• 제목/요약/키워드: nutritional intakes status

검색결과 586건 처리시간 0.025초

한국인의 식이섭취와 암 유발의 관계에 관한 연구 -제 1 보 특히 ${\beta}-Carotene$ 섭취량과 혈청내 수준을 중심으로 - (A Study of Relation Between Dietary Vitamin A Intake and Serum Vitamin A Levels and Cancer Risk in Korea)

  • 이기열;이양자;박영심;윤교희;김병수
    • Journal of Nutrition and Health
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    • 제18권4호
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    • pp.301-311
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    • 1985
  • Even though the anticarcinogenic effect of dietary factors especially beta - carotene has been reported by various investigators, the mechanism of the action of ${\beta}-carotene$ has not yet been identified. We carried out the present study to determine the possibilities of relative cancer risk related to dietary intake of vitamin A ( both ${\beta}-carotene$ and retinol ) and blood levels of vitamin A among Koreans. The subjects were divided into two groups; cancer patients and controls. Blood levels for ${\beta}-carotene$ and retinol were analyzed by alumina column chromatography and colorimetry. Dietary intake was examined by food profile and convenient method for evaluating nutritional status through recalling 10 years of food habits. The results obtained are as follows : 1 ) Calorie, protein, fat, and carbohydrate intakes of cancer patient were lower than those of control. Calorie and carbohydrate intakes showed no significant difference but protein and fat intakes were significantly lower in cancer patients. According to cancer sites, in stomach cancer only fat intake was significantly lower than that of control. In lung and larynx cancer calorie, protein, fat and carbohydrate intakes showed similar trend as in control. 2 ) Vitamin A intake of cancer patient was significantly lower than that of control. It was estimated that 83.6% of total Vitamin A intake were provided by ${\beta}-carotene$ for control and cancer patient respectively. 3 ) The mean intake of dietary ${\beta}-carotene$ in cancer patient was significantly lower than that in control ( $7002\;\mu}g/day$ versus $10326\;{\mu}g/day$ ) According to cancer sites in mean intake of dietary ${\beta}-carotene$ was significantly lower in all but stomach cancer compared with that of control. Lung and larynx cancer showed lowest ${\beta}-carotene$ intake with mean value of $5855{\mu}g/day$ and $5492{\mu}g/day$ respectively. 4 ) The mean intake of dietary retinol in cancer patient was significantly lower than that in control ( $245{\mu}g/day$ versus $338{\mu}g/day$ ), but the difference was not significant. 5 ) The relative risk of all cancers in the first (lowest) to the forth quartile level of ${\beta}-carotene$ consumption such as $0-5999{\mu}g/day$. $6000-8999{\mu}g/day$, $9000-11999{\mu}g/day$/ day and $12000-20000{\mu}g/day$ was 85 : 1.7 : 20 : 1.0. The relative risk of all cancers in the first (lowest) to the forth quartile level of retinol consumption, such as $0-299{\mu}g/day$, $300-599{\mu}g/day$, 600-899${\mu}g/day$, and $900-1200{\mu}g/day$, was 1.14 : 067 : 0.21 : 1.0. 6 ) The various food group consumption of cancer patient were significantly lower than those of control in green leafy vegetables, fruits, sea weeds, milk and cheese and eggs. But the Kimchie consumption in cancer patient was three fold higher than that of control ( $1840\;{\mu}g/day$ versus $562\;{\mu}g/day$ ) and in the stomach cancer, Kimchie consumption was the highest, ( $1890\;{\mu}g/day$) According to cancer sites, the consumption of green leafy vegetables was significantly lower in all but stomach cancer compared to control and other vegetables showed no difference between two. In lung and larynx cancer, green leafy vegetables consumption was lowest ( $6094{\mu}g/day$ $5921{\mu}g/day$) and milk and cheese consumption was also( $5\;{\mu}g/day$ and $11{\mu}g/day$) 7 ) The recovery of ${\beta}-carotene$ from human serum by alumina column chromatography was $94.4{\pm}2.3%$. 8 ) Cancer patients showed significantly lower serum retinol ($56.4{\pm}18.1\:{\mu}g/100ml$ versus $72.2{\pm}21.8\:{\mu}g/100ml$) and ${\beta}-carotene$ ($48.9{\pm}33.8\:{\mu}g/100ml$ versus $72.2{\pm}42.6\:{\mu}g/100ml$) concentrations than in controls. 9 ) But breast cancer patients were not significantly different from controls in their serum retinol and ${\beta}-carotene$ concentrations.

