• 대한지역사회영양학회지
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• 제3권2호
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• pp.174-189
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• 1998

The purpose of this study was to evaluate the nutritional status and growth of Korean infants, who were atending peripheral community clinics in low income areas, by anthropometric measurements and estimating dietary intakes. Dietary intakes and growth were compared among different feeding patterns of 143 infants until age 9 months. The overall mean nutrient intakes of infants in this study were below the recommended allowances except the calcium intake from significant difference in each groups; however, calcium, zinc and iron intake of the formula fed infant(FF) was higher than the breast fed infant(BF) or the mixed fed infant(MF). Form ages 4-6 months, the nutrient intakes were shown to be higher in groups that were given supplementary foods than groups that were not. From ages 7-9 months, all nutrient intakes were higher in or the formula and supplementary foods fed(ESF) infants than in the breast and supplementary food(BSF) or the formula and supplementary food(FSF) groups, All subjets in this study showed a large Z-score. The growth of infants up to 6 months of age showed no significant difference in the feeding pattern, however, after 7 months of age the BSF group had significantly lower weight than the FSF or the ESF groups, There were significant positive relationships between infants weight gain at age 7-9 months from birth and the current protein or zinc intakes. As a result the average status of nutrient intakes of infants in this area was loser than the RDA, however, the growth pattern was fairly good. Although the breast milk is beneficial for infants, mothers should be educated for the importance of supplemental food and its practice to support good mutrition(Korean J Community Nutrition 3 (2) : 174-189, 1998)

• 대한지역사회영양학회지
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• 제16권1호
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• pp.37-50
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• 2011

Nutrients intake status of 73 lactating women, that is 45 breast feeding (BF), 13 formula feeding (FF) and 15 mixed feeding (MF), living in Daejeon was investigated. Self-recorded food intakes for two weekdays and eating behaviors using questionnaires were surveyed from May to August 2008. Subjects aged $29.2{\pm}3.4$ years and their infants aged $8.2{\pm}3.2$ months. Body mass index of the subjects was $21.0{\pm}3.2$. Of the subjects 23.3% were employed. Daily energy intake was $1953{\pm}391$ kcal. Mean adequacy ratio (MAR) was $0.77{\pm}0.14$ and was higher in FF ($0.86{\pm}0.13$) than in BF ($0.76{\pm}0.11$) and MF ($0.72{\pm}0.18$). Nutrients that over 50% of the subjects took less than estimated average requirement were vitamin A, riboflavin, folate, vitamin C and calcium. And index of nutritional qualities of those 5 nutrients were below one Forty six and sixths percent (46.6%) of the subjects showed GMFVD = 11111 pattern of five food group intakes and 57.5% took meals three times daily, 56.2% skipped often breakfast, and 64.4% dined out two times and more per week. Subjects having lower MAR (< 0.72, n = 24), compared with those having higher MAR (${\geq}$ 0.83, n = 24), showed more skipping daily meals and less frequency of eating-out, and took less legumes, vegetables, fishes, and milk. As the results, intakes of calcium, vitamin A, riboflavin, folate, and vitamin C were insufficient in lactating women, especially in BF and MF mothers. Meal skipping and low intakes of dairy foods, legumes, vegetables, and fishes might have adverse influences on nutritional status of lactating women. Accordingly, nutrition care program for lactating women should be focused on intake of three meals daily and a variety of food.

• 대한환경공학회지
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• 제34권1호
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• pp.7-15
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• 2012

Indicator PCB의 농도 수준은 2006년에 세계보건기구(WHO) 프로토콜에 따라 수집된 132개의 모유(초유, 출산 후 30일째 모유, 출산 후 60일째 모유)로 분석하였다. Indicator PCBs의 농도는 고분해능 가스크로마토그래피/고분해능 질량분석기를 이용한 동위원소희석법으로 측정되었으며, 이 방법은 국제적 경향을 비교 평가하기 위한 정확하고 정밀한 데이터를 제공한다. 또한, 모든 분석 결과를 토대로 평균일일섭취량(ADIs)이 계산되었다. 총 indicator PCBs의 중앙값은 14 ng/g lipid로, 다른 나라에서 검출된 농도보다 현저하게 낮았으며, PCBs 138, 153, 180은 분석한 지표 이성질체 합의 약 65%를 차지하였다. 가장 기여율이 높은 PCB 153은 총 indicator PCBs 농도와 매우 높은 상관관계를 나타내었다(p<0.001). PCBs 농도는 산모의 아이수가 증가할수록 확연히 감소하였고, 산모의 PCBs 축적과 배출에 있어 출산경력과 수유기간은 중요한 인자로 나타났다. 6개월 모유수유 기간 동안 총 indicator PCBs의 평균일일섭취량의 중앙값은 $0.077{\mu}g/kg{\cdot}bw/day$이었다. 초산부 모유 중 PCB 118의 농도는 1998년에 비해 25~35% 정도 감소하였으며, 이러한 경향은 지속될 것이라는 것을 보여준다.

