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

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

Affiliations
  • 1Environmental Health Center for Atopic Diseases, Samsung Medical Center, Seoul 135-710, Korea.
  • 2Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 135-710, Korea.
  • 3Department of Food and Nutrition, Myongji University, Yongin, Gyeonggi-do 449-728, Korea. khsong@mju.ac.kr
  • 43Cancer Center, Samsung Medical Center, Seoul 135-710, Korea.

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.

Keyword

Atopic dermatitis; breastfeeding; feeding type; infant; nutrient intake

MeSH Terms

Anemia, Iron-Deficiency
Breast Feeding
Dermatitis, Atopic*
Humans
Infant*
Iron
Mothers
Prevalence
Surveys and Questionnaires
Recommended Dietary Allowances
Vitamin A
Weaning
Iron
Vitamin A

Reference

1. Leung DY, Bieber T. Atopic dermatitis. Lancet. 2003; 361:151–160.
Article
2. Leung DY, Boguniewicz M, Howell MD, Nomura I, Hamid QA. New insights into atopic dermatitis. J Clin Invest. 2004; 113:651–657.
Article
3. Williams H, Stewart A, von Mutius E, Cookson W, Anderson HR. International Study of Asthma and Allergies in Childhood (ISAAC) Phase One and Three Study Groups. Is eczema really on the increase worldwide? J Allergy Clin Immunol. 2008; 121:947–954.e15.
Article
4. Schultz Larsen F, Hanifin JM. Secular change in the occurrence of atopic dermatitis. Acta Derm Venereol Suppl (Stockh). 1992; 176:7–12.
5. Guillet G, Guillet MH. Natural history of sensitizations in atopic dermatitis. A 3-year follow-up in 250 children: food allergy and high risk of respiratory symptoms. Arch Dermatol. 1992; 128:187–192.
Article
6. Sampson HA, Metcalfe DD. Food allergies. JAMA. 1992; 268:2840–2844.
Article
7. Ahn SH, Seo WH, Kim SJ, Hwang SJ, Park HY, Han YS, Chung SJ, Lee HC, Ahn KM, Lee SI. Risk factors of moderate to severe atopic dermatitis in the first 6 months of life. Pediatr Allergy Respir Dis. 2005; 15:242–249.
8. Zeiger RS. Dietary aspects of food allergy prevention in infants and children. J Pediatr Gastroenterol Nutr. 2000; 30:Suppl. S77–S86.
Article
9. Arshad SH. Food allergen avoidance in primary prevention of food allergy. Allergy. 2001; 56:Suppl 67. 113–116.
Article
10. Finch J, Munhutu MN, Whitaker-Worth DL. Atopic dermatitis and nutrition. Clin Dermatol. 2010; 28:605–614.
Article
11. Chung SJ, Han YS, Chung SW, Ahn KM, Park HY, Lee SI, Cho YY, Choi HM. Marasmus and kwashiorkor by nutritional ignorance related to vegetarian diet and infants with atopic dermatitis in South Korea. Korean J Nutr. 2004; 37:540–549.
12. Agostoni C, Grandi F, Scaglioni S, Giannì ML, Torcoletti M, Radaelli G, Fiocchi A, Riva E. Growth pattern of breastfed and nonbreastfed infants with atopic dermatitis in the first year of life. Pediatrics. 2000; 106:E73.
Article
13. Baum WF, Schneyer U, Lantzsch AM, Klöditz E. Delay of growth and development in children with bronchial asthma, atopic dermatitis and allergic rhinitis. Exp Clin Endocrinol Diabetes. 2002; 110:53–59.
Article
14. Fleischer DM, Leung DY. Eczema and food hypersensitivity. In : Metcalfe DD, Sampson HA, Simon RA, editors. Food Allergy: Adverse Reactions to Foods and Food Additives. 4th ed. Malden (MA): Blackwell Pub.;2008. p. 110–112.
15. Palit A, Handa S, Bhalla AK, Kumar B. A mixed longitudinal study of physical growth in children with atopic dermatitis. Indian J Dermatol Venereol Leprol. 2007; 73:171–175.
Article
16. Mehta H, Groetch M, Wang J. Growth and nutritional concerns in children with food allergy. Curr Opin Allergy Clin Immunol. 2013; 13:275–279.
Article
17. Pike MG, Chang CL, Atherton DJ, Carpenter RG, Preece MA. Growth in atopic eczema: a controlled study by questionnaire. Arch Dis Child. 1989; 64:1566–1569.
Article
18. Patel L, Clayton PE, Addison GM, Price DA, David TJ. Linear growth in prepubertal children with atopic dermatitis. Arch Dis Child. 1998; 79:169–172.
Article
19. David TJ, Ferguson AP, Newton RW. Nocturnal growth hormone release in children with short stature and atopic dermatitis. Acta Derm Venereol. 1991; 71:229–231.
20. Muraro A, Dreborg S, Halken S, Høst A, Niggemann B, Aalberse R, Arshad SH, von Berg A, Carlsen KH, Duschén K, Eigenmann P, Hill D, Jones C, Mellon M, Oldeus G, Oranje A, Pascual C, Prescott S, Sampson H, Svartengren M, Vandenplas Y, Wahn U, Warner JA, Warner JO, Wickman M, Zeiger RS. Dietary prevention of allergic diseases in infants and small children. Part II. Evaluation of methods in allergy prevention studies and sensitization markers. Definitions and diagnostic criteria of allergic diseases. Pediatr Allergy Immunol. 2004; 15:196–205.
Article