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임신성 당뇨병 환자의 식습관 및 식이섭취에 관한 환자-대조군 연구 (A Case-Control Study of Food Habits and Diet Intakes of Women with Gestational Diabetes Mellitus)

  • 지선경;장학철;최혜미
    • Journal of Nutrition and Health
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    • 제41권1호
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    • pp.41-53
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    • 2008
  • 임신성 당뇨병의 발병에 영향을 미치는 식이 인자를 알아보고자 컴퓨터용 식품섭취 빈도조사지와 설문지 등을 이용하여 임신성 당뇨병의 환자군-대조군 연구를 시행한 결과는 다음과 같다. 임신성 당뇨병군이 대조군보다 연령과 BMI가 높았고, 당뇨병의 가족력이 많았다. 임신전의 식습관은 임신성 당뇨병군이 대조군보다 1일 식사횟수가 적었고, 식사시간이 불규칙하고 식사속도가 빨랐으며 채식을 적게 하고 기름진 음식을 싫어하는 경향이었으며, 식습관점수가 낮았다. 식품섭취빈도법으로 조사한 영양소 섭취량에서는 임신성당뇨병군이 대조군보다 탄수화물의 섭취량이 유의적으로 많았고 단백질의 에너지 섭취비율이 유의적으로 낮았다. 지방의 섭취량에는 두 군간에 차이가 없었으며 임신성 당뇨병군이 대조군보다 단백질과 칼슘, 인, 비타민 B,의 영양밀도가 유의적으로 낮았다. 두 그룹간에 섭취량에 유의적 차이를 보이는 식품 중 쌀, 중국국수, 돼지고기 등은 임신성 당뇨병군에서 대조군보다 많이 섭취하였고, 옥수수, 오징어채, 큰멸치, 수박, 포도, 복숭아, 밤, 땅콩, 호상 요구르트, 치즈, 검정콩, 당근 등은 대조군에서 섭취량이나 섭취빈도가 많았다. 두 군 사이에 섭취량에 유의적 차이를 보이는 음식 중 온면, 시루떡, 햄버거, 돼지고기편육, 삶은 계란 등은 임신성 당뇨병군에서 섭취량이 많았고, 전병, 두부조림, 오징어채무침, 깍두기, 야채샐러드, 김치국, 과일샐러드, 콩밥, 콩조림, 토마토쥬스 등은 대조군에서 섭취량이나 섭취빈도가 많았다. 특히 쌀의 경우에는 임신성 당뇨병군이 대조군보다 섭취량은 많았으나 섭취빈도는 적어 임신성 당뇨병군에서 1회의 섭취분량이 많았던 것으로 생각할 수 있다. 영양소 중에서는 탄수화물이나 에너지의 섭취량이 많을 때 임신성 당뇨병의 odds ratio가 증가하였고, 식품이나 음식은 쌀, 국수, 돼지고기, 온면, 시루떡, 햄버거, 삶은 계란, 돼지고기편육 등의 섭취량이 많을 때 임신성 당뇨병의 odds ratio가 증가하였다. 상관관계의 분석결과 에너지 섭취량, 탄수화물 섭취량 등이 혈액의 포도당농도와 상관관계가 있는 것으로 나타났다. 이상으로 본 연구 결과를 종합해 볼 때 임신성 당뇨병에 영향을 미치는 식이 인자는 지방보다는 탄수화물의 섭취량으로 생각되어지며 단백질을 포함한 식사의 질과 바람직하지 않은 식습관이 영향을 미칠 수 있음을 생각해 볼 수 있다.