• 한국축산식품학회지
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• 제27권3호
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• pp.337-344
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• 2007

2005년 3월부터 2006년 4월까지 어린이 74명(남 47, 여 27, 1-4세)을 대상으로 식품에 대한 IgE 특이 항체량을 검사하였다. 알레르기 증상을 나타낸 어린이의 연령은 영 유아(0-3세)가 34명, 4-6세가 24명, 7-9세가 8명, 10세 이상이 8명으로, 나이가 어릴수록 알레르기 증상을 보이는 어린이가 많은 것으로 나타났다. 검사한 어린이가 21종류의 식품 중 3종류, 4종류, 5종류의 식품에 반응을 보인 어린이는 각각 10명, 21명, 15명으로 나타났다. IgE 항체반응에서 class 2 미만으로 나타난 어린이의 식품은 콩 28명, 우유 29명, 치즈 21명, 난백 7명, 돼지고기 18명으로 나타났고 class 2 이상은 콩 20명, 우유 17명, 치즈 24명, 난백 20명, 돼지고기 21명으로 나타나 이러한 식품들이 주로 식품 알레르기와 관련이 있는 것으로 판단된다. 가족력에서는 알레르기 증상을 나타낸 비율이 남아는 45.5%, 여아는 50%로 절반 정도로 나타났고, 가족 중 알레르기 질병의 병력은 아토피 피부염은 26%, 아토피 비염은 10.5%,아토피 피부염과 아토피 비염은 31.5%, 두드러기 21.0%, 천식 10.5%이었다. 섭식력은 모유와 분유를 혼합하여 섭취한 어린이가 분유만 섭취한 어린이, 모유만 섭취한 어린이보다 높았다. 알레르기 유발식품으로 제한하는 식품은 계란과 우유 12.5%, 우유 2.5%, 계란 10.0%등이었다.

• Clinical and Experimental Pediatrics
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• 제52권8호
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• pp.875-880
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• 2009

목 적 : 모유만으로 생후 6개월까지는 철분 섭취가 충분하지만, 생후 6개월 이후에 이유식으로 철분을 보충하지 않고 모유 수유만 지속하는 경우에는 빈혈이 초래되기 쉽다. 본 연구에서는 영아에서 수유 방법 및 이유식 실태를 조사하여 빈혈과의 연관성을 알아보고자 하였다. 방 법 : 급성 질환으로 입원 치료받은 9개월에서 24개월 소아 171명을 대상으로 하였다. 수유 방법과 이유식에 대해서는 부모에게 설문지를 통해 조사하였고 빈혈은 혈색소 11 g/dL 미만으로 진단하였다. 결 과 : 빈혈의 발생률은 모유 수유아는 33.8% (23/68), 혼합 수유아가 17.7% (11/62), 분유 수유아 12.1% (5/41)로, 모유 수유아에서 현저히 많이 발생하였다. 빈혈이 없는 모유 수유아의 경우 71.1%의 보호자가 아이가 이유식을 잘 먹고 있다고 답하였으며 46.6%가 이유식이 충분하다고 답하였다. 빈혈이 있는 모유 수유아의 경우에도 60.8%의 보호자가 아이가 이유식을 잘 먹고 있다고 하였으며 52.1%가 이유식이 충분하다고 답하여 빈혈이 없는 경우와 비교해 차이를 보이지 않았다. 이유식 시작 시기는 빈혈이 없는 모유 수유아는 66.6% (30/45)에서, 빈혈이 있는 모유 수유아는 78.2% (18/23)에서 생후 6개월 이내에 이유식을 시작하였다. 혼합 수유아는 69.3% (43/62)에서, 분유 수유아는 63.4 % (26/41)에서 생후 6개월 이내에 이유식을 시작하였다. 결 론 : 모유 수유아에서 혼합 수유아와 분유 수유아에 비해 빈혈의 빈도가 유의하게 높았다. 모유 수유아의 경우 빈혈이 있는데도 불구하고 보호자가 이유식이 충분하다고 인식하고 있는 경우가 많았다. 따라서 모유 수유아에서 빈혈을 예방하기 위해서는 영아기 철분 섭취의 중요성과 충분한 철분 섭취를 위한 제대로 된 이유식에 대한 보호자 교육이 필요할 것으로 사료된다.

