Pediatric allergy and respiratory disease (소아알레르기 및 호흡기학회지)

The Korean Academy of Pediatric Allergy and Respiratory Diseasse (대한소아알레르기호흡기학회)
권호 표지

The Association between Recent Dietary Pattern as a Risk Factor of 12-month Asthma Symptom Prevalence in Korean Elementary achool Children

Lee, Su-Yeong;Hong, Su-Jong;Kim, Bong-Seong;Kim, Chang-Geun;Lee, Dong-Jin;Lee, Dong-Geun;Go, Yeong-Ryul;Lee, Jun-Seong
이수영;홍수종;김봉성;김창근;이동진;이동근;고영률;이준성

  • Published : 20060000
⟨ Previous Next ⟩

Abstract

Purpose : To investigate the impact of dietary pattern on the risk of asthma development, we undertook a nation-wide study with ISSAC written questionnaire. Methods : We analyzed the relations between the previous 12-month dietary patterns (16 food groups) and asthma symptom prevalence, using the ISSAC written questionnaire and a domestically developed dietary questionnaire in 24,260 elementary school children. Results : Odds ratios (OR) were significantly decreased by increased food intake of natural seafood (OR : 0.88, P=0.0126, 95% CI : 0.795-0.973), fruit (OR : 0.785, P<0.0001, 95% CI : 0.715-0.861), vegetables (OR : 0.825, P<0.0001, 95% CI : 0.764-0.891), and cow's milk (OR : 0.9, P=0.0451, 95% CI : 0.811-0.998). Compared to children that seldom consumed natural seafood, ORs of symptom development were lower in children that ate natural seafood 1-2 times per week (OR : 0.863, P=0.028, 95% CI : 0.761-0.978) and almost everyday (OR : 0.802, P=0.0755, 95% CI : 0.630-1.023), respectively. For green vegetables, ORs were significantly lower than in children who also ate gree vegetables 1-2 times per week (OR : 0.753, P=0.0416, 95% CI : 0.595-0.950) and almost everyday (OR : 0.674, P=0.0179, 95% CI : 0.408-0.752), respectively. Fruits showed the same pattern as green vegetables. Conclusion : Taken together, our study shows that the increased intake of natural seafood, fruit, and vegetables is significantly related to reduced asthma symptom prevalence in Korean children.

목 적 : 식이 양상(dietary pattern)이 천식 발생의 위험인자로 작용하는지를 알아보기 위하여 ISSAC 설문지를 이용하여 전국적인 설문조사를 시행하였다. 방 법 : 총 24,260면의 초등학생을 대상으로 알아보기 위하여 ISSAC 설문지와 우리나라에서 개발한 식이 관련 설문지를 이용하여 최근 12개월 동안 섭취한 16종의 식이군 빈도가 지난 12개월 동안의 천식 증상 발생에 미치는 영향을 조사 분석하였다. 결 과 : 천식 증상의 발생은 신선한 해산물 (OR : 0.88, P=0.0126, 95% CI : 0.795-0.973), 과일(OR : 0.785, P<0.0001, 95% CI : 0.715-0.861), 야채(OR : 0.825, P<0.0001, 95% CI : 0.764-0.891), 우유(OR : 0.9, P=0.0451, 95% CI : 0.811-0.998)의 섭취가 증가할수록 의미 있게 감소하였다. 또한 신선한 해산물을 거의 섭취하지 않는 소아에 비하여 주 1-2회 섭취하는 경우(OR : 0.863, P=0.028, 95% CI : 0.761-0.978)와 거의 매일 섭취하는 경우(OR : 0.802, P=0.0755, 95% CI : 0.630-1.023)에 천식 증상의 발생이 의미 있게 감소함을 알 수 있었다. 야채의 경우도 일주일 동안 거의 섭취하지 않은 경우에 비하여 주 1-2회 섭취하는 경우(OR : 0.753, P= 0.0416, 95% CI : 0.595-0.950)와 거의 매일 섭취하는 경우(OR : 0.674, P=0.0179, 95% CI : 0.408- 0.752)에 천식 증상의 발생이 가소함을 알 수 있었고, 과일의 경우는 야채의 경우와 동일한 양상을 보였다. 결 론 : 결론적으로 우리나라 소아에서 천식 증상의 발생은 신선한 해산물, 과일, 야채의 섭취가 증가함에 따라 의미 있게 감소함을 알 수 있었다.

