[논문]제주지역 미취학 아동의 식품알레르기 현황 및 이에 따른 부모의 양육 부담

오정은; 김은영; 이윤경

doi:10.4163/jnh.2021.54.6.664

제주지역 미취학 아동의 식품알레르기 현황 및 이에 따른 부모의 양육 부담
The status of food allergy and parental burden of preschoolers in Jeju area 원문보기

Journal of nutrition and health, v.54 no.6, 2021년, pp.664 - 678

오정은 (제주대학교 식품영양학과) , 김은영 (제주대학교 식품영양학과) , 이윤경 (제주대학교 식품영양학과)

초록
AI-Helper

본 연구에서는 제주지역 일부 만 6세 이하 미취학 아동의 부모를 대상으로 아동의 식품알레르기 유병률 및 관리, 부모의 식품알레르기 관련 지식도와 양육 부담의 현황을 식품알레르기 유무에 따라 분석하였으며, 그 결과는 다음과 같다. 조사대상자 총 387명으로 남아가 51.4%, 여아가 48.6%이었고, 그 중 식품알레르기를 경험한 아동은 16.8% (남아: 58.5%, 여아: 41.5%)로 조사되었다. 식품알레르기를 경험한 아동 중 실제로 의사로부터 식품알레르기 진단을 받은 아동 44.6%로 나타났다. 식품알레르기를 경험한 아동의 주된 증상으로는 구토, 설사, 기침, 복통, 쌕쌕 거림과 호흡곤란 순으로 나타났으며, 원인 식품으로는 난류가 가장 높은 빈도로 나타났고, 우유, 갑각류, 땅콩 및 콩류, 밀, 쇠고기 등이 뒤를 이었다. 또한 식품알레르기를 경험한 전체 아동의 부모 중 15.4%만이 대체식품을 사용한다고 조사되어 대부분의 부모가 대체식품을 사용하지 않는 것으로 조사되었다. 식품알레르기를 경험한 아동의 부모에서 식품알레르기로 인한 양육 부담은 정서적 고충이 일상생활의 제약에 비해 더 큰 것으로 나타났으며, 부모의 식품알레르기 관련 지식도는 식품알레르기 경험 유무에 따라 유의적인 차이를 보였다. 즉, 조사대상자의 식품알레르기 관련 지식과 식품알레르기 관련 교육 및 상담 참여경험 (보건소 또는 병원)비율과 의지가 식품알레르기 경험이 없는 아동의 부모보다 높아, 자녀의 식품알레르기에 대한 관심과 동시에 그에 따른 양육 부담 및 근심 정도가 높게 나타났다. 이상의 연구결과를 토대로 살펴볼 때, 미취학 아동 부모를 대상으로 한 식품알레르기의 예방과 대처방안 및 대체식품을 이용한 영양관리 등 수요자의 니즈-맞춤형 영양교육과 상담을 위한 체계적인 교육 자료의 개발이 필요하며, 학부모의 접근성을 고려한 교육 및 상담 장소를 적극적으로 활용하는 방안이 모색되어야 할 것으로 사료된다.

Abstract ▼ AI-Helper

Purpose: Food allergies in children are known to impact the quality of life for growing children as well as their parents. This study investigates the status of food allergy and its management among preschoolers, and evaluates the effect on parental burden. Methods: In May 2019, five kindergartens and daycare centers in Jeju area were randomly selected, and parents (n = 638) who had preschoolers younger than 6-year-old were surveyed using a questionnaire. A total of 387 participants were included in the final data analysis. Results: The percentage of children (aged 3 to 6 years old) who experienced food allergies was 16.8%; 44.6% had been diagnosed as having a food allergy by doctors. Food allergies were first experienced in more than two-thirds of the subjects when they were less than a year old. Egg and milk were the most frequent allergenic foods with some skin related symptoms. A mere 15.4% children suffering from food allergies were offered substitutes for their allergenic foods. Lastly, as compared to other parents, the parents of children who experienced food allergies had not only higher nutritional knowledge, but also heavier parental burden including emotional distress. Regardless of their nutritional knowledge, parents of children with food allergy expressed their willingness to attend nutrition education classes, if available in future. Conclusion: For prevention of food allergies and proper nourishment of children with food allergies, there is a necessity to provide customized-nutritional education for the affected parents to help alleviate their parental burden, especially for reducing emotional distress.

