Prevalence and risk factors for atopic dermatitis

A cross-sectional study of 6,453 Korean preschool children

Won Jun Choi, Joo Yeon Ko, Jin Wou Kim, Kwanghoon Lee, Chun Wook Park, Kyu Han Kim, Myeung Nam Kim, Ai Young Lee, Sang Hyun Cho, Young Lip Park, Jee Ho Choi, Seong Jun Seo, Yang Won Lee, Joo Young Roh, Young Min Park, Dong Jae Kim, Young Suck Ro

Research output: Contribution to journalArticle

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Abstract

The aims of this study were to evaluate the prevalence, severity and risk factors for atopic dermatitis in Korean pre school children as determined by dermatological examination vs questionnaire survey. A total of 6,453 preschool children from 59 kindergartens and 14 day-care centres were evaluated. Parents responded to an International Study of Asthma and Allergies in Childhood (ISAAC)-based questionnaire containing questions concerning 23 risk factors, as well as the prevalence, and severity of atopic dermatitis. Fourteen dermatologists then examined the participants according to the Korean diagnostic criteria for atopic dermatitis, and the Eczema Area and Severity Index (EASI) score. Atopic dermatitis prevalence determined by dermatological examination was lower than the questionnaire-based prevalence (9.2% vs 19.1%). Most patients (96.2%) had mild atopic dermatitis according to the EASI score (mean ± SD 3.91 ± 4.73; median 1.5; range 0.2-38.0). However, 17.4% had sleep disturbance, and 56.7% had not obtained complete remission of their rash over the previous 12 months. Among the 12 risk factors, "changing the patient's house to a newly built house during the frst year of life" had signifcant odds ratio. In conclusion, the prevalence of atopic dermatitis in Korea in the ISAAC-based survey conducted by paediatricians was similar to that in several European countries, and lower than the 2006 Korean fgure (28.9%). In addition, the prevalence of atopic dermatitis was lower when assessed by dermatological examination than by questionnaire.

Original languageEnglish
Pages (from-to)467-471
Number of pages5
JournalActa Dermato-Venereologica
Volume92
Issue number5
DOIs
Publication statusPublished - 2012 Nov 9

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Preschool Children
Atopic Dermatitis
Cross-Sectional Studies
Hypersensitivity
Asthma
Eczema
Korea
Exanthema
Sleep
Parents
Odds Ratio
Surveys and Questionnaires

All Science Journal Classification (ASJC) codes

  • Dermatology

Cite this

Choi, Won Jun ; Ko, Joo Yeon ; Kim, Jin Wou ; Lee, Kwanghoon ; Park, Chun Wook ; Kim, Kyu Han ; Kim, Myeung Nam ; Lee, Ai Young ; Cho, Sang Hyun ; Park, Young Lip ; Choi, Jee Ho ; Seo, Seong Jun ; Lee, Yang Won ; Roh, Joo Young ; Park, Young Min ; Kim, Dong Jae ; Ro, Young Suck. / Prevalence and risk factors for atopic dermatitis : A cross-sectional study of 6,453 Korean preschool children. In: Acta Dermato-Venereologica. 2012 ; Vol. 92, No. 5. pp. 467-471.
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title = "Prevalence and risk factors for atopic dermatitis: A cross-sectional study of 6,453 Korean preschool children",
abstract = "The aims of this study were to evaluate the prevalence, severity and risk factors for atopic dermatitis in Korean pre school children as determined by dermatological examination vs questionnaire survey. A total of 6,453 preschool children from 59 kindergartens and 14 day-care centres were evaluated. Parents responded to an International Study of Asthma and Allergies in Childhood (ISAAC)-based questionnaire containing questions concerning 23 risk factors, as well as the prevalence, and severity of atopic dermatitis. Fourteen dermatologists then examined the participants according to the Korean diagnostic criteria for atopic dermatitis, and the Eczema Area and Severity Index (EASI) score. Atopic dermatitis prevalence determined by dermatological examination was lower than the questionnaire-based prevalence (9.2{\%} vs 19.1{\%}). Most patients (96.2{\%}) had mild atopic dermatitis according to the EASI score (mean ± SD 3.91 ± 4.73; median 1.5; range 0.2-38.0). However, 17.4{\%} had sleep disturbance, and 56.7{\%} had not obtained complete remission of their rash over the previous 12 months. Among the 12 risk factors, {"}changing the patient's house to a newly built house during the frst year of life{"} had signifcant odds ratio. In conclusion, the prevalence of atopic dermatitis in Korea in the ISAAC-based survey conducted by paediatricians was similar to that in several European countries, and lower than the 2006 Korean fgure (28.9{\%}). In addition, the prevalence of atopic dermatitis was lower when assessed by dermatological examination than by questionnaire.",
author = "Choi, {Won Jun} and Ko, {Joo Yeon} and Kim, {Jin Wou} and Kwanghoon Lee and Park, {Chun Wook} and Kim, {Kyu Han} and Kim, {Myeung Nam} and Lee, {Ai Young} and Cho, {Sang Hyun} and Park, {Young Lip} and Choi, {Jee Ho} and Seo, {Seong Jun} and Lee, {Yang Won} and Roh, {Joo Young} and Park, {Young Min} and Kim, {Dong Jae} and Ro, {Young Suck}",
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Choi, WJ, Ko, JY, Kim, JW, Lee, K, Park, CW, Kim, KH, Kim, MN, Lee, AY, Cho, SH, Park, YL, Choi, JH, Seo, SJ, Lee, YW, Roh, JY, Park, YM, Kim, DJ & Ro, YS 2012, 'Prevalence and risk factors for atopic dermatitis: A cross-sectional study of 6,453 Korean preschool children', Acta Dermato-Venereologica, vol. 92, no. 5, pp. 467-471. https://doi.org/10.2340/00015555-1252