• Journal of Nutrition and Health
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• 제29권5호
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• pp.517-527
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• 1996

The food consumption of 148 healthy infants from 4 to 6 months of age have been measured. Three groups were assigned to change of feeding pattern. Formula group(FF, n=102) were fed formula from birth till 6 months of age. Convert 1 group (C1F, n=14) and Convert 2 group (C2F, n=32) were fed breast milk and mixed milk at 2months of age afterthat switched to formula milk, respectively. All infants received solids (solid foods) from 4 months of age. No significant difference was found in the intake of nutrients among three feeding groups excluding carbohydrate intake of C1F-female at 4 months of age. No significant difference was found in the intake of nutrients among three feeding groups excluding carbohydrate intake of C1F-female at 4 months of age. The FF-female(70.9g/d) and C2F-female(66.9g/d) had significantly higher carbohydrate intake when compared to the C1F-female (54.3g/d). The average total energy intake at 4, 6 months were 648.3 and 709.7kcal/d among all infants. At 4 and 6 months of age, mean intake of nutrients was as follows. Calcium intake was 526.7mg/d and 760.0mg/d at 4 and 6 months of age respectively. Iron intake was 8.3mg/d and 10/5mg/d at 4 and 6 months of age respectively. Calories from solids provided 22.5% of total energy intake at 4 months of age, and nearly 32% at 6 months of age. The average energy and protein intakes of all infants were less than the RDA for calcium and iron at 4, 6 months of age.

• Clinical and Experimental Pediatrics
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• 제50권11호
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• pp.1072-1077
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• 2007

목 적 : 엄마 젖을 먹는 신생아에서 조기 모유황달과 모유 황달의 발생 빈도가 우리나라에서는 더 높은 것으로 추정되나 이에 대한 연구가 부족하여, 모유를 수유하는 우리나라 건강한 만삭아의 모유 황달의 발생 빈도를 알아보고자 하였다. 방 법 : 2005년 1월부터 2005년 12월까지 1년 동안 제일 병원에서 출생하고 제일 병원 산후 관리 센터에 입실하여 7일 이상 추적 관찰이 가능한 건강한 만삭아 839명을 대상으로 하였고, 육안적으로 황달이 관찰된 경우 경피적 빌리루빈 측정기 JM-103 jaundice meter(Konica Minolta sensing, Inc., Osaka, Japan)를 이용하여 매일 경피적 빌리루빈치의 변화를 조사하여, 이를 통하여 모유 수유를 하는 건강한 만삭아의 황달 발생 빈도를 알아 보았다. 결 과 : 대상아 중 완전 모유 수유 군은 251명(29.9%), 혼합 수유 군은 568명(67.7%), 조제 분유 수유 군은 20명(2.4%) 이었으며, 세 군간에서 성별, 출생 체중, 아프가 점수, 산과적 위험 인자 등의 유의한 차이는 없었으나, 분만 형태에서는 완전 모유 수유 군에서 질식 분만이 유의하게 많았다. 모유 황달은 완전 모유 수유 군에서 31예(10.8%), 혼합 수유 군에서 21예(4.4%)로 전체 모유 수유아의 6.3%에서 나타났고, 완전 모유 수유 군에서 혼합 수유 군보다 통계적으로 유의하게 높았으며, 조기 모유 황달은 완전 모유 수유 군에서 63예(24.3%), 혼합 수유 군에서 149예(26.2%)로 모유 수유아의 25.6%에서 나타났으나, 완전 모유 수유 군과 혼합 수유 군에서 통계적으로 유의한 차이는 없었다. 결 론 : 모유를 수유하는 우리나라의 건강한 만삭아에서 모유 황달의 발생 빈도는 6.3%, 조기 모유 황달의 발생 빈도는 25.6%였으며, 서양인에 비하여 모유 황달의 발생 빈도가 높은 것을 알 수 있었다.