21. Schoetzau A, Filipiak-Pittroff B, Franke K, Koletzko S, Von Berg A, Gruebl A, Bauer CP, Berdel D, Reinhardt D, Wichmann HE. German Infant Nutritional Intervention Study Group. Effect of exclusive breast-feeding and early solid food avoidance on the incidence of atopic dermatitis in high-risk infants at 1 year of age. Pediatr Allergy Immunol. 2002; 13:234–242.
Article
22. Kull I, Wickman M, Lilja G, Nordvall SL, Pershagen G. Breast feeding and allergic diseases in infants-a prospective birth cohort study. Arch Dis Child. 2002; 87:478–481.
Article
23. Friedman NJ, Zeiger RS. The role of breast-feeding in the development of allergies and asthma. J Allergy Clin Immunol. 2005; 115:1238–1248.
Article
24. Yum H. Association of brestfeeding and allergic diseases. Pediatr Allergy Respir Dis. 2009; 19:325–328.
25. Sung YA, Ahn JY, Lee HY, Kim JY, Ahn DH, Hong YJ. A survey of breast-feeding. J Korean Pediatr Soc. 1998; 41:444–450.
26. Kim YH. Pediatric Medical Nutrition. Seoul: Korea Medical Book;2007.
27. Ziegler EE, Nelson SE, Jeter JM. Iron status of breastfed infants is improved equally by medicinal iron and iron-fortified cereal. Am J Clin Nutr. 2009; 90:76–87.
Article
28. Duchén K, Björkstén B. Sensitization via the breast milk. In : Mestecky J, Blair C, Ogra PL, editors. Immunology of Milk and the Neonate. New York (NY): Plenum Press;1991. p. 427–436.
29. Fukushima Y, Kawata Y, Onda T, Kitagawa M. Consumption of cow milk and egg by lactating women and the presence of betalactoglobulin and ovalbumin in breast milk. Am J Clin Nutr. 1997; 65:30–35.
Article
30. Dewey KG, Peerson JM, Brown KH, Krebs NF, Michaelsen KF, Persson LA, Salmenpera L, Whitehead RG, Yeung DL. Growth of breast-fed infants deviates from current reference data: a pooled analysis of US, Canadian, and European data sets. World Health Organization Working Group on Infant Growth. Pediatrics. 1995; 96:495–503.
31. Heinig MJ, Nommsen LA, Peerson JM, Lonnerdal B, Dewey KG. Energy and protein intakes of breast-fed and formula-fed infants during the first year of life and their association with growth velocity: the DARLING Study. Am J Clin Nutr. 1993; 58:152–161.
Article
32. Gale C, Logan KM, Santhakumaran S, Parkinson JR, Hyde MJ, Modi N. Effect of breastfeeding compared with formula feeding on infant body composition: a systematic review and meta-analysis. Am J Clin Nutr. 2012; 95:656–669.
Article
33. The Korean Nutrition Society. Dietary Reference Intakes for Koreans. Seoul: The Korean Nutrition Society;2010.
34. Lee SI, Choi HM. Nutrition for infants and children. Seoul: Kyomunsa;2003.
35. Emmett PM, Rogers IS. Properties of human milk and their relationship with maternal nutrition. Early Hum Dev. 1997; 49:S7–S28.
Article
36. Morgan JB, Dickerson JW. Nutrition in Early Life. Chichester: Wiley;2003.
37. Korean Pediatric Society. The Korean Standard Growth Data of Childhood and Adolescents. Seoul: Korean Pediatric Society;2007.
38. Dallman PR, Siimes MA. Percentile curves for hemoglobin and red cell volume in infancy and childhood. J Pediatr. 1979; 94:26–31.
Article
39. Organisation for Economic Co-operation and Development (FR). CO1.5 Breastfeeding rates [Internet]. Paris: OECD Family Database;2011. cited 2014 Nov 30. Available from: http://www.oecd.org/social/family/database.
40. Park SJ, Lee JS, Ahn K, Chung SJ. The comparison of growth and nutrient Intakes in children with and without atopic dermatitis. Korean J Community Nutr. 2012; 17:271–279.
Article
41. Oh KH, Kim KS, Seo JS, Choi YS, Shin SM. A study on the nutrient intakes and supplemental food of infants in relation to the method of feeding practics. Korean J Nutr. 1996; 29:143–152.
42. Maguire JL, Salehi L, Birken CS, Carsley S, Mamdani M, Thorpe KE, Lebovic G, Khovratovich M, Parkin PC. TARGet Kids! collaboration. Association between total duration of breastfeeding and iron deficiency. Pediatrics. 2013; 131:e1530–e1537.
Article
43. Griffin IJ, Abrams SA. Iron and breastfeeding. Pediatr Clin North Am. 2001; 48:401–413.
Article
44. Chang JH, Cheong WS, Jun YH, Kim SK, Kim HS, Park SK, Ryu KH, Yoo ES, Lyu CJ, Lee KS, Lee KC, Lim JY, Choi DY, Choe BK, Choi EJ, Choi BS. Weaning food practice in children with iron deficiency anemia. Korean J Pediatr. 2009; 52:159–166.
Article
45. Ahn HS, Bai HS. The longitudinal study of the growth by feeding practice in early infancy. Korean J Nutr. 1997; 30:336–348.
46. Kim WJ, Ahn HS, Chung EJ. Mineral intakes and serum mineral concentrations of the pregnant and lactating women. Korean J Community Nutr. 2005; 10:59–69.
47. Yoon JS, Jang HK, Park JA. A study on calcium and iron status of lactating women. Korean J Nutr. 2005; 38:475–486.
48. Kim KN, Hyun T, Kang NM. A survey on the feeding practices of women for the development of a breastfeeding education program: breastfeeding knowledge and breastfeeding rates. Korean J Community Nutr. 2002; 7:345–353.
Full Text Links
  • NRP
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr