한국 유아의 영양 섭취 현황: 2007∼2009년 국민건강영양조사를 바탕으로
Nutritional Status of Korean Toddlers: From the Korean National Health and Nutrition Examination Survey 2007∼2009
0
조회
0
다운로드
23
인용
0
참고문헌
키워드
초록
Purpose: The aim of this study was to investigate the feeding patterns, use of dietary supplements, and nutrient intake of Korean toddlers. Methods: We used data for 930 toddlers who participated in the 4th Korean National Health and Nutrition Examination Survey (KNHANES) from 2007 to 2009. Feeding patterns and use of dietary supplements were assessed using standardized questionnaires, and nutrition intake was assessed using the 24 hr recall method. Results: In 2007∼2009, 48.7% of toddlers used dietary supplements. Most parents (95.4%) initiated a regime of dietary supplements for their children following the advice of friends or relatives. Only 0.4% of parents followed the advice given by their doctors for dietary supplements use. In the survey of nutrient intake for toddlers, the prevalence of inadequate calcium intake was 53.9% for subjects aged 1 year, 55.2% for 2 years and 65.6% for subjects aged 3 years. The prevalence of inadequate iron intake was 52.0% for subjects aged 1 year, 48.7% for 2 years and 48.4% for subjects aged 3 years. In the survey performed on feeding patterns of toddlers during the infant period, mixed feeding accounted for 57.4%, breast feeding for 32.2%,and formula feeding for 10.4%. Sixty-five percent of toddlers began weaning between 4 and 6 months. Conclusions: This study indicated that a number of toddlers were at risk of inadequate calcium and iron intake. The role of professionals in counseling for qualified dietary intake and dietary supplement use is therefore necessary for Korean toddlers. (Korean J Pediatr Gastroenterol Nutr 2011; 14: 161∼170)
Abstract
Purpose: The aim of this study was to investigate the feeding patterns, use of dietary supplements, and nutrient intake of Korean toddlers. Methods: We used data for 930 toddlers who participated in the 4th Korean National Health and Nutrition Examination Survey (KNHANES) from 2007 to 2009. Feeding patterns and use of dietary supplements were assessed using standardized questionnaires, and nutrition intake was assessed using the 24 hr recall method. Results: In 2007∼2009, 48.7% of toddlers used dietary supplements. Most parents (95.4%) initiated a regime of dietary supplements for their children following the advice of friends or relatives. Only 0.4% of parents followed the advice given by their doctors for dietary supplements use. In the survey of nutrient intake for toddlers, the prevalence of inadequate calcium intake was 53.9% for subjects aged 1 year, 55.2% for 2 years and 65.6% for subjects aged 3 years. The prevalence of inadequate iron intake was 52.0% for subjects aged 1 year, 48.7% for 2 years and 48.4% for subjects aged 3 years. In the survey performed on feeding patterns of toddlers during the infant period, mixed feeding accounted for 57.4%, breast feeding for 32.2%,and formula feeding for 10.4%. Sixty-five percent of toddlers began weaning between 4 and 6 months. Conclusions: This study indicated that a number of toddlers were at risk of inadequate calcium and iron intake. The role of professionals in counseling for qualified dietary intake and dietary supplement use is therefore necessary for Korean toddlers. (Korean J Pediatr Gastroenterol Nutr 2011; 14: 161∼170)
참고문헌 (35)
- Kretchmer N, "Infancy and nutrition, in Developemental nutrition. 1st ed", pp.30~ (1997), Allyn and Bacon
- Wright AL, "Infant-feeding practices among middle-class anglos and hispanics", pediatr, 82, pp.496~503 (1988)
- Lee SJ, "A survey on the present status of weaning", J Korean Pediatr Soc, 37, pp.1643~1656 (1994)
- Lee HG, "Survey on the present status of weaning in Korean children", J Korean Pediatr Soc, 21, pp.664~672 (1978)