• Clinical and Experimental Pediatrics
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• 제51권8호
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• pp.820-826
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• 2008

목 적 : 9개월 영아의 수유방법에 따른 철결핍빈혈의 빈도와 적혈구 혈액상을 알아보고자 이 연구를 시행하였다. 방 법 : 2007년 1월부터 12월까지 생후 9개월의 특이병력이 없는 영아 253명의 혈액검사를 시행하고 부모를 대상으로 수유방법과 이유식에 대한 설문조사를 하여 결과를 얻었다. 결 과 : 총 253명 중 모유수유 123명(48.6%), 혼합수유 69명(27.3%), 인공수유 61명(24.1%)였다. 수유방법에 따른 적혈구 혈액상은 모유수유군에서 혼합수유군이나 인공수유군에 비하여 유의하게 낮았다(P<0.05). 253명 영아 중 25명에서 철결핍빈혈로 판명되어 9.9% 빈도를 보였고 수유방법에 따라서는 모유수유군에서 18.7%, 혼합수유군에서 1.4%, 인공수유군에서 1.6%의 빈도를 보여 모유수유군에서 빈혈 발생빈도가 유의하게 높았다(P< 0.05). 이유식 시작 시기에 따른 철결핍빈혈의 빈도는 생후 6개월 이내에 이유식을 시작한 영아 113명 중 6명(5.3%), 6개월 이후에 이유식을 시작한 영아는 140명 중 19명(13.6%)로 이유식을 늦게 시작한 군에서 철결핍빈혈의 빈도가 유의하게 높았다(P<0.05). 결 론 : 생후 9개월의 영아가 내원하였을 때 수유 방법이나 이유식에 대한 문진을 통하여 철분 등을 포함한 영양 상태에 관하여 알아보고 선별적 빈혈 검사를 통하여 철결핍빈혈의 예방과 치료에 힘써야 할 것이다.

• 대한지역사회영양학회지
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• 제2권3호
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• pp.305-318
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• 1997

This study was aimed at evaluating the nutritional status of Korean lactating women, who were attending peripheral community clinics in low-income areas, by anthropometric measurement, estimating dietary intakes and analyzing the contents of breast milk components, serum lipid content and fatty acid composition. Regarding anghropometric measurements, maternal circumferences decreased significantly at the trunk but not at the limbs. The skinfold thickness on all regions had the tendency to decrease during lactation. It was found that intakes of energy, protein, lipid and carbohydrates were desirable while calcium, zinc, copper and vitamin A were low and sodium was excessive. The energy $\%$of fat was 22.41$\%$of the total energy which is higher than the RDA for adults but it is proper for lactating women, but energy $\%$ from each fatty acid was usually low and an intake ratio of $\omega$6/$\omega$3 fatty acids was desirable. Accordingly, it is thought that dietary fat intake was balanced in quality. Concentrations of the nutrients in matured human milk showed the same range as that reported form different regions with the exception of calcium and magnesium which were relatively low. Serum lipid contents were decreased with the time postpartum and the average serum lipid content of lactating women were similar to the normal range of adults. Serum polyunsaturated fatty acids. especially $\omega$6 fatty acids have gradually increased with the time postpartum, but the composition were not greatly influenced by dietary intakes.

• 여성건강간호학회지
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• 제5권3호
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• pp.389-409
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• 1999

