Association of frequent intake of fast foods, energy drinks, or convenience food with atopic dermatitis in adolescents
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ORIGINAL CONTRIBUTION
Association of frequent intake of fast foods, energy drinks, or convenience food with atopic dermatitis in adolescents Soo Ick Cho1,2 · Hanjae Lee1,2 · Dong Hun Lee1,2 · Kyu‑Han Kim1,2 Received: 16 May 2019 / Accepted: 29 November 2019 © Springer-Verlag GmbH Germany, part of Springer Nature 2019
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 previousdiagnosed 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. Keywords Adolescents · Atopic dermatitis · Convenience food · Energy drink · Fast food · Food
Introduction Atopic dermatitis (AD) is a chronic inflammatory skin disease characterized by pruritic erythematous lesion usually on face or flexural areas of the body. The prevalence of AD has been reported to be up to 25% during childhood and 2–3% for adults [1]. However, recent studies showed that Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00394-019-02157-4) contains supplementary material, which is available to authorized users. * Dong Hun Lee [email protected] 1
Department of Dermatology, Seoul National University College of Medicine, 101 Daehak‑ro, Jongno‑gu, Seoul 03080, Republic of Korea
Institute of Human‑Environment Interface Biology, Seoul National University, 101 Daehak‑ro, Jongno‑gu, Seoul 03080, Republic of Korea
2
the persistence of AD from childhood to adult is considerably higher than previously reported, suggesting that AD is a lifelong disease [2, 3]. In addition, a l
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