[논문]미취학 아동 학부모의 식품 알레르기 인지도와 영양관리

김수빈; 김정희

doi:10.5720/kjcn.2016.21.5.426

미취학 아동 학부모의 식품 알레르기 인지도와 영양관리
Food Allergy Awareness and Nutritional Management by the Parents of Preschool Children 원문보기

대한지역사회영양학회지 = Korean journal of community nutrition, v.21 no.5, 2016년, pp.426 - 439

김수빈 (서울여자대학교 자연과학대학 식품영양학과) , 김정희 (서울여자대학교 자연과학대학 식품영양학과)

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Objectives: This study was performed to measure the food allergy (FA) awareness and management by the parents of preschool children. Methods: A questionnaire survey was conducted with the parents of preschool children. The questionnaire was designed to identify the prevalence of food allergies, requirements of food allergy support and differences in food management according to the presence or absence allergic diseases, using a modified International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire. After excluding incomplete responses, the data of 158 parents of preschool children (90.3%) was used for statistical analysis. Results: The rate of the preschool children who had experienced food allergy (FA, ever) was 38.6% while diagnosed for food allergy by doctor (Diagnosis of FA, ever) was 17.7%. Forty nine preschool children (80.3%) had food restriction, and twenty three of them (37.7%) had self-restriction without diagnosis. The consumption frequencies of allergenic foods in FA group, such as ramyeon, noodles, bread, eggs, yogurt and ice cream were significantly (p<0.001) lower than those of the other two groups. The major allergenic foods were eggs, milk, wheat and processed foods in FA group. The overall food allergy-related knowledge level of parents was insufficient. Only 26 parents (16.5%) had received training about food allergies. All parents wanted to receive food allergy-related supports. In addition, most of parents wanted information on substitute menu for children with food allergy. Conclusions: This study identified a lack of food allergy training for the parents of preschool children and the necessity for food allergy education. Food allergy-related supports, such as menus without allergenic ingredients, guidelines for managing food allergy & anaphylaxis emergency care plan etc, should be provided to the parents in order to avoid events related to food allergies.

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핵심어	질문	논문에서 추출한 답변
	선진국을 중심으로 알레르기 질환이 급격하게 증가하는 이유는?	산업화, 도시화에 따른 주거와 식생활 등 생활환경의 변화와 대기오염 등이 알레르기 질환의 악화요인으로 작용하면서 선진국을 중심으로 알레르기 질환이 급격하게 증가하고 있다[1].
	식품알레르기는 무엇에 비유되는가?	지난 20년 동안 전 세계적으로 아토피피부염, 알레르기비염, 천식은 사회·경제적 부담이 높은 질환으로 국제알레르기표준설문지(International Study of Asthma and Allergies in Childhood, ISAAC)를 이용한 역학연구들이 많이 진행되어 왔다[2]. 그러나 식품알레르기는 최근 경제적 발전을 겪고 있는 개발도상국에서 유병률이 급격하게 증가하며[3], 알레르기 질환의 예상치 못한 ‘두 번째 물결’로 비유되고 있다[4].
	식품알레르기 관련 급식사고를 예방하기 위한 서울시의 대책은 무엇인가?	최근 식품알레르기 관련 급식사고도 어린이집, 유치원(이하 보육기관) 보다는 초등학교 이상의 교육기관이 많이 보고하고 있다[21-23]. 따라서 서울시에서 초등학교에 ‘식품 알레르기 교육 및 급식 관리매뉴얼’을 배포하였고 또한 학교급식법 관리규정이 신설 및 개정됨에 따라 알레르기 유발식품 18가지를 식재료에 사용 시 식단표에 표시하고, 안내하도록 하였다[26]. 반면에 보육기관 관리 규정은 따로 없어 식품알레르기 유병률이 높은 미취학 아동의 관리가 취약하다.

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미취학 아동 학부모의 식품 알레르기 인지도와 영양관리
Food Allergy Awareness and Nutritional Management by the Parents of Preschool Children 원문보기

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미취학 아동 학부모의 식품 알레르기 인지도와 영양관리 Food Allergy Awareness and Nutritional Management by the Parents of Preschool Children 원문보기

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미취학 아동 학부모의 식품 알레르기 인지도와 영양관리
Food Allergy Awareness and Nutritional Management by the Parents of Preschool Children 원문보기