This study was carried out to identify the differences between nursing needs and levels of satisfaction of postpartum women during the early postpartum period. The goal of this study was to obtain needed to develope the nursing quality for postpartum women. The subjects were 87 postpartum women who had vaginal delivery at 2 general hospital and 2 maternity hospital in the Ulsan City. The period for the data collection was from June 1 to 29, 1999. The data was gathered using an 98 items questionnaire which was a modified version of a questionnaire the developed by Y. J. Chun. Results found are as follows : 1. The general characteristics of the subjects : The majority of subjects were 25-29 yrs. (57.5%), high school and college graduates(96.5%), unemployed(75.9%), middle ranged economics(93.1%), had no religion(43.7%), male baby(52.9%), birth weight 3-3.5Kg(49.4%), wanted pregnancy(96.6%), no abortion history(50.6%), had antenatal care(89.7%), had prenatal education(32.2%), postnatal education(42.5%), intended breast feeding (46.0%), had resonable self confidence about self(20.7%), infant care(36.8%) and nuclear family pattern(82.3%). 2. The level of nursing needs of overall nursing care(3.93) and the levels of satisfaction(3.86) was relatively high. The nursing needs by category of nursing care, the highest need was in the emotional and psychological care(4.09), and the lowest need was in physical need(3.73). The satisfactions by category of nursing care, the highest satisfaction was in emotional and psychological care(4.11) and the lowest satisfaction was in education in self care(3.64). The significant differences between nursing needs and satisfactions were found on education in infant care(p=.005), and education in self care(p=.020). 3. Among items of physical care, 'accurate medication and treatment(4.21)', 'control of postpartum hemorrhage(4.13)', 'pain control and care of episiotomy wound (4.12)' and 'regular observation of postpartum conditions(4.09)' showed high nursing needs. 'Accurate medication and treatment(4.31)', 'regular observation of postpartum condition(4.24)', 'control of postpartum hemorrhage(4.22)' and 'pain control and care of episiotomy wound(4.12)' showed high satisfaction levels. 4. Among items of emotional and psychological care, 'personal treatment(4.32)', kind and faithful care(4.30)', 'detailed explanation on the treatment or nursing care(4.25)', 'adequate draping during the care and treatment(4.23)' and detailed explanation on a doubt(4.13)', showed high nursing needs, 'personal treatment(4.52)', 'kind and faithful care(4.45)', 'detailed explanation on a doubt(4.24)', 'detailed explanation on the treatment or nursing care(4.21)' and 'adequate draping during the care and treatment(4.18)' showed high satisfaction of nursing care. Difference between the level of nursing needs and satisfaction was significant except item of 'early contacts with their baby and breast feeding'. 5. Among items of environmental care, the highest level of need and satisfaction were on the items of 'neat bedding and clothes(4.05, 4.21)' and 'room cleansing or care of room(4.01, 4.28)'. Differences between the level of nursing care and satisfaction were 'room cleansing of care of room'. 6. Among items of educational needs on self care, 'sitz bath method(4.22)', 'high risk symptoms to immediate clinic visits(4.13)', 'the timing of tub bath(4.05)' and 'good secretion of breast milk(4.03)', showed high nursing needs, 'sitz bath method(4.22)' showed high satisfaction of nursing care. Differences between the level of nursing care and satisfaction were 'the timing of hair shampoo', 'the timing of tub bath', ' the method of pad change', 'postpartum exercise', 'good secretion of breast milk', 'maintenance of breast figure', 'contraindicated drugs in postpartum women', 'kegel exercise' and 'breast self examination'. 7. Among items of educational needs on infant care, 'immunization of infants(4.36)', 'symptoms of sickness to immediate clinic visits(4.28)'. 'safety and emergency care(4.28)', 'umbilical care(4.26)', 'feeding times and intervals(4.24)', 'normal growth and development of infant(4.24)' and 'infection control(4.22)', showed high level of nursing care, 'immunization of infants(4.21)', 'feeding times and intervals(4.17)', were high satisfaction items showed significant differences between the level of nursing care and satisfaction. 8. Relationship between nursing needs and levels of satisfaction among postpartum women were as follows : 1) Physical area : There were no significant differences in the level of nursing needs, but satisfaction levels were significantly different among 'working mothers', 'baby's weights', 'baby's sex', 'planning of feeding' and 'routes of receiving postpartum informations'. 2) Emotional and psychological area : The level of nursing needs were significantly different in the area of 'confidence in self care'. Satisfaction levels were significantly different among 'baby's sex', 'baby's weights', 'the confidence of infant care' and 'working mother'. 3) Environment area : There were on significant differences in the level of nursing needs, but satisfaction levels were significantly different among 'maternal age' and 'baby's weights'. 4) Education in self care : The level of nursing needs were significantly different among 'parity history' and 'type of family formation'. Satisfaction levels were significantly different among 'working mother', 'baby's sex', 'antenatal care', 'postpartum education', 'planning of feeding', 'routes of receiving postpartum informations'. 5) Education in infant care area : The level of nursing needs were significantly different among 'parity history'. Satisfaction levels were significantly different among 'baby's sex', 'receiving postpartum education or not' and 'working mother'.