• 아동학회지
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• 제34권4호
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• pp.1-17
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• 2013

The purpose of this study was to determine the correlation between young children's picky eating behavior and mother's attitudes, beliefs and practices regarding the eating habits of children. Using a sample of 304 mothers of four or five year-old children, confirmatory factor analysis was conducted to test a 7 factor model, which included mother's beliefs and practices related to the feeding of their children. Following this, a t-test was conducted to examine the differences between the feeding behaviors of mothers of both of picky and non-oicky eaters, respectively. The results indicated that picky eater's eating behaviors were positively related to the pressures exerted by mothers and negatively related to the mother's concerns about their child's weight and child's BMI. These findings suggest that the pressures mothers exert upon their children to eat, their child's weight and picky eating behaviors are correlated to each other.

• Child Health Nursing Research
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• 제22권2호
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• pp.79-86
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• 2016

Purpose: The purpose of this study was to identify breastfeeding practice with late preterm infants (LPIs), and to determine predictors of exclusive breastfeeding at the 12th week after discharge. Methods: The participants were 106 mothers of LPIs hospitalized in neonatal intensive care units at two university hospitals. Data were collected between February and October, 2013. Questionnaires included characteristics of LPIs, their mothers, and feeding-related characteristics. Feeding methods were exclusive breastfeeding, mixed feeding, and formula feeding. Results: Exclusive breastfeeding steadily increased from 5.7% at the 1st week to 19.8% at the 12th week, as did formula feeding from 27.3% to 67.9%. Contrarily, mixed feeding decreased from 67.0% at the 1st week to 12.3% at the 12th week. The ratio of formula feeding was higher than that of exclusive breastfeeding over time. Predictors for exclusive breastfeeding were the following: type of delivery (OR=2.96, 95%CI=1.07-8.14), feeding intolerance (OR=3.03, 95%CI=1.26-7.25) and feeding method during hospitalization (OR=7.84, 95%CI=3.15-19.53). Conclusion: In order to increase breastfeeding opportunities for LPIs, educational programs for gestational age-appropriate breastfeeding should be developed. The focus of breastfeeding education needs to be on mothers who delivered their LPIs through Cesarean-section and LPIs who had feeding intolerance or were fed only formula during hospitalization.

• Neonatal Medicine
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• 제16권2호
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• pp.121-130
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• 2009

Over the past 20 years, neonatal mortality rates for preterm infants, particularly those born extremely preterm and with a very low birth weight, have decreased steadily. As more very immature preterm infants survive, provision of enteral feeding has become a major focus of concern. According to many experts on neonatal nutrition, the goal for the nutrition of preterm infants should be to achieve a postnatal growth rate approximating that of a normal fetus of the same gestational age. Total parenteral nutrition for maintaining nutritional integrity is mandatory before successful transition to enteral feeding. Early initiation of trophic enteral feeding is vital for postnatal adaptation. Recently published randomized controlled trials provide no evidence to support the practice of postponing enteral feeding to reduce the incidence of necrotizing enterocolitis. Early trophic feeding yields demonstrable benefits and there is currently no evidence of any adverse effects following early feeding. Preterm milk from the infant's own mother is the milk of choice, which can always be supplemented with a human milk fortifier. Here we review over 50 randomized controlled trials and over seven systematic reviews published on neonatal parenteral and enteral feeding of preterm infants. Neonatologists must make use of the evidence from these studies as a reference for feeding protocols for preterm infants in their NICUs are to be based.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제20권3호
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• pp.147-152
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• 2017

The rate of human milk feeding has been decreasing despite the diverse efforts of many physicians and nurses, as well as numerous professional organizations and various international health institutions. The number of physicians and nurses who can provide proper guidance for human milk feeding and offer appropriate knowledge and techniques to allow the most beneficial and convenient manner of breastfeeding is quite deficient. It is suggested that physicians and nurses be trained to teach and educate about the medical importance of human milk feeding to lactating mothers. This can be accomplished through systemic changes in medical education and clinical practice. However, the curricula of medical schools in Korea do not provide enough education and training to effect an increase in human milk feeding. The author strongly recommends that the educational objectives for medical schools and resident training offer more education and training concerning so that they are well aware of breastfeeding basics and techniques, and have ability to solve lactation-associated clinical problems.