주제어

표/그림 (7)

표 Table 1. General characteristics of preschoolers according to food allergy experience
그림 Fig. 1. Primary food allergy symptoms that preschoolers experienced. Values are number based on multiple responses from preschoolers experienced food allergy (n = 65). A survey was carried out among parents with preschoolers in Jeju area, and 65 preschoolers had experienced food allergies among 387 preschoolers.
그림 Fig. 2. Sources of food allergies in preschoolers. Values are number based on multiple responses from preschoolers experienced food allergy (n = 65). A survey was carried out among parents with preschoolers in Jeju area, and 65 preschoolers had experienced food allergies among 387 preschoolers.
표 Table 2. Status of food allergy and its management among preschoolers experienced food allergies according to diagnosis
표 Table 3. Nurturing burden levels of the parents of children with food allergies¹⁾
표 Table 4. The knowledge regarding food allergy of preschoolers' parents by food allergy experience
표 Table 5. Experience of education and counseling for food allergy by food allergy experience

참고문헌 (48)

Kim YH, Lee SY, Lee E, Cho HJ, Kim HB, Kwon JW, et al. The change in food allergy prevalence of elementary school children in Seoul since the last 20 years and the risk factor analysis. Allergy Asthma Respir Dis 2016; 4(4): 276-283.

상세보기
Grundy J, Matthews S, Bateman B, Dean T, Arshad SH. Rising prevalence of allergy to peanut in children: data from 2 sequential cohorts. J Allergy Clin Immunol 2002; 110(5): 784-789.

상세보기
Sheikh A, Alves B. Hospital admissions for acute anaphylaxis: time trend study. BMJ 2000; 320(7247): 1441.
Lucas JS, Grimshaw KE, Collins K, Warner JO, Hourihane JO. Kiwi fruit is a significant allergen and is associated with differing patterns of reactivity in children and adults. Clin Exp Allergy 2004; 34(7): 1115-1121.

상세보기
Lee Y, Choi S, Han J. A study on the actual state of food allergy and food behavior in adults. J East Asian Soc Diet Life 2003; 13(3): 167-175.
Tainio VM, Savilahti E. Value of immunologic tests in cow milk allergy. Allergy 1990; 45(3): 189-196.

상세보기
Ahn K. The past, present, and future of the research on food allergy in Korean children. Allergy Asthma Respir Dis 2018; 6(Suppl 1): S44-S51.

상세보기
Sicherer SH, Sampson HA. Food allergy. J Allergy Clin Immunol 2010; 125(2 Suppl 2): S116-S125.

상세보기
Han Y. Management of food allergy in the community. Food Science and Industry 2015; 48(1): 24-31.

원문보기 상세보기
Gupta RS, Warren CM, Smith BM, Blumenstock JA, Jiang J, Davis MM, et al. The public health impact of parent-reported childhood food allergies in the United States. Pediatrics 2018; 142(6): e20181235.

상세보기
Branum AM, Lukacs SL. Food allergy among U.S. children: trends in prevalence and hospitalizations. NCHS Data Brief 2008; (10): 1-8.
Oh JW, Pyun BY, Choung JT, Ahn KM, Kim CH, Song SW, et al. Epidemiological change of atopic dermatitis and food allergy in school-aged children in Korea between 1995 and 2000. J Korean Med Sci 2004; 19(5): 716-723.

상세보기
Hong SJ, Ahn KM, Lee SY, Kim KE. The prevalences of asthma and allergic diseases in Korean children. Korean J Pediatr 2008; 51(4): 343-350.

원문보기 상세보기
Lee AH, Kim KE, Lee KE, Kim SH, Wang TW, Kim KW, et al. Prevalence of food allergy and perceptions on food allergen labeling in school foodservice among Korean students. Allergy Asthma Respir Dis 2013; 1(3): 227-234.

상세보기
Min TK, Pyun BY, Kim HH, Park YM, Jang GC, Kim HY, et al. Epidemiology of food allergy in Korean children. Allergy Asthma Respir Dis 2018; 6(1): 4-13.

상세보기
Kim M, Lee JY, Jeon HY, Yang HK, Lee KJ, Han Y, et al. Prevalence of immediate-type food allergy in Korean schoolchildren in 2015: a nationwide, population-based study. Allergy Asthma Immunol Res 2017; 9(5): 410-416.

상세보기
Burks AW Jr. Childhood food allergy. Immunol Allergy Clin 1999; 19(2): 397-407.

상세보기
Sampson HA. Update on food allergy. J Allergy Clin Immunol 2004; 113(5): 805-819.

상세보기
Oh JW. Allergic diseases in childhood and food additives. Pediatr Allergy Respir Dis 2010; 20(4): 212-218.
Pawankar R, Holgate ST, Canonica GW, Lockey RF, Blaiss MS. World Allergy Organisation (WAO) white book on allergy. Milwaukee (WI); 2011.
NIAID-Sponsored Expert PanelBoyce JA, Assa'ad A, Burks AW, Jones SM, Sampson HA, et al. Guidelines for the diagnosis and management of food allergy in the United States: report of the NIAID-sponsored expert panel. J Allergy Clin Immunol 2010; 126(6 Suppl): S1-S58.

상세보기
Schafer RB. The self-concept as a factor in diet selection and quality. J Nutr Educ 1979; 11(1): 37-39.

상세보기
Sicherer SH, Sampson HA. Food allergy: epidemiology, pathogenesis, diagnosis, and treatment. J Allergy Clin Immunol 2014; 133(2): 291-307.

