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Food Allergy Awareness and Nutritional Management by Preschooler's Faculty Members of Child Care Facilities

보육기관에서 유아기 아동의 식품 알레르기 인지 및 관리 현황

  • Kim, Soo Bin (Department of Food and Nutrition, College of Natural Sciences, Seoul Women's University) ;
  • Kim, Jung Hee (Department of Food and Nutrition, College of Natural Sciences, Seoul Women's University)
  • 김수빈 (서울여자대학교 자연과학대학 식품영양학과) ;
  • 김정희 (서울여자대학교 자연과학대학 식품영양학과)
  • Received : 2017.08.07
  • Accepted : 2017.08.24
  • Published : 2017.08.31

Abstract

Objectives: The purpose of this study was to investigate the awareness and nutritional management of food allergy (FA) by preschooler's faculty members in child care centers. Methods: A questionnaire survey was conducted among faculty members of child care centers in Seoul. The questionnaire was designed to identify the prevalence of food allergies, requirements of food allergy support and differences in food management depending on the presence of allergic diseases. After excluding incomplete responses, the data of 171 faculties in 137 child care centers (95.0%) were used for statistical analysis. Results: According to the 137 collected questionnaires, 96 child care centers asked parents about their children's allergic disease and 151 children from 66 child care centers had food allergies. A reported 89 children from 43 child care centers had food restrictions. However, 9 child care centers (21.0%) were not aware of food restriction for children with food allergies. Only 6 child care centers (14.0%) supplied substitute foods with the same amount and type of nutrients. Forty eight faculties (28.1%) received training about food allergies. Although there were some differences according to institution type, most of the faculty members wanted food allergy-related support. Conclusions: This study identified a lack of food allergy training for faculty members in child care centers. For proper management, it is necessary for faculty members of child care centers to be educated on overall food allergies. Food allergy-related support such as menus without allergenic ingredients, guidelines on emergency care for food allergies and anaphylaxis should be provided for faculty members in child care centers.

