학령기 아동의 식품알레르기 유병률과 식품 알레르겐 감작률 조사

이혜숙,홍성철,김정홍,김재왕,이근화,이재천 사단법인 대한보건협회 2014 대한보건연구 Vol.40 No.3

Objectives : This study is to survey school-aged children's prevalence of food allergy and to investigate sensitization rates to common food allergens. Methods : The self-administered questionnaire survey and skin prick tests with 12 food allergens were applied to school children in Jeju, Korea. From 3 elementary schools, 1,189 children were enrolled with informed consent. Results : The lifetime prevalence of self-reported food allergy were 10.5%. The period prevalence of self-reported food allergy(last 12 months), the lifetime prevalence of clinician-diagnosed food allergy and the period prevalence of clinician-treated food allergy(last 12 months) were 4.8%, 5.8% and 2.6%, respectively. The sensitization rate to one or more food allergens was 3.7%. Male(4.8%) showed more sensitized than female (2.5%)(p=0.043). Shrimps(1.1%), egg white(0.6%), mussels(0.5%), yolk(0.4%) and milk(0.4%) were commonly sensitized food allergens. The commonly associated allergens in the lifetime prevalence of food allergy include egg white, yolk, tuna, chicken and soybeans. The multivariate analysis revealed that the allergens most significantly related with the lifetime prevalence of food allergy were eggs, showing the risk of food allergy was 10.53 times higher in the cases with sensitization to egg. Conclusion : Compared to those in other regions, the school-aged children in Jeju show no difference in the prevalence of food allergy, but, with a gradual increase in frequency. Among the food allergens, egg is one of the most commonly sensitizing allergen as well as cause of food allergy. Serial epidemiological investigations and customized educational programs concerning food allergy are necessary at school. 연구목적 : 본 연구는 학령기 아동의 식품알레르기 유병률과 식품 알레르겐의 감작률을 조사하고자 하였다. 연구방법 : 2011년 4월부터 5월까지 제주지역 3개 초등학교 1, 2학년 1,189명을 대상으로 ISSAC 설문지를 이용한 자기기입식 설문조사와 12종의 식품 알레르겐에 대해 피부단자시험(Skin Prick Test)을 시행하였다. 연구결과 : 학령기 아동의 “평생 식품알레르기 증상 유병률(Food Allergy, ever)”은 10.5%, “최근 식품알레르기 증상 유병률(Food Allergy, last 12 mo)” 4.8%, “평생 식품알레르기 진단 유병률 (Diagnosis of Food Allergy, ever)”5.8%, “최근 식품알레르기 치료 유병률(Treatment of Food Allergy, last 12 mo)” 2.6%로 타 지역 소아와 비슷한 수준을 보였다. 1개 이상의 식품 알레르겐에 감작률을 보인 경우는 3.7%로 남자(4.8%)가 여자(2.5%)보다 감작률이 유의하게 높았다(p=0.043). 가장 높은 감작률을 보인 식품 알레르겐은 새우(1.1%), 계란흰자(0.6%), 홍합(0.5%), 계란노른자(0.4%), 우유(0.4%) 순이었으며, 식품알레르기 증상 발생에 연관이 있는 알레르겐은 계란흰자, 계란노른자, 참치, 닭고기, 대두 등이었다. 다변량 분석결과, 식품알레르기 발생과 가장 관련이 있는 원인 식품은 계란이었으며, 계란에 감작되었을 때 식품알레르기 발생 위험도가 10.53배 높은 것으로 나타났다. 결론 : 제주지역 학령기 아동의 식품알레르기 유병률은 다른 지역과 큰 차이가 없었으나, 2008년도에 비해 증가 추세를 보였다. 가장 높은 감작률을 보인 것은 계란이었으며, 학령기 아동의 식품알레르기 발생의 주요 원인 식품으로 확인되었다. 추후에도 각 지역사회 혹은 학교단위 별로 식품알레르기에 대한 정기적인 역학조사와 함께 맞춤형 교육이 필요하다.

