• 제목/요약/키워드: Poor-Feeding

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식욕부진이 있는 4세 이하 영.유아의 식이 습관에 대한 조사 (Eating Habits of Children Under 4 Years with Poor-Feeding)

  • 윤영훈;박영봉;양은석;노영일;김은영;문경래;이철갑
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제6권2호
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    • pp.167-173
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    • 2003
  • 목 적: 성장 장애의 비기질적 원인인 식욕부진의 원인으로 부적절한 양육, 부적절한 칼로리의 섭취, 부적절한 식이 습관 등 환경적 요인과 심리적 요인이 강조되고 있다. 이에 저자들은 영양 지도 및 평가의 기초 자료로 삼고자 성장 장애의 원인이 될 수 있는 식욕 부진이 있는 4세 이하의 영 유아에서의 식이 습관을 조사하였다. 방 법: 2002년 5월부터 2002년 8월까지 조선대학교 부속병원과 광주광역시와 전라남도의 4개의 개인 병원을 방문한 504명의 아이들의 보호자를 대상으로 하였으며 조사방법은 본 교실에서 제작한 설문지를 보호자가 기재하도록 하였다. 결과의 분석은 식욕 부진이 있는 아이 138명과 식욕 부진이 없는 아이 366명의 체중 증가의 정도, 신생아 시기의 수유 방법과 수유량, 수유시기, 이유식을 먹이는 방법과 시기 등을 비교 분석하였다. 결 과: 1) 대상아 중 식욕부진이 있는 아이는 138명(27.4%)이었고, 식욕 부진이 없는 아이는 366명(72.6%)이었다. 식욕 부진이 있는 아이 중에서 남아는 전체의 14.7%이었고, 여아는 12.7%이었으며, 식욕부진이 없는 경우는 남아가 전체의 39.1%이었고, 여아는 33.5%이었다. 2) 식욕부진이 있는 아이의 체중 분포는 3 백분위수 미만이 8.7%, 3~10 백분위수가 15.9%, 10~25 백분위수가 20.3%, 25~50 백분위수가 23.3%, 50~75 백분위수가 18.8%, 75~90 백분위수가 5.8%, 90~97 백분위수 5.1%, 97 백분위수 이상이 2.2%이었다. 3) 모유수유율은 식욕 부진이 있는 아이는 18.8%, 식욕 부진이 없는 아이는 20.3%이다. 4) 6개월 이내의 짧은 모유수유기간은 식욕 부진이 있는 아이는 70.5%, 식욕 부진이 없는 아이는 58.5%이다. 5) 이유식의 시작 시기는 식욕 부진이 있는 아이의 경우에 2~4개월 때 15.9%, 4~6개월 때 32.7%, 6~8개월 때 38.1%, 1세 이상일 때가 18.8%로 식욕 부진이 없는 아이의 경우 2~4개월 때의 5.6%와 비교하면 이유식을 4개월 이전에 너무 빨리 시작한 경우가 15.9%로 많은 수를 차지하였다. 6) 이유식을 먹이는 방법은 식욕 부진이 있는 경우는 80.4%에서 식욕 부진이 없는 경우도 66.6%에서 젖병을 이용하는 잘못된 이유 방법을 하고 있었다. 7) 식사시에 항상 다른 일을 하는 경우는 식욕 부진이 있는 경우는 17.3%, 식욕 부진이 없는 경우는 10.7%이었으며, 항상 식사에만 집중하는 경우는 식욕 부진이 있는 경우는 2%, 식욕 부진이 없는 경우는 12.7%이었다. 8) 식욕 부진으로 상담을 받았던 곳은 한방병원 68%, 소아과 20%, 내과 3%, 약국이 8% 순이었다. 9) 식욕 부진으로 복용한 약물의 종류는 한약이 77%, 영양제가 15%, 비타민제제는 8% 순이었다. 결 론: 영 유아의 식욕부진은 낮은 모유 수유율과 짧은 기간, 잘못된 이유 시기 및 방법, 식사시의 집중도, 편식의 정도와 관련이 있다. 또한 식욕 부진아의 대부분이 소아과의원 이외의 다른 기관에서 진료하고 있어 적극적인 대응책 강구와 올바른 영 유아의 영양 방법에 대한 교육이 필요하다.

