アトピー性皮膚炎2歳児における除去食療法の栄養学的検討  [in Japanese] Nutritional Study of Elimination Diets in the Case of Two-year-old Children Recovered from Atopic Dermatitis  [in Japanese]

除去食療法の栄養学的効果を検討するため,アトピー性皮膚炎治癒児が摂取した食事(和食4段階法)を7日間調査し,栄養価算定を行った。エネルギーの平均摂取量は所要量より少なかったが,これは植物油を全く摂っていない児が全体の54.8%を占めたことにより,脂質平均摂取量が所要量の1/2になったためと思われる。卵や牛乳を全く摂取していない児が全体の半数いたにもががわらず,たんぱく質平均摂取量は男児が31%,女児が42%所要量を上回った。カルシウム摂取量は男児が365±199 mg,女児が452±67 mgであった。鉄およびビタミン類の平均摂取量は所要量を大幅に上回った。除去食療法男児のP比は17.6%,F比は11.6%,C比は70.8%,女児のP比は17.1%,F比は13.9%,C比は69.0%となっており,摂取量は男児女児共,栄養所要量に比べ,F比が少なくP比およびC比が多いことが明らかになった。

The aim of this study is to clarify the nutritional value of elimination diets (four types of Japanese style diets) which atopic dermatitis children had been on for seven days before the examination. The intake of energy was less than the recommended dietary allowances. This result suggests that the intake of energy is associated with the removing of vegetable oils. As 54.8% of the children had not had any vegetable oils, the intake of fat was half the recommended dietary allowance. Half of the children had not had eggs and milk at all, but the intake of protein of the boys was 31% more than the recommended dietary allowance and that of the girls was 42% more than the recommended dietary allowance. The intake of calcium by the boys was 365±199 mg and that by the girls was 452±67 mg. The intake of iron and vitamins was more than the recommended dietary allowance. In the case of the boys on elimination diets, the ratio of PFC was P=17.1%, F=11.6%, C=70.8%, and in the case of the girls it was P=17.1%, F=13.9%, C=69.0%. It has been clarified that the F ratio of the intake of the boys and the girls was smaller than the ratio of the recommended dietary allowances, and that P ratio and C ratio were larger.