부천지역 초등학생의 식품알레르기 발생 실태 및 다른 알레르기질환과의 연관성
Survey of food allergy in elementary school children in Bucheon-city and relationship between food allergy and other allergic diseases
1
조회
0
다운로드
24
인용
0
참고문헌
키워드
초록
Purpose: This study was performed to evaluate the current status of food allergy (FA) and to analyze the relationship between allergy to individual foods and other allergic diseases in elementary school children. Methods: We performed a questionnaire survey for FA, asthma, allergic rhinitis, and atopic dermatitis using International Study of Asthma and Allergies in Childhood questionnaires. A total of 1,929 students in 3 elementary schools were enrolled. Results: A total of 324 students (16.8%) had ever suffered from FA symptoms more than once. Only 64 out of 324 students (19.8%) were diagnosed with FA by doctors. The presence of soy allergy was associated with the increased risk of bronchial asthma (adjusted odds ratio [aOR], 5.90; 95% confidence interval [CI], 1.87 to 18.59). The presence of egg (aOR, 1.91; 95% CI, 1.04 to 3.52) and wheat allergy (aOR, 5.45; 95% CI, 1.94 to 15.36) were associated with the increased prevalence of allergic rhinitis. The allergic symptoms to fruits/tomato was associated with the increased risk of allergic rhinoconjunctivitis symptoms (aOR, 2.98; 95% CI, 1.18 to 7.47). The allergic symptoms to egg (aOR, 2.29; 95% CI, 1.22 to 4.29), wheat (aOR, 4.91; 95% CI, 1.86 to 12.95), and shrimp/crab (aOR, 2.48; 95% CI, 1.37 to 4.49) were associated with the presence of atopic dermatitis. Conclusion: The prevalence of FA of elementary school students in Bucheon-city was 16.8%. A significant positive association between the suspected foods and the other allergic diseases was found. Soy allergy was significantly correlated to having bronchial asthma and fruits/tomato allergy correlated with allergic rhinoconjunctivitis.
Abstract
Purpose: This study was performed to evaluate the current status of food allergy (FA) and to analyze the relationship between allergy to individual foods and other allergic diseases in elementary school children. Methods: We performed a questionnaire survey for FA, asthma, allergic rhinitis, and atopic dermatitis using International Study of Asthma and Allergies in Childhood questionnaires. A total of 1,929 students in 3 elementary schools were enrolled. Results: A total of 324 students (16.8%) had ever suffered from FA symptoms more than once. Only 64 out of 324 students (19.8%) were diagnosed with FA by doctors. The presence of soy allergy was associated with the increased risk of bronchial asthma (adjusted odds ratio [aOR], 5.90; 95% confidence interval [CI], 1.87 to 18.59). The presence of egg (aOR, 1.91; 95% CI, 1.04 to 3.52) and wheat allergy (aOR, 5.45; 95% CI, 1.94 to 15.36) were associated with the increased prevalence of allergic rhinitis. The allergic symptoms to fruits/tomato was associated with the increased risk of allergic rhinoconjunctivitis symptoms (aOR, 2.98; 95% CI, 1.18 to 7.47). The allergic symptoms to egg (aOR, 2.29; 95% CI, 1.22 to 4.29), wheat (aOR, 4.91; 95% CI, 1.86 to 12.95), and shrimp/crab (aOR, 2.48; 95% CI, 1.37 to 4.49) were associated with the presence of atopic dermatitis. Conclusion: The prevalence of FA of elementary school students in Bucheon-city was 16.8%. A significant positive association between the suspected foods and the other allergic diseases was found. Soy allergy was significantly correlated to having bronchial asthma and fruits/tomato allergy correlated with allergic rhinoconjunctivitis.