- 염혜원, "이유기 보충식 현황과 어머니 인식 조사", Korean Journal of Pediatrics, 52(10), pp.1090~1102 (2009), 대한소아과학회
- 이종현, "인공영양아의 조제유 및 이유식 섭취에 따른 영양소섭취 실태조사", 한국식품영양학회지, 19(4), pp.539~551 (2006), 한국식품영양학회
- 위현우, "두 종합 병원을 방문한 영유아 양육자의 이유식에 대한 인지도 조사", Pediatric Gastroenterology, Hepatology & Nutrition, 9(2), pp.233~241 (2006), 대한소아소화기영양학회
- 김기남, "여성들의 수유양상 및 수유방식의 선택에 영향 주는 김기남", 대한지역사회영양학회지, 8(3), pp.288~301 (2003), 대한지역사회영양학회
- "Korea National Health and Nutrition Examination Survey"[URL]
- 2010 The Korean Nutirition Society, "Dietary reference intakes for Koreans", 1~7 (2010)
- Kim SK, "Year 2009 survey on the national fertility, family health and welfare", Korea Institue of Health and Social Affairs (KIHASA), 4~5 (2009)
- Benson JD, "Infant formula development: past, present and future", Endocr Regul, 28, pp.9~16 (1994)
- Ogra SS, "Immunologic aspect of human colostrums and milk. I. Distribution characteristics and concentration of immunoglobulins at different times after the onset of lactation", J Pediatr, 92, pp.546~549 (1978)
- Lee SJ, "A survey on the factors related to the failure of breastfeeding", J Korean Pediatr Soc, 40, pp.1336~1345 (1997)
- Weichert CE, "Lactational reflex recovery in breast- feeding failure", Pediatrics, 63, pp.799~803 (1979)
- 박은영, "모유수유에 대한 산모의 의식과 실천 현황", Korean Journal of Pediatrics, 48(11), pp.1162~1165 (2005), 대한소아과학회
- Bang HG, "Present status and problems of weaning", J Pediatr, 30, pp.266~273 (1987)
- Fiocchi A, "Food allergy and the introduction of solid foods to infants: a consensus document. Adverse Reactions to Foods Committee; American College of Allergy, Asthma and Immunology. Food allergy and the introduction of solid foods to infants: a consensus document", Ann Allergy Asthma Immunol, 97, pp.10~20 (2006)
- Wilson AC, "Relation of infant diet to childhood health: seven year follow up of cohort of children in Dundee infant feeding study", BMJ, 316, pp.21~25 (1998)
- Morgan JB, "Does weaning influence growth and health up to 18 months", Arch Dis Child, 89, pp.728~733 (2004)
- World Health Organization, "Complementary feeding: family foods for breastfed children" (2000), World Health Organization
- Northstone K, "ALSPAC Study Team. The effect of age of introduction to lumpy solids on foods eaten and reported feeding difficulties at 6 and 15 months", J Hum Nutr Diet, 14, pp.43~54 (2001)
- Lee JT, "Milk and commercial baby food in children", J Pediatr, 39, pp.1066~1074 (1996)
- 강지웅, "모유 수유아와 생우유를 먹인 아기의 철분결핍에 관한 연구", Korean Journal of Pediatrics, 49(2), pp.144~149 (2006), 대한소아과학회
- Agostoni C, "Complementary feeding: a commentary by the ESPGHAN committee on nutrition", J Pediatr Gastroenterol Nutr, 46, pp.99~110 (2008)
- Michaelsen KF, "Cows milk in complementary feeding", Pediatrics, 106, pp.1302~1303 (2000)
- Picciano MF, "Dietary supplement use among infants, children, and adolescents in the United States, 1999-2002", Arch Pediatr Adolesc Med, 161, pp.978~985 (2007)
- Moya FR, "Nutritional requirements of the term newborn, in Textbook of Pediatric Nutrition. 2nd ed", pp.9~22 (1993), Raven Press
- 안홍석, "서울지역 일부 영유아의 영양소 섭취에 관한 연구", 한국모자보건학회지, 7(2), pp.5~ (2003), 한국모자보건학회
- 장수정, "서울 일부지역의 조제유수유 영유아에서 조제유 및 이유보충식에 의한 영양소섭취 실태조사", 대한지역사회영양학회지, 9(3), pp.251~262 (2004), 대한지역사회영양학회
- Butte NF, "Nutrient intakes of US infants, toddlers, and preschoolers meet or exceed dietary reference intakes", J Am Diet Assoc, 110(12), pp.27~37 (2010)
- Glader B, "Iron deficiency anemia, in Nelson textbook of pediatrics. 18th ed", pp.2014~2018 (2007), Saunders Elsevier
- Pizarro F, "Iron status with different infant feeding regimens: relevance to screening and prevention of iron deficiency", J Pediatr, 118, pp.687~692 (1991)
- American Academy of Pediatrics, "Committee on nutrition:iron fortification of infant formulars", Pediatr, 104, pp.119~123 (1999)
- "Pediatric nutrition surveillance 2008 report"[URL]