상세보기
Cummings AJ, Knibb RC, King RM, Lucas JS. The psychosocial impact of food allergy and food hypersensitivity in children, adolescents and their families: a review. Allergy 2010; 65(8): 933-945.

상세보기
Sicherer SH. Clinical implications of cross-reactive food allergens. J Allergy Clin Immunol 2001; 108(6): 881-890.

상세보기
King RM, Knibb RC, Hourihane JO. Impact of peanut allergy on quality of life, stress and anxiety in the family. Allergy 2009; 64(3): 461-468.

상세보기
Kim DS, Ban JS, Park EA, Lee JY, Lee JO, Chang EY, et al. Survey of food allergy in elementary school students in Dongjak-gu using questionnaire. Korean J Asthma Allergy Clin Immunol 2011; 31(4): 254-259.
Park JY, Park GY, Han YS, Shin MY. Survey of food allergy in elementary school children in Bucheon-city and relationship between food allergy and other allergic diseases. Allergy Asthma Respir Dis 2013; 1(3): 266-273.

상세보기
Kim YM, Heo YR, Ro HK. Perception and practices regarding food allergy of elementary and middle school nutritionists in the Jeonnam area. J Korean Soc Food Sci Nutr 2014; 43(1): 151-161.

원문보기 상세보기
Hong HR, Lyu ES. Perception of importance and management of food allergy among elementary and middle school nutrition teachers (dietitians) in Busan. Korean J Food Cookery Sci 2016; 32(1): 114-122.

원문보기 상세보기
Lee E, Kim K. Parental burden of food-allergic children's parents and influencing factors. J Nutr Health 2018; 51(2): 140-152.

원문보기 상세보기
Cohen BL, Noone S, Munoz-Furlong A, Sicherer SH. Development of a questionnaire to measure quality of life in families with a child with food allergy. J Allergy Clin Immunol 2004; 114(5): 1159-1163.

상세보기
Park SY. A study on food habits and food preference of preschool children [dissertation]. Masan: Kyungnam University; 2008.
Han Y, Kim SA, Lee Y, Kim J. The development and validation of eating behavior test form for infants and young children. Korean J Community Nutr 2015; 20(1): 1-10.

원문보기 상세보기
Kim SB, Kim JH. Food allergy awareness and nutritional management by the parents of preschool children. Korean J Community Nutr 2016; 21(5): 426-439.

원문보기 상세보기
Lee SY. Food allergy and dietary factors of infants in Gyeonggi province [dissertation]. Hwaseong: The University of Suwon; 2017.
Choi SW, Ju YS, Kim DS, Kim JY, Kwon HJ, Kang DH, et al. Reliability and validity of the Korean version of ISAAC questionnaire. Korean J Prev Med 1998; 31(3): 361-371.
Lee WS, Cho J, Choi YS, Chung SH, Bae CW, Jung JA. Breastfeeding rate in below 6 months infants during recent 6-year in Korea based on childcare database. Neonatal Med 2013; 20(2): 221-227.

상세보기
Lee Y, Kim HH, Ko YS. Perception on food allergy labelling and management of nutritional education among higher grade elementary school students in Jeju area. J Nutr Health 2015; 48(6): 530-541.

원문보기 상세보기
Jung YH, Ko H, Kim HY, Seo JH, Kwon JW, Kim BJ, et al. Prevalence and risk factors of food allergy in preschool children in Seoul. Korean J Asthma Allergy Clin Immuno 2011; 31(3): 177-183.
Seo WH, Jang EY, Han YS, Ahn KM, Jung JT. Management of food allergies in young children at a child care center and hospital in Korean. Pediatric allergy and respiratory disease 2011; 21(1): 32-38.

상세보기
Kusunoki T, Mukaida K, Morimoto T, Sakuma M, Yasumi T, Nishikomori R, et al. Birth order effect on childhood food allergy. Pediatr Allergy Immunol 2012; 23(3): 250-254.

상세보기
Spergel JM. From atopic dermatitis to asthma: the atopic march. Ann Allergy Asthma Immunol 2010; 105(2): 99-106.

상세보기
Park S, 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(3): 271-279.

원문보기 상세보기
Kim MJ, Sim KH. Study on incidence and improvement of food allergies for prevention of damage in adolescents and adults. J East Asian Soc Diet Life 2014; 24(4): 514-528.
Park YM. Food allergy; outline. Food Sci Indust 2015; 48(1): 2-9.

원문보기 상세보기
Lee JI, Yang HC. Longitudinal patterns of family relational stress among young children with allergies: based on the biobehavioral family model. Korean J Child Care Educ Policy 2017; 11(2): 1-27.

상세보기
Chang EY, Chung SW, Lee JH. Mother's experience of caring child with a severe atopic dermatitis. Korean Parent Child Health J 2006; 9(1): 17-32.

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