Keywords

References

  1. Kay AB. T Cells orchestrators of the asthmatic response. Ciba Found Symp 1997; 206:56-67.
  2. Ministry of Health & Welfare, Korea Centers for Disease Control and Prevention. Food allergy [internet] Korea Centers for Disease Control and Prevention; 2015 [cited 2015 Dec 21] Available from: http://www.cdc.go.kr/CDC/contents/CdcKrContentView.jsp?cid=60092&menuIds=HOME001-MNU1130-MNU1110-MNU1600-MNU1610
  3. Sicherer SH, Sampson HA. Food allergy. J Allergy Clin Immunol 2010; 125(2 Suppl):116-125. https://doi.org/10.1016/j.jaci.2009.09.051
  4. Chung SJ, Han YS, Chung SW, Ahn KM, Park HY, Lee SI et al. Marasmus and kwashiorkor by nutritional ignorance related to vegetarian diet and infants with atopic dermatitis in South Korea. Korean J Nutr 2004; 37(7): 540-549.
  5. Han YS. Management of food allergy in the community. Food Sci Ind 2015; 48(1): 24-31.
  6. Lim DH. Epidemiology of anaphylaxis in Korean children. Korean J Pediatr 2008; 51(4):351-354. https://doi.org/10.3345/kjp.2008.51.4.351
  7. Jang GC, Chang YS, Choi SH, Song WJ, Lee SY, Park HS et al. Overview of anaphylaxis in Korea: diagnosis and management. Allergy Asthma Respir Dis 2013; 1(3):181-196 . https://doi.org/10.4168/aard.2013.1.3.181
  8. Lee SY, Kim KW, Lee HH, Lim DH, Chung HL, Kim SW et al. Incidence and clinical characteristics of pediatric emergency department visits of children with severe food allergy. Korean J Asthma Allergy Clin Immunol 2012; 32(3):169-175 .
  9. Allen KJ, Hill DJ, Heine RG. 4. Food allergy in childhood. Med J Aust 2006; 185(7):394-400.
  10. Seo WH, Jang EY, Han YS, Ahn KM, Jung JT. Management of food allergies in young children at a child care center and hospital in Korean. Allergy Asthma Respir Dis 2011; 21(1):32-38 . https://doi.org/10.7581/pard.2011.21.1.32
  11. Lee AH, Kim KE, Lee KE, Kim SH, Wang TW, Kim KW et al. Prevalence of food allergy and perceptions on food allergen labeling in school foodservice among Korean students. Allergy Asthma Respir Dis 2013; 1(3):227-234. https://doi.org/10.4168/aard.2013.1.3.227
  12. Kim YG, Yu KH, Ly SY. Perception of elementary school parents in Gyeongbuk area on allergenic food labeling system and children's food allergy status. Korean Living Sci Assoc 2013; 22(5):491-506.
  13. Lee HS, Hong SC, Kim JH, Kim JW, Lee KH, Lee JC. Prevalence of food allergy and the sensitization rates of food allergens in school-aged children in Jeju. Korean Public Health Res 2014; 40(3):49-58.
  14. Won JH. A study on the awareness and management of food allergy among nutritionist and nutrition teachers in elementary and high schools in Seoul. [master's thesis]. Sookmyung Women's University; 2015.
  15. Kim HI. Research methods in sampling. 1st ed. Paju: Kyungmoonsa; 2014. p. 9.
  16. Jung YH, Ko H, Kim HY, Seo JH, Kwon JW, Kim BJ et al. Prevalence and risk factors of food allergy in preschool children in Seoul. Korean J Asthma Allergy Clin Immunol 2011; 31(3): 177-183.
  17. Lim Y, Oh SY. Development of a semi-quantitative food frequency questionnaire for pre-school children in Korea. Korean J Community Nutr 2002; 7(1):58-66.
  18. Lee YK, Kim HH, Ko YS. Perception on food allergy labelling and management of nutritional education among higher grade elementary school students in Jeju area. J Nutr Health 2015; 48(6):530-541. https://doi.org/10.4163/jnh.2015.48.6.530
  19. Kim YM, Heo YR, Ro HK. Perception and practices regarding food allergy of elementary and middle school nutritionists in the Jeonnam area. Korean J Society Food Sci Nutr 2014; 43(1): 151-161. https://doi.org/10.3746/jkfn.2014.43.1.151
  20. Yoon AR. A study on the state of food allergy management nutritionists and nutrition teacher in elemetary and middle schools. [master's thesis]. Inha University; 2015.
  21. Christie L, Hine RJ, Parker JG, Burks W. Food allergies in children affect nutrient intake and growth. J Am Diet Assoc 2002; 102(11):1648-1651. https://doi.org/10.1016/S0002-8223(02)90351-2
  22. Ahn KM. Food allergy: diagnosis and management. Korean J Asthma Allergy Clin Immunol 2011; 31(3): 163-169.
  23. Kim SB, Kim JH. Food allergy awareness and nutritional management by the parents of preschool children. Korean J Community Nutr 2016; 21(5):426-439. https://doi.org/10.5720/kjcn.2016.21.5.426
  24. Han YS, Chung SJ, Cho YY, Choi HM, Ahn KM, Lee SL Analysis of the rate of sensitization to food allergen in children with atopic dermatitis. Korean J Community Nutr 2004; 9(1): 90-97.
  25. Korea Ministry of Government Legislation. School meals act enforcement regulation [internet] National Law Information Center; 2013 [cited 2015 Nov 7]. Available from: http://www.law.go.kr/lsInfoP.do?lsiSeq=166408&efYd=20150101#000
  26. Urisu A, Ebisawa M, Ito K, Aihara Y, Ito S, Mayumi M et al. Japanese guideline for food allergy 2014. Allergol Int 2014; 63(3): 399-419. https://doi.org/10.2332/allergolint.14-RAI-0770
  27. Food Allergy Research & Education, Inc. About food allergy [internet]. Food Allergy & Anaphylaxis Network (FAAN) and the Food Allergy Initiative (FAI); 2015 [cited 2015 Nov 7]. Available from: http://www.foodallergy.org/most popular-resources
  28. Centers for Disease Control and Prevention. Voluntary guidelines for managing food allergies in schools and early care and education programs. Washington, DC: US Department of Health and Human Services; 2013.

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