rospedРоссийский педиатрический журнал имени М.Я. СтуденикинаM.Ya. Studenikin Russian Pediatric JournalФГАУ «НМИЦ здоровья детей» Минздрава России10.46563/1560-9561-2021-24-4-236-242pckenirosped-919Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL INVESTIGATIONSОсобенности качества жизни у детей с пищевой аллергиейFeatures of the quality of life in children with food allergyhttps://orcid.org/0000-0003-3502-1912ФугольДенис СергеевичFugolDenis S.

Канд. мед. наук, доцент каф. пропедевтики детских болезней ФГБОУ ВО «Алтайский государственный медицинский университет»

e-mail: dr.fugol@mail.ru

MD, PhD, Associate Professor of the Department of Propaedeutics of Children Diseases of the Altai State Medical University, Barnaul, 656038, Russian Federation

e-mail: dr.fugol@mail.ru

dr.fugol@mail.ruhttps://orcid.org/0000-0002-8586-1330СтрозенкоЛюдмила АнатольевнаStrozenkoLyudmila A.

Доктор мед. наук, проф. каф. пропедевтики детских болезней ФГБОУ ВО «Алтайский государственный медицинский университет» Минздрава России

e-mail: strozen@mail.ru

noemail@neicon.ruhttps://orcid.org/0000-0001-6284-1604ЛобановЮрий ФедоровичLobanovYuri F.

Доктор мед. наук, проф., зав. каф. пропедевтики детских болезней ФГБОУ ВО «Алтайский государственный медицинский университет» Минздрава России

e-mail: ped2@agmu.ru

noemail@neicon.ruВоронинИгорь ИгоревичVoroninIgor I.

Ординатор каф. пропедевтики детских болезней ФГБОУ ВО «Алтайский государственный медицинский университет» Минздрава России

e-mail: igorvoronin2000@mail.ru

noemail@neicon.ruhttps://orcid.org/0000-0003-2915-7215ПоженкоВсеволод ВячеслововичPozhenkoVsevolod V.

Ординатор каф. пропедевтики детских болезней ФГБОУ ВО «Алтайский государственный медицинский университет» Минздрава России

e-mail: sevapozhenko@gmail.com

noemail@neicon.ruАлтайский государственный медицинский университетAltai State Medical University202110102024244236242Copyright © Фуголь Д.С., Строзенко Л.А., Лобанов Ю.Ф., Воронин И.И., Поженко В.В., 20242024Фуголь Д.С., Строзенко Л.А., Лобанов Ю.Ф., Воронин И.И., Поженко В.В.Fugol D.S., Strozenko L.A., Lobanov Y.F., Voronin I.I., Pozhenko V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rosped.ru/jour/article/view/919Введение

Введение. Пищевая аллергия (ПА) является клинически разнородным патологическим состоянием, ведущий способ лечения которого — строгая элиминационная диета. Необходимость исключения из рациона одного или нескольких продуктов, постоянного контроля за рационом питания, тревога и волнение по поводу обострения аллергических симптомов приводят к значительному снижению качества жизни.

Цель

Цель: определить особенности качества жизни детей, страдающих ПА.

Материалы и методы

Материалы и методы. Обследовано 38 детей в возрасте 2–7 лет с различными нозологическими проявлениями ПА (атопический дерматит, аллергический и алиментарный колит, дерматит, вызванный съеденной пищей). Группу сравнения составили 27 условно здоровых детей, сопоставимых по возрасту. У всех детей оценили качество жизни при помощи опросника «PediatricQualityofLife — PedsQLTM4.0».

Результаты

Результаты. У всех больных, страдающих ПА, отмечено значимое снижение качества жизни по таким показателям, как эмоциональное функционирование (60,2 — в основной группе и 83,5 — в группе сравнения), социальное функционирование (77,9 и 88,1), ролевое функционирование или функционирование в детском саду (77,5 и 84,9) и психосоциальное здоровье (69,3 и 84,2). Общий балл при оценке качества жизни достоверно ниже в группе детей, страдающих ПА (71 — в основной группе и 87 — в группе сравнения).

Заключение

Заключение. Для улучшения качества жизни детей с ПА необходим комплексный индивидуальный подход, включающий как психологическую поддержку ребенка и членов его семьи, так и решение вопросов с обеспечением «безопасным» питанием в детских образовательных учреждениях.

Участие авторов

Участие авторов: Фуголь Д.С. — концепция и дизайн исследования; Фуголь Д.С., Воронин И.И., Поженко В.В. — сбор и обработка материала; Строзенко Л.А. — статистическая обработка материала; Фуголь Д.С., Воронин И.И. — написание текста; Фуголь Д.С., Строзенко Л.А., Лобанов Ю.Ф. — редактирование. Все соавторы — утверждение окончательного варианта статьи, ответственность за целостность всех частей статьи.

Источник финансирования

Источник финансирования. Исследование не имело финансовой поддержки.

Конфликт интересов

Конфликт интересов. Авторы подтверждают отсутствие конфликта интересов.

Поступила 17

Поступила 17.08.2021Принята к печати 24.08.2021Опубликована 16.09.2021

Introduction

Introduction. Food allergy (FA) being a clinically heterogeneous condition, the only treatment for which is a strong elimination diet. The need to exclude one or more foods from the diet, constant monitoring of the diet, anxiety and excitement about the exacerbation of allergic symptoms lead to a significant decrease in the quality of life.

Materials and methods

Materials and methods. The study included thirty eight 2–7 year children patients with various clinical manifestations of FA (atopic dermatitis, allergic and alimentary colitis, food-borne dermatitis). The comparison group consisted of twenty seven healthy children matched by age. The quality of life in all children was assessed using the Pediatric Quality of Life — PedsQLTM4.0 questionnaire.

Results

Results. All FA children patients showed a significant decrease in the quality of life in terms of such indicators as emotional functioning (60.2 in the main group and 83.5 in the comparison group), social functioning (77.9 in the main group and 88.1 in the comparison group), role functioning or kindergarten functioning (FDS) (77.5 in the main group and 84.9 in the comparison group) and psycho-social health (69.3 in the main group and 85.5 in the comparison group). The overall score in assessing the quality of life is significantly lower in the group of FA children (71 in the main group and 87 in the comparison group).

Conclusion

Conclusion. To improve the quality of life of children with FA, there is needed a comprehensive individual approach including both psychological support for the child and his family members, and the solution of issues with the provision of «safe» food in children’s educational institutions.

Contribution

Contribution: Fugol D.S. — research concept and design of the study; Fugol D.S., Voronin I.I., Pozhenko V.V. — collection and processing of material; Strozenko L.A. — statistical processing; Fugol D.S., Voronin I.I. — text writing; Fugol D.S., Strozenko L.A., Lobanov Yu.F. — editing;All co-authors — approval of the final version of the article, responsibility for the integrity of all parts of the article.

The study protocol was approved by the local ethics committee. The patients’ parents gave written voluntary informed consent to participate in the study.

Acknowledgement

Acknowledgement. The study had no sponsorship.

Conflict of interest

Conflict of interest. The authors declare no conflict of interest.

Received

Received: August 17, 2021Accepted: August 24, 2021Published: September 16, 2021

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The authors declare that there are no conflicts of interest present.