Abstract
Purpose
Specific food consumption, besides food allergy, may aggravate atopic dermatitis (AD). However, previous reports on the association between AD and food intake in adolescents are scarce. The aim of this study was to determine the relationship between AD and specific food consumption frequency in adolescents.
Methods
A cross-sectional analysis using data from the Korea Youth Risk Behavior Web-based Survey 2017 was performed. The frequency of food consumption in the recent-diagnosed AD group (AD diagnosed within 12 months) compared to those in the previous-diagnosed AD (AD diagnosed more than 12 months ago) or control group were investigated.
Results
A total of 53,373 participants were eligible for this study. The weighted prevalence of the recent-diagnosed AD and the previous-diagnosed AD was 7.39% and 18.00%, respectively. When compared with subjects with the previous-diagnosed AD, those with the recent-diagnosed AD were significantly more likely to frequently consume fast foods (odds ratio OR 1.405; 95% CI 1.150–1.717), energy drinks (OR 1.457; 95% CI 1.175–1.807), or convenience food (OR 1.304; 95% CI 1.138–1.495). Patients of the recent-diagnosed AD were significantly more likely to frequently consume fast foods (OR 1.374; 95% CI 1.155–1.634) than the control group. The differences in the frequency of specific food consumption among groups were more pronounced in high school students than in middle school students.
Conclusions
Frequent intake of fast foods, energy drinks, and convenience food was related to the recent-diagnosed AD in adolescents. Prospective cohort and interventional studies are needed to identify causal relationships.
Similar content being viewed by others
References
Eichenfield LF, Tom WL, Chamlin SL, Feldman SR, Hanifin JM, Simpson EL, Berger TG, Bergman JN, Cohen DE, Cooper KD, Cordoro KM, Davis DM, Krol A, Margolis DJ, Paller AS, Schwarzenberger K, Silverman RA, Williams HC, Elmets CA, Block J, Harrod CG, Begolka WS, Sidbury R (2014) Guidelines of care for the management of atopic dermatitis Section 1. Diagnosis and assessment of atopic dermatitis. J Am Acad Dermatol 70(2):338–351. https://doi.org/10.1016/j.jaad.2013.10.010
Margolis JS, Abuabara K, Bilker W, Hoffstad O, Margolis DJ (2014) Persistence of mild to moderate atopic dermatitis. JAMA Dermatol 150(6):593–600. https://doi.org/10.1001/jamadermatol.2013.10271
Kim JP, Chao LX, Simpson EL, Silverberg JI (2016) Persistence of atopic dermatitis (AD): a systematic review and meta-analysis. J Am Acad Dermatol 75(4):681–687. https://doi.org/10.1016/j.jaad.2016.05.028
Mortz CG, Andersen KE, Dellgren C, Barington T, Bindslev-Jensen C (2015) Atopic dermatitis from adolescence to adulthood in the TOACS cohort: prevalence, persistence and comorbidities. Allergy 70(7):836–845. https://doi.org/10.1111/all.12619
Garmhausen D, Hagemann T, Bieber T, Dimitriou I, Fimmers R, Diepgen T, Novak N (2013) Characterization of different courses of atopic dermatitis in adolescent and adult patients. Allergy 68(4):498–506. https://doi.org/10.1111/all.12112
Weidinger S, Beck LA, Bieber T, Kabashima K, Irvine AD (2018) Atopic dermatitis. Nat Rev Dis Primers 4(1):1. https://doi.org/10.1038/s41572-018-0001-z
Flohr C, Mann J (2014) New insights into the epidemiology of childhood atopic dermatitis. Allergy 69(1):3–16. https://doi.org/10.1111/all.12270
Sayaseng KY, Vernon P (2018) Pathophysiology and management of mild to moderate pediatric atopic dermatitis. J Pediatr Health Car 32(2):S2–S12. https://doi.org/10.1016/j.pedhc.2017.10.002