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식사가 불량한 영유아의 기질과 식행동, 부모의 식행동과 식사지도 방법의 특성 (Characteristics of Infants' Temperaments and Eating Behaviors, Mothers' Eating Behaviors and Feeding Practices in Poor Eating Infants)

  • 김윤정;한영신;정상진;이윤나;이상일;최혜미
    • 대한지역사회영양학회지
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    • 제11권4호
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    • pp.449-458
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    • 2006
  • The purpose of this study was to determine the characteristics of infants' temperaments and eating behaviors, mothers' eating behaviors and feeding practices in poor eating infants. The participants were 80 infants of 12-24 months (27 poor eaters and 53 matched normal controls) from a hospital and a public health center. Mothers were questioned about their eating behaviors and feeding practices, and infants' temperaments, eating behaviors, and nutrient intakes by one day food recall. Subjects were divided by mean nutrient adequacy ratio (MAR, < 0.75; poor eater). Intakes of Ca, P, Fe, Zn, thiamin, riboflavin, niacin, vitamin C, E, folate were below 75% RDA in poor eaters, whereas protein, thiamin, riboflavin, vitamin B$_6$, C, folate exceeded 125% RDA in good eaters. Rhythmicity of infants' temperaments and eating behaviors, restriction of mothers' eating behaviors and feeding practices were significantly lower, whereas activity levels of infants' temperaments were higher than good eaters. In multiple logistic regression model of poor eaters, activity of infants' temperaments (T, OR: 1.19, CI: 1.05 - 1.35) and attention spans of infants' eating behaviors (A, OR: 1.18, CI: 1.03 - 1.35) were significantly positive, whereas rhythmicity of infants' eating behaviors (R, OR: 0.79, CI: 0.61-0.94) was significantly negative [E (the legit) : -6.8644+0.1712$\times$T-0.2337$\times$R+0.1641$\times$A]. Our findings suggest that examination of eating behaviors, feeding practices, and temperaments will help target interventions to improve infants' food intakes, and these variables should be examined at the time of nutrition counseling.

다른 두 서식지에서 섬참새의 채식행동 (Feeding Behavior of the Russet Sparrow Passer rutilans in Two Different Habitats)

  • 채희영
    • The Korean Journal of Ecology
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    • 제20권6호
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    • pp.405-411
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    • 1997
  • Feeding behavior of the Russet Sparrow Passer rutilans was studied in two different types of habitats, shelter belts and isolated forests, in south-eastern Hokkaido, Japan, during the breeding seasons of 1995 and 1996. Predominant foods were determined as Caterpillar, Coleoptera, Diptera, Ephemeropera, Odonate and some other insects. The composition of the nestiling foods were not the same by season, region, and year. Larger foods in size were used by birds in isolated forests more frequently than in shelter belts. Amount of food per feeding was significantly larger in isolated forests than in shelter belts. Although food supply were more abundant in isolated forests than in shelter belts, the feeding frequency did not significantly differ between these two habitats. The nest density was higher in isolated forests than in shelter belts. Results of this study indicate that when the feeding condition is poor, birds tend not show specific food selection behavior, the feeding range is therefore larger, and the feeding interval is longer. Contrarily, the birds show a specific food selection behavior when they are in good feeding condition, the feeding range is therefor smaller and the feeding interval decreases.