Management of Food Allergy: Food Allergy Management Guideline 2005 by National Food Allergy Research Group Supported by the Ministry of Health, Welfare, and Labor

( Motohiro Ebisawa ) 대한천식알레르기학회 2006 천식 및 알레르기 Vol.26 No.3

In October 2005, we released Food Allergy Management Guideline 2005. To cover food allergy from infancy to adulthood, the project committee included not only pediatric researchers, but also internists, dermatologists, and otolaryngologists. The guideline concept was to utilize the data accumulated by the National Food Allergy Research Group, to be plain and as short as a pamphlet, and to be released on internet. The most glowing argument was about relation between infantile atopic dermatitis and food allergy, and how it should be treated in the guideline. To avoid neither overvaluation nor undervaluation, fastidious care was given to the denotation. With the definition of infantile atopic dermatitis associated with food allergy, both dermatologic and pediatric members of the project committee finally came to agreement, which was a landmark between dermatologists and pediatricians in Japan. The guideline explains fundamentals with the least paragraphs and with tables and figures as many as possible. Flowcharts are made largely as a composition in the parts of diagnosis and treatment. I really hope that this guideline is useful for Korean doctors involved in food allergy and that quality of life of food allergy patients and their parents are improved. (Korean J Asthma Allergy Clin Immunol 2006;26:177-185)

한국 소아 식품알레르기의 연구 현황과 과제

안강모 ( Kangmo Ahn ) 대한천식알레르기학회 2018 Allergy Asthma & Respiratory Disease Vol.6 No.S

Food allergy is an immune-mediated adverse reaction that occurs mainly by consumption of food. Some of the children with food allergies have mild symptoms like urticaria and pruritus, while others manifest fatal symptoms like anaphylaxis. Many cases develop in infants and children, and disappear spontaneously over time. The prevalence of food allergy is known to be up to 6% of children and 3%-4% of adults. Growing concern is that prevalence of food allergy seems to be increasing. The prevalence, common allergens and natural course of food allergy vary according to the race, age, eating habits, and unknown factors. In Korea, many researchers have reported regional data on food allergy for comparison with those of foreign countries. Awareness is increasing and food labelling is being established to help people avoid allergenic foods. In the future, monitoring of prevalence and common food allergens at regular intervals is needed to make appropriate policies for children with food allergy. There are still lack of data on pathogenesis, natural course and clinical trials of immunotherapy in Korean children. In addition, it is necessary to form a consensus on primary prevention of food allergy by early exposure to allergenic foods. Further regional studies should be performed to expand our understanding of food allergy and to lead to proper management for Korean children with food allergy. (Allergy Asthma Respir Dis 2018;6 Suppl 1:S44-51)

Dog and Cat Allergies and Allergen Avoidance Measures in Korean Adult Pet Owners Who Participated in a Pet Exhibition

Yang, Min Suk,Lee, Sang Pyo,Kwon, Young Jae,Lee, Sang Min The Korean Academy of Asthma, Allergy and Clinical 2018 Allergy, Asthma & Immunology Research Vol.10 No.2

<P><B>Purpose</B></P><P>This study evaluated dog and cat allergies and their association with allergen avoidance measures in Korean adults.</P><P><B>Methods</B></P><P>The study population consisted of 537 adults who currently kept dogs or cats and participated in a pet exhibition in Korea. The subjects were asked to complete questionnaires regarding pet ownership, allergen avoidance, and allergy symptoms, and underwent skin prick tests. They were considered to have a dog or cat allergy if they suffered from one or more of allergy symptoms during contact with their pets.</P><P><B>Results</B></P><P>In total, 103 of 407 dog owners (25.3%) and 45 of 130 cat owners (34.6%) had a dog or cat allergy, respectively. Dog owners kept 1.3±1.5 dogs; this number did not differ according to the presence of dog allergy. Dog owners with a dog allergy had owned their dogs longer than those without (88.0±72.0 vs 67.5±72.7 months, <I>P</I><0.05). Cat owners kept 2.1±3.6 cats; this number did not differ according to the presence of cat allergy, nor did the duration of cat ownership. Cat owners with a cat allergy had facial contact and slept with their cats less frequently (8.6±11.9 vs 18.3±27.0 times/day, <I>P</I><0.01; 71.1% vs 81.2%, <I>P</I><0.05); however, they had their cats shaved and beds cleaned less frequently than those without (1.8±3.3 vs 3.2±4.4 times/year, <I>P</I><0.05; 1.5±1.5 vs 3.9±6.0 times/month, <I>P</I><0.01).</P><P><B>Conclusions</B></P><P>Cat owners with a cat allergy tried to minimize contact with their cats, but efforts to avoid indoor cat allergens were lower than those without. In comparison, dog owners with a dog allergy had kept their dogs for longer time than those without; however, current contact with their dogs and allergen avoidance measures did not differ between the 2 groups.</P>

