• 산업융합연구
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• 제18권5호
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• pp.70-76
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• 2020

본 연구는 청소년의 식이행태를 파악하고, 식이행태에 따른 알레르기 질환과의 관련성을 확인하여 추후 알레르기 질환 관리를 위한 기초자료를 제공하고자 함이다. 연구방법은 제15차 청소년건강행태조사 빅데이터를 이차분석하였으며, SPSS 25 프로그램을 이용하여 복합표본 빈도분석, 복합표본 교차분석을 시행하였다. 연구 결과 천식을 진단받은 청소년은 아침식사 빈도, 과일 섭취빈도, 탄산음료 섭취빈도, 에너지음료 섭취빈도, 단맛 나는 음료 섭취빈도, 패스트푸드 섭취빈도, 채소 섭취빈도, 편의점 식사 경험과 관련성이 있는 것으로 나타났다. 알레르기 비염을 진단받은 청소년은 아침식사 빈도, 과일 섭취빈도, 탄산음료 섭취빈도, 에너지음료 섭취빈도, 단맛 나는 음료 섭취빈도, 채소 섭취빈도, 우유 섭취빈도와 관련성을 있음을 보였다. 아토피피부염을 진단받은 청소년은 탄산음료 섭취빈도, 채소 섭취빈도, 우유 섭취 빈도, 편의점 식사경험과 관련성이 있었다. 따라서 알레르기 질환을 가진 청소년의 경우 올바른 식이행태를 교육하여 습관을 형성해 나갈 수 있도록 하는 것이 필요하다.

• Clinical and Experimental Pediatrics
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• 제56권10호
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• pp.417-423
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• 2013

Vitamin D is an essential component of bone and mineral metabolism; its deficiency causes growth retardation and skeletal deformities in children and osteomalacia and osteoporosis in adults. Hypovitaminosis D (vitamin D insufficiency or deficiency) is observed not only in adults but also in infants, children, and adolescents. Previous studies suggest that sufficient serum vitamin D levels should be maintained in order to enhance normal calcification of the growth plate and bone mineralization. Moreover, emerging evidence supports an association between 25-hydroxyvitamin D (25[OH]D) levels and immune function, respiratory diseases, obesity, metabolic syndrome, insulin resistance, infection, allergy, cancers, and cardiovascular diseases in pediatric and adolescent populations. The risk factors for vitamin D insufficiency or deficiency in the pediatric population are season (winter), insufficient time spent outdoors, ethnicity (non-white), older age, more advanced stage of puberty, obesity, low milk consumption, low socioeconomic status, and female gender. It is recommended that all infants, children, and adolescents have a minimum daily intake of 400 IU ($10{\mu}g$) of vitamin D. Since the vitamin D status of the newborn is highly related to maternal vitamin D levels, optimal vitamin D levels in the mother during pregnancy should be maintained. In conclusion, given the important role of vitamin D in childhood health, more time spent in outdoor activity (for sunlight exposure) and vitamin D supplementation may be necessary for optimal health in infants, children, and adolescents.

• 동아시아식생활학회지
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• 제26권2호
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• pp.141-151
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• 2016

This study looks into the relationship between mother's nutrition knowledge and the actual situation of snacks consumption by mothers living in Daegu and Gyeongbuk. The data were analyzed by statistical methods such as frequency, percentage, Chi-square, ANOVA and Duncan with the SPSS Windows 19.0 program. Regarding level of education, most of the subjects in the 'High' and 'Medium' Groups were university graduates, whereas most of those in the 'Low' Group were college graduates. Most of the subjects ate used processed snacks, produced snacks, or cooked snacks themselves, and most added fruits, followed by milk products and confectionery as snacks. Most of the subjects were satisfied with their experiences of purchasing snacks for children. In selecting the snacks, most of them attached importance to 'balanced nutrition', followed by 'food additives', 'allergy', and 'sanitation.' These results show that nutrition education is necessary for choosing correct and good quality snacks for children.