Tsakok T, Marrs T, Mohsin M, Baron S, du Toit G, Till S, Flohr C (2016) Does atopic dermatitis cause food allergy? A systematic review. J Allergy Clin Immun 137(4):1071–1078. https://doi.org/10.1016/j.jaci.2015.10.049
Bergmann MM, Caubet JC, Boguniewicz M, Eigenmann PA (2013) Evaluation of food allergy in patients with atopic dermatitis. J Aller Cl Imm-Pract 1(1):22–28. https://doi.org/10.1016/j.jaip.2012.11.005
Werfel T, Ballmer-Weber B, Eigenmann PA, Niggemann B, Rance F, Turjanmaa K, Worm M (2007) Eczematous reactions to food in atopic eczema: position paper of the EAACI and GA(2)LEN. Allergy 62(7):723–728. https://doi.org/10.1111/j.1398-9995.2007.01429.x
Worm M, Forschner K, Lee HH, Roehr CC, Edenharter G, Niggemann B, Zuberbier T (2006) Frequency of atopic dermatitis and relevance of food allergy in adults in Germany. Acta dermato-venereologica 86(2):119–122. https://doi.org/10.2340/00015555-0028
Ellwood P, Asher MI, Garcia-Marcos L, Williams H, Keil U, Robertson C, Nagel G, Grp IPIS (2013) Do fast foods cause asthma, rhinoconjunctivitis and eczema? Global findings from the International Study of Asthma and Allergies in Childhood (ISAAC) Phase Three. Thorax 68(4):351–360. https://doi.org/10.1136/thoraxjnl-2012-202285
Wang CS, Wang J, Zhang X, Zhang L, Zhang HP, Wang L, Wood LG, Wang G (2018) Is the consumption of fast foods associated with asthma or other allergic diseases? Respirology 23(10):901–913. https://doi.org/10.1111/resp.13339
Fuglsang G, Madsen C, Halken S, Jorgensen M, Ostergaard PA, Osterballe O (1994) Adverse reactions to food-additives in children with atopic symptoms. Allergy 49(1):31–37. https://doi.org/10.1111/j.1398-9995.1994.tb00770.x
Zaknun D, Schroecksnadel S, Kurz K, Fuchs D (2012) Potential role of antioxidant food supplements, preservatives and colorants in the pathogenesis of allergy and asthma. Int Arch Allergy Imm 157(2):113–124. https://doi.org/10.1159/000329137
Worm M, Ehlers I, Sterry W, Zuberbier T (2000) Clinical relevance of food additives in adult patients with atopic dermatitis. Clin Exp Allergy 30(3):407–414
Silverberg JI, Kleiman E, Lev-Tov H, Silverberg NB, Durkin HG, Joks R, Smith-Norowitz TA (2011) Association between obesity and atopic dermatitis in childhood: a case-control study. J Allergy Clin Immun 127(5):1180–1456. https://doi.org/10.1016/j.jaci.2011.01.063
Lee JH, Do Han K, Jung HM, Youn YH, Lee JY, Park YG, Lee SH, Park YM (2016) Association between obesity, abdominal obesity, and adiposity and the prevalence of atopic dermatitis in young Korean adults: the Korea National Health and Nutrition Examination Survey 2008–2010. Allergy Asthma Immun 8(2):107–114. https://doi.org/10.4168/aair.2016.8.2.107
Zhang A, Silverberg JI (2015) Association of atopic dermatitis with being overweight and obese: a systematic review and metaanalysis. J Am Acad Dermatol 72(4):606–616. https://doi.org/10.1016/j.jaad.2014.12.013
Kim Y, Choi S, Chun C, Park S, Khang YH, Oh K (2016) Data resource profile: the Korea Youth Risk Behavior Web-based Survey (KYRBS). Int J Epidemiol 45(4):1076. https://doi.org/10.1093/ije/dyw070
Kim SY, Kim MS, Park B, Kim JH, Choi HG (2017) Allergic rhinitis, atopic dermatitis, and asthma are associated with differences in school performance among Korean adolescents. PLoS One 12(2):e0171394. https://doi.org/10.1371/journal.pone.0171394
Lee S, Shin A (2017) Association of atopic dermatitis with depressive symptoms and suicidal behaviors among adolescents in Korea: the 2013 Korean Youth Risk Behavior Survey. Bmc Psychiatr 17(1):3. https://doi.org/10.1186/s12888-016-1160-7