알레르기 질환 유무에 따른 식생활 습관과 식품섭취패턴의 비교 연구

양승혜(Yang Seung Hye),김은진(Kim Eun Jin),김영남(Kim Young Nam),성기승(Seong Ki-Seung),김성수(Kim Sung-Soo),한찬규(Han Chan-Kyu),이복희(Lee Bog-Hieu) 韓國營養學會 2009 Journal of Nutrition and Health Vol.42 No.6

본 연구는 알레르기 유발에 영향을 미치는 요인과 식품 알레르기 빈도 및 그 원인 식품을 조사하기 위하여 다양한 연령의 알레르기 환자 62명과 정상인 69명을 대상으로 2008년 8∼9월 2개월 동안 설문조사를 실시하였다. 설문지의 조사항목으로는 일반사항, 알레르기 환자에 대한 일반사항, 생활습관, 식습관 및 식품 알레르기의 발생 빈도가 높은 식품에 대한 섭취 빈도에 대하여 분석하였다. 그 결과는 다음과 같다. 1) 일반사항 조사 결과 알레르기 환자군이 정상군에 비해서 가정의 한 달 평균 수입이 높은 것으로 나타났고, 알레르기 환자군이 정상군에 비해 애완동물을 많이 보유하고 있었으며 (p < 0.05), 알레르기 환자군이 정상군보다 식물을 더 많이 키우고 있는 것으로 나타났다 (p < 0.05). 2) 알레르기 환자의 알레르기 질환양상에 대한 조사결과, 복합적인 증상과 두개 이상의 알레르기를 경험한 환자가 많았고, 알레르기 유발 요인으로는 집먼지 진드기와 식품의 비율이 높게 나타났으며, 계절과는 상관없이 알레르기 증상이 나타나는 환자가 많았다. 또한 알레르기 가족력이 있는 환자가 많았으며 (66.1%), 최선의 예방방법은 주위 환경을 깨끗이 하여야 한다고 생각하는 환자가 가장 많았다 (45.2%). 3) 생활습관 조사결과, 운동 빈도는 두 군간 차이가 없었으며 음주 빈도는 알레르기 환자군이 정상군에 비해 유의적으로 높게 나타났다 (p < 0.01). 4) 식습관은 알레르기 환자군이 정상군에 비해 결식의 비율이 높고, 간식을 많이 섭취하고 있는 것으로 나타났다 (p < 0.05). 5) 식품 알레르기의 발생 빈도가 높은 식품에 대한 섭취 빈도를 살펴보면, 알레르기 환자군이 정상군 보다 계란 (p < 0.05), 돼지고기 (p < 0.001), 호두 (p < 0.05), 양파 (p < 0.05), 참치 (p < 0.05), 조개류 (p < 0.05), 키위 (p < 0.05), 인스턴트식품 (p < 0.05)의 섭취빈도가 유의적으로 높은 것으로 나타났다. The aim of this study was to examine and compare the eating habits and dietary intake patterns of people with or without allergy by the survey during August-September, 2008. The 131 subjects aged 10’-50’ (AG = allergy group, n = 62; NG = non-allergy group, n = 69) participated in this study. The questionnaire included general characteristics, dietary habits, and food frequency. Income level tended to be higher in AG than in NG, and AG had more pets and flower pots than NG (p < 0.01). In AG, most affected area of allergy was the skin and the subjects in AG experienced the mixed symptoms and more than 2 types of allergy. Family history of allergy was highly related with allergy of the subjects (AG: 66.1%, NG: 33.9%). Both groups did not exercise regularly, but frequency of alcohol drinking in AG was significantly higher than in NG (p < 0.01). AG skipped meals and had snacking more often than NG (p < 0.05). Most favorite snacks in AG were instant foods, fast foods, cookies, and ice cream (p < 0.05). Therefore, AG tended to consume more allergy-related foods than NG. Highly-consumed allergy-related foods were egg, pork, walnut, onion, tuna, shellfish, and kiwi (p < 0.05). Therefore, nutrition education and guidance is needed to establish good eating habits, food intakes, and life style in people having allergy.