일개 도시지역 임신부의 영양섭취에 관한 조사연구 -간이식 영양조사법 이용- (A Nutrition Intakes Survey of Pregnant Women in a Urban Area -Application of Convenient Method for the Study of Nutritionial Status-)

  • 김인숙
    • Journal of Preventive Medicine and Public Health
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    • 제16권1호
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    • pp.99-104
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    • 1983
  • Aiming at the total 200 pregnant women including 150 ones registered with the Health Center of Chung Ku District and 50 ones registered with the Health Center of Mapo District, we have conducted a research study of the socio-medical characteristics, maternal child health, and the status of nutritional intake which has utilized the application of convenient method for the study of nutritional status, during the period of April 20 to May 25, 1983. And we have obtained the following conclusions: 1. Regarding age distribution, the pregnant women aged from 26 to 30 were most numerous, which was 54.0%. The percentage of women who experienced the first pregnancy was 12.0% and the percentage of those who experienced the second pregnancy was 37.0%, which was the highest. Regarding the weeks of pregnancy of the pregnant women, the first trimesterr was 11.5%, the second trimester 30.0%, and the third trimester 58.6%. 2. Regarding academic achievements, the pregnant women who graduated from middle schools reached 43.5%, which was the highest percentage. Regarding economic status, the pregnant women who owned their own houses were only 21.0%. And the pregnant women whose monthly income was from 300,000 won to 400,000 won were 40%, which was the most numerous. 5. The women above 15 years old who experienced the first menstruation were 84.0%. And those who experienced abortion were totally 54.4%. and 35.5% among those women experienced artificial abortion. 4. 70.5% of the pregnant women said that their health condition was excellent, 24.5% felt subjective complaints, and 5.0% specially received medical consultation for their diseases. 5. 82.0% received prenatal care, but 60.5% regularly received prenatal care. 68.0% received the education for nutrition and only 19.5% regularly received the education for nutrition. 6. Regarding the family composition, the families consisting of two generations were 47.0%, which was the most numerous. 97.5% of the preparation for meals was conducted by housewives. They said that they did not lack time for meal preparation. 7. 94.9% of the pregnant women said that they had eaten as in ordinary times during their pregnancy. 25.5% said that there were tabooed foods. Tabooed foods are chiefly pork, chicken, milk, and eggs. 68.0% don't drink milk during pregnancy, 32.5% take the intake of vitamins, and 20.5% take iron supplement. 8. The average amounts of the intake of protein, fat, and carbohydrate of a pregnant women are 49.3gm, 29.4gm, and 205.1gm respectively, which showed the phenomenon in which the amount of the intake of nutrition increased as the weeks of pregnancy increased. The average amount of the intake of salt was 14.2gm. 9. Regarding the hemoglobin value of all pregnant women, those whose hemoglobin value was less than 11.0gm were 66.5%, those whose hemoglobin value was 11 to 12 gm were 16.5%. and those whose hemoglobin value was above 12gm were 17.0%. The pregnant women whose hemoglobin value was less than 11.0gm in the first trimester of pregnancy, in the second trimester, and in the trimester were 81.8%, 62.8%, and 64.9% respectively. This shows that the phenomenon of anemia increased as the weeks of pregnancy increased 10. Regarding physical development of a pregnant woman during prenatal period, the height and weight were $156.7cm{\pm}14.1$ and $51.1kg{\pm}58$ respectively. When the standard increase of a prenatal weigt gain is set as 100%, the women over the range of 100% were 28.0% and the women under the range of 80% were 37.0%.

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한국에 거주하고 있는 북한이탈주민 여성의 골밀도에 따른 식생활과 영양상태 (Dietary behaviors and nutritional status according to the bone mineral density status among adult female North Korean refugees in South Korea)