Lee KS, Rha YH, Oh IH, Choi YS, Choi SH (2016) Socioeconomic and sociodemographic factors related to allergic diseases in Korean adolescents based on the Seventh Korea Youth Risk Behavior Web-based Survey: a cross-sectional study. Bmc Pediatr 16:19. https://doi.org/10.1186/s12887-016-0549-2
Lim MS, Lee CH, Sim S, Hong SK, Choi HG (2017) Physical activity, sedentary habits, sleep, and obesity are associated with asthma, allergic rhinitis, and atopic dermatitis in Korean adolescents. Yonsei Med J 58(5):1040–1046. https://doi.org/10.3349/ymj.2017.58.5.1040
Kim SY, Sim S, Choi HG (2017) Atopic dermatitis is associated with active and passive cigarette smoking in adolescents. PLoS One 12(11):e0187453. https://doi.org/10.1371/journal.pone.0187453
Kwon JA, Park EC, Lee M, Yoo KB, Park S (2013) Does stress increase the risk of atopic dermatitis in adolescents? Results of the Korea Youth Risk Behavior Web-based Survey (KYRBWS-VI). PLoS One 8(8):e67890. https://doi.org/10.1371/journal.pone.0067890
Noh HM, Cho JJ, Park YS, Kim JH (2016) The relationship between suicidal behaviors and atopic dermatitis in Korean adolescents. J Health Psychol 21(10):2183–2194. https://doi.org/10.1177/1359105315572453
Kim SY, Choi SH, Kim JD, Sol IS, Kim MJ, Kim YH, Jung YC, Sohn MH, Kim KW (2018) Korean youth with comorbid allergic disease and obesity show heightened psychological distress. J Pediatr 206:99–104. https://doi.org/10.1016/j.jpeds.2018.10.037
Bae J, Joung H, Kim JY, Kwon KN, Kim YT, Park SW (2010) Test-retest reliability of a questionnaire for the Korea Youth Risk Behavior Web-based Survey. J Prev Med Public Health 43(5):403–410. https://doi.org/10.3961/jpmph.2010.43.5.403
Bae J, Joung H, Kim JY, Kwon KN, Kim Y, Park SW (2010) Validity of self-reported height, weight, and body mass index of the Korea Youth Risk Behavior Web-based Survey questionnaire. J Prev Med Public Health 43(5):396–402. https://doi.org/10.3961/jpmph.2010.43.5.396
Cepeda AM, Del Giacco SR, Villalba S, Tapias E, Jaller R, Segura AM, Reyes G, Potts J, Garcia-Larsen V (2015) A traditional diet is associated with a reduced risk of eczema and wheeze in colombian children. Nutrients 7(7):5098–5110. https://doi.org/10.3390/nu7075098
Suarez-Varela MM, Alvarez LGM, Kogan MD, Ferreira JC, Gimeno AM, Ontoso IA, Diaz CG, Pena AA, Aurrecoechea BD, Monge RMB, Quiros AB, Garrido JB, de Andoain NG, Varela ALS, Merino AG, Clemente NG, Gonzalez AL (2010) Diet and prevalence of atopic eczema in 6–7-year-old school children in Spain: ISAAC Phase III. J Invest Allerg Clin 20(6):469–475
Wickens K, Barry D, Friezema A, Rhodius R, Bone N, Purdie G, Crane J (2005) Fast foods—are they a risk factor for asthma? Allergy 60(12):1537–1541. https://doi.org/10.1111/j.1398-9995.2005.00945.x
Mesas AE, Munoz-Pareja M, Lopez-Garcia E, Rodriguez-Artalejo F (2012) Selected eating behaviours and excess body weight: a systematic review. Obes Rev 13(2):106–135. https://doi.org/10.1111/j.1467-789X.2011.00936.x
Niemeier HM, Raynor HA, Lloyd-Richardson EE, Rogers ML, Wing RR (2006) Fast food consumption and breakfast skipping: predictors of weight gain from adolescence to adulthood in a nationally representative sample. J Adolescent Health 39(6):842–849. https://doi.org/10.1016/j.jadohealth.2006.07.001
Fishbein AB, Vitaterna O, Haugh IM, Bavishi AA, Zee PC, Turek FW, Sheldon SH, Silverberg JI, Paller AS (2015) Nocturnal eczema: review of sleep and circadian rhythms in children with atopic dermatitis and future research directions. J Allergy Clin Immunol 136(5):1170–1177. https://doi.org/10.1016/j.jaci.2015.08.028
Jeon C, Yan D, Nakamura M, Sekhon S, Bhutani T, Berger T, Liao W (2017) Frequency and management of sleep disturbance in adults with atopic dermatitis: a systematic review. Dermatol Ther (Heidelb) 7(3):349–364. https://doi.org/10.1007/s13555-017-0192-3