전남대학교병원 입원환자 약제 알러지에 관한 연구

주은희,서세민,이용복,고익배 한국병원약사회 1995 병원약사회지 Vol.12 No.2

This study was accomplished to take the available informations about drug allergy, its prevention and therapy. Drug allergy was surveyed with the inpatients in Chonnam national University Hospital during 14 days from Oct. 5 to Oct. 18, 1989. The medical doctors of the ward of the clinical department wrote the drug allergy survey card and our team members reviewed the chart profiles to perform exactly. The drug allergic patients occupied 3.2% of total 657 inpatients. The longer the hospitalization period, the higher the ratio of the occurrence of drug allergy. On the allergy-induced drug, cephalosporins occupied 10 cases, penicillins 7 cases, NSAIDS 3 cases and the miscellaneous drugs 8 cases. On the route of drug administration in the case of drug allergy, parenteral route occupied 16 cases and oral route 5 cases. The symptom of drug allergy included skin eruption(16 cases), palpitation(6 cases), drug fever(4 cases), itching sense(3 cases), flushing face(1 case) and syncope(1 case). The major test of drug allergy was skin test. On the onset time of drug allergy after starting drug therapy, 3 cases occurred immediately, 4 cases after 1 day-2 days, 5 cases during 2 days-1 week and 5 cases after 2 weeks.

Polycheck Allergy를 이용한 알레르겐 특이 IgE 측정: 세 가지 다중 알레르겐 항원 검사법의 비교

장우리,남정현,임대현,김정희,장태영,문연숙,김진주 대한진단검사의학회 2009 Annals of Laboratory Medicine Vol.29 No.5