  • 김수현;이수경;김신곤
    • Journal of Nutrition and Health
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    • 제52권5호
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    • pp.449-464
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    • 2019
  • 골다공증은 뼈 조직의 미세 구조 이상으로 골밀도가 감소되어 뼈의 골절율이 증가하는 질환이며 노인에게 있어 심각한 합병증을 증가시킨다. 이러한 골다공증의 2가지 위험요인은 청소년기 및 성인기에 낮게 형성된 최대 골질량과 폐경 및 노화로 인해 골질량이 빠르게 손실되는 것이다. 위험요인들은 복합적으로 연관되어 유발되는데 유전적 요인과 고령, 폐경, 호르몬, 칼슘, 비타민 D의 섭취, 단백질의 섭취부족과 카페인 섭취 등이 보고되고 있다. 북한이탈주민의 경우 북한에서 식량난으로 말미암아 골질량이 낮게 형성되어 있을 가능성이 커서 골다공증 위험군이라고 할 수 있지만 연구가 부족한 상황이다. 이에 이 연구는 골다공증 발병 위험이 높을 것으로 예상되는 북한이탈 여성들의 뼈 건강 상황을 알아보고 북한과 남한에서의 식생활과의 관련사항을 알아보고자 하였다. 연구대상은 고려대학교 북한이탈주민 (NORNS) 코호트에서 추출하였는데 골밀도 검사와 식이조사를 마친 여성 총 110명이었다. 북한에서의 식생활은 국민건강영양조사에서 사용하는 식품안정성 질문으로 알아보았고, 남한에서의 식생활은 24시간 회상법과 국민건강영양조사에서 사용하는 식품섭취빈도조사 설문지를 수정하여 알아보았다. 대상자의 사회경제교육수준, 체중과 신장 등은 검진의 일환으로 수집되었다. 이중에너지 방사선법 (DEXA)으로 척추와 대퇴골 골밀도를 측정하였다. 골밀도 진단기준으로 폐경전 여성은 z-값이 -2.0이상인 연령 기대치 이내 대상자, 폐경 후 여성은 t-값이 -1.0이상인 대상자를 골밀도 정상범위군으로, 폐경 전 여성으로 z-값이 -2.0이하는 연령 기대치 이하 대상자와 폐경 후 여성으로 t-값이 -1.0미만인 대상자를 골밀도 이상군으로 분류하였다. 골밀도 정상범위군은 62.7% (69명), 골밀도이상군은 37.3% (41명)로 나타났는데 정상군이 이상군에 비하여 어렸고 ($40.8{\pm}6.1$세 vs $60.2{\pm}8.2$세, p < 0.001) 복부둘레가 가늘었다 ($77.0{\pm}8.6cm$ vs $82.1{\pm}8.3cm$, p = 0.004). 또한 정상군은 14.5%가 폐경된 반면 이상군은 100% 폐경이 되었다 (p < 0.001). 식품섭취빈도조사로 주당 평균섭취빈도를 비교했을 때, 정상군이 이상군에 비하여 우유 (4.9회 vs 1.9회, p = 0.03), 요거트 (3.7회 vs 2.5회, p = 0.015), 우유 및 유제품군 (3.2회 vs 1.6회, p = 0.007)을 더 자주 섭취하였다. 정상군 ($146.3{\pm}143.2mg$)은 동물성 칼슘을 이상군 ($78.4{\pm}99.9mg$)보다 많이 섭취하였으며 (p = 0.009), 칼슘 평균필요량보다 미만으로 섭취한 분율이 정상군이 49.3%, 이상군은 78.0%로 이상군이 약 1.5배 높게 나타났다. 영양소 질적지수에서 칼슘을 제외한 나머지 영양소는 1이상으로 나타났고 단백질과 인질적지수가 정상범위군에서 유의하게 높았다 (p < 0.05). 두 그룹 간에 북한에서의 식품안정성 차이는 없었다. 이 연구를 통하여 고령의 북한이탈 여성이 골다공증 위험군임을 파악하였으며 뼈 건강에 중요한 영양소인 칼슘 섭취가 낮은 수준임을 알 수 있었다. 이 연구는 코호트 자료를 활용하였으나 골밀도 검사와 식이조사가 같은 시기에 이루어져서 인과관계를 파악하는데 한계가 있다. 24시간 회상법의 경우 하루만 진행하였기에 평상시 식생활을 반영하기에는 어려움이 있지만 식품섭취빈도조사도 같은 결과를 보였기에 신뢰할 수 있는 결과라고 하겠다. 이러한 결과를 바탕으로 북한이탈 여성에 대한 반드시 뼈 건강에 대한 건강증진 프로그램이 필요하다고 하겠다.