참고문헌 (37)
- Asher MI, "Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys", Lancet, 368, pp.733~743 (2006)
- 이하백, "New Patterns of Childhood Asthma Pevalence in Six Asian Countries: Comparison of ISAAC Phases I and III", Allergy Asthma & Respiratory Diseases, 18(1), pp.70~77 (2008), 대한 소아알레르기 호흡기학회
- 홍수종, "한국 소아알레르기 질환의 유병률", Allergy Asthma & Respiratory Diseases, 18(1), pp.15~25 (2008), 대한 소아알레르기 호흡기학회
- Hong SJ, "Korean ISAAC Study Group of Korean Association of Allergy and Respiratory Diseases: report of Korean ISAAC epidemiologic study for asthma and allergic diseases in children", Pediatr Allergy Respir Dis, 17(1 Suppl), pp.S55~66 (2007)
- Gupta RS, "The prevalence, severity, and distribution of childhood food allergy in the United States", Pediatrics, 128, pp.9~17 (2011)
- Amin AJ, "Changes in prevalence and characteristics of IgE-mediated food allergies in children referred to a tertiary care center in 2003 and 2008", Allergy Asthma Proc, 33, pp.95~101 (2012)
- Bock SA, "Further fatalities caused by anaphylactic reactions to food, 2001-2006", J Allergy Clin Immunol, 119, pp.1016~1018 (2007)
- Oh Jae Won, "Epidemiological Change of Atopic Dermatitis and Food Allergy in School-Aged Children in Korea between 1995 and 2000", Journal of Korean Medical Science, 19(5), pp.716~723 (2004), 대한의학회
- 서원희, "영유아 보육시설과 응급실에서의 식품 알레르기 관리 현황", Allergy Asthma & Respiratory Diseases, 21(1), pp.32~38 (2011), 대한 소아알레르기 호흡기학회
- 정상진, "아토피피부염 영아의 영양장애 사례보고와 채식주의에 관한 고찰", Journal of Nutrition and Health, 37(7), pp.540~549 (2004), 한국영양학회
- Barth GA, "Food intake of patients with atopic dermatitis", Eur J Dermatol, 11, pp.199~202 (2001)
- 박승주, "아토피피부염 유병여부에 따른 영유아의 영양섭취와 성장 비교 연구", 대한지역사회영양학회지, 17(3), pp.271~279 (2012), 대한지역사회영양학회
- Sicherer HS, "Symposium: pediatric food allergy", Pediatrics, 111, pp.1591~1594 (2003)
- Wood RA, "The natural history of food allergy", Pediatrics, 111(6 Pt 3), pp.1631~1637 (2003)
- Tao Zheng, "The Atopic March: Progression from Atopic Dermatitis to Allergic Rhinitis and Asthma", Allergy, Asthma & Immunology Research, 3(2), pp.67~73 (2011), 대한천식알레르기학회
- Martinez FD, "Asthma and wheezing in the first six years of life. The Group Health Medical Associates", N Engl J Med, 332, pp.133~138 (1995)
- Klinnert MD, "Onset and persistence of childhood asthma: predictors from infancy", Pediatrics, 108, pp.69~ (2001)
- Arshad SH, "Early life risk factors for current wheeze, asthma, and bronchial hyperresponsiveness at 10 years of age", Chest, 127, pp.502~508 (2005)
- Kusunoki T, "Allergic status of schoolchildren with food allergy to eggs, milk or wheat in infancy", Pediatr Allergy Immunol, 20, pp.642~647 (2009)
- 2007 Korea national health statistics: Korea national health and nutrition examination surveys phase IV (first year, 2007), "Ministry for Health, Welfare and Family Affairs", Korea Center for Disease Control and Prevention, ~ (2008)
- 정영호, "수도권 학령전기 소아에서 식품알레르기의 유병률 및 위험인자", 천식 및 알레르기, 31(3), pp.177~183 (2011), 대한천식알레르기학회
- 이정빈, "소아 아토피피부염 환자보호자의 인식도에 관한 설문조사 연구", 천식 및 알레르기, 29(3), pp.179~185 (2009), 대한천식알레르기학회
- Bircher AJ, "IgE to food allergens are highly prevalent in patients allergic to pollens, with and without symptoms of food allergy", Clin Exp Allergy, 24, pp.367~374 (1994)
- Amlot PL, "Oral allergy syndrome (OAS): symptoms of IgE-mediated hypersensitivity to foods", Clin Allergy, 17, pp.33~42 (1987)
- Fleischer DM, "Allergic reactions to foods in preschool-aged children in a prospective observational food allergy study", Pediatrics, 130, pp.25~32 (2012)
- 오재원, "소아알레르기와 식품첨가물", Allergy Asthma & Respiratory Diseases, 20(4), pp.212~218 (2010), 대한 소아알레르기 호흡기학회
- Simons FE, "Anaphylaxis: recent advances in assessment and treatment", J Allergy Clin Immunol, 124, pp.625~636 (2009)
- Sicherer SH, "American Academy of Pediatrics Section on Allergy and Immunology. Management of food allergy in the school setting", Pediatrics, 126, pp.1232~1239 (2010)
- Eigenmann PA, "Prevalence of IgE-mediated food allergy among children with atopic dermatitis", Pediatrics, 101, pp.8~ (1998)
- Novembre E, "Foods and respiratory allergy", J Allergy Clin Immunol, 81(5 Pt 2), pp.1059~1065 (1988)
- 유진호, "알레르기 행진: 아토피피부염에서 천식으로의 이행", 천식 및 알레르기, 32(3), pp.137~143 (2012), 대한천식알레르기학회
- 안강모, "식품알레르기: 진단과 관리", 천식 및 알레르기, 31(3), pp.163~169 (2011), 대한천식알레르기학회
- Huang SW, "Follow-up of children with rhinitis and cough associated with milk allergy", Pediatr Allergy Immunol, 18, pp.81~85 (2007)
- Sahin-Yilmaz A, "Immunoglobulin E-mediated food allergies among adults with allergic rhinitis", Otolaryngol Head Neck Surg, 143, pp.379~385 (2010)
- Tan TN, "Prevalence of allergy-relatedsymptoms in Singaporean children in the second year of life", Pediatr Allergy Immunol, 16, pp.151~156 (2005)
- Sicherer SH, "Is food allergy causing your patient's asthma symptoms?", J Respir Dis, 21, pp.127~136 (2000)
- Kelso JM, "Pollen-food allergy syndrome", Clin Exp Allergy, 30, pp.905~907 (2000)
