Cui Hui Song, Ahn In Su, Byun Yun Sun, Yang Yoon Seok, Kim Jin Hye, Chung Bo Young, Kim Hye One, Park Chun Wook
Department of Dermatology, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
Department of Dermatology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Ann Dermatol. 2014 Oct;26(5):570-5. doi: 10.5021/ad.2014.26.5.570. Epub 2014 Sep 26.
Atopic dermatitis (AD) is characterized by itching and eczema-like skin lesions, and its symptoms alleviate with age. Recently, the prevalence of AD has increased among adolescents and adults. The increasing prevalence of AD seems to be related to westernized lifestyles and dietary patterns.
The aim of this study was to evaluate the dietary patterns and nutrient intake of patients with AD.
The study population consisted of 50 children with AD who visited the Department of Dermatology at Kangnam Sacred Heart Hospital, Seoul, Korea from May 2008 to May 2009. Physical condition and calorie intake were evaluated using the Eczema Area and Severity Index score and Food Record Questionnaire completed by the subjects, and the data were analyzed using the Nutritional Assessment Program Can-pro 3.0 (The Korean Nutrition Society, 2005) program to determine the gap between the actual ingestion and average requirements of 3 major nutrients (i.e. carbohydrates, proteins, and lipids), vitamins (i.e. A, B, C, and E), niacin, folic acid, calcium, iron, phosphorus, and zinc in all subjects.
The intake rate of proteins was 18.02% (recommended dietary allowance [RDA], 7%20%), of carbohydrates was 67.7% (RDA, 55%70%), and of lipids was 14.24% (RDA, 15%~30%). Thirty-one subjects (62%) showed deficiency of folic acid, and 21 subjects (42%), of iron supplements.
Essential nutrient intake tends to be lower in AD patients than in healthy subjects, and this low intake is closely related to the severity of AD.
特应性皮炎(AD)的特征为瘙痒和湿疹样皮肤损害,其症状会随年龄增长而缓解。近来,AD在青少年和成年人中的患病率有所上升。AD患病率的增加似乎与西方化的生活方式和饮食模式有关。
本研究旨在评估AD患者的饮食模式和营养摄入情况。
研究对象为2008年5月至2009年5月期间到韩国首尔江南圣心医院皮肤科就诊的50名AD患儿。通过受试者完成的湿疹面积及严重程度指数评分和食物记录问卷对身体状况和热量摄入进行评估,并使用营养评估程序Can-pro 3.0(韩国营养学会,2005年)程序分析数据,以确定所有受试者三大营养素(即碳水化合物、蛋白质和脂质)、维生素(即A、B、C和E)、烟酸、叶酸、钙、铁、磷和锌的实际摄入量与平均需求量之间的差距。
蛋白质摄入量占推荐膳食摄入量(RDA)的18.02%(RDA为7%20%),碳水化合物摄入量占RDA的67.7%(RDA为55%70%),脂质摄入量占RDA的14.24%(RDA为15%~30%)。31名受试者(62%)叶酸缺乏,21名受试者(42%)铁补充剂缺乏。
AD患者必需营养素的摄入量往往低于健康受试者,且这种低摄入量与AD的严重程度密切相关。