Study on Food-Intake and Atopic Dermatitis among Adolescents : Findings from the Korea Youth Risk Behavior Web-based Survey

청소년들의 아토피 피부염과 식품섭취빈도에 관한 연구 : 청소년건강행태온라인조사 자료를 중심으로

  • Lee, Jee Hye (Dept. of Food and Nutrition, University of Ulsan)
  • 이지혜 (울산대학교 식품영양전공)
  • Received : 2015.11.30
  • Accepted : 2016.04.20
  • Published : 2016.05.04


The aim of this study was to explore the relationship between demographic characteristics and atopic dermatitis, along with adolescents' body mass index. Also, this study explored the association between dietary intakes (fruits, soda, caffeinated beverages, instant food, cracker, vegetables, and milk) of adolescents and atopic dermatitis. Korea Youth Risk Behavior Web-based Survey for 2014 was used for data analysis, in which a total of 3,532,149 middle and high school students participated. Data were analyzed by descriptive analysis and logistic regression based on the complex sample design using SPSS ver.20.0 statistics. The results showed that males had a higher prevalence rate of atopic dermatitis than females. The significant association between body mass index and atopic dermatitis was found (F=46.625, P<0.001). Students who have higher levels of body mass index showed a higher prevalence rate of atopic dermatitis. Finally, the findings showed that the intake of vegetable and milk had associations with atopic dermatitis (F=6.795, P<0.001). Greater vegetable intake was associated with less atopic dermatitis whereas greater milk intake was associated with more atopic dermatitis prevalence. Based on the above results, we found that demographic characteristics, body mass index, and some dietary food intakes of adolescents had influences on prevalence rate of atopic dermatitis.



  1. Almqvist C, Pershagen G, Wickman M (2005): Low socioeconomic status as a risk factor for asthma, rhinitis and sensitization at 4 years in a birth cohort. Clin Exp Allergy 35(5):612-618
  2. Bohme M, Svensson A, Kull I, Nordvall SL, Wahlgren CF (2001): Clinical features of atopic dermatitis at two years of age: a prospective, population-based case-control study. Acta Derm Venereol 81(3):193-197
  3. Cho CH (2013): Health behaviors on adolescents with atopic dermatitis. J Korean Soc Living Environ Sys 20(1):57-63
  4. Choi HY, Yi YE, Kim YH, Kim, H (2013): The practical application of the complex sample survey design in Korea: based on Korean research project on the intergrated exposure assessment to hazardous material for food safety. J Korean Data Anal Soc 15(4):1893-1902
  5. Chung J, Cho B, Oh S (2007): Prevalence and dietary determinants of atopic dermatitis among preschool children in metropolitan area. Korean J Health Promot 7(2):104-112
  6. Chung YM, Kim BS, Kim NI, Lee EY, Choue R (2005): Study of nutritional status, dietary patterns, and dietary quality of atopic dermatitis patients. Korean J Nutr 38(6):419-431
  7. Costa AJ, Sarinho ES, Motta ME, Gomes PN, de Oliveira de Melo SM, da Silva GA (2011): Allergy to cow's milk proteins: what contribution does hypersensitivity in skin tests have to this diagnosis? Pediatr Allergy Immunol 22(1 Pt 2):e133-138
  8. Han EJ (2007): The effect of processed foods and fast foods on atopic dermatitis in Korean. Masters degree thesis. Myongji University. pp.1-50
  9. Han YS, Chung SJ, Cho YY, Choi HM, Ahn KM, Lee SI (2004): Analysis of the rate of sensitization to food allergen in children with atopic dermatitis. Korean J Community Nutr 9(1):90-97
  10. Kim EJ, Kim HJ, Kim SY, Kim YY, Lee HJ, Kang MH, Choi MK (2014): Dietary habits and nutrient intakes of elementary school students with atopic dermatitis in Chungnam. J East Asian Soc Diet Life 24(3):315-324
  11. Kim GE (2011): The influence of family relationship factor on health behavior of adolescent patients with atopic dermatitis. Masters degree thesis. Chung-ang University. pp.1-76
  12. Koo H, Lee SM, Lee SP, Han E (2014): Association of body mass index with asthma, allergy rhinitis, and atopic dermatitis among adolescents in Incheon, South Korea. Allergy Asthma Respir Dis 2(4):243-250
  13. Korea Centers for Disease Control and Prevention (2014): The tenth Korean youth risk behavior web-based survey (KYRBWS). Korea Centers for Disease Control and Prevention. Cheongju. pp.232-233
  14. Korean Society for the Study of Obesity (2012). Obesity judgment criteria. Available from: Accessed February 27, 2016
  15. Lee HJ, Cho YR, Park JE (2005): Comparative study on life style according to the existence of atopic dermatitis in middle school student. J Korean Soc Sch Health 18(2):93-104
  16. Lee S, Lee H, Han Y, Ahn K, Lee S, Chung SJ (2011): Excessive food restrction in children with atopic dermititis. Korean J Community Nutr 16(6):627-635
  17. Lee YM, Hwang SW (2008): Prevalence and risk factors for atopic dermatitis in pre-school and school aged children. J Korean Acad Child Health Nurs 14(3):285-294
  18. Leung DY, Harbeck R, Bina P, Reiser RF, Yang E, Norris DA, Hanifin JM, Sampson HA (1993): Presence of IgE antibodies to staphylococcal exotoxins on the skin of patients with atopic dermatitis. Evidence for a new group of allergens. J Clin Invest 92(3):1374-1380
  19. Levy RM, Gelfand JM, Yan AC (2003): The epidemiology of atopic dermatitis. Clin Dermatol 21(2):109-115
  20. Ministry of Health and Welfare & Korea Centers for Disease Control and Prevention (2012): Korea Health Statistics 2012: Korea National Health and Nutrition Examination Survey (KNHANESIV-3). Korea Centers for Disease Control and Prevention. Cheongju. pp.609-693
  21. Na HY, Song YH, Kim BJ, Yu JH, Hong SJ, Lee SY (2009): Allergen sensitization of severe atopic dermatitis in children under 2 years. Pediatr Allergy Respir Dis 19(2):146-154
  22. Oh JW (2006): Food and atopic dermatitis in children. Safe Food 1(2):18-24
  23. Park NS, Jeon ES, Kim YN, Cho KD, Baek OH, Lee BH (2009): Comparative study on eating habits, dietary intake patterns, and nutrient intakes between elementary school children with and without atopic dermatitis. J Korean Soc Food Sci Nutr 38(11):1543-1550
  24. Park SE, Park YJ (2011): Atopic dermatitis and correlation studies between fast food and processed foods. J Beauty Ind 2(2):11-26
  25. Purvis DJ, Thompson JM, Clark PM, Robinson E, Black PN, Wild CJ, Mitchell EA (2005): Risk factors for atopic dermatitis in New Zealand children at 3.5 years of age. Br J Dermatol 152(4):742-749
  26. Reibel S, Röhr C, Ziegert M, Sommerfeld C, Wahn U, Niggemann B (2000): What safety measures need to be taken in oral food challenges in children? Allergy 55(10):940-944
  27. Staughton R (2001): Psychologic approach to atopic skin disease. J Am Acad Dermatol 45(1 Suppl):S53-S54
  28. Zeyrek CD, Zeyrek F, Sevinc E, Demir E (2006): Prevalence of asthma and allergic diseases in Sanliurfa, Turkey, and the relation to environmental and socioeconomic factors: is the hygiene hypothesis enough? J Investig Allergol Clin Immunol 16(5):290-295