• 한국보건간호학회지
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• 제32권3호
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• pp.376-387
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• 2018

Purpose: This study was conducted to assess the breast feeding rate and maternal adaptation of mothers with infants and children in early childhood in a community. Methods: This descriptive study was conducted from November to December 2015, and included a total of 283 mothers of infants and children in early childhood. The data were analyzed using descriptive analysis, the ${\chi}^2-test$, and one way ANOVA. Results: The rates of breast feeding after birth were 76.3% (1 month postpartum), 69.3% (3 months postpartum), 53.4% (6 months postpartum), 32.2% (9 months postpartum), and 22.6% (12 months postpartum). The level of maternal adaptation of subjects was $3.78{\pm}0.54$. Subjects who were breastfed until 9 months postpartum had a higher level of maternal adaptation than those who stopped breast feeding at 1 month postpartum (F=3.926, p<.002). The breast feeding rate of subjects who were educated about breast feeding after childbirth was significantly higher than that of those who did not receive breast feeding education after delivery. Conclusion: To increase the breast feeding rate and maternal adaptation, community health nurses should develop and provide breast feeding programs to mothers soon after childbirth.

• 동아시아식생활학회지
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• 제15권4호
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• pp.373-385
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• 2005

This study was carried out to investigate the lactation and weaning practice of infants and their mothers' attitude on infant nutrition. We interviewed 152 mothers in three pediatric clinics located in Sokcho city. From this survey, $76.3\%$ of infants was fed colostrum milk during first one week of life. During the first 4 months, $31.6\%$ of infants was fed breast-milk, while $42.8\%$ of them was fed bottled-milk. More housewives fed their babies with breast milk than the working mothers. Infants ate first weaning food at 5.73$\pm$1.86 months of life. Highly educated mothers showed positive response to the questionnaire : Breast-feeding is good for baby but it requires mother's sacrifice, and Breast-feeding may ruin the good shape of mothers. Highly income mothers responded negatively to the statement : Breast-feeding is not a must for infants since bottled-milk is a good substitution for breast-milk. Comparing with the mothers whose income was about 1 -2 million won per month, with ones who got paid less than 1 million won per month the former responded positively to : Breast-feeding is good for baby but it requires mother's sacrifice. Mothers recognized the importance of weaning in the following order : Supply of nutrition, Enforcement of digestion and absorption capability, Variety of taste, Disease prevention, Development of self-reliance, and Development of baby tooth. To improve the infants' nutritional status, education program on infant nutrition should be organized and run for the pregnant and lactating women in obstetrician and pediatric clinics and through the mass media as well.

• Journal of Nutrition and Health
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• 제24권5호
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• pp.469-476
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• 1991

속초시에 거주하는 6개월에서 20개월 사이의 영유아 170명(남아 98명, 72명)을 대상으로 1991년 3월 25일에서 4월 5일 사이에 영유아들의 어머니들에게 설문지로 이유실태를 조사한 결과는 다음과 같다. 어머니의 학력수준은 79.4%가 고졸 이상이며 주부가 69.4% 직장근무 17.1%, 부업 및 시간제 근무가 13.5% 이었다. 영유아의 이유이전의 수유방법은 모유영양이 40.0%, 인공영양이 44.1% 및 혼합영양이 15.9%이었다. 모유의 수유기간은 최고 18개월까지로 나타났으며 인공영양아를 제외한 대상자중에서 평균 수유기간은 6.3개월 이었다. 이유의 시작시기는 대상자 전체가 2개월에서부터 12개월로 평균 5.6개월이었으며, 이유의 완료시기는 전체가 6개월에서부터 12개월로 평균 11.4개월 이었다. 제일 먼저 먹인 이유식은 과일 쥬스류가 전체의 78.2%이었다. 식품의 종류별로 이유식의 사용빈도에서 대상자의 75.9%가 곡류를 자주 사용한다고 하여서 당질위주의 이유식이 이루어 졌으며, 육어류와 채소의 사용빈도는 낮았다. 시판이유보충식의 사용여부는 주 3회이상 사용하는 경우가 44.7% 이었으며 대개가 분말 및 액상형태인 제품이었다.