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Complete rooming-in care of newborn infants

  • Lee, Yoo-Min;Song, Kang-Hoon;Kim, Young-Mi;Kang, Jin-Sun;Chang, Ji-Young;Seo, Hyun-Joo;Choi, Yong-Sung;Bae, Chong-Woo
    • Clinical and Experimental Pediatrics
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    • 제53권5호
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    • pp.634-638
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    • 2010
  • Purpose: In Kyung Hee East-West Neo Medical Center, Seoul, Korea, efforts to raise rooming-in care success rate have been undertaken since when the hospital was established in 2006. We intended to analyze our experience over the past 3 years of period and to discuss the advantages of rooming-in. Methods: We analyzed the rooming-in practice rate, failure rate, and the breast feeding rate. Subjects were 860 normal healthy neonates from June 2006 to June 2009. Results: Among these 860 cases, 83 babies were required separation out of rooming-in in the middle of the course. Among these 83 cases, 70 cases had to stop the course due to poor condition of babies and 13 cases due to maternal condition. 70 cases of infant's causes consist of 68 cases of NICU admission and 2 cases of poor feeding support. The other 13 cases of separation include refusal by maternal condition. Therefore the success rate of rooming-in for the last 3 years was 90.3%, that is 777 cases among the total 860 cases. The percentage of exclusive breast feeding was 64%, that of mixed feeding with breast and formula feeding was 25%, and formula feeding only was 11%. Conclusion: We experienced successful rooming-in care for the last 3 years. Nursery facilities should educate and encourage the advantages of rooming-in, including the good formation of attachment between mother and infant, emotional stability, protection from infection, and increased breast feeding rate so that rooming-in care can be fully established.

Effectiveness of Nutrition Education in Improving Maternal Knowledge and Attitudes towards Complementary Feeding Practices: A cluster-randomized controlled trial in Ondo State, Nigeria

  • Akinrinmade, Remilekun;NJOGU, Eunice;OGADA, Irene Awuor;KESHINRO, Olufunke Oluremi
    • 식품보건융합연구
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    • 제5권4호
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    • pp.1-10
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    • 2019
  • Significant low knowledge and poor attitudes on complementary feeding undermine the practices. This study was a cluster randomized controlled trial in which 284 study participants were assigned into two groups. One intervention group and a control group in a ratio of 1:1. Nutrition education on complementary feeding was carried out among the caregivers in the intervention group but the caregivers in the control group were not educated. To determine complementary feeding knowledge and attitudes, data was collected from caregiver at baseline, midline and at endline using researcher-administered questionnaires. Quantitative data were analyzed using SPSS version 22.0. From the analysis, there was a significant difference in complementary feeding knowledge of the caregivers after the intervention. The baseline difference was -0.06, the midline difference was 3.85 the endline difference was 4.00 and the DID of the baseline and endline was 4.06 which was significant at p=0.001. There was a significant difference in the attitude of the caregivers towards complementary feeding at baseline (-0.14), midline (2.09), endline (3.82) and the DID of baseline and endline was 3.96 which was significant at p=0.001. The intervention improved the caregivers' knowledge on complementary feeding and it improved the attitudes of the caregivers towards adequate complementary feeding.

Evaluation of dry feeding and liquid feeding to lactating sows under high temperature environment

  • Hong, J.S.;Jin, S.S.;Jung, S.W.;Fang, L.H.;Kim, Y.Y.
    • Journal of Animal Science and Technology
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    • 제58권10호
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    • pp.36.1-36.5
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    • 2016
  • Background: Liquid feeding system has been introduced to domestic swine farms, but negative cognition about liquid feeding system has been remained for feed waste decay related with poor management and microbial contamination. For these reasons, this study was conducted to evaluate the effects of feeding method in lactating sows. Methods: A total of 30 mixed-parity (average 4.13) lactating sows (Yorkshire ${\times}$ Landrace) with an initial BW of $218.8{\pm}19.5kg$ was used in a 3 week trial. Sows were allotted to 1 of 2 treatments in a completely randomized design by their body weight, backfat thickness, parity and alive litter weight. One of treatments was dry feeding and the other was liquid feeding (water to feed ratio, 1:1). Experimental diets contained 3265 kcal ME/kg, 12.6 % CP, 5.76 % EE, 1.09 % total lysine, 0.25 % total methionine, as fed basis. Results: Dry feeding treatment had high body weight loss rather than liquid feeding treatment (P = 0.04). Dry feeding treatment had tendency to increase litter weight at 21d of lactation (P = 0.06) and litter weight gain (P = 0.04) during lactation period (0-3 week). Sows fed dry feeding method made milk containing high content of casein and total solid rather than sows fed liquid feeding method (P = 0.04). In addition, dry feeding treatment had tendency to higher content of milk fat, protein and solid not fat on 21d of lactation (P = 0.07). Sows fed dry feeding type also showed higher milk energy content in milk of 21d lactation (P = 0.05). Furthermore, liquid feeding treatment showed high occurrence in feed waste during lactation period (P <0.01). Conclusion: Dry feeding method was more suitable feeding method to lactating sows under high temperature environment like lactating barn.