Keywords

References

  1. Choi JH, Cha SM. The incidence of allergic disease in Korean children. Korean Pediatr Soc 1964;7:193-5
  2. Shin TS, Lee KJ, Yoon HS. Survey on the distribution of allergic diseases in primary school children. Korean J Allergy 1990;10: 201-2
  3. Lee SI, Shin MH, Lee HB, Lee JS, Son BK, Koh YY, et al. Prevalences of symptoms of asthma and other allergic diseases in Korean children: a nationwide questionnaire survey. J Korean Med Sci 2001;16:155-64 https://doi.org/10.3346/jkms.2001.16.2.155
  4. Infante-Rivard C, Amre D, Gautrin D, Malo JL. Family size, day-care attendance, and breastfeeding in relation to the incidence of childhood asthma. Am J Epidemiol 2001;153: 653-8 https://doi.org/10.1093/aje/153.7.653
  5. Celedon JC, Soto-Quiros ME, Silverman EK, Hanson SA, Weiss ST. Risk factors for childhood asthma in Costa Rica. Chest 2001; 120:785-90 https://doi.org/10.1378/chest.120.3.785
  6. Takemura Y, Sakurai Y, Hohjo S, Kusakari A, Hara T, Givo M et al. Relation between breastfeeding and the prevalence of asthma. Am J Epidemiol 2001;154:115-9 https://doi.org/10.1093/aje/154.2.115
  7. Oddy WH, Holt PG, Read AW, Landau LI, Stanley FJ, Kendall GE et al. Association between breast feeding and asthma in 6 year old children: findings of a prospective birth cohort study. BMJ 1999;319:815-9 https://doi.org/10.1136/bmj.319.7213.815
  8. Wright AL, Holberg CJ, Taussig LM, Martinez FD. Factors influencing the relation of infant feeding to asthma and recurrent wheeze in childhood. Thorax 2001;56:192-7 https://doi.org/10.1136/thorax.56.3.192
  9. Finkelstein JA, Fuhlbrigge A, Lozano P, Grant EN, Shulruff R, Arduino E, et al. Parent-reported environmental exposures and environmental control measures for children with asthma. Arch Pediatr Adolesc Med 2002;156:258-64 https://doi.org/10.1001/archpedi.156.3.258
  10. Palta M, Sadek-Badawi M, Sheehy M, Albanese A, Weinstein M, McGuinness G, et al. Respiratory symptoms at age 8 years in a cohort of very low birth weight. Am J Epidemiol 2001;154:521-9 https://doi.org/10.1093/aje/154.6.521
  11. von Kries R, Hermann M, Grunert VP, von Mutius E. Is obesity a risk factor for childhood asthma? Allergy 2001;56:318-22 https://doi.org/10.1034/j.1398-9995.2001.00727.x
  12. Seaton A, Godden DJ, Brown K. Increase in asthma: a more toxic environment or a more susceptible population? Thorax 1994;49:171-4 https://doi.org/10.1136/thx.49.2.171
  13. Hijazi N, Abalkhail B, Seaton A. Diet and childhood asthma in a society in transition: a study in urban and rural Saudi Arabia. Thorax 2000;55:775-9 https://doi.org/10.1136/thorax.55.9.775
  14. Troisi RJ, Willett WC, Weiss ST, Trichopoulos D, Rosner B, Speizer FE. A prospective study of diet and adult-onset asthma. Am J Respir Crit Care Med 1995;151: 1402-8
  15. Baker JC, Tunnicliffe WS, Duncanson RC, Ayres JG. Dietary antioxidants and magnesium in type 1 brittle asthma: a case control study. Thorax 1999:54:115-8 https://doi.org/10.1136/thx.54.2.115
  16. Romieu I, Trenga C. Diet and obstructive lung disease. Epidemiol Rev 2001;23:268-87 https://doi.org/10.1093/oxfordjournals.epirev.a000806
  17. Hodge L, Salome CM, Peat JK, Haby MM, Xuan W, Woolcock AJ. Consumption of oily fish and childhood asthma risk. MJA 1996; 164:137-40
  18. Ellwood P, Asher MI, Bjorksten B, Burr M, Pearce N, Robenrtson CF et al. Diet and asthma, allergic rhinoconjunctivitis and atopic eczema symptom prevalence: an ecological analysis of the International Study of Asthma and Allergies in Childhood (ISSAC) data. Eur Resp J 2001;17:436-43 https://doi.org/10.1183/09031936.01.17304360
  19. Carey OJ, Cookson JB, Britton J, Tattersfield AE. The effect of lifestyle on wheeze, atopy, and bronchial hypersensitivity in Asian and white children. Am J Respir Crit Care Med 1996;154:537-40 https://doi.org/10.1164/ajrccm.154.2.8756835
  20. Zhao TB, Wang HJ, Chen YZ, Xiao ML, Duo LK, Liu G et al. Prevalence of childhood asthma, allergic rhinitis and eczema in Urumqi and Beijing. J Paediatr Child Health 2000;36:128-33 https://doi.org/10.1046/j.1440-1754.2000.00457.x
  21. Cheigh HS, Park KY. Biochemical, microbiological and nutritional aspects of kimchi (Korean fermented vegetable products). Crit Rev Food Sci Nutr 1994;34:175-203 https://doi.org/10.1080/10408399409527656
  22. Woods RK, Walters EH, Raven JM, Wolfe R, Ireland PD, Thien FCK, et al. Food and nutrient intakes and asthma risk in young adults. Am J Clin Nutr 2003;78:414-21 https://doi.org/10.1093/ajcn/78.3.414