[논문]성인의 아토피 피부염과 식생활평가지수와의 관계: 국민건강영양조사 제7기 (2016-2018년) 자료 이용

김혜원; 김지명

doi:10.4163/jnh.2022.55.5.558

성인의 아토피 피부염과 식생활평가지수와의 관계: 국민건강영양조사 제7기 (2016-2018년) 자료 이용
Relationship between atopic dermatitis and the Korean Healthy Eating Index score of adults: based on the 7th (2016-2018) Korea National Health and Nutrition Examination Survey 원문보기

Journal of nutrition and health, v.55 no.5, 2022년, pp.558 - 571

김혜원 (안양대학교 식품영양학과) , 김지명 (신한대학교 식품조리과학부 식품영양전공)

초록
AI-Helper

본 연구에서는 우리나라 성인 중 AD를 앓고 있는 사람들의 식이 섭취량을 분석하여 이들의 식습관이 AD발병 위험과 관련이 있는지 분석하고자 하였다. 활용한 자료는 제7기 국민건강영양조사 (2016-2018년) 자료로서, 참가자 중 19-64세 성인 10,571명을 AD군 (n = 366)과 non-AD군 (n = 10,205)으로 나누어 영양소 섭취 현황과 식생활평가지수 점수를 비교·분석하였다. 그 결과, AD군의 1일 총 에너지섭취량은 non-AD군보다 많았고, 단백질 에너지섭취비율, 섭취에너지 1,000 kcal 당 단백질, 인, 철, 칼륨 섭취량이 AD군이 non-AD군보다 유의미하게 낮았다. 식생활평가지수 총점을 비교했을 때에는, AD군의 총 채소류, 김치 및 장아찌류를 제외한 채소류, 고기·생선·달걀·콩류 섭취점수가 non-AD군보다 낮았다. 연구대상자의 식생활평가지수와 AD 위험도와의 관계를 분석했을 때, AD 위험도는 총 채소류, 김치 및 장아찌류를 제외한 채소류, 고기·생선·달걀·콩류 섭취 점수가 증가할수록 감소하였다. 결론적으로, 성인 AD환자들은 채소류와 단백질 식품 섭취가 낮았는데, 이들 식품군의 높은 섭취는 낮은 AD 위험과 관련이 있음을 확인한 바, 추후 성인 AD 관리 및 치료 시 채소류와 단백질 식품의 충분한 섭취에 대해 강조해야 할 것이다.

Abstract ▼ AI-Helper

Purpose: The purpose of this study was to analyze the dietary intake of Korean adults with atopic dermatitis (AD) to determine whether the risk of developing AD was related to their diet. Methods: Among the participants in the 7th National Health and Nutrition Survey (2016 to 2018), 10,571 adults aged 19-64 were divided into AD (AD group, n = 366) and control groups (non-AD group, n = 10,205) to compare and analyze their nutrient intake status and Korean Healthy Eating Index (KHEI) score. Depending on the prevalence of AD, the nutrient intake, nutrient intake per 1,000 kcal, acceptable macronutrient distribution range, and KHEI score were tested for significance by correcting for age, sex, body mass index, education, marriage, occupation, residence area, physical activity, and energy intake variables that were derived for confounding factors. Results: The acceptable macronutrient distribution range for protein was lower in the AD group than in the non-AD group. Comparing the nutrient intake per 1,000 kcal, the intakes of protein, phosphorus, iron, and potassium of the AD group were significantly lower than those of the non-AD group. In the KHEI, the scores of total vegetables, vegetables excluding kimchi and pickles, meat, fish, eggs, and legumes of the AD group were significantly lower than those of the non-AD group. In addition, as these food intake scores increased, the risk of AD significantly decreased. Conclusion: In conclusion, adult AD patients had low intakes of vegetables, meat, fish, eggs, and legumes, and it was confirmed that high intakes of these foods may be associated with low AD risk. Therefore, we suggest that an adequate intake of vegetables and foods containing protein would be necessary for the management and treatment of AD in adults.

주제어

표/그림 (4)

표 Table 1. General characteristics of the subjects according to AD
표 Table 2. Nutrient intake of subjects according to AD
표 Table 3. KHEI score of subjects according to AD
표 Table 4. ORs for AD according to KHEI score

참고문헌 (49)

Choi S, Lee H. Impacts of caring for children with atopic dermatitis on mental health of their mothers. Korean Public Health Res 2017; 43(2): 37-52.
Bannister MJ, Freeman S. Adult-onset atopic dermatitis. Australas J Dermatol 2000; 41(4): 225-228.

상세보기
Oninla OA, Akinkugbe AO, Otike-Odibi BI, Oripelaye MM, Olanrewaju FO. Atopic dermatitis in adults: epidemiology, risk factors, pathogenesis, clinical features, and management. In: Pereira C, editor. Atopic Dermatitis-Essential Issues. London: IntechOpen; 2021. p.1-31.
Hay RJ, Johns NE, Williams HC, Bolliger IW, Dellavalle RP, Margolis DJ, et al. The global burden of skin disease in 2010: an analysis of the prevalence and impact of skin conditions. J Invest Dermatol 2014; 134(6): 1527-1534.