Kelsay K (2006) Management of sleep disturbance associated with atopic dermatitis. J Allergy Clin Immun 118(1):198–201. https://doi.org/10.1016/j.jaci.2006.04.038
Bender BG, Ballard R, Canono B, Murphy JR, Leung DYM (2008) Disease severity, scratching, and sleep quality in patients with atopic dermatitis. J Am Acad Dermatol 58(3):415–420. https://doi.org/10.1016/j.jaad.2007.10.010
Chamlin SL, Mattson CL, Frieden IJ, Williams ML, Mancini AJ, Cella D, Chren MM (2005) The price of pruritus—sleep disturbance and cosleeping in atopic dermatitis. Arch Pediat Adol Med 159(8):745–750. https://doi.org/10.1001/archpedi.159.8.745
Brunner PM, Silverberg JI, Guttman-Yassky E, Paller AS, Kabashima K, Amagai M, Luger TA, Deleuran M, Werfel T, Eyerich K, Stingl G, Councilors of the International Eczema C (2017) Increasing comorbidities suggest that atopic dermatitis is a systemic disorder. J Invest Dermatol 137(1):18–25. https://doi.org/10.1016/j.jid.2016.08.022
Hashiro M, Okumura M (1997) Anxiety, depression and psychosomatic symptoms in patients with atopic dermatitis: comparison with normal controls and among groups of different degrees of severity. J Dermatol Sci 14(1):63–67. https://doi.org/10.1016/S0923-1811(96)00553-1
Slattery MJ, Essex MJ, Paletz EM, Vanness ER, Infante M, Rogers GM, Gern JE (2011) Depression, anxiety, and dermatologic quality of life in adolescents with atopic dermatitis. J Allergy Clin Immun 128(3):668–671. https://doi.org/10.1016/j.jaci.2011.05.003
Hashizume H, Horibe T, Ohshima A, Ito T, Yagi H, Takigawa M (2005) Anxiety accelerates T-helper 2-tilted immune responses in patients with atopic dermatitis. Br J Dermatol 152(6):1161–1164. https://doi.org/10.1111/j.1365-2133.2005.06449.x
Clark I, Landolt HP (2017) Coffee, caffeine, and sleep: a systematic review of epidemiological studies and randomized controlled trials. Sleep Med Rev 31:70–78. https://doi.org/10.1016/j.smrv.2016.01.006
Ruxton CHS (2014) The suitability of caffeinated drinks for children: a systematic review of randomised controlled trials, observational studies and expert panel guidelines. J Hum Nutr Diet 27(4):342–357. https://doi.org/10.1111/jhn.12172
Benko CR, Farias AC, Farias LG, Pereira EF, Louzada FM, Cordeiro ML (2011) Potential link between caffeine consumption and pediatric depression: a case-control study. Bmc Pediatr 25(11):73. https://doi.org/10.1186/1471-2431-11-73
Richards G, Smith A (2015) Caffeine consumption and self-assessed stress, anxiety, and depression in secondary school children. J Psychopharmacol 29(12):1236–1247. https://doi.org/10.1177/0269881115612404
Otake M, Sakurai K, Watanabe M, Mori C (2018) Association between serum folate levels and caffeinated beverage consumption in pregnant women in Chiba: the Japan environment and children’s study. J Epidemiol 28(10):414–419. https://doi.org/10.2188/jea.JE20170019
Ulvik A, Vollset SE, Hoff G, Ueland PM (2008) Coffee consumption and circulating B-vitamins in healthy middle-aged men and women. Clin Chem 54(9):1489–1496. https://doi.org/10.1373/clinchem.2008.103465
Matsui EC, Matsui W (2009) Higher serum folate levels are associated with a lower risk of atopy and wheeze. J Allergy Clin Immunol 123(6):1253–1259. https://doi.org/10.1016/j.jaci.2009.03.007
Azagba S, Langille D, Asbridge M (2014) An emerging adolescent health risk: caffeinated energy drink consumption patterns among high school students. Prev Med 62:54–59. https://doi.org/10.1016/j.ypmed.2014.01.019
