영아식의 종류에 따른 영아의 철분과 아연의 섭취량 및 혈청 농도 고찰 : a review

현태선,민지영,이혜경 충북대학교 교육 ·생활연구소 생활과학연구센터 2002 생활과학연구논총 Vol.5 No.-

Although breast milk is the best food for infants, there will always remain a need for good substitutes when breastfeeding is not possible. Most of these substitutes are based on cow milk, but soy milk has been used as an alternative. It is necessary to ascertain that rearing infants on these formulas yields results comparable to those obtained by breastfeeding. Absorption of trace elements such as iron and zinc is well known to be higher from breast milk than from cow milk formula while absorption from soy formula is lower than from cow milk formula. The studies on the contents of iron and zinc in breast milk, cow milk formula and soy formula, and the intakes and blood levels of iron and zinc in infants fed breast milk, cow milk formula and soy formula, and the intakes and blood levels of iron and zinc in infants fed breast milk and cow milk formula were reviewd. The contents of iron and zinc in artificial formulas were higher than those in breast milk, and the intakes lf iron and zinc in infants fed cow milk, formula were higher than those in infants fed breast milk, However, the blood levels of iron in infants fed cow milk formula were significantly lower than those in infants fed breast milk, and there was no significant difference in the blood levels of zinc between infants fed cow milk formula and those fed breast milk. No results have been reported on the iron and zinc nutriture in Korean infants fed soy formula. More research should be focused on the potential consequences of excessive intakes of iron and zinc in infants fed soy formula as well as cow milk formula.

보건소와 아기친근병원에서의 모유수유 산전 교육 및 지원 실태

현태선,임은영,강남미,김기남 대한지역사회영양학회 2001 대한지역사회영양학회지 Vol.6 No.4

Although breastfeeding is recognized to be vital to the health and well-being of children and women, the rate of breastsfeeding among Korean women has continuously decreased. One barrier to breastfeeding has been identified to be associated with health care providers. Health care professionals do not give sufficient advice and encouragement, next do hospitals provide supportive environments for breastfeeding by separating infants from mothers or providing formula. The purpose of this study was to investigate prenatal breastfeeding education and infant feeding practices in public health centers and baby-friendly hospitals. A telephone survey was carried out on 57 public health centers located in the Seoul and Chungcheong areas and 13 baby-freindly hospitals from February to April in 2000. Among the public health centers, 43.8% offered periodic prenatal education for pregnant women who visited the centers. Most of them used leaflets or pamphlets developed by the Ministry of Health and Welfare or UNICEF. Twenty six percent of the public health centers developed their own educational materials. All of the 13 baby-friendly hospitals gave additional fluids to infants, did not allow mothers and infants to stay together 24 hours a day, and did not foster the establishment of breatfeeding support groups among the mothers. Most of the baby-friendly hospitals gave artificial teats, did not help mothers initiate breastfeeding within a half-hour of birth. Findings indicate that current practices even in the baby-friendly hospitals are not consistent with the '10 steps to success breastfeeding'. Therefore, deliberate efforts should be made to incorporate adequate breastfeeding education into prenatal program in both public health centers and hospitals, and create environments to support breastfeeding in hospitals, even in baby-friendly hospitals.

국내에서 시판되는 비타민·무기질 영양보충제의 성분에 관한 연구

현태선 충북대학교 생활과학대학 생활과학연구소 1996 생활과학연구 Vol.3 No.