여자노인에서 항산화 비타민 보충이 혈장 지질 개선에 미치는 영향 (Effects of Antioxidant Supplementation on Lipid Profiles in Elderly Women)

  • 임재연;김옥현;김정희
    • 대한지역사회영양학회지
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    • 제11권1호
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    • pp.133-142
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    • 2006
  • Antioxidant vitamin supplementation focuses one's attention on the prevention of age-related diseases. This study was conducted to investigate the antioxidant status and lipid profiles and to look into the antioxidant vitamin supplementation that affects lipid metabolism in 20 elderly non-smoking Korean women (placebo group: n = 6, vitC suppl: n = 7, vitE suppl: n = 7). Age, height, weight, muscle, percent of fat and WHR were not significantly different among the groups, however $\%$ of fat was above $33\%$ and WHR was above 0.9. And blood pressure of the placebo group was 131.7/81.7 (border line hypertension), that of vitamin C supplement was 141.4/87.1 (hypertension) and that of vitamin E supplement was 151.4/92.9 (hypertension). Although nutrient intakes of all groups were poor, antioxidant status (blood vitamins C, E, A, and beta-carotene) and lipid profile (TG, total-cholesterol, VLDL-cholesterol, LDL-cholesterol, HDL-cholesterol) were normal. For nutritional intervention, the vitamin C supplement group received L-ascorbic acid 1,000 mg, and vitamin E supplement group received d-alpha-tocopherol 400IU for 4 weeks, showing the effects of vitamin E supplementation. Response total cholesterol of HDL-cholesterol (T-Chol/HDL) in vitamin E supplement group was significantly decreased from 4.3 to 3.2. And response LDL-cholesterol of HDL-cholesterol (LDL/HDL) in the vitamin E supplement group was also significantly decreased from 2.6 to 1.7. In addition, after the adjustment for plasma lipids (TG, total cholesterol), plasma vitamin A levels in vitamin E supplement group were significantly increased from 7.89 mg/g to 14.91 mg/g. And systolic blood pressure in vitamin E supplement group was significantly reduced. These results suggested that vitamin E supplementation affects the lipid profiles and blood pressure in elderly non-smoking women. So various nutrition programs must be implemented against age-related diseases and further studies are needed regarding sorts and amounts of antioxidant nutrients and supplementation periods.

임신 중 모체와 신생아 제대 혈청의 엽산과 비타민 $B_{12}$ 농도 변화 (A Change of Serum Folate and Vitamin $B_{12}$ Concentrations of Maternal and Umbilical Cord Blood during Pregnancy)

  • 이금주;장혜미;안홍석
    • 대한지역사회영양학회지
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    • 제10권5호
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    • pp.615-622
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    • 2005
  • Folate and Vitamin $B_{12}$ are essential nutrients important during pregnancy. This study was conducted to evaluate the folate and vitamin $B_{12}$ nutritional status of Korean pregnant women and to investigate the relationship between maternal­umbilical cord serum folate and vitamin B12 levels and pregnancy outcomes. Dietary intakes of the pregnant women were estimated by 24 hour-recall (3 times). Serum folate and vitamin B12 levels in maternal blood and umbilical cord of 27 pregnant women at 1'st-, 2'nd-, 3'rd-trimester and delivery were measured by RIA (radioimmuno assay), respectively. Means of folate and vitamin $B_{12}$ intake were $283.53\pm58.01{\mu}g/day\;and\; 2.99\pm1.32mg/day$, respectively. Maternal mean serum folate levels of the trimester and delivery were $9.75\pm3.60ng/ml,\;10.46\pm4.63ng/ml,\;10.71\pm4.14ng/ml\;and\;15.05\pm7.04ng/ml$. Those maternal levels were significantly lower than that of umbilical cord blood $(23.99\pm9.42ng/ml)$. Serum vitamin $B_{12}$ levels of maternal trimester and delivery were $479.07\pm137.56 pg/ml,\;310.96\pm137.56pg/ml,\;308.22\pm74.65pg/ml,\;and\;295.67\pm93.36pg/ml$, which were significantly lower than those of umbilical cord blood $(500.13\pm185.60ng/ml)$. This finding indicates that the uptake of folate and vitamin $B_{12}$ in the fetus may be due to an active placental transport mechanism. Maternal serum level correlated positively with those of umbilical cord blood, showing that folate and vitamin $B_{12}$ concentration of umbilical cord blood might be affected by maternal status. There was no significant correlation between the serum folate levels in maternal-umbilical cord blood and the pregnancy outcomes. However, maternal vitamin $B_{12}$ level at l'st trimester was significant positive correlation between the gestational age except for birth weight and weight gain.

