Nutr Res Pract.  2012 Oct;6(5):429-435.

Serum immunoglobulin E (IgE) levels and dietary intake of Korean infants and young children with atopic dermatitis

Affiliations
  • 1Department of Foods and Nutrition, Kookmin University, 861-1, Jeongneung-dong, Seongbuk-gu, Seoul 136-702, Korea. schung@kookmin.ac.kr
  • 2Department of Food and Nutrition, Seoul National University, Seoul 151-742, Korea.
  • 3Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 135-710, Korea.

Abstract

Atopic dermatitis (AD) has become a serious epidemic in Korean children. We aimed to investigate the association between vitamin C, E and other nutrients, and serum total IgE/specific IgE levels in children with AD. A total of 119 children (0-24 mo) diagnosed with AD were recruited for this cross-sectional study from a medical center in Seoul. A 24 h recall was used to assess dietary intakes. Serum total and six food-allergen specific IgE levels were measured by CAP-FEIA. Serum vitamin E was also measured but only in 25 out of the total 119 participants. Multiple linear regression analysis was performed to estimate the coefficients between serum IgE levels and dietary intake as well as serum vitamin E. Serum vitamin E levels showed a significantly inverse association with serum total IgE and all specific IgE levels (P < 0.05). Fat intake was inversely related with specific-IgEs for egg whites, milk, buck wheat, soy, and peanuts (P < 0.05). Positive associations were found between carbohydrate (CHO) intake and total IgE and specific IgEs to egg whites, milk, soy, and peanuts (P < 0.05). Vitamin C, E and n-3/n-6 fatty acids were not related with serum total IgE and specific IgE levels except for the association between buck wheat and vitamin E. In addition, there were no significant differences between males and females in dietary intake and serum IgE levels by student's t-test. Although dietary vitamin E showed no association with serum IgE levels, serum vitamin E drew a significant inverse relationship with serum IgE levels. The evidence seems to suggest that vitamin E may possibly lower total and specific-IgEs in children with AD, and that it is important to maintain a relatively high serum vitamin E level in children with AD.

Keyword

Atopic dermatitis (AD); serum immunoglobulin E (IgE); serum vitamin E; dietary intake; children

MeSH Terms

Arachis
Ascorbic Acid
Child
Cross-Sectional Studies
Dermatitis, Atopic
Egg White
Fatty Acids
Female
Humans
Immunoglobulin E
Immunoglobulins
Infant
Linear Models
Male
Milk
Soy Milk
Triticum
Vitamin E
Vitamins
Ascorbic Acid
Fatty Acids
Immunoglobulin E
Immunoglobulins
Vitamin E
Vitamins

