초등학생의 아토피피부염 유무에 따른 식습관, 식품섭취양상 및 영양소섭취상태 비교 연구

  • Park, Nam-Suk (Nutrition Education, Graduate School of Education, Chung-Ang University) ;
  • Jeon, Eu-Sun (Dept. of Food & Nutrition, Chung-Ang University) ;
  • Kim, Young-Nam (Institute of Human Ecology, Chung-Ang University) ;
  • Cho, Kyung-Dong (Korea Food Research Institute) ;
  • Baek, Ok-Hee (Dept. of Food & Nutrition, Suwon Women's College) ;
  • Lee, Bog-Hieu (Dept. of Food & Nutrition, Chung-Ang University)
  • 박남숙 (중앙대학교 교육대학원 영양교육전공) ;
  • 전유선 (중앙대학교 식품영양학과) ;
  • 김영남 (중앙대학교 생활문화산업연구소) ;
  • 조경동 (한국식품연구원) ;
  • 백옥희 (수원여자대학 식품영양과) ;
  • 이복희 (중앙대학교 식품영양학과)
  • Published : 2009.11.30

Abstract

The aim of this study was to examine and compare the eating habits, dietary intake patterns and nutrient intake status of children with and without atopic dermatitis by questionnaire during July, 2008. A total 388 subjects of 5th and 6th grade elementary school children (AG: atopic group, n=65, NG: non-atopic group, n=323) in Seoul and Ulsan areas participated in this study. The questionnaire included general characteristics, dietary habits, and atopy-related food frequency. One-day 24 hour recall was collected to estimate nutrient intakes of the subjects. The data were analyzed by Chi-square test for food frequency analysis and by t-test for nutrient intakes. Atopy-related foods included milk, buckwheat, beef, pork, chicken, crab, egg, mackerel, peach, and tomato. From the findings, AG had a more irregular eating habit than NG (p<0.05). In case of food frequency, AG tended to consume more atopy-related foods than NG (p>0.05). The nutrient intakes of AG were significantly lower than those of NG (p<0.05), but only intake of animal iron in AG was higher than NG (p<0.05). NG consumed more protein than AG (p<0.05). Although milk was a noted hypersensitive allergic food, frequency and the amount of milk intake were not significantly different between two groups. In conclusion, atopic children had eaten more atopy-related foods and less nutrient intakes. Therefore, it is necessary to educate on good nutrition and guide atopic children and their parents.

본 연구는 아토피피부염을 가지고 있는 아동과 정상 아동의 식습관, 식품섭취양상 및 영양소섭취상태 비교를 위해 서울 소재 1개교와 울산의 2개 초등학교에 재학 중인 5, 6학년 388명을 대상으로 설문지를 이용하여 실시되었다. 조사는 2008년 7월 7일부터 7월 18일까지 총 2주간 실시하였으며, 조사대상자 중 아토피피부염군은 16.7%(65명), 정상 아동군은 83.3%(323명)로 나타났다. 아토피피부염 아동군은 남학생 29명, 여학생 36명으로 남아보다는 여아에게서 더 호발 되었으며 대부분 7-13세에 아토피피부염이 유발된 것으로 나타났다. 아토피피부염 아동군 중 병원치료를 받고 있는 경우는 20.0%였고 아토피피부염 유발에 영향을 주는 식품인 튀김, 패스트푸드, 우유 등의 섭취를 제한하고 있었다. 식습관의 경우, 아토피피부염 아동군이 정상 아동군에 비해 식습관이 불규칙적인 것으로 나타났으며(p<0.05), 아토피피부염의 유발과 연관 있는 식품 중 우유, 돼지고기, 게, 메밀, 닭고기, 고등어, 복숭아, 토마토의 섭취량이 정상 아동군에 비해 아토피피부염 아동군에서 높게 나타났다. 또한, 아토피피부염 아동군이 열량(p<0.001), 총 단백질(p<0.05), 식물성 단백질(p<0.001), 당질(p<0.001), 식이섬유소(p< 0.01), 칼륨(p<0.05), 아연(p<0.001), 비타민 B1(p<0.001), 나이아신(p<0.01), 비타민 C(p<0.05) 및 엽산(p<0.01) 등의 섭취량이 정상 아동군에 비해 유의적으로 적었다. 본 연구결과 아토피피부염 아동은 정상아동에 비해 식습관이 불규칙적이고, 아토피피부염 유발식품의 섭취량은 많았으며, 대부분의 영양소 섭취량이 정상아동에 비해 적었다. 이러한 결과는 식품과 연관성이 높은 소아 아토피피부염에 부정적인 영향을 줄 수 있을 것으로 보이며, 아토피피부염 아동에 대해 적절한 식품의 선택과 균형 잡힌 식생활 및 식습관 교정의 필요성이 매우 절실한 것으로 판단된다. 따라서 아토피피부염을 악화시키는 원인식품의 섭취를 제한하는 것과 더불어 올바른 영양교육 및 지도가 이루어져야할 것으로 생각된다.

Keywords

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