비행청소년과 일반청소년의 식생활 비교 연구 (h Study on Dietary Practices of Juvenile Delinquents in Korea)

  • 박선주;최혜미;모수미;박명윤
    • 대한지역사회영양학회지
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    • 제8권4호
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    • pp.512-525
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    • 2003
  • The relationship between dietary practices and juvenile delinquency was studied using a dietary survey. Subjects were selected from juvenile delinquents who were under the supervision of the Seoul Probation Office of the Ministry of Justice. The study group consisted of 52 male and 52 female delinquents. As a control group, 104 exemplary high school students were selected in Seoul. A questionnaire was designed to find out the subjects' general characteristics, dietary habits, lifestyle, eating behavior, food frequency, and nutrient intake using the 24-hour recall method. Compared to the exemplary students, the juvenile delinquents were significantly different in education level, family status, monthly allowance, residence status, breast fed, parents' education level, parents' concern. In dietary habits, fifty-eight percent of the juvenile delinquents ate 2 or fewer meals per day, preferred to eat with friends, and liked hot tasting foods. The juvenile delinquents consumed more ion drinks (OR = 9.26 CI: 3.83 -22.37), rameon (OR = 7.67 CI: 3.21 - 18.33), cola (OR = 6.75 CI: 2.91 - 15.69), soft drinks (OR = 6.12 CI: 2.53- 14.81), steamed korean sausage (OR = 5.34 CI:2.31 - 12.32), hamburger (OR = 5.15 CI: 1.91 - 13.87), kimbab (OR = 3.63 CI: 1.76-7.46), ddokbokgi (OR = 3.17 CI: 1.58-6.38), candy (OR = 3.08 CI: 1.41-6.73), white rice (OR = 2.59 CI: 1.19-5.64), hotdog (OR = 2.52 CI: 1.31-4.86), and less rice mixed with grains (OR = 0.02 CI: 0.01-0.05), tangerine (OR = 0.06 CI: 0.02 - 0.20), milk (OR = 0.29 CI: 0.14 - 0.60), roasted fish (OR = 0.32 CI: 0.28-0.99, anchovy (OR = 0.35 CI: 0.17 - 0.72), seaweed (OR = 0.37 CI: 0.16 - 0.83), and tofu (OR = 0.48 CI: 0.23-0.99) than the exemplary students. With respect to the juvenile delinquents, the nutrient intakes lower than 75% of the Korean RDA were for riboflavin (75.0%) and calcium (47.9%) among the boys, and calcium (46.9%) and iron (60.4%) among the girls. To prevent juvenile delinquency, nutritional education and well-balanced school food service meals should be emphasized so as to improve the management of dietary practices. (Korean J Community Nutrition 8(4) : 512∼525, 2003)

어머니 취업여부에 따른 자녀의 영양소 섭취 수준과 비만 유병률 비교 - 국민건강영양조사 자료(2013-2015년) 활용 - (Children's Food Intake and Nutrition Levels, and Obesity by Maternal Employment: Based on the Korea National Health and Nutrition Examination Survey 2013-2015)