Terry-McElrath YM, O’Malley PM, Johnston LD (2014) Energy drinks, soft drinks, and substance use among united states secondary school students. J Addict Med 8(1):6–13. https://doi.org/10.1097/01.Adm.0000435322.07020.53
Larson N, DeWolfe J, Story M, Neumark-Sztainer D (2014) Adolescent consumption of sports and energy drinks: linkages to higher physical activity, unhealthy beverage patterns, cigarette smoking, and screen media use. J Nutr Educ Behav 46(3):181–187. https://doi.org/10.1016/j.jneb.2014.02.008
Seifert SM, Schaechter JL, Hershorin ER, Lipshultz SE (2011) Health effects of energy drinks on children, adolescents, and young adults. Pediatrics 127(3):511–528. https://doi.org/10.1542/peds.2009-3592
Alexy U, Sichert-Hellert W, Rode T, Kersting M (2008) Convenience food in the diet of children and adolescents: consumption and composition. Br J Nutr 99(2):345–351. https://doi.org/10.1017/S000711450779534x
Shin G-N, Kim Y-R, Kim M-H (2017) Nutritional evaluation of convenience meals in convenience stores near the universities. Korean J Community Nutr 22(5):375–386
Schafer T, Bohler E, Ruhdorfer S, Weigl L, Wessner D, Heinrich J, Filipiak B, Wichmann HE, Ring J (2001) Epidemiology of food allergy/food intolerance in adults: associations with other manifestations of atopy. Allergy 56(12):1172–1179. https://doi.org/10.1034/j.1398-9995.2001.00196.x
Murphy JM, Pagano ME, Nachmani J, Sperling P, Kane S, Kleinman RE (1998) The relationship of school breakfast to psychosocial and academic functioning—cross-sectional and longitudinal observations in an inner-city school sample. Arch Pediat Adol Med 152(9):899–907
Vartanian LR, Schwartz MB, Brownell KD (2007) Effects of soft drink consumption on nutrition and health: a systematic review and meta-analysis. Am J Public Health 97(4):667–675. https://doi.org/10.2105/Ajph.2005.083782
Knight CA, Knight I, Mitchell DC, Zepp JE (2004) Beverage caffeine intake in US consumers and subpopulations of interest: estimates from the Share of Intake Panel survey. Food Chem Toxicol 42(12):1923–1930. https://doi.org/10.1016/j.fct.2004.05.002
Orbeta RL, Overpeck MD, Ramcharran D, Kogan MD, Ledsky R (2006) High caffeine intake in adolescents: associations with difficulty sleeping and feeling tired in the morning. J Adolescent Health 38(4):451–453. https://doi.org/10.1016/j.jadohealth.2005.05.014
Hon KL, Tsang YC, Poon TC, Pong NH, Luk NM, Leung TN, Chow CM, Leung TF (2016) Dairy and nondairy beverage consumption for childhood atopic eczema: what health advice to give? Clin Exp Dermatol 41(2):129–137. https://doi.org/10.1111/ced.12714
Woods RK, Walters EH, Raven JM, Wolfe R, Ireland PD, Thien FCK, Abramson MJ (2003) Food and nutrient intakes and asthma risk in young adults. Am J Clin Nutr 78(3):414–421
Kim HO, Cho SI, Kim JH, Chung BY, Cho HJ, Park CW, Lee CH (2013) Food hypersensitivity in patients with childhood atopic dermatitis in Korea. Ann Dermatol 25(2):196–202. https://doi.org/10.5021/ad.2013.25.2.196
Chang A, Robison R, Cai M, Singh AM (2016) Natural history of food-triggered atopic dermatitis and development of immediate reactions in children. J Aller Cl Imm-Pract 4(2):229–236. https://doi.org/10.1016/j.jaip.2015.08.006
Funding
None
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors have nothing to declare.
Electronic supplementary material
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Cho, S.I., Lee, H., Lee, D.H. et al. Association of frequent intake of fast foods, energy drinks, or convenience food with atopic dermatitis in adolescents. Eur J Nutr 59, 3171–3182 (2020). https://doi.org/10.1007/s00394-019-02157-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00394-019-02157-4