배경 : 피부단자시험 또는 혈청 알레르겐 특이 IgE를 확인하 는 검사가 알레르기 질환의 진단에 흔히 사용된다. 저자들은 최 근 국내에 소개된 다중 알레르기항원 검사 immunoblot 검사 법의 일종인 Polycheck Allergy (Biocheck GmbH, Mu_nster, Germany)의 유용성에 대해 알아보고자 하였다. 방법 : 임상적으로 알레르기 증상을 보이는 100명의 환자를 대상으로 피부단자시험과 Polycheck Allergy (Biocheck GmbH, Germany), MAST CLA allergy system (Hitachi Chemical Diagnostics, Inc., USA), Allergy Screen (R-biopharm, Germany) 을 시행한 후 검사 결과를 피부단자시험 결과와 비교하 였다. 결과 : Polycheck Allergy, MAST CLA 그리고 Allergy Screen의 피부단자시험과의 일치율은 각각 79-100%, 88.9- 100%, 72.7-98.3%의 분포를 보였다. 각각의 알레르겐에 대한 ROC 분석 결과 네 가지에서만 유의한 차이를 보였다. Alternaria와 Birch에서는 Polycheck Allergy와 Allergy Screen의 곡 선하 면적이 MAST CLA보다 유의하게 컸고(각각 P<0.001, P= 0.0075) Hazelnut은 Polycheck Allergy에서(P=0.0021), 그 리고 D. farinae는 MAST CLA에서(P=0.015) 곡선하 면적이 다른 두 시약보다 컸다. 음식형 알레르겐 16종의 통합적인 ROC 분석에서는 Polycheck Allergy가 가장 좋은 성적을 보였고(P< 0.001), 21종의 흡입형 알레르겐에서는 세 검사 간에 유의한 차 이가 없었다(P>0.05). 결론 : Polycheck Allergy는 기존의 MAST CLA 및 Allergy Screen과 비슷하거나 우수한 성적을 보여 혈청 알레르겐 특 이 IgE 검출에 효율적으로 사용할 수 있을 것으로 기대되었다. Background : The in vivo skin prick test (SPT) or in vitro detection of allergen specific IgE in serum is commonly used for the diagnosis of allergic disease. In this study, we evaluated the usefulness of a new multiple allergen simultaneous test (MAST) immunoblot assay, Polycheck Allergy (Biocheck GmbH, Germany). Methods : A total of 100 patients with clinical findings of allergic diseases were tested by SPT and three different MAST assays: Polycheck Allergy (Biocheck GmbH, Germany), MAST CLA allergy system (Hitachi Chemical Diagnostics, USA) and Allergy Screen (R-biopharm, Germany). The results of MAST assays were compared with those of SPT. Results : Concordance rates of MAST assays with SPT were 79-100% for Polycheck Allergy, 88.9-100% for MAST CLA and 72.7-98.3% for Allergy Screen. In ROC curve analysis, significant differences were observed in four of 25 allergens analysed: Alternaria, Birch, Hazelnut and D. farinae. For Alternaria and Birch, Polycheck Allergy (P<0.001) and Allergy Screen (P=0.0075) showed significantly larger AUC (area under the curve) than MAST CLA. For Hazelnut, Polycheck Allergy (P=0.0021), and for D. farinae, MAST CLA (P=0.015) showed significantly larger AUCs than the other two tests. The ROC analysis for overall 16 food allergens showed better results in Polycheck Allergy (P<0.001), and that for overall 21 inhalants did not show significant differences among three MAST assays (P>0.05). Conclusions : Since Polycheck Allergy showed similar or superior result to the others, it can be used for the detection of allergen specific IgE antibodies.

하남시 영유아 보육시설의 식품알레르기 현황 조사 - 100인 미만의 어린이 급식소를 중심으로 -

조우균,김진아 대한지역사회영양학회 2015 대한지역사회영양학회지 Vol.20 No.4

Objectives: The purpose of this study was to investigate how to manage food allergy of pre-school children, focusing on the current status of the food allergy in childcare facilities in Hanam which have less than 100 children. Methods: Targeting 159 preschool childcare facilities, survey was carried out for a month in March, 2015. Recovery rate was 66.7%. 106 surveys out of 159 were available for analysis using SPSS statistical program version 19.0. Results: Among 106 facilities, 58 (54.7%) reported that none of their children had a food allergy and 48 (45.3%) reported one more children had a food allergy. Total number of children having a food allergy was 71. Among them, the occurrences of food allergy in males were significantly more than that of the females (p < 0.001). Further, children under 2 years of age had significantly more food allergy than the other ages (p < 0.001). The allergic inducing foods were nuts (23.3%), egg (17.8%), milk and dairy products (16.4%), fish and shellfish (13.7%), instant foods (12.3%), fruits (8.2%), soybean (4.1%), meat (2.7%), and cereals (1.4%) in order, and 6 children out of 71 were allergic to more than 2 food items. The clinical symptoms of the food allergy were a skin reaction (87.9%) and an oropharyngeal & respiratory reaction (12.1%). Majority of childcare facilities (80.3%) didn't serve alternative foods for children with food allergy. Necessity for food allergy education was significantly higher in facilities with food allergy issues than without such issues. Conclusions: The Center for Children's Foodservice Management need to educate workers of childcare facilities and parents about managing food allergy and enforce a plan to provide alternative menu to children with food allergies.

