• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제17권2호
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• pp.61-73
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• 2014

Presented are guidelines for the prevention, diagnosis, and treatment of cow's milk protein allergy (CMPA) which is the most common food allergy in infants. It manifests through a variety of symptoms that place a burden on both the infant and their caregivers. The guidelines were formulated by evaluation of existing evidence-based guidelines, literature evidence and expert clinical experience. The guidelines set out practical recommendations and include algorithms for the prevention and treatment of CMPA. For infants at risk of allergy, appropriate prevention diets are suggested. Breastfeeding is the best method for prevention; however, a partially hydrolyzed formula should be used in infants unable to be breastfed. In infants with suspected CMPA, guidelines are presented for the appropriate diagnostic workup and subsequent appropriate elimination diet for treatment. Exclusive breastfeeding and maternal dietary allergen avoidance are the best treatment. In infants not exclusively breastfed, an extensively hydrolyzed formula should be used with amino acid formula recommended if the symptoms are life-threatening or do not resolve after extensively hydrolyzed formula. Adherence to these guidelines should assist healthcare practitioners in optimizing their approach to the management of CMPA and decrease the burden on infants and their caregivers.

• Journal of Nutrition and Health
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• 제34권7호
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• pp.778-785
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• 2001

In Korea, the concerns about the consumption of soy-based infant formulas have received considerable public attention. In has been known that the n-3/n-6 ratio of soy has a beneficial effect on the health. This study was conducted to investigate whether the soy-based infant formula has an effect on the composition of fatty acids in erythrocytes with regard to the plasma lipid levels in full-term infants. The infants who were delivered at Kyung Hee Medical Center were recruited. Experimental groups were the breast milk group(n=17), soy-based infant formula group(n=12) and casein-based infant formula group(n=19). Anthrophometic and dietary assessments were performed and the composition of RBC fatty acids and blood lipid levels were measured. The body weight, length, chest circumference and head circumference of the subjects were normal growth range showing no significant difference among the experimental groups. The ratio of n-3/n-6 ratio in breast milk, soy-based infant formula and casein-based infant formula were 0.11, 0.14 and 0.13, respectively. N-3/n-6 ratio of the subjects erythrocyte fatty acids for each groups were 0.18, 0.21 and 0.17, respectively. Most of the fatty acids of erythrocyte were not significantly different among the three experimental groups. The blood lipid levels of each experimental group were normal range. The total lipid level of casein-based formula group was higher than that of other experimental groups and LDL-cholesterol level of soy-based formula group was the lowest among the three groups.

• 한국식품영양과학회지
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• 제36권3호
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• pp.371-375
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• 2007

한국인 모유에는 cis-9, trans-11 CLA 이성체만 동정되었고, 그 함량은 $4.32{\sim}10.12\;mg/100\;mL$(평균 $6.27{\pm}0.28\;mg/100\;mL$)이었고, 지방함량 중에는 $1.35{\sim}3.13\;mg/g$(평균 $1.96{\pm}0.06\;mg/g$)으로 개인에 따라 큰 차이가 있었다. 한국인 모유에 함유된 CLA의 함량은 외국의 CLA 함량에 비해 낮았고, 그 이유는 식사의 차이 때문인 것으로 추정되었다. 국내에서 제조된 조제분유에서도 cis-9, trans-11 CLA만 동정되었는데, 그 함량은 $2.35{\sim}22.82\;mg/100\;g$으로 평균치는 $17.45{\pm}1.24\;mg/100\;g$이었고, 지방에 함유된 cis-9, trans-11 CLA 함량은 $0.45\;mg/g{\sim}0.85\;mg/g$으로 그 평균치는 $0.65{\pm}0.02\;mg/g$이었다. 영유아가 조제분유 제조사의 지시된 13% 조제분유를 섭취할 경우 cis-9, trans-11 CLA를 2.27 mg 섭취하는 것으로 모유 100 mL에 함유되어 있는 양에 비해 낮다. 따라서 조제분유를 조제할 때 모유와 동일한 cis-9, trans-11 CLA를 섭취할 수 있도록 조제분유를 제조하는 것이 바람직하다.