• Journal of Dairy Science and Biotechnology
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• 제21권2호
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• pp.97-104
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• 2003

본 연구에서는 우유 앨러지의 원인물질중의 하나인 casein단백질을 생체가 알르겐 물질로 인식할 수 없는 수준의 분자로까지 분해하여 항원성을 저감시키고 또한 풍미가 좋은casein분해물을 제조하기 위하여 분해특성이 다른 효소를 사용하여 만들어진 분해물의 특성과 항원성을 조사하였다. 박테리아 효소인 Neutrase, Alcalase, Protamex, Pescalase을 처리한 casein가수분해물의 평균분자량은 1,100~2,300 dalton이었고 곰팡이 효소인 MP, Flavourzyme, LP, Promod경우에는 거의 770 ~ 1,140 dalton범위였다. 항원성 저감정도를 측정하기 위하여 토끼항casein항혈청을 이용하여 ELISA억제시험을 실시한 결과 항체결합을 50%저해하는 미분해casein단백질의 농도는 $10^{3.6}$ng/ml였다. 박테리아 효소인 Neutrase, Alcalase, Protamex, Pescalase에 의한 Casein가수분해물의 값은 각각 $10^{4.8},\;10^{5.5},\;10^{5.9},\;10^{6.1}\;ng/ml$이었고, 곰팡이 효소인 MP, Flavourzyme, LP, Promod경우에는 각각 $10^{6.3},\;10^{6.3},\;10^{6.5},\;10^{6.8}\;ng/ml$로 나타났다. 박테리아와 곰팡이효소의 조합인 Fla+prota, Pro+prota처리구에서는 $10^{7.4},\;10^{7.3}ng/ml$로 나타났다. 따라서 미분해 casein의 항원성을 1로 하면, casein분해물의 항원성은 최고 1/8,000 이하로 저하되었다. 수신피부아나피랙시스반응(PCA)을 이용한 항원성시험에서 casein으로 피하 감작할 경우 푸른색 반점이 나타났으나 효소처리구에서는 이러한 반점이 나타나지 않아 충분히 항원성이 저감화 되었음을 확인하였다.

• 생명과학회지
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• 제29권4호
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• pp.478-483
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• 2019

본 실험에서는 Pediococcus inopinatus Y2 (P. inopinatus Y2) 유산균으로 발효시켜 제조한 발효 두유커드가 알레르기성 피부질환의 치료에 미치는 효과를 확인하기 위해 알레르기 유발 ICR 마우스를 대상으로 4주간 경구투여한 이후, 마우스의 체중, 귀 두께, IgE 농도, 면역 기관 중량 및 혈청 IgE 농도 변화를 비교 분석하였다. 대부분의 동물실험 군은 적당한 체중 증가를 보였다. 귀 두께에서, 아무처리를 하지 않은 그룹(No group)이 가장 낮은 두께를 나타냈고, PA 처리 그룹이 알레르기가 유발되어 두꺼워졌다. PA로 유도된 AD 마우스를 육안으로 관찰하였을 때, 발효 두유커드 투여그룹(FSC group)의 피부 상태는 더욱 개선되었다. 이에 따라 유산균에 의한 발효 두유커드가 피부염을 회복시킬 수 있음이 확인되었다. 마우스의 비장과 림프절의 무게와 IgE 농도를 비교 한 결과, 두유를 투여한 그룹(SM group)도 치료 효과를 보였으나 발효 두유커드의 알레르기 치료 효과가 더 우수 하였다. 결과적으로 발효 된 두유커드가 알레르기성 피부질환을 개선 할 수 있음을 확인할 수 있었다.

• Journal of Nutrition and Health
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• 제52권6호
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• pp.559-568
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• 2019