식품 알레르기 아동의 보호자를 위한 식품 정보 검색 서비스 디자인 연구

이지수,강연아 인제대학교 디자인연구소 2020 Journal of Integrated Design Research (JIDR) Vol.19 No.3

Background : In order to prevent food allergy accidents, it is important for food allergy patients to accurately check the ingredients of the foods they consume to avoid consuming allergy antigens. However, many food-allergic patients find it difficult to read food labels and experience allergic accidents because they misread information. By age, children under the age of 10 have the most food allergy accidents. Although previous studies have suggested various methods for preventing food allergies in children, there has been a lack of service research to help them find foods that do not contain particular allergy antigens. Methods : This study was conducted based on the double-diamond design process. First, the behaviors of the guardians of children with food allergies were observed while they were checking food labels. Second, the problems and needs of guardians of children with food allergies were analyzed, their personas were defined, and a user journey map was created. Third, a prototype was made to visually convey the service concept and service functions derived from the ideation phase. Fourth, user satisfaction with the service and the degree to which the service resolved their problems was checked. Result : The results showed that the guardians of food-allergic children experience many pain-points when checking food information in food purchasing environments. They evaluated the service positively, indicating that it addressed their needs. Implications for the understandability and reliability of food information that should be considered in designing services for guardians of food-allergic children are presented in the paper. Conclusion : Unlike the preceding studies which emphasized the improvement of food allergy awareness as a way to prevent food allergy accidents, this study proposed measures to manage allergies through a service. The results of this study will help users gain access to safe foods that do not contain their own allergy antigens through a service. it was also meaningful in that it contributed to the safety of the diets of those suffering from food allergies. 연구배경 : 식품 알레르기 환자는 식품 알레르기 사고 예방을 위해 식품의 원재료 성분을 정확히 확인해서 본인이 보유한 특정 알레르기 항원을 먹지 않는 것이 중요하다. 하지만 많은 식품 알레르기 환자는 가공식품을 읽고 해석하는 것에 어려움을 느끼고 있으며 잘못된 정보 습득으로 알레르기 사고를 경험한다. 연령별 식품 알레르기 환자 중 만 10세 미만의 아동에게 가장 많은 식품 알레르기 사고가 발생하고 있다. 선행 연구에서 식품 알레르기 아동의 알레르기 예방을 위해 여러 방안을 제시하고 있지만, 환자 개인이 보유한 알레르기 항원이 함유되지 않은 식품을 탐색하는 데에 도움을 주는 서비스 연구는 부족한 실정이다. 연구방법 : 본 연구는 더블 다이아몬드 디자인 프로세스에 기초하여 연구를 진행하였다. 첫째, Discover 단계에서 식품 알레르기 아동의 보호자가 식품을 구매하는 환경에서 식품 정보를 확인하는 행동 패턴을 관찰하였다. 둘째, Define 단계에서는 식품 알레르기 보호자의 문제, 니즈 및 인사이트를 분석하여 퍼소나를 정의하고 사용자 여정 지도를 제작하였다. 셋째, Develop 단계에서 아이디에이션 과정을 통해 도출한 서비스 컨셉과 정의한 기능을 시각적으로 전달할 수 있도록 프로토타입으로 제작하였다. 넷째, Deliver 단계에서는 서비스에 대한 사용자의 만족도를 확인하고 서비스의 문제점을 개선해나갔다. 연구결과 : 본 연구는 식품 알레르기 아동의 보호자가 식품 구매 환경에서 식품 정보를 확인할 때 많은 Pain-point와 니즈를 경험하고 있다는 것을 확인하였다. 이를 반영하여 디자인한 서비스의 사용자 평가에서 식품 알레르기 아동의 보호자는 본 서비스를 긍정적으로 평가하고 있음을 확인하였다. 또한, 식품 알레르기 아동의 보호자를 타깃으로 서비스 디자인 시 고려해야 할 식품 정보의 이해도와 신뢰도에 대한 시사점을 제시하였다. 결론 : 본 연구는 식품 알레르기 사고 예방 방안으로 개인의 식품 알레르기 인지도 향상을 강조해왔던 선행 연구와 다르게, 서비스를 통한 알레르기 관리 방안을 제안하였다. 본 연구는 사용자가 서비스를 통해 알레르기 항원이 함유되지 않은 안전한 식품에 접근할 수 있도록 도움을 주는 데에 기여할 것이다. 더 나아가, ‘식품 알레르기’라는 특수한 도메인에서 사용자의 안전한 식생활에 기여하는 데에 의의가 있다.