Reference

1. Zheng T, Yu J, Oh MH, Zhu Z. The atopic march: progression from atopic dermatitis to allergic rhinitis and asthma. Allergy Asthma Immunol Res. 2011. 3:67–73.
Article
2. Asher MI, Montefort S, Björkstén B, Lai CK, Strachan DP, Weiland SK, Williams H. ISAAC Phase Three Study Group. 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. 2006. 368:733–743.
Article
3. Hwang CY, Chen YJ, Lin MW, Chen TJ, Chu SY, Chen CC, Lee DD, Chang YT, Wang WJ, Liu HN. Prevalence of atopic dermatitis, allergic rhinitis and asthma in Taiwan: a national study 2000 to 2007. Acta Derm Venereol. 2010. 90:589–594.
Article
4. Jee HM, Kim KW, Kim CS, Sohn MH, Shin DC, Kim KE. Prevalence of asthma, rhinitis and eczema in Korean children using the International Study of Asthma and Allergies in Childhood (ISAAC) questionnaires. Pediatr Allergy Respir Dis. 2009. 19:165–172.
5. Leung DY. Atopic dermatitis: new insights and opportunities for therapeutic intervention. J Allergy Clin Immunol. 2000. 105:860–876.
Article
6. Novak N. New insights into the mechanism and management of allergic diseases: atopic dermatitis. Allergy. 2009. 64:265–275.
Article
7. Arikawa J, Ishibashi M, Kawashima M, Takagi Y, Ichikawa Y, Imokawa G. Decreased levels of sphingosine, a natural antimicrobial agent, may be associated with vulnerability of the stratum corneum from patients with atopic dermatitis to colonization by Staphylococcus aureus. J Invest Dermatol. 2002. 119:433–439.
Article
8. Palmer CN, Irvine AD, Terron-Kwiatkowski A, Zhao Y, Liao H, Lee SP, Goudie DR, Sandilands A, Campbell LE, Smith FJ, O'Regan GM, Watson RM, Cecil JE, Bale SJ, Compton JG, DiGiovanna JJ, Fleckman P, Lewis-Jones S, Arseculeratne G, Sergeant A, Munro CS, El Houate B, McElreavey K, Halkjaer LB, Bisgaard H, Mukhopadhyay S, McLean WH. Common loss-of-function variants of the epidermal barrier protein filaggrin are a major predisposing factor for atopic dermatitis. Nat Genet. 2006. 38:441–446.
Article
9. Han DK, Kim MK, Yoo JE, Choi SY, Kwon BC, Sohn MH, Kim KE, Lee SY. Food sensitization in infants and young children with atopic dermatitis. Yonsei Med J. 2004. 45:803–809.
Article
10. Park JH, Choi YL, Namkung JH, Kim WS, Lee JH, Park HJ, Lee ES, Yang JM. Characteristics of extrinsic vs. intrinsic atopic dermatitis in infancy: correlations with laboratory variables. Br J Dermatol. 2006. 155:778–783.
Article
11. Benhamou AH, Eigenmann PA. Atopic dermatitis and food allergies. Rev Med Suisse. 2007. 3:1038–1043.
12. Burks AW, James JM, Hiegel A, Wilson G, Wheeler JG, Jones SM, Zuerlein N. Atopic dermatitis and food hypersensitivity reactions. J Pediatr. 1998. 132:132–136.
Article
13. Finch J, Munhutu MN, Whitaker-Worth DL. Atopic dermatitis and nutrition. Clin Dermatol. 2010. 28:605–614.
Article
14. Sausenthaler S, Heinrich J, Koletzko S. GINIplus and LISAplus Study Groups. Early diet and the risk of allergy: what can we learn from the prospective birth cohort studies GINIplus and LISAplus? Am J Clin Nutr. 2011. 94:2012S–2017S.
15. Zutavern A, Brockow I, Schaaf B, von Berg A, Diez U, Borte M, Kraemer U, Herbarth O, Behrendt H, Wichmann HE, Heinrich J. LISA Study Group. Timing of solid food introduction in relation to eczema, asthma, allergic rhinitis, and food and inhalant sensitization at the age of 6 years: results from the prospective birth cohort study LISA. Pediatrics. 2008. 121:e44–e52.
Article
16. Omata N, Tsukahara H, Ito S, Ohshima Y, Yasutomi M, Yamada A, Jiang M, Hiraoka M, Nambu M, Deguchi Y, Mayumi M. Increased oxidative stress in childhood atopic dermatitis. Life Sci. 2001. 69:223–228.
Article
17. Devereux G, Seaton A. Diet as a risk factor for atopy and asthma. J Allergy Clin Immunol. 2005. 115:1109–1117.
Article
18. Ellwood P, Asher MI, Björkstén B, Burr M, Pearce N, Robertson CF. ISAAC Phase One Study Group. Diet and asthma, allergic rhinoconjunctivitis and atopic eczema symptom prevalence: an ecological analysis of the International Study of Asthma and Allergies in Childhood (ISAAC) data. Eur Respir J. 2001. 17:436–443.
Article
19. Nurmatov U, Devereux G, Sheikh A. Nutrients and foods for the primary prevention of asthma and allergy: systematic review and meta-analysis. J Allergy Clin Immunol. 2011. 127:724–733.e1-30.
Article
20. Sausenthaler S, Loebel T, Linseisen J, Nagel G, Magnussen H, Heinrich J. Vitamin E intake in relation to allergic sensitization and IgE serum concentration. Cent Eur J Public Health. 2009. 17:79–85.
Article
21. Tricon S, Willers S, Smit HA, Burney PG, Devereux G, Frew AJ, Halken S, Høst A, Nelson M, Shaheen S, Warner JO, Calder PC. Nutrition and allergic disease. Clin Exp Allergy Rev. 2006. 6:117–188.
Article
22. Eigenmann PA. Clinical features and diagnostic criteria of atopic dermatitis in relation to age. Pediatr Allergy Immunol. 2001. 12:Suppl 14. 69–74.
Article