-본문참고-

식사의 철분밀도에 따른 남녀 대학생의 식품섭취 패턴 및 철분 영양상태의 차이

현태선,연미영,한영희,황석연,구혜진,김선영 대한영양사협회 2003 대한영양사협회 학술지 Vol.9 No.1

Food intake patterns and iron nutritional status of mate and female college students were studied based on dietary iron density. Dietary data were collected using the method of 24-hour recalls for 3 consecutive days from 106 students, and fasting blood were drawn to measure iron nutritional status indicators such as total iron binding capacity, serum iron, hematocrit, hemoglobin, and red blood cell count. Mean daily iron intakes of male and female students were 13.3mg and 10.0mg, which were 107% and 63% of the RDA, respectively. However, dietary iron density were similar between male and female students as 5.9mg/l,000㎉ and 5.7mg/l,000㎉, respectively. The diets were divided into two groups according to iron density; high iron density group (6mg/1,000㎉ or more) and low iron density group(less than 6mg/1,000㎉). The students in high density group had lower intakes of energy, especially fat, than those in low density group. Female students in high density group showed significantly higher intakes of iron, and non-heme iron and folate than those of low density group. The students in high density group consumed more rice, hamburger, and eggs, while those in low density group consumed more Ra-myon and alcoholic beverages. The students in high density group consumed greater proportions of iron from plant-origin foods. Vegetables, legumes and seasonings were the food groups that female students in high density group consumed significantly more than those in low density group. Also the percentages of female students with iron deficiency were higher in low density group. These results suggest that diet with high iron density is important to improve iron nutritional status of women, and further research about the effective way to increase iron density in our diet is needed.

Microplate Reader를 이용하여 측정한 혈액의 엽산 농도와 실측량 기록법에 의한 엽산 섭취량

현태선,한영희,임은영 대한지역사회영양학회 1999 대한지역사회영양학회지 Vol.4 No.4

Microbiological method using a 96-well microplate reader for folate assay was established, and folate intake and blood folate concentrations of 23 female college students were assessed. To evaluate folate intake, dietary data were collected by a 3-day weight food record, and serum and RBC folate concentrations were measured by the new method. The coefficient of variation for the new method was less than 10%. Mean daily folate intake of the subjects was 126.7${\mu}g$ which is only 50.7% of the RDA. The mean concentrations of serum and RBC folate were 7.46ng/ml and 294.4ng/ml, respectively, which were within the normal range. These results indicate that folate intake seems to be underestimated due to incomplete food composition database. Therefore, folate database should be appropriately in order to asses folate intake accurately.

청주지역 노인의 영양실태조사 - II. 신체계측, 생화학적 검사 및 건강상태 조사 -

현태선,김기남 대한지역사회영양학회 1997 대한지역사회영양학회지 Vol.2 No.4

To assess the nutritional and health status of the elderly, anthropometric measurements and blood test for analyzing biochemical indices were carried out from August to September in 1996. Data on the incidence of a specific disease and clinical symptoms were also collected by interviews with a questionnaire. Among the total of 169 free-living elderly interviewed(91 men, 78 women), 86 elderly(57 men, 29 women) participated in the anthropometric measurements, and 73 elderly(52 men, 21 women) in blood tests. Average heights and weights were much lower than the standards established in the Korean Recommended Dietary Allowances. While average triceps skinfold thickness of men and women were above the 50 percentile of the reference data, mid-arm muscle circumferences were lower than the 50 percentile. Prevalences of anemia, assessed by hemoglobin using WHO definition, were 38.5% for men and 33.3% for women. Blood levels of total protein and albumin were above the normal limit for all participants. Mean blood cholesterol levels of men and women were 163.9mg/dl and 185.8mg/dl, and triglyceride levels were 138.2mg/dl and 161.9mg/dl, respectively. Women older than 75 years generally had high levels of BMI, total cholesterol and triglyceride. Health status assessed by clinical symptoms generally showed no significant difference by age, and their smoking, and drinking habits. Males and the elderly who exercised regularly had better health status. It was suggested that exercise was a good way to improve health status. (Korean J Community Nutrition 2(4) : 568-577, 1997)

