Year: 2026 | Month: June | Volume: 13 | Issue: 6 | Pages: 338-350
DOI: https://doi.org/10.52403/ijrr.20260635
Correlation Between Dietary Intake of Fiber, Fat, Animal Protein, And Simple Sugar, And SCORAD Index in Toddlers with Atopic Dermatitis
Nice Fenobileri1,2, Rusdi1,2, Finny Fitry Yani1,2, Rinang Mariko1,2, Anggia Perdana Harmen1,2, Rahmi Lestari1,2
1Department of Child Health, Faculty of Medicine – Universitas Andalas, Padang, West Sumatera, Indonesia
2Department of Child Health, Dr. M. Djamil Hospital, Padang, West Sumatera, Indonesia
Corresponding Author: Dr. Nice Fenobileri
ABSTRACT
Background: Atopic dermatitis (AD) is a chronic inflammatory skin disease with a global prevalence of up to 20% in children, predominantly affecting those under 5 years of age. Diet and nutrition are believed to play a significant role in AD severity; however, clinical evidence in toddlers remains limited. This study aimed to determine the correlation between average dietary intake of fiber, total fat, animal protein, and simple sugar with SCORAD values in toddlers with AD.
Methods: An observational cross-sectional study involving 45 toddlers aged 6 months to 5 years diagnosed with AD based on Williams criteria, conducted at 13 primary health centers in Padang (March 2025–March 2026). Disease severity was assessed using the SCORAD index. Dietary intake was evaluated using a 3-day food recall (2 weekdays and 1 weekend day). Spearman’s correlation test was used with SPSS version 31.
Results: Median age was 2 years 3 months, with 53.30% female. Median SCORAD was 20.50, with majority classified as mild AD (57.80%). Mean fat intake was 30.43 ± 15.03 g/day and animal protein intake was 23.93 ± 13.53 g/day. Median fiber intake was 2.41 g/day and simple sugar intake was 6.22 g/day. No significant correlation was found between fat intake (r = −0.041; p = 0.78), fiber (r = −0.048; p = 0.75), animal protein (r = 0.146; p = 0.33), and simple sugar (r = −0.046; p = 0.76) with SCORAD values.
Conclusion: No significant correlation was found between average dietary intake of fiber, fat, animal protein, and simple sugar with AD severity in toddlers. Dietary restriction without clear clinical indication is not recommended in the management of AD in children.
Keywords: atopic dermatitis, SCORAD, dietary fiber, fat intake, animal protein, simple sugar, toddler
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