23. Perry TT, Matsui EC, Kay Conover-Walker M, Wood RA. The relationship of allergen-specific IgE levels and oral food challenge outcome. J Allergy Clin Immunol. 2004. 114:144–149.
Article
24. Sampson HA. Utility of food-specific IgE concentrations in predicting symptomatic food allergy. J Allergy Clin Immunol. 2001. 107:891–896.
Article
25. Anandan C, Nurmatov U, Sheikh A. Omega 3 and 6 oils for primary prevention of allergic disease: systematic review and meta-analysis. Allergy. 2009. 64:840–848.
Article
26. Senapati S, Banerjee S, Gangopadhyay DN. Evening primrose oil is effective in atopic dermatitis: a randomized placebo-controlled trial. Indian J Dermatol Venereol Leprol. 2008. 74:447–452.
Article
27. Tsoureli-Nikita E, Hercogova J, Lotti T, Menchini G. Evaluation of dietary intake of vitamin E in the treatment of atopic dermatitis: a study of the clinical course and evaluation of the immunoglobulin E serum levels. Int J Dermatol. 2002. 41:146–150.
Article
28. Javanbakht MH, Keshavarz SA, Djalali M, Siassi F, Eshraghian MR, Firooz A, Seirafi H, Ehsani AH, Chamari M, Mirshafiey A. Randomized controlled trial using vitamins E and D supplementation in atopic dermatitis. J Dermatolog Treat. 2011. 22:144–150.
Article
29. Hanifin JM, Rajka G. Diagnostic features of atopic dermatitis. Acta Derm Venereol Suppl (Stockh). 1980. 59:44–47.
30. Devaney B, Kalb L, Briefel R, Zavitsky-Novak T, Clusen N, Ziegler P. Feeding infants and toddlers study: overview of the study design. J Am Diet Assoc. 2004. 104:S8–S13.
Article
31. Fisher JO, Butte NF, Mendoza PM, Wilson TA, Hodges EA, Reidy KC, Deming D. Overestimation of infant and toddler energy intake by 24-h recall compared with weighed food records. Am J Clin Nutr. 2008. 88:407–415.
Article
32. Mediaty A, Neuber K. Total and specific serum IgE decreases with age in patients with allergic rhinitis, asthma and insect allergy but not in patients with atopic dermatitis. Immun Ageing. 2005. 2:9.
Article
33. Wood RA, Segall N, Ahlstedt S, Williams PB. Accuracy of IgE antibody laboratory results. Ann Allergy Asthma Immunol. 2007. 99:34–41.
Article
34. Talegawkar SA, Johnson EJ, Carithers T, Taylor HA Jr, Bogle ML, Tucker KL. Total alpha-tocopherol intakes are associated with serum alpha-tocopherol concentrations in African American adults. J Nutr. 2007. 137:2297–2303.
Article
35. Okuda M, Bando N, Terao J, Sasaki S, Sugiyama S, Kunitsugu I, Hobara T. Association of serum carotenoids and tocopherols with atopic diseases in Japanese children and adolescents. Pediatr Allergy Immunol. 2010. 21:e705–e710.
Article
36. McKeever TM, Lewis SA, Smit H, Burney P, Britton J, Cassano PA. Serum nutrient markers and skin prick testing using data from the Third National Health and Nutrition Examination Survey. J Allergy Clin Immunol. 2004. 114:1398–1402.
Article
37. Kamal-Eldin A, Appelqvist LA. The chemistry and antioxidant properties of tocopherols and tocotrienols. Lipids. 1996. 31:671–701.
Article
38. Packer L. Vitamin E is nature's master antioxidant. Sci Am Sci Med. 1994. 1:54–63.
39. Meydani SN, Han SN, Wu D. Vitamin E and immune response in the aged: molecular mechanisms and clinical implications. Immunol Rev. 2005. 205:269–284.
Article
40. Chan SC, Kim JW, Henderson WR Jr, Hanifin JM. Altered prostaglandin E2 regulation of cytokine production in atopic dermatitis. J Immunol. 1993. 151:3345–3352.
41. Yamada K, Hung P, Yoshimura K, Taniguchi S, Lim BO, Sugano M. Effect of unsaturated fatty acids and antioxidants on immunoglobulin production by mesenteric lymph node lymphocytes of Sprague-Dawley rats. J Biochem. 1996. 120:138–144.
Article
42. Fogarty A, Lewis S, Weiss S, Britton J. Dietary vitamin E, IgE concentrations, and atopy. Lancet. 2000. 356:1573–1574.
Article
43. Patel S, Murray CS, Woodcock A, Simpson A, Custovic A. Dietary antioxidant intake, allergic sensitization and allergic diseases in young children. Allergy. 2009. 64:1766–1772.
Article
44. Kompauer I, Heinrich J, Wolfram G, Linseisen J. Association of carotenoids, tocopherols and vitamin C in plasma with allergic rhinitis and allergic sensitisation in adults. Public Health Nutr. 2006. 9:472–479.
Article
45. Oh SY, Chung J, Kim MK, Kwon SO, Cho BH. Antioxidant nutrient intakes and corresponding biomarkers associated with the risk of atopic dermatitis in young children. Eur J Clin Nutr. 2010. 64:245–252.
Article
46. Solvoll K, Soyland E, Sandstad B, Drevon CA. Dietary habits among patients with atopic dermatitis. Eur J Clin Nutr. 2000. 54:93–97.
Article
47. Trak-Fellermeier MA, Brasche S, Winkler G, Koletzko B, Heinrich J. Food and fatty acid intake and atopic disease in adults. Eur Respir J. 2004. 23:575–582.
Article
48. Sampson HA. The evaluation and management of food allergy in atopic dermatitis. Clin Dermatol. 2003. 21:183–192.
Article
49. Imai T, Iikura Y. The national survey of immediate type of food allergy. Arerugi. 2003. 52:1006–1013.
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