Anemia and Iron Deficiency according to Feeding Practices in Infants Aged 6 to 24 Months

  • 김순기
    • Journal of Nutrition and Health
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    • 제31권1호
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    • pp.96-101
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    • 1998
  • The prevalence of iron deficiency in later infancy and the toddler years(25% to 40% at 1 year of age) has not decreased remarkably , except in Western countries. The purpose of this study was to 1) determine the relationship between current feeding practices and iron status, and 2) assess compliance to infant feeding instructions. Two groupsof infants were examined. The first group of 302 infants aged 6 to 24months was seen at a well baby clinic while the second group of 135 infants of the same age group was assessed by venipuncture. Cutoff values for laboratory tests were as follows ; hemoglobin<11g/dL, mean corpuscular volume (MCV) <72fl ; red cell distribution width(RDW)>15% ; serum ferritin level<10ng/ml ; and transferrin saturation (serum iron(TIBC)<10%. The diagnosis of iron deficiency anemia (IDA) was made when a low hemoglobin level was associated with either low ferritin orlow transferrin saturation . Of the 302 children brought to the well baby clinic , 12.3%(n=37) were found to have anemia (hemoglobin<11.0/dL). In terms of children grouped according to feeding practices, it was found that children with anemial comprised 32.0% (24/75) of the prolonged breast-fed group (Group A), significantly more than the 4.0%(7/176) of the artificial milk feeding group(Group B). and 3.9%(2/51) of the switched from breast milk to iron -fortified weaning foods group(Group C).Among the 107 children with IDA , iron deficiency in 105 children(98.1%) was suggested by their dietary histories ; exclusive or prolonged breast-feeding for more than 6 months without iron fortification in 98 infants ; cow's milk consumption> 500ml/day without iron fortification during infancy(n=12), or >800ml without iron-fortified foods after infancy(n=15) ; and the use of unfortified forumula or unbalanced diets, mainly limited to rice gruel. Despite the relatively high (79.6%) motivation on the part of the infants mothers and supervison by professional personnel, the poor results in the infants receiving iron fortified foods were due to poor compliance(85.75). Among the mothers of 98 IDA patients who were contacted by telephone , it was revealed that 29% did not give the oral iron preparation for more than 2 months. Furthermore, negligence or disregard by the parents occurred in 14% of the case , discontinuance of the oral iron preparation by the parents due to side effects occurred in 6%, and the children's refusal or poor oral intake and no further trial occurred in 6%. The dietary history of a large group of infants was highly predictive of their risk for anemia . Continued consumption of breast milk until the age of 1 year is not warranted unless iron-fortified foods are given concomitantly. Because there is a problem with compliance, more successful and safe strategies for preventing iron deficiency woold included dual coverage in the from of therapeutic iron supplementation as well use of iron-fortified foods for teddlers who are at risk of iron deficiency.

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STATUS AND SCOPE OF SMALL RUMINANTS PRODUCTION IN DRY AREAS OF PAKISTAN - REVIEW -

  • Rafiq, M.
    • Asian-Australasian Journal of Animal Sciences
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    • 제8권3호
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    • pp.205-212
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    • 1995
  • This paper describes small ruminant production systems in dry areas of Pakistan. Formal and informal surveys had identified that poor feed resources, as a result of harsh climatic conditions, is a major factor responsible for low sheep and goats production. In view of their recommendations, use of approaches like supplemental feeding and pasture production through an introduction of improved forage species in the country, are reviewed. The improvement in sheep production and associated socioeconomic benefits, are discussed.