• Child Health Nursing Research
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• 제2권2호
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• pp.35-44
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• 1996

The purpose of this study was to examine the knowledge and attitude of breast feeding and to explore the predictive variables for the intention of breast feeding of mothers. One hundred and thirty-five mothers who delivered at the D University hospital during the period of May to June in 1996 comprised the sample. Data were collected by questionnaire methods before discharge at the hospital. Data were analyzed using percent, 1-test, and logistic regression. The results were as follows : 1. During their pregnancy, majority of mothers (74.8%) got the breast feeding information. Information sources were book (34.5%), family and relatives(32.4%), mass media(24.3%), and professionals such as nurses and doctors (8.8% ). The frequently reported sources of most encouragement for breast feeding were mother in law(20.7%) and baby's father (11.1% ). 2. The mean score of the items of Knowledge and Attitude toward Breast Feeding Scale were 42.56 (SD=5.47) and 39.07(SD=5.15) , representing positive attitude toward breast feeding. The correlation between knowledge and attitude score was significant(r 〓.54, p<.001). Knowledge of breast feeding were significantly different between breast feeding intention group (including partial breast feeding) and artificial feeding intention group(t=2.79, p<.01) 3. Logistic regression analysis revealed that feeding method in the hospital, delivery type, knowledge toward breast feeding, disease related to pregnancy, complication related to delivery, and educational level of mother were predictives of the intention of breast feeding. 4. The most frequently rated reasons for the plan for mixed feeding were concern about insufficient milk (37.9%) and work(27.6%), The major reasons for plan for artificial milk feeding were having premature baby(25.9%) and maternal health problems including infection(14.8% ) and drug use due to chronic illness (14.8%). From the result of the study, it is recommended to develop supportive nursing intervention strategy to promote breast-feeding intention and practice. The intervention could be more effective to begin early in pregnancy and include teaching for breast feeding skills as well as information provision for positive attitude formation.

• 한국식생활문화학회지
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• 제14권5호
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• pp.555-563
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• 1999

This study was executed for 300 mothers bringing up a child below 3 years in the area of Kangnung to assess the current weaning practice of infants. 24.6% of mother surveyed were breast-fed, 57.8% were formula-fed and 17.5% were mixed-fed. The rate of breast feeding was lower and the rate of bottle feeding was higher in infants whose mothers had more income or higher educational period or full-time job. Most of the respondents knew the significance of supplementary food. 41.4% of the subjects started weaning of their infants at 3-4 months, and 84.1% of them set on weaning in less than 7 months after babies were born. And 39.4% of the subjects finished weaning of their infants in less than one year. The infants of this study preferred the fruits and fishes to meats, vegetables and beans that served to them as supplementary food. Mothers showed deep interest in recipe of weaning food(48.5%), adequate quantity of weaning food(36.3%), information on commercial food for infants(32.2%), and sequence in which semi-solid food are introduced(31.9%). From these results, it is suggested that education program in primary health center for improvement of weaning practice of infants should be implemented reflecting needs of mothers.

• Nutrition Research and Practice
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• 제13권2호
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• pp.169-177
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• 2019

BACKGROUND/OBJECTIVES: Excessive sugar intake is one of the causes associated with obesity and several chronic diseases prevalent in the modern society. This study was undertaken to investigate the effect of parenting variables based on the theory of planned behavior, on the sweetness preferences and sweets intake of children. SUBJECTS/METHODS: Parents and their children (n = 103, aged 5-7 years) were enrolled to participate in a survey for this study, after providing the required informed consent. Parents were asked to fill out a self-administered questionnaire at their residence. The sweetness preference test for children was conducted at a kindergarten (or daycare center) by applying the one-on-one interview method. RESULTS: The children were divided into two clusters categorized by the K-mean cluster analysis: Cluster 1 had higher sweetness preference (0.42 M sugar, 35%; 0.61 M sugar, 65%); Cluster 2 exhibited lower sweetness preference (0.14 M sugar, 9.5%; 0.20 M sugar, 9.5%; 0.29 M sugar, 81%). Cluster 1 had a higher frequency of sweets intake (P < 0.01), and lower sweets restriction (P < 0.05) and nutrition quotient score (P < 0.05). Sweets intake was negatively correlated with the nutritional quotient (r = -0.204, P < 0.05). The behavioral intention of parents was higher in cluster 2 (P < 0.05), while affective attitude, feeding practice, and reward were higher in cluster 1 (P < 0.001, P < 0.05, and P < 0.01, respectively). Furthermore, behavioral intention of parents showed a negative correlation with affective attitude (r = -0.282, P < 0.01) and feeding practice (r = -0.380, P < 0.01), and a positive correlation with subjective norm (r = 0.203, P < 0.05) and parenting attitude (r = 0.433, P < 0.01). CONCLUSIONS: This study indicates that the sweetness preferences and sweets intake of children is related to the parent's affective attitude, feeding practice and reward. We suggest that to reduce the sugar consumption of children, guidelines for access to sweets and pertinent parenting practices are required.