Prevalence and risk factors for atopic dermatitis : A cross-sectional study of 6,453 Korean preschool children. / Choi, Won Jun; Ko, Joo Yeon; Kim, Jin Wou; Lee, Kwanghoon; Park, Chun Wook; Kim, Kyu Han; Kim, Myeung Nam; Lee, Ai Young; Cho, Sang Hyun; Park, Young Lip; Choi, Jee Ho; Seo, Seong Jun; Lee, Yang Won; Roh, Joo Young; Park, Young Min; Kim, Dong Jae; Ro, Young Suck.

In: Acta Dermato-Venereologica, Vol. 92, No. 5, 09.11.2012, p. 467-471.

Research output: Contribution to journalArticle

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T1 - Prevalence and risk factors for atopic dermatitis

T2 - A cross-sectional study of 6,453 Korean preschool children

AU - Choi, Won Jun

AU - Ko, Joo Yeon

AU - Kim, Jin Wou

AU - Lee, Kwanghoon

AU - Park, Chun Wook

AU - Kim, Kyu Han

AU - Kim, Myeung Nam

AU - Lee, Ai Young

AU - Cho, Sang Hyun

AU - Park, Young Lip

AU - Choi, Jee Ho

AU - Seo, Seong Jun

AU - Lee, Yang Won

AU - Roh, Joo Young

AU - Park, Young Min

AU - Kim, Dong Jae

AU - Ro, Young Suck

PY - 2012/11/9

Y1 - 2012/11/9

N2 - The aims of this study were to evaluate the prevalence, severity and risk factors for atopic dermatitis in Korean pre school children as determined by dermatological examination vs questionnaire survey. A total of 6,453 preschool children from 59 kindergartens and 14 day-care centres were evaluated. Parents responded to an International Study of Asthma and Allergies in Childhood (ISAAC)-based questionnaire containing questions concerning 23 risk factors, as well as the prevalence, and severity of atopic dermatitis. Fourteen dermatologists then examined the participants according to the Korean diagnostic criteria for atopic dermatitis, and the Eczema Area and Severity Index (EASI) score. Atopic dermatitis prevalence determined by dermatological examination was lower than the questionnaire-based prevalence (9.2% vs 19.1%). Most patients (96.2%) had mild atopic dermatitis according to the EASI score (mean ± SD 3.91 ± 4.73; median 1.5; range 0.2-38.0). However, 17.4% had sleep disturbance, and 56.7% had not obtained complete remission of their rash over the previous 12 months. Among the 12 risk factors, "changing the patient's house to a newly built house during the frst year of life" had signifcant odds ratio. In conclusion, the prevalence of atopic dermatitis in Korea in the ISAAC-based survey conducted by paediatricians was similar to that in several European countries, and lower than the 2006 Korean fgure (28.9%). In addition, the prevalence of atopic dermatitis was lower when assessed by dermatological examination than by questionnaire.

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