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Dairy and nondairy beverage consumption for childhood atopic eczema: What health advice to give?
Hon K.L.E.3; Tsang Y.C.3; Poon T.C.W.4; Pong N.H.H.3; Luk N.M.1; Leung T.N.H.2; Chow C.M.3; Leung T.F.3
2016-03-01
Source PublicationClinical and Experimental Dermatology
ISSN13652230 03076938
Volume41Issue:2Pages:129-137
Abstract

Background Many parents of children with atopic eczema (AE) practise empirical dietary avoidance and supplementation, and seek healthcare advice on whether consumption of dairy and nondairy beverages may be beneficial or detrimental for this condition. Aim We investigated if frequency of consumption of beverages was associated with disease severity and quality of life (QoL). Methods Parent-reported frequency of drinks and beverages were recorded in consecutive children with AE, and disease severity (Nottingham Eczema Severity Score; NESS), QoL (Children's Dermatology Life Quality Index; CDLQI), skin hydration (SH), transepidermal water loss (TEWL), blood pressure (BP), resting heart rate (RHR) and body mass index (BMI) were evaluated. Results AE was associated with worse QoL than miscellaneous non-AE skin diseases (P < 0.001). Compared with children without AE, there was a trend for children with AE to drink less milk (P = 0.06) and more miscellaneous beverages (such as Chinese herbal tea and soymilk; P = 0.03). In children with AE, NESS correlated with CDLQI (ρ = 0.66, P < 0.001) and reduced SH (ρ = -0.32, P < 0.001), whereas CDLQI correlated with a higher RHR (ρ = 0.25, P < 0.01). Multiple logistic regression showed that male sex (OR = 0.44, 95% CI 0.20-0.97; P = 0.04) and drinking fresh milk (OR = 0.42, 95% CI 0.20-0.93; P = 0.03) were independent factors associated with less severe disease. Moderate to severe impairment of CDLQI was associated with NESS (OR = 1.48, 95% CI 1.28-1.71; P < 0.001) and RHR (OR = 1.05, 95% CI 1.02-1.08; P < 0.01) but not with reported habits of beverage consumption. Concerning cardiovascular health in AE, frequency of formula milk consumption was associated with RHR (ρ = 0.17, P = 0.04), and soft drink consumption was associated with higher systolic blood pressure (SBP) (ρ = 0.18, P = 0.04). Conclusion This study provides evidence for parental/patient guidance. Children with AE who reported more fresh milk consumption had less severe disease. There was no correlation between consumption of nondairy beverages with disease severity or QoL, but frequency of soft drink consumption correlated with SBP. With these results being supported by a literature review, it is reasonable to advise parents that fresh milk can be consumed by unsensitized children with AE. Soft drinks and other beverages should not be consumed in excess for optimal cardiovascular health and for other health reasons.

DOI10.1111/ced.12714
URLView the original
Indexed BySCIE
Language英语
WOS Research AreaDermatology
WOS SubjectDermatology
WOS IDWOS:000370330800003
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Cited Times [WOS]:5   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionFaculty of Health Sciences
Corresponding AuthorHon K.L.E.
Affiliation1.Chevron Hong Kong Ltd.
2.Pamela Youde Nethersole Eastern Hospital
3.Prince of Wales Hospital Hong Kong
4.Universidade de Macau
Recommended Citation
GB/T 7714
Hon K.L.E.,Tsang Y.C.,Poon T.C.W.,et al. Dairy and nondairy beverage consumption for childhood atopic eczema: What health advice to give?[J]. Clinical and Experimental Dermatology,2016,41(2):129-137.
APA Hon K.L.E.,Tsang Y.C.,Poon T.C.W.,Pong N.H.H.,Luk N.M.,Leung T.N.H.,Chow C.M.,&Leung T.F..(2016).Dairy and nondairy beverage consumption for childhood atopic eczema: What health advice to give?.Clinical and Experimental Dermatology,41(2),129-137.
MLA Hon K.L.E.,et al."Dairy and nondairy beverage consumption for childhood atopic eczema: What health advice to give?".Clinical and Experimental Dermatology 41.2(2016):129-137.
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