생식품과 가열식품의 엽산 분석에 의한 엽산 섭취량 계산

현태선 대한지역사회영양학회 2002 대한지역사회영양학회지 Vol.7 No.6

모유수유의 경제적 효과

현태선,김기남,강남미,임은영 대한지역사회영양학회 2002 대한지역사회영양학회지 Vol.7 No.6

To compare the costs incurred by infant feeding between mothers who breastfed their infants and those who fed them infant formula, a questionnaire survey was carried out to 136 mothers living in Seoul, Cheongju and Chungju who breastfed and 199 mothers who formula-fed their infants. The cost of formula-feeding was estimated based on the expenditures for formula and feeding apparatus, and the time needed to wash bottles and prepare formula. The cost of breastfeeding was estimated based on the expenditures for food for the additional nutritional intake of these mothers. The mean cost of formula-feeding was ￦ 1,870,125 during the first year of the baby's life. The food cost for the additional nutritional intake of the breastfeeding mothers was ￦ 203.004 per year. The extra medical cost for respiratory illnesses in the formula-fed group compared to the breastfed group was W 62,920 because the formula-fed infants required medical attention for respiratory illnesses more often than the breast-fed infants. Therefore, breastfeeding could save ￦ 1,730,041 during the first year of an infant's life. We may have underestimated the cost savings from breastfeeding because we did not take into account the potentially decreased costs of fertility control and the health benefits for mothers. as well as the decreased usage of water and gas. Analyses showed that breastfeeding is not only nutritionally advantageous, but also economically advantageous for families and society.

초등학생 대상의 영양교육 웹사이트 개발

현태선,연미영,김선희,김난희,안숙미,이순미,지현정,선명희,오춘화,왕선희,홍미경 대한지역사회영양학회 2003 대한지역사회영양학회지 Vol.8 No.3

The purpose of this study was to develop a nutrition education website for children, especially those around the 4th-6th grade levels. Among the already existing websites providing nutritional information for children, 7 websites with comparable amounts of information were evaluated in terms of their topics, credibility, content, ease of use, and aesthetics. In addition, a survey was conducted to assess the need for nutrition information among 305 elementary students. The food pyramid was the topic offered most often on those websites. Information on nutrients, digestion, food safety, nutrition labeling, and healthy eating habits were available on the websites. Some of those websites also provided games or quizzes to attract the children's interest. However, some of the websites did not give any information on the person responsible for providing the information, which is most important in determining the credibility of the website. Other problems were that some information was too difficult for children, and some of the websites did not provide a way to search for information. According to the survey results, the topics that children wanted to know about were 'desirable weight', 'cooking', 'correct food choice', 'weight control method', 'calories consumed during exercise', but, they did not have a high interest in 'asking questions' 'books with nutrition messages', 'underweight', 'negative effect of weight control' and 'helping hungry children'. Based on these results, we developed a new nutrition education website, ifood' (http://ifood.or.kr). We focused on helping children develop healthy eating habits by providing information which is easy and practical for children. However, we neither included the program to assess their dietary intake, nor provided entertaining background sounds, which children like. Also, the game section is composed mainly of quizzes. Therefore, we need to further develop exciting games to teach nutrition to children. In the near future, the newly developed website should be evaluated by children regarding understandability and coverage of the contents as well as usability and design, and then revised to improve the educational effect.

24시간 회상법으로 조사한 여대생의 식이섭취자료 분석 : Comparison of Analysis and Assessment Method 분석방법 및 평가방법의 비교

현태선 충북대학교 교육·생활연구소 1999 생활과학연구논총 Vol.2 No.-

A dietary survey with 24-hour recall method was performed to female college students, and the food intake data were converted to nutrient intakes using two different computer programs. The mean daily energy intake calculated with DS24 program was 1598kcal(79.9% of RDA) while 1840kcal with CAN program. The mean intake of other nutrients was also mostly higher with CAN program than with DS24 program. Therefore, when we assess nutrient intake using CAN program, we must consider the possibility of the overestimation of the intake before interpreting the data. Each 24-hour recall was evaluated for the consumption of items from the dairy, meat, grain, fruit, and vegetable groups. Failure to consume any foods from the fruit, meat, and dairy group was reported by 60.9%, 30.4%, and 21.7% of the subjects, respectively. Consumption of food from all five food group was associated with higher nutrient intake. The results emphasize the need for nutrition education directed at increasing the diversity of the diet. The index of measuring diet quality will be further evaluated.