상세보기
Katsarou A, Armenaka M. Atopic dermatitis in older patients: particular points. J Eur Acad Dermatol Venereol 2011; 25(1): 12-18.
Bang HD, Ahn PS, Kim KH, Park KC, Kwon JS. A study of the personality of adult patients with atopic dermatitis. Korean J Dermatol 1996; 34(3): 359-365.
Patel KR, Immaneni S, Singam V, Rastogi S, Silverberg JI. Association between atopic dermatitis, depression, and suicidal ideation: a systematic review and meta-analysis. J Am Acad Dermatol 2019; 80(2): 402-410.

상세보기
Lee DH, Doh EJ, Lee JY, Park Y, Oh JW, Lee MH, et al. Multicenter questionnaires on the current management of atopic dermatitis in Korea. Allergy Asthma Respir Dis 2016; 4(4): 271-275.
Katayama I, Kohno Y, Akiyama K, Aihara M, Kondo N, Saeki H, et al. Japanese guideline for atopic dermatitis. Allergol Int 2014; 63(3): 377-398.
McNally NJ, Phillips DR, Williams HC. The problem of atopic eczema: aetiological clues from the environment and lifestyles. Soc Sci Med 1998; 46(6): 729-741.

상세보기
Na HY, Song YH, Kim BJ, Yu JH, Hong SJ, Lee SY. Allergen sensitization of severe atopic dermatitis in children under 2 years. Pediatr Allergy Respir Dis 2009; 19(2): 146-154.
Chung BY, Cho SI, Ahn IS, Lee HB, Kim HO, Park CW, et al. Treatment of atopic dermatitis with a lowhistamine diet. Ann Dermatol 2011; 23 Suppl 1(Suppl 1): S91-S95.
Kim HW, Kim JM. Relationship between intake of soft drinks and current prevalence of adult atopic dermatitis: based on the Korea National Health and Nutrition Examination Survey data (2015-2016). J Nutr Health 2021; 54(5): 501-514.
Park S, Bae JH. Fermented food intake is associated with a reduced likelihood of atopic dermatitis in an adult population (Korean National Health and Nutrition Examination Survey 2012-2013). Nutr Res 2016; 36(2): 125-133.

상세보기
Ito M, Morita T, Okazaki S, Koto M, Ichikawa Y, Takayama R, et al. Dietary habits in adult Japanese patients with atopic dermatitis. J Dermatol 2019; 46(6): 515-521.

상세보기
Nakamura H, Shimoji K, Kouda K, Tokunaga R, Takeuchi H. An adult with atopic dermatitis and repeated short-term fasting. J Physiol Anthropol Appl Human Sci 2003; 22(5): 237-240.
Chung YM, Kim BS, Kim NI, Lee EY, Choue R. Study of nutritional status, dietary patterns, and dietary quality of atopic dermatitis patients. Korean J Nutr 2005; 38(6): 419-431.
Kim GS, Lee HJ, Park CG. Association of family histories of atopic disease with childhood atopic diseases in Korean children: a national survey. J Korean Soc Matern Child Health 2010; 14(2): 113-121.
Kim KH, Park AY, Kim JS. Factors associated with atopic dermatitis in Korean adults: the Korean National Health and Nutrition Survey 2008. Korean J Rehabil Nurs 2012; 15(2): 83-90.
Kim KH. Current status and characteristics of atopic dermatitis in Korea. J Korean Med Assoc 2014; 57(3): 208-211.
Silverberg JI. Atopic dermatitis in adults. Med Clin North Am 2020; 104(1): 157-176.

상세보기
Yook SM, Park S, Moon HK, Kim K, Shim JE, Hwang JY. Development of Korean Healthy Eating Index for adults using the Korea National Health and Nutrition Examination Survey data. J Nutr Health 2015; 48(5): 419-428.
Yun SH, Oh KW. Development and status of Korean Healthy Eating Index for adults based on the Korea National Health and Nutrition Examination Survey. Public Health Wkly Rep 2018; 11(52): 1764-1772.
Korean Statistical Information Service. Trend of atopic dermatitis doctor diagnosis experience [Internet]. Daejeon: Statistics Korea [cited 2022 Aug 11]. Available from: https://kosis.kr/statHtml/statHtml.do?orgId177&tblIdDT_11702_N114&vw_cdMT_ZTITLE&list_id117_11702_B01_010&scrId&seqNo&lang_modeko&obj_var_id&itm_id&conn_pathE1.
Barbarot S, Auziere S, Gadkari A, Girolomoni G, Puig L, Simpson EL, et al. Epidemiology of atopic dermatitis in adults: Results from an international survey. Allergy 2018; 73(6): 1284-1293.

상세보기
Healthcare Bigdata Hub. Disease statistics [Internet]. Wonju: Health Insurance Review & Assessment Service; 2021 [cited 2022 Aug 11]. Available from: http://opendata.hira.or.kr/op/opc/olap3thDsInfo.do.
Budu-Aggrey A, Watkins SH, Brumpton B, Loset M, Tyrrell J, Modalsli EH, et al. Assessment of a causal relationship between body mass index and atopic dermatitis. J Allergy Clin Immunol 2021; 147(1): 400-403.