Effect of Feeding Time Shift on the Reproductive System in Male Rats

  • Kwak, Byung-Kook;Lee, Sung-Ho
    • 한국발생생물학회지:발생과생식
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    • 제16권1호
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    • pp.53-58
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    • 2012
  • Circadian rhythmicity (e.g. secretory pattern of hormones) plays an important role in the control of reproductive function. We hypothesized that the alteration of feeding pattern via meal time shift/restriction might disrupt circadian rhythms in energy balance, and induce changes in reproductive activities. To test this hypothesis, we employed simple animal model that not allowing $ad$ $libitum$ feeding but daytime only feeding. The animals of $ad$ $libitum$ feeding group (Control) have free access to food for 4 weeks. The day feeding (=reverse feeding, RF) animals (RF group) have restricted access to food during daytime (0900-1800) for 4 weeks. After completing the feeding schedules, body weights, testis and epididymis weights of animals from both group were not significantly different. However, the weights of seminal vesicle (control : RF group = $0.233{\pm}0.014g$ : $0.188{\pm}0.009g$, $p$<0.01) and prostate (control : RF group = $0.358{\pm}0.015g$ : $0.259{\pm}0.015g$, $p$<0.001) were significantly lower in RF group animals. The mRNA levels of pituitary common alpha subunit ($C{\alpha}$; control : RF group = $1.0{\pm}0.0699$ AU : $0.1923{\pm}0.0270$ AU, $p$<0.001) and $FSH{\beta}$ (control : RF group = $1.0{\pm}0.1489$ AU : $0.5237{\pm}0.1088$ AU, $p$<0.05) were significantly decreased in RF group. The mRNA levels of ACTH were not significantly different. We were unable to find any prominent difference in the microstructures of epididymis, and there were slight alterations in those of seminal vesicles after 4 weeks of reversed feeding when compared to control samples. The present study demonstrates that the shift and/or restriction of feeding time could alter the pituitary gonadotropin expression and the weights of seminal vesicle and prostate in rats. These data suggest the lowered gonadotropin inputs may decrease androgen secretion form testis, and consequently results in poor response of androgen-dependent tissues such as seminal vesicle and prostate.

임신중 유방간호가 산모의 모유수유 실천에 미치는 영향 (The Effects of Antenatal Breast Care on Breast Feeding practice)

  • 박옥희
    • 대한간호학회지
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    • 제22권1호
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    • pp.29-41
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    • 1992
  • The purpose of this research was to study the effects of antenatal breast care on decreases in breast discomfort and increases in the breast feeding rate during the postpartum period. A nonequivalent control group posttest research design was used. The experimental group consisted of fifty -one pregnant women(primigravida) who were receiving antenatal care in the OBGYN clinics of four hospitals between March 5 and May 30, 1991. The control group was made up of seventy - five postpartum women who delivered at two hospitals OBGYN clinic and one midwife clinic between May 4 and June 15, and between September 5 and October 15, 1991. Data were collected via telephone interviews on the seventh postpartum day and at the end of the second month. Data analysis methods used frequencies and the x$^2$- test. The results were as follows : 1. The rate of breast feeding practice at two months was higher in the experimental group(70.6%) than in the control group(25.3%) (p<.01). 2. Nipple soreness in the early breast feeding period was lower in the experimental group(14.6%) than in the control group(25.3)(p<.01). 3. Severe breast discomfort in the early breast feeding period was lower in the experimental group (12.5%) than in the control group(39.2%)(P<.01). 4. There was a significant relationship between the breast feeding practice and the planned feeding method(p<.05), and between breast feeding practice and nipple soreness(p<.01) in the experimental group, and the presence of a job(p<.01), the sex of the infant(p<.05), and the first feeding time(p<.05) in the control group. 5. The reasons for unsuccessful breast feeding were a deficiency of breast milk (66.7% in the experimental group, 30.4% in the control group), poor sucking on the part of the baby(13.3% in the experimental group, 21.4% in the control group).

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