• 한국식품과학회지
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• 제46권2호
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• pp.121-126
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• 2014

산양유는 단백질 구성과 개별 지방산의 구성이 모유에 가깝기 때문에 우유에 비하여 소화율이 높다. 특히 casein 단백질은 모유의 단백질과 분자구조가 흡사하여 높은 소화 흡수력을 보이므로 설사 또는 복통 등과 같은 소화장애를 일으키지 않는다. 뿐만 아니라 지방산 함량에 있어서도 우유보다 중간사슬지방산이 우유보다 2배정도 많이 들어있어 소화 흡수 시 분해되는 속도가 빠르다. 산양유에는 질 좋은 수용성 유청단백질, 비타민 및 미네랄이 다량 함유되어 있고, 특히 비타민 A, 콜린, 이노시톨의 함량이 높고 흡수율도 양호한 편이다. 산양유에 포함된 유당과 올리고당은 우유보다 모유에 더 가까운 효과를 기대할 수 있다. 유당은 장 내 산성을 증가시켜 유익한 박테리아의 증식을 돕는 한편 장내에서의 칼슘의 흡수를 도와주거나 인(P)과 마그네슘(Mg)의 흡수를 촉진시키는 역할을 담당한다. 또한 올리고당류는 장내유산균의 생육을 돕는 prebiotic 효과를 발휘하여 장내 유익균이 정착하는데 도움을 준다는 실험결과로 판단할 때 실제로 유아에게 정장작용을 기대할 수 있다. 그리고 산양유에 다량 함유된 미네랄 성분 또한 소화 및 흡수를 촉진시키는 역할을 하기 때문에 산양유는 우유 섭취 시 유당불 내증을 호소하던 소비자들도 어렵지 않게 섭취할 수 있다. 이처럼 산양유가 여러 가지 측면에서 우유보다 우수한 식품학적 생리적 특성을 가지고 있음에도 불구하고 국내 산양유가공 산업은 거의 불모지라 해도 과언이 아니다. 게다가 산양유의 정확한 영양학적 가치가 일반 소비자들에게 전달되지 못하고 있는 실정이다. 따라서 우유보다 그 성분과 조성이 모유와 흡사한 산양유의 식품학적 특성, 안전성 및 기능성에 대한 체계적이며 과학적 연구가 시급히 활성화되어야 할 것이다.

• Journal of Dairy Science and Biotechnology
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• 제26권1호
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• pp.21-26
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• 2008

Since goat milk infant formula has been increased, it is expected that goat milk consumption would be increased. This review summarizes the characteristics of goat milk especially, milk fat, somatic cell count, and goaty flavor. Average milk fat content for one year of twelve goat milk farms was 3.6%, but $2.9{\sim}3.1%$ in summer, which means summer goat milk could not meet the 'Processing and Ingredient Standard for Animal Products'. More than 3.2% for goat milk fat content in 'Processing and Ingredient Standard for Animal Products' should be amended. In addition to, hygienic standard for goat milk should be newly established because goat milk has naturally higher somatic cell count with noninfectious factors. It is thought that 6-trans nonenal and some branched fatty acids are responsible for the goaty flavor. It is necessary to minimize goaty flavor from farm to table because goaty flavor is the most important factor for the promotion of goat milk industry.

• 대한한의학방제학회지
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• 제10권2호
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• pp.47-55
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• 2002

In Oriental medicine, So-gal(消渴) is similar to Diabetes Mellitus in the symptoms. In the medical treatment of So-gal(消渴), one kind of herb medicine is recorded in ancent medicine literatures. That herb medicine is a juice of vegetable drunken with herb medicine of So-gal(消渴). Milk(牛乳汁), human milk(人乳汁), gam-ja-jup(甘蔗汁), wo-jul-jup(藕節汁), li-jup(梨汁), sang-gang-jup(生薑汁) etc. is that. In that juices, Milk(牛乳汁), human milk(人乳汁), gam-ja-jup(甘蔗汁), wo-jul-jup(藕節汁), li-jup(梨汁) have sweety tastes, and cold nature. So they cure So-gal(消渴) come from dry and hot nature. Sang-gang-jup(生薑汁) is different with others in the taste and nature that sweety and hot taste and hot nature. Sang-gang-jup(生薑汁) cure the sequela of So-gal(消渴) by his hot nature. We think In Diabetes Mellitus, that juice can be used by drink for the treatment of diet because of simility between So-gal(消渴) and DM.