  • 강근영;이윤나;엄미향;계승희
    • 대한지역사회영양학회지
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    • 제24권4호
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    • pp.331-342
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    • 2019
  • Objectives: This study examines the intake of food and nutrients of children according to the employment and working hours of their mothers. Methods: The married women in the source data from the 6th National Health and Nutrition Survey were classified into full-time working mothers, part-time working mothers and housewives according to the working type and the data on their children from 3 to 18 years old were analyzed using SAS 9.4. Results: The group from 3 to 5 years old was the smallest group with 682 children (20.2%), followed by the group from 6 to 11 years with 1,345 children (39.8%) and the group from 12 to 18 years old with 1,355 children (40.1%). The lowest rates for having no breakfast and dinner were observed in the group with housewives (p<0.05). The calcium and phosphorous intakes were the highest in the group with housewives at 61.9% and 126.8%, respectively, and the lowest in the group with full-time working mothers at 54.7% and 115.3%, respectively (p<0.05). The group with full-time working mothers had the highest rate in the calcium and iron intake less than the dietary reference intake at 74.9% and 30.0%, respectively. It indicated that the group with full-time working mothers did not have sufficient nutrients as compared to the other two groups. Moreover, the group with the part-time working mothers showed the high vitamin A intake ratio of 41.4% (p<0.05). Conclusions: This study found evidence of a negative association between mother's employment status and children's diet quality. The employment and economic activity of married women will continuously increase in the future. Therefore, a national nutrition policy is required to provide quality nutrition care for children in the households.

식품안정성 수준에 따른 한국노인의 건강상태와 영양섭취현황: 제7기 (2016-2018) 국민건강영양조사 자료 활용 (Health and nutrition intake status of the Korean elderly according to their food security level: data from the 7th Korea National Health and Nutrition Examination Survey (KNHANES VII), 2016-2018)

  • 맹아름;이지현;윤은주
    • Journal of Nutrition and Health
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    • 제54권2호
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    • pp.179-198
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    • 2021
  • 본 연구는 제7기 (2016-2018년) 국민건강영양조사 자료를 활용하여 노인의 식품안정성에 따른 건강과 영양섭취 현황을 분석하고자 하였다. 식품불안정 그룹일수록 직장건강보험 가입자 비율이 유의적으로 낮았으며, 자신의 건강상태에 대한 주관적 평가 점수가 낮았다. 질환과의 상관관계에서 식품불안정 그룹일수록 남자는 류마티스성 관절염, 골다공증에서 여자는 고혈압과 뇌졸중 진단 비율이 높았으며, 관절염과 골관절염은 남녀 노인 모두에서 질환보유 비율이 유의적으로 높게 나타났다. 의료이용실태에서는 식품안정성이 낮을수록 필요한 의료를 받지 못한 것으로 나타났고, 의료서비스를 이용하지 못한 이유를 분석해본 결과, 경제적인 이유라고 답한 비율이 식품안정성이 낮은 그룹에서 높았다. 또한 남녀 노인 모두 유의하게 나타나는 변수를 보정한 후, 건강관련 삶의 질 저하에 대해 식품안정성에 따라 분석한 결과, 성별에 따라 세부 항목에 차이는 나타났지만 전반적으로 식품불안정 그룹일수록 안정한 그룹에 비해 더욱 삶의 질이 저하되는 위험이 컸다. 한 번에 마시는 음주량이 7잔 이상인 비율이 식품안정성이 낮을수록 남녀 노인 모두 유의적으로 높았으며, 특히, 남자 노인에서는 식품안정성이 낮을수록 가족이나 의사로부터 금주를 권유 받거나, 조사 시점 직전 1년 동안 음주 상담을 받은 경험이 유의적으로 더 높았다. 에너지 필요추정량 (EER)보다 낮게 섭취하는 비율이 남녀 노인 모두 식품불안정 그룹에서 유의적으로 높았으며, 단백질, 비타민 A, 비타민 B1, 비타민 B2, 나이아신, 비타민 C, 칼슘, 철분을 낮게 섭취하는 비율 또한 이 그룹에서 유의적으로 높았다. 식품안정성에 따른 영양소의 에너지 섭취비율 및 주요 영양소의 밀도를 분석한 결과, 남녀 모두 단백질, 지방에서의 에너지섭취 비율과 비타민 B2, 나이아신, 칼슘, 칼륨, 인의 영양밀도가 식품불안정 그룹에서 유의하게 낮게 나타났으며, 식품불안정군 남자노인은 비타민 A, 여자 노인은 철분의 영양밀도가 유의하게 낮은 것으로 나타났다. 결론적으로 식품안정성은 사회경제적인 특성, 건강 상태, 삶의 질, 영양과 밀접하게 서로 연계되어 있는 것으로, 고령화 사회에서 취약 계층인 노인의 식품안정성 영향 요인을 확인하여 식품안정성을 확보하는 것과 함께 이들의 식품안정성과 관련한 건강 문제를 개선함으로써 추후 막대한 사회적 비용이 될 노인 의료비를 줄일 수 있는 영양지원 프로그램을 개발하기 위한 방향성을 설정하는데 있어 본 연구가 도움이 될 것으로 사료된다.

