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特应性皮炎婴儿的营养素摄入量与喂养方式的关系。

Nutrient intakes of infants with atopic dermatitis and relationship with feeding type.

机构信息

Environmental Health Center for Atopic Diseases, Samsung Medical Center, Seoul 135-710, Korea. ; Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 135-710, Korea.

Department of Food and Nutrition, Myongji University, Yongin, Gyeonggi-do 449-728, Korea.

出版信息

Nutr Res Pract. 2015 Feb;9(1):57-62. doi: 10.4162/nrp.2015.9.1.57. Epub 2015 Jan 5.

Abstract

BACKGROUND/OBJECTIVES: The prevalence of atopic dermatitis in infants is increasing worldwide. However, the nutrient intake status of infants with atopic dermatitis has not been studied properly. This study was conducted to compare the nutrient intake status of infants in the weaning period with atopic dermatitis by feeding type.

MATERIALS/METHODS: Feeding types, nutrient intake status and growth status of 98 infants with atopic dermatitis from age 6 to 12 months were investigated. Feeding types were surveyed using questionnaires, and daily intakes were recorded by mothers using the 24-hour recall method. Growth and iron status were also measured.

RESULTS

The result showed that breastfed infants consumed less energy and 13 nutrients compared to formula-fed or mixed-fed infants (p < 0.001). The breastfed group showed a significantly lower intake rate to the Dietary Reference Intakes for Koreans than the other two groups (p < 0.001). In addition, they consumed less than 75% of the recommended intakes in all nutrients, except for protein and vitamin A, and in particular, iron intake was very low, showing just 18.7% of the recommended intake. There was no significant difference in growth by feeding type, but breastfed infants showed a significantly higher rate of iron deficiency anemia (p < 0.001).

CONCLUSIONS

Continuous management programs should be prepared for breastfed infants with atopic dermatitis, who are in a period when rapid growth takes place and proper nutrient intake is essential.

摘要

背景/目的:特应性皮炎在婴儿中的发病率在全球范围内呈上升趋势。然而,特应性皮炎婴儿的营养摄入状况尚未得到适当研究。本研究旨在通过喂养方式比较特应性皮炎婴儿断奶期的营养摄入状况。

材料/方法:调查了 98 名 6-12 月龄特应性皮炎婴儿的喂养方式、营养摄入状况和生长状况。喂养方式采用问卷调查,母亲采用 24 小时回顾法记录每日摄入量。还测量了生长和铁状况。

结果

结果表明,与配方奶或混合喂养的婴儿相比,母乳喂养的婴儿能量和 13 种营养素的摄入量较低(p<0.001)。母乳喂养组的膳食参考摄入量摄入量明显低于其他两组(p<0.001)。此外,除蛋白质和维生素 A 外,所有营养素的摄入量均低于推荐摄入量的 75%,特别是铁的摄入量非常低,仅为推荐摄入量的 18.7%。喂养方式对生长无显著差异,但母乳喂养的婴儿缺铁性贫血发生率明显较高(p<0.001)。

结论

对于处于快速生长和适当营养摄入至关重要时期的特应性皮炎母乳喂养婴儿,应制定持续的管理计划。

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本文引用的文献

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Association between total duration of breastfeeding and iron deficiency.母乳喂养总时长与缺铁之间的关联。
Pediatrics. 2013 May;131(5):e1530-7. doi: 10.1542/peds.2012-2465. Epub 2013 Apr 15.
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Growth and nutritional concerns in children with food allergy.食物过敏儿童的生长和营养问题。
Curr Opin Allergy Clin Immunol. 2013 Jun;13(3):275-9. doi: 10.1097/ACI.0b013e328360949d.
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Atopic dermatitis and nutrition.特应性皮炎与营养。
Clin Dermatol. 2010 Nov-Dec;28(6):605-14. doi: 10.1016/j.clindermatol.2010.03.032.
6
Is eczema really on the increase worldwide?湿疹在全球范围内真的在增多吗?
J Allergy Clin Immunol. 2008 Apr;121(4):947-54.e15. doi: 10.1016/j.jaci.2007.11.004. Epub 2007 Dec 21.
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The role of breast-feeding in the development of allergies and asthma.母乳喂养在过敏和哮喘发展中的作用。
J Allergy Clin Immunol. 2005 Jun;115(6):1238-48. doi: 10.1016/j.jaci.2005.01.069.
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New insights into atopic dermatitis.特应性皮炎的新见解。
J Clin Invest. 2004 Mar;113(5):651-7. doi: 10.1172/JCI21060.

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