• Child Health Nursing Research
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• 제1권1호
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• pp.37-46
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• 1995

The effects of different discharge packs on the rate of breast-feeding practice were investigated in 2, 4 and 8 postpartal weeks. The subjects were those who have made delivery at Chonnam University Hospital from Jan to Feb 1994. They were divided into three groups by the discharge pack provided at the nursery room : the one group was given with formula discharge pack, another with breast-feeding discharge pack and the other nothing. The formula discharge pack contained formula samples, a feeding bottle and a pamphlet prepared by a formula company, and breast-feeding discharge pack contained a manual pump and a pamphlet made by Korean Nurses Association. Following results were obtained : 1. Different discharge packs significantly affected the rate of breast-feeding practice at 2 week postpartum, while not at 4 and 8 week postpartum. 2. At 2 week postpartum, the rate of breast-feeding practice was significantly higher in the group given with breast-feeding discharge pak than in that given with formula discharge pack. It was also significantly higher in the group given with breast-feeding discharge pack compared with the group given nothing. The breast feeding rate, however, did not significantly differ between the formula discharge pack group and the group given nothing. 3. The most common cause for the artificial feeding was 'lacking breast milk'. The most common cause to select a specific brand of formula milk was 'the same as in the nursery room'. In conclusion, it is suggested that encouraging mothers to perform breast feeding and providing them with a breast-feeding discharge pack instead of a formula pack at the nursery room are helpful in promoting the breast-feeding.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제19권3호
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• pp.153-161
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• 2016

This paper covers algorithms for the management of regurgitation, constipation and infantile colic in infants. Anti-regurgitation formula may be considered in infants with troublesome regurgitation, while diagnostic investigations or drug therapy are not indicated in the absence of warning signs. Although probiotics have shown some positive evidence for the management of functional gastrointestinal disorders (FGIDs), the evidence is not strong enough to make a recommendation. A partially hydrolyzed infant formula with prebiotics and ${\beta}$-palmitate may be considered as a dietary intervention for functional constipation in formula fed infants. Lactulose has been shown to be effective and safe in infants younger than 6 months that are constipated. Macrogol (polyethylene glycol, PEG) is not approved for use in infants less than 6 months of age. However, PEG is preferred over lactulose in infants >6 months of age. Limited data suggests that infant formula with a partial hydrolysate, galacto-oligosaccharides/fructo-oligosaccharides, added ${\beta}$-palmitate may be of benefit in reducing infantile colic in formula fed infants in cases where cow's milk protein allergy (CMPA) is not suspected. Evidence suggests that the use of extensively hydrolyzed infant formula for a formula-fed baby and a cow's milk free diet for a breastfeeding mother may be beneficial to decrease infantile colic if CMPA is suspected. None of the FGIDs is a reason to stop breastfeeding.

• 동아시아식생활학회지
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• 제15권4호
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• pp.397-404
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• 2005

The propose of this study was to investigate taurine intake in formula-fed and breast-fed infants and to estimate the level of taurine of blood and urine in order to determine the requirement of taurine intake in infants. These results will be useful to suggest the guideline of requirement of taurine intake and may contribute toward the proper use of breast milk substitutes. Experimental groups were breast-fed infants (n=10) and formula-fed infants (n=10) of 20 normal delivery infants in general hospital. This study was longitudinal study from birth up to 16weeks (0 week, 4 weeks, 8 weeks, 12 weeks, 16 weeks). The items of test were anthropometry(weight, height, head circumference, chest circumference), intake of taurine, taurine level of blood and urine in breast-fed and formula-fed infants. There were no significant differences between breast-fed and formula-fed infants in weight, height, head and chest circumference. There is a need for future studies of exclusive infants with larger samples to determine which growth pattern should be considered as the norm. Taurine concentration of plasma and urine did not differ between breast-fed and formula-fed infants. Taurine intake recommendations for infants is about 30mg/day from this study. This data will be useful for production of human-like formula milk and suggestion of an index of selection of a consumer in taurine.

• Journal of Dairy Science and Biotechnology
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• 제3권2호
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• pp.93-106
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• 1984