서울시 일부 아동 대상의 식품알레르기 유병률과 위험 요인 및 다른 알레르기 질환과의 연관성 조사결과 식품알레르기 의사 진단 유병률은 14.2%, 알레르기 증상을 한번이라도 경험한 아동의 유병률은 20.4%, 최근 12개월 내 증상 경험 유병률은 17.4%이었다. 식품알레르기를 한번이라도 경험한 아동 612명을 대상으로 알레르기 경험 특성을 도출한 결과 대부분 식품 경구 섭취를 통해 발생하였고 증상 유발식품은 난류, 복숭아, 우유, 땅콩, 새우 등이 있었다. 식품알레르기 증상 경험 유병과 12개월 내 주요 알레르기 유발 의심식품 섭취의 위험요인으로는 곡류, 감자류, 패스트푸드, 견과류, 우유 등이 유의한 영향이 있었다. 식품 섭취의 경우 식품알레르기 증상을 경험한 아동일 경우 견과류, 우유 및 유제품, 난류의 섭취 빈도가 낮을수록 위험도가 유의하게 증가하였다. 환경적 위험요인으로 연령, 부모의 알레르기 질환력, 항생제 복용요인이 도출되었으며, 기타 알레르기 질환과도 관련이 있었다. 최근 식품 알레르기의 또 다른 환경적 위험요인으로 다른 연구들에서도 언급되는 요인이기에 이와 관련한 지속적인 연구가 필요할 것이다. 결과적으로 식품알레르기의 경험이 있는 아동은 다른 알레르기 질환으로 이환될 가능성이 상대적으로 높으며, 이에 따라 규칙적인 식품 섭취와 조기진단을 통하여 유발식품을 명확히 알고 제한할 수 있어야 할 것이다. 궁극적으로 이 연구 결과를 통해 서울에 거주하는 아동의 유병률과 증상경험의 특성을 파악하여 효과적인 중재방안을 도출할 기초자료로의 의미가 있을 것이다.

• 대한한방소아과학회지
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• 제13권2호
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• pp.187-224
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• 1999

Background: In recent years, pediatric chronic sinusitis patients who don't respond with antibiotics are increasing, but there are a few reports on the herbal medicine therapy treating pediatric chronic sinusitis, so this report was studied. Objective: To demonstrate the effect of herbal medicine therapy in the chronic sinusitis before and after treatment using computed tomograpy (CT) and plain radiograpy. Materials and methods: Ninty patients (45 mail and 45 femail) treated in our hospital between February 1998 and August 1999 were studied. Ages ranged from 3 to 13 years (mean age :6.5 years). Sixty two patients had a underlyiing family history (allergy or sinusitis of parents or brothers), In the past history, 68 patients had asthma, allergy of milk, atopic dermatitis, bronchiollitis and irritable bowel syndrom. Illness period was from 10 days to 96 months (mean period:12.4 month). Duration of treatment were from 25 days to 200days (mean:96 days). To ascertain the efficacy of treatment, CT in the 42 and plain radiopgrapy in the 48 patients were checked out. In the CT, three images were obtained 2cm interval on the coronal and axial plan. CT findings of the chronic sinusitis were analyzed for mucoperiostal thickening before and after treatment using 4 grades;(normal, mild, moderate, severe). Normal was defined as below 3mm thickening of mucoperiosteum; mild was 3-5mm thickening; moderate was 5mm-1cm thickening; severe was above 1cm thickening. Plain radiograpy using Water's view provided maxillary sinus, anterior ethmoid sinus, frontal sinus. Normal was defined as simillar to density between sinus and oronasal cavity; mild was defined as generally increased density with no significant mucoperiosteal thickning; moderate was partial mucosal thickening without bony hypertropy; severe was total haziness with mucoperiosteal thickening. Gamihyunggyeyungyo-tang was administered mainly. Gamigwaghyangjeungki-san, Gamizwakwi-eum and Gamihyangso-san were administered for through oral route additional symptoms Results: Of the 90 patients, 84 patients showed complete recovery (93%), 4 patients showed no significant interval change(4%) and 2 patients were aggrevated (2%). Sixty patients were severe(67%) and 26 patients were moderate (29%), 4 patients were mild(4%) The duration of treatment was varied with patient conditions (91 days in average); severe were 101.7 days, moderate were 70 days and mild were 63 days. Fifty three patients with maxillary and ethmoid sinusitis were 114 days, 35 patients with maxillary sinusitis only were 71.5 days. Fifty eight patients with both maxillary sinusitis were 94.6 days, 26 patients with either maxillary sinusitis were 65 days. The symtoms of chronic sinusitis were nasal obstruction(75%), cough(69%), purulunt or mucosal discharge(62%), lymphoid follicle(54%), postnasal dripping(49%), headache(23%) and nose bleeding(22%). Conclusion: We know that herbal medicine therapy is the effective treatment of pediatric chronic sinusitis using plain radiograpy and CT. The duration of treatment may be significant assosiation with the location and degree of chronic sinusitis.