식품 알레르기와 식생활 태도 인식 - 전남지역 일부 초등학생을 대상으로 -

오미애,정난희,김수경,전은례 한국가정과교육학회 2016 한국가정과교육학회지 Vol.28 No.1

The purpose of this study is to investigate the recognition of food allergies and dietary attitudes in elementary school students. For the food allergy symptoms, they responded ‘skin trouble’ 63.6% the most. For the causing foods of allergies, they responded, ‘I don't know the causing foods’ 33.5%, ‘I was diagnosed’ 51.0%, ‘I was treated’ 63.9%, and therefore ‘I restricted foods’ 53.5%, due to ‘I restricted foods through hospital diagnosis’ 40.5% the most. For family history, 67.9% responded the family history matters. 70.3% responded the seasons would not affect to the symptoms. 64.1% responded the cause of food allergy is specific foods. For allergy solution, they responded, ‘I don't use any treatment’ 42.8% the most. For effective treatment, they responded, ‘I restricted causing foods’ 45.1% the most. Recognition of food allergies by food allergy experience showed a significant difference in the items such as ‘have heard or known about food allergies’(p<.001), ‘whether participated in consultation and training’(p<.001), ‘problems of growing children when putting limits on causing foods’(p<.001), ‘interests in getting information about food allergy’(p<.001), ‘feeling the needs of allergy education about careful foods’(p<.01), ‘wish for schools to be educated’(p<.01). Dietary attitudes by food allergy experience showed a significant difference in reason of unbalanced diet(p<.001). 본 연구는 전남 나주지역 초등학생 5, 6학년을 대상으로 식품 알레르기 특성을 알아보고, 식품 알레르기 경험에 따라 식품 알레르기와 식생활 태도 인식을 비교하여 학교급식에서 알레르기 학생의 효율적인 관리를 위한 기초 자료로 제시하고자 하였다. 본 연구의 결과는 다음과 같다. 첫째, 초등학생의 식품 알레르기 증상으로는 ‘피부’가 가장 많았고, 알레르기 원인 음식으로는 ‘원인 식품을 모른다’가 33.5%이었으며, 의사의 진단을 받은 경우는 51.0%이었고, 치료를 받은 적이 있는 경우는 63.9%이었으며, 이로 인해 식품을 제한하고 있는 경우는 53.5%, 식품을 제한하게 된 동기는 병원진단을 통해서가 40.5%로 가장 많았다. 식품 알레르기 가족력은 ‘없다’가 가장 많았고, 식품 알레르기 증상이 심하게 나타나는 계절은 ‘계절과 상관없다’가 가장 많았다. 알레르기에 영향을 주는 가장 큰 요인으로는 특정 식품이나 음식이 64.1%로 가장 많았고, 알레르기에 대처하는 방법은 ‘별다른 대처를 하지 않는다’가 가장 높게 나타났으며, 식품 알레르기 예방 치료 방법으로 ‘원인 식품을 제한한다’가 45.1%로 가장 많았다. 둘째, 식품 알레르기 경험에 따른 식품 알레르기 인식에서는 ‘식품 알레르기에 대하여 알고 있거나 들어본 적이 있는지 유무’, ‘식품 알레르기 상담 및 교육 참여 여부’, ‘알레르기 원인 식품을 제한해서 나타나는 성장기 아동의 문제점’, ‘식품 알레르기에 관한 학교급식 알림판 정보 제공 관심 여부’, ‘알레르기 주의 식품에 대한 교육 필요 여부’, ‘식품 알레르기와 관련하여 학교에 바라는 점’ 항목에서 식품 알레르기 경험에 따라 유의한 차이가 나타났다. 셋째, 식품 알레르기 경험에 따른 식생활 특성은 편식하는 이유에서 유의한 차이를 보였고 하루 식사, 특정 식품 편식, 주된 간식에서는 식품 알레르기 경험에 따라 유의한 차이가 나타나지 않았다.