임신부의 비타민 $B_{6}$ 섭취와 모체와 제대혈 및 태반 조직의 비타민 $B_{6}$농도 (Maternal Vitamin $B_{6}$ Intake and Vitamin $B_{6}$ Level in Maternal, Umbilical Cord Plasma and Placenta)

  • 안홍석;이금주;정환욱
    • Journal of Nutrition and Health
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    • 제35권3호
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    • pp.322-331
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    • 2002
  • 본 연구는 정상만기분만 임신부 (30명)와 그들의 신생아를 대상으로 임신부와 비타민$B_{6}$ 섭취양상과 모체와 신생아 제대혈장 및 태반조직내의 비타민$B_{6}$ 농도를 측정하고 이들 농도와 임신결과와의 상관성을 조사하며, 모체에서 태아로 비타민$B_{6}$가 이동될 때, 태반의 역할을 규명하고자 하였다. 임신부의 평균 연령과 임신 전 체중 및 신장은 각각 25.9세, 53.8kg 및 161 cm 였으며, 임신 전 체중 및 신장은 각각 25.9세, 53.8 kg 및 161cm 였으며, 임신 전 BMI는 20.7kg/$m^2$로 정상 범위였다. 수축기와 이완기 평균 혈압은 122.5 mmHg 와 75.2mmHg의 결과로 안정적인 수준이었으며 헤모글로빈 농도와 헤마토크리트치는 12.1g/dl와 36.1%로 양호하였다. 연구대상자 중 93.3%에 해당하는 임신부가 영양보충제를 복용했으며 이 중 85.7%가 엽산과 철분이 포함된 빈혈 치료제를 이용한 것으로 조사되었다. 영양보충제의 평균 복용기간은 16.3주였다. 임신부가 1일 평균 열량 섭취량은 2189.5kcal로 권장량의 93.2%였으며, 단백질은 79.3g(113.3%)으로 권장량을 상회하였다. 비타민 B$_{6}$의 평균 섭취량은 권장량은 91.4%인 1.7mg이었고, 비타민 $B_{6}$의 평균 섭취량은 권장량은 91.4%인 1.7mg이었고, 비타민 $B_{6}$ 영양밀도와 단백질 g 당 섭취량은 각각 0.8와 0.02mg으로 양호한 결과였다. 그러나, 비타민$B_{6}$의 주된 공급식품이 곡류 및 전분류 (50%)와 야채 및 과일류 (33%)로 식물성 식품이 대부분이었다. 임신 말 모체 혈장과 신생아 제대혈장의 PLP 농도는 각각 16.7$\pm$4.1 nmol/l와 61.3$\pm$19.8 nmol/l로 제대혈장의 PLP 농도가 유의적으로 높았으며, 태반조직의 PLP 농도는 898.6$\pm$159.2ng/g으로 혈장의 PLP 농도에 비해 매우 높은 값을 보였다. 모체와 태반조직 및 신생아 제대혈장간 PLP 농도의 상관성을 조사한 결과, 모체 혈장과 태반 조직간 (p<0.0001), 태반 조직과 신생아 제대혈장간 (p<0.05), 모체 혈 장과 제대혈장간(p<0.05) 유의적인 양의 상관관계가 있었다.