• 대한지역사회영양학회지
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• 제6권3호
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• pp.331-339
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• 2001

This study was conducted to examine the predicting factors for the intention of breastfeeding with The Theory of Planned Behavior. The questionnaires were distributed to 131 primigravidas who were in their third trimester of pregnancy in Seoul, Kyonggido, Kyongsangbukdo, and Kyongsnagnamdo. Descriptive statistics, Pearsons Correlation and Multiple Regression were used to analyse the data. The subjects showed strong intention of breastfeeding. The subjects showed favorable attitudes toward breastfeeding. This fact showed significant correlation with the belief that their breastfeeding intention was due to the advantage of breast milk for the infant with regard to allergy prevention, disease protection, contribution to intellectual development, psychological closeness between mother and infant, convenience, cost, and the reduction of breast cancer risk and weight of the mother. No item of outcome evaluation did showed significant correlation with behavioral intension. The subjects were influenced about breastfeeding by their referents such as siblings and friends with breastfeeding experience, their mothers and husbands, and mothers-in-law. Most items of the control beliefs had a significant influence on the intention of breastfeeding. The subjects felt they could not control the situation ie. "when I have to breastfeed in public". However they felt they could control the situation ie. "when I suffer from mastitis", "when I have to cut down on coffee, alcohol, and smoking", "when I have Caesarean section", "when I need to maintain breast condition", and "when the infant hates to suck my nipple". Regression analysis revealed that control beliefs and attitudes toward breastfeeding could predict the behavioral intention of breastfeeding. Control beliefs were the most important factor in predicting behavioral intention. Therefore, nutrition education is needed to enhance the ability to cope with difficult situations while breastfeeding and increase faborable attitudes toward breastfeeding.eding and increase faborable attitudes toward breastfeeding.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제21권2호
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• pp.101-110
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• 2018

Purpose: Functional constipation (FC) is a common gastrointestinal (GI) problem affecting children's well-being and quality of life. Although polyethylene glycol (PEG) is recommended as the first line therapy, it is not always applicable in lower socioeconomic populations. Hence, this study aimed to compare clinical courses of FC in children treated with different medications in order to identify prognostic factors related to treatment outcomes. Methods: We reviewed the medical records of patients aged ${\leq}15$ years diagnosed with FC according to the Rome IV criteria from 2007 to 2015 at the GI clinic, Songklanagarind Hospital. Baseline characteristic, medical history, and treatment outcomes were collected at first and subsequent visits. Results: Exactly104 patients (median age at diagnosis, 2.8 years) were diagnosed with FC. The number of follow-up visits per patient ranged from 1 to 35. The median duration of follow-up was 18.0 months (range, 6.0-84.2 months). PEG was given to 21% of patients. During the follow up period, 76% of patients experienced first recovery with a median time to recovery of 9.8 months. There were no significant differences in time until first recovery and relapse between patients who received and those who did not receive PEG (p=0.99 and 0.06, respectively). Age >6 years, normal defecation frequency, no history of cow's milk protein allergy, and use of laxatives were associated with successful outcomes. Conclusion: Treatment outcomes between patients who had and never had PEG demonstrated no significant difference in our study. Hence, current practices in laxative prescriptive patterns may be effective.

• Asian-Australasian Journal of Animal Sciences
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• 제22권2호
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• pp.289-295
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• 2009

To develop a safer yogurt for immuno-compromised or allergy patients and to extend shelf-life, a plain yogurt was irradiated with doses of 0, 1, 3, 5, and 10 kGy using a gamma ray and the chemical and microbiological quality and allergenicity change were investigated. There was no difference in the content of protein, total solid, and amino acids of the plain yogurt by irradiation treatment and different storage temperatures (4, 20, and $35^{\circ}C$). The lactic acid bacterial counts of irradiated plain yogurt had approximately 3-decimal reduction at 3 kGy, and no viable cell at 10 kGy regardless of storage time and temperature. The binding ability of rabbit antiserum to milk proteins in irradiated plain yogurt showed that 10 kGy of irradiation produced significantly higher binding ability than other treatments. Sensory evaluation indicated that only appearance of the plain yogurt irradiated at 3 kGy or higher had a lower value than the non-irradiated control when stored at $20^{\circ}C$. Results suggest that irradiation of plain yogurt does not significantly affect the chemical and sensory quality of plain yogurt, but can extend the shelf-life, possibly reduce allergenicity, and provide a safer product.