Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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Weaning Food Practice and Assessment in Children with Iron Deficiency Anemia

철 결핍 빈혈 영.유아의 수유 형태 및 이유 지식 평가

  • Kim, Boo-Young (Department of Pediatrics, College of Medicine, Inha University) ;
  • Choi, Eun-Hye (Department of Pediatrics, College of Medicine, Inha University) ;
  • Kang, Sung-Kil (Department of Pediatrics, College of Medicine, Inha University) ;
  • Jun, Yong-Hoon (Department of Pediatrics, College of Medicine, Inha University) ;
  • Hong, Young-Jin (Department of Pediatrics, College of Medicine, Inha University) ;
  • Kim, Soon-Ki (Department of Pediatrics, College of Medicine, Inha University)
  • 김부영 (인하대학교 의과대학 소아과학교실) ;
  • 최은혜 (인하대학교 의과대학 소아과학교실) ;
  • 강성길 (인하대학교 의과대학 소아과학교실) ;
  • 전용훈 (인하대학교 의과대학 소아과학교실) ;
  • 홍영진 (인하대학교 의과대학 소아과학교실) ;
  • 김순기 (인하대학교 의과대학 소아과학교실)
  • Received : 2009.07.31
  • Accepted : 2009.09.08
  • Published : 2009.09.30
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Abstract

Purpose: Recently, the favorable merits of breast feeding have received widespread attention and the number of breast feeding children is increasing. We investigated the weaning practices between breast feeding infants and non-breast feeding infants with respect to iron deficiency anemia (IDA). Methods: Between March 2006 and January 2009, we surveyed 70 parents, the children of whom had been medically diagnosed with IDA, and 140 parents, the children of whom did not have IDA, about how they feed their children and how much they know about the weaning process. The infants and children were 6∼36 months of age and attended the Inha University hospital. Results: IDA patients started weaning later than non-IDA patients. Also, breast feeding in IDA patients was more frequent than in non-IDA patients (82% vs. 30%). The breast feeding group began weaning at approximately 6.4 months of age, which was statistically meaningfully compared to non-breast feeding infants. There were no differences in knowledge between the two groups of parents. Conclusion: According to our research, we assume that if weaning begins at 6 months, we cannot supply sufficient iron to meet the infant's needs, which increase sharply around 6 months of age because of depletion of stored iron. Thus, infants need to initiate weaning from breast feeding at 4 months of age to furnish an ample amount of iron or take iron-containing supplements. These methods would be expected to prevent IDA in breast feeding infants.

목 적: 최근 모유수유의 장점이 알려지며 모유수유 아들이 늘고 있다. 이유기 영유아의 가장 흔한 영양장애인 IDA (Iron deficiency anemia)가 모유수유아와 다른 형태의 수유아에서 어떻게 나타나고 있는지 알아보고 IDA와 대조군의 이유식 진행 상황 및 이유지식 등에 대해 알아보았다. 방 법: 2006년 3월부터 2009년 1월까지 인하대병원에 내원한 6~24개월의 영유아 중 IDA를 진단받은 70명과 IDA가 없는 140명의 보호자에게 수유 형태, 이유식 진행 상황 및 이유지식을 묻는 설문을 시행하였다. IDA군의 자료와 함께 IDA가 없는 군을 대조군으로 하여 분석하였다. 결 과: IDA군은 IDA가 없는 군에 비해 이유식을 늦게 시작하며 IDA군에의 모유수유아 비율이 대조군에 비해 높은 것으로 나타났다(p<0.01). 모유수유군은 다른 형태의 수유군에 비해 의미 있게 늦은 6.4개월에 이유식을 시작하는 것으로 나타났다. 이유식을 완성하기 까지 58.1%가 1개월 정도 걸렸으며 4개월 이상 걸린 경우도 19.8%나 되었다. 이유 지식 정도에서 두 군은 의미 있는 차이를 보이지 않았다(p=0.32). 결 론: 생후 6개월경에 체내 저장철이 떨어지며 철의 요구량이 급증하게 된다. 일반적으로 영유아가 이유식에 익숙해지기까지 시간이 걸리고, 초기 이유식 내에는 철분 함량이 적으므로 이 시기 철분 필요량을 충분히 공급할 수 없을 것으로 생각한다. IDA 또는 철결핍을 예방하기 위해 이유식을 좀 더 일찍 권장 해 6개월에는 체내 필요량만큼의 철분이 공급될 수 있게 해야할 것으로 보인다.

Keywords

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