상세보기
Silverberg JI, Kleiman E, Lev-Tov H, Silverberg NB, Durkin HG, Joks R, et al. Association between obesity and atopic dermatitis in childhood: a case-control study. J Allergy Clin Immunol 2011; 127(5): 1180-6.e1.

상세보기
Kim BS, Kim YY, Park JH, Kim NI, Choue RW. Effects of medical nutrition therapy on dietary quality, plasma fatty acid composition and immune parameters in atopic dermatitis patients. Korean J Community Nutr 2008; 13(1): 80-90.
Nosrati A, Afifi L, Danesh MJ, Lee K, Yan D, Beroukhim K, et al. Dietary modifications in atopic dermatitis: patient-reported outcomes. J Dermatolog Treat 2017; 28(6): 523-538.
Kim BJ, Jung JA, Lee JS. Association between social economic status and atopic dermatitis in Korean adult: an analysis of the Fifth Korea National Health and Nutrition Examination Survey (2010-2012). Allergy Asthma Respir Dis 2015; 3(2): 128-133.
Lee YM, Hwang SW. Prevalence and risk factors for atopic dermatitis in pre-school and school aged children. J Korean Acad Child Health Nurs 2008; 14(3): 285-294.
Kim JR, Kim HS. Relationships between children's Nutrition Quotient and the practice of the dietary guidelines of elementary school students and their mothers. J Nutr Health 2015; 48(1): 58-70.
Chung J, Simpson EL. The socioeconomics of atopic dermatitis. Ann Allergy Asthma Immunol 2019; 122(4): 360-366.

상세보기
Strachan DP. Hay fever, hygiene, and household size. BMJ 1989; 299(6710): 1259-1260.
Zutavern A, Hirsch T, Leupold W, Weiland S, Keil U, von Mutius E. Atopic dermatitis, extrinsic atopic dermatitis and the hygiene hypothesis: results from a cross-sectional study. Clin Exp Allergy 2005; 35(10): 1301-1308.

상세보기
Andersen L, Nyeland ME, Nyberg F. Increasing severity of atopic dermatitis is associated with a negative impact on work productivity among adults with atopic dermatitis in France, Germany, the U.K. and the U.S.A. Br J Dermatol 2020; 182(4): 1007-1016.

상세보기
Norreslet LB, Ebbehoj NE, Ellekilde Bonde JP, Thomsen SF, Agner T. The impact of atopic dermatitis on work life - a systematic review. J Eur Acad Dermatol Venereol 2018; 32(1): 23-38.
Jung KH. The policy direction on environment diseases and environmental risk of children health. Health Welf Policy Forum 2009; (152): 100-111.
Lim DP, Jeong HY. An analysis on characteristics of spatial distribution of the atopic dermatitis patients: with an application of the Moran indices. J Korean Assoc Reg Geogr 2015; 21(3): 583-592.
Frame LT, Hart RW, Leakey JE. Caloric restriction as a mechanism mediating resistance to environmental disease. Environ Health Perspect 1998; 106 Suppl 1(Suppl 1): 313-324.
Kouda K, Tanaka T, Kouda M, Takeuchi H, Takeuchi A, Nakamura H, et al. Low-energy diet in atopic dermatitis patients: clinical findings and DNA damage. J Physiol Anthropol Appl Human Sci 2000; 19(5): 225-228.
Bakkeheim E, Mowinckel P, Carlsen KH, Burney P, Carlsen KC. Altered oxidative state in schoolchildren with asthma and allergic rhinitis. Pediatr Allergy Immunol 2011; 22(2): 178-185.

상세보기
Antonogeorgos G, Priftis KN, Panagiotakos DB, Ellwood P, Garcia-Marcos L, Liakou E, et al. Exploring the relation between atopic diseases and lifestyle patterns among adolescents living in Greece: evidence from the Greek Global Asthma Network (GAN) cross-sectional study. Children (Basel) 2021; 8(10): 932.

상세보기
Roth-Walter F, Pacios LF, Bianchini R, Jensen-Jarolim E. Linking iron-deficiency with allergy: role of molecular allergens and the microbiome. Metallomics 2017; 9(12): 1676-1692.

상세보기
David TJ, Wells FE, Sharpe TC, Gibbs AC, Devlin J. Serum levels of trace metals in children with atopic eczema. Br J Dermatol 1990; 122(4): 485-489.

상세보기
Rhew K, Brown JD, Oh JM. Atopic disease and anemia in Korean patients: cross-sectional study with propensity score analysis. Int J Environ Res Public Health 2020; 17(6): 1978.

상세보기
Cui HS, Ahn IS, Byun YS, Yang YS, Kim JH, Chung BY, et al. Dietary pattern and nutrient intake of Korean children with atopic dermatitis. Ann Dermatol 2014; 26(5): 570-575.

상세보기
Isolauri E, Sutas Y, Salo MK, Isosomppi R, Kaila M. Elimination diet in cow's milk allergy: risk for impaired growth in young children. J Pediatr 1998; 132(6): 1004-1009.

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