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Nutrient intakes of infants with atopic dermatitis and relationship with feeding type
Authors:Youngshin Han  Youngmi Lee  Haeryun Park  Sunyoung Park  Kyunghee Song
Institution: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.;43Cancer Center, Samsung Medical Center, Seoul 135-710, Korea.
Abstract:BACKGROUND/OBJECTIVESThe 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/METHODSFeeding 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.RESULTSThe 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).CONCLUSIONSContinuous 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.
Keywords:Atopic dermatitis  breastfeeding  feeding type  infant  nutrient intake
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