$\require{mediawiki-texvc}$
  • 검색어에 아래의 연산자를 사용하시면 더 정확한 검색결과를 얻을 수 있습니다.
  • 검색연산자
검색연산자 기능 검색시 예
() 우선순위가 가장 높은 연산자 예1) (나노 (기계 | machine))
공백 두 개의 검색어(식)을 모두 포함하고 있는 문서 검색 예1) (나노 기계)
예2) 나노 장영실
| 두 개의 검색어(식) 중 하나 이상 포함하고 있는 문서 검색 예1) (줄기세포 | 면역)
예2) 줄기세포 | 장영실
! NOT 이후에 있는 검색어가 포함된 문서는 제외 예1) (황금 !백금)
예2) !image
* 검색어의 *란에 0개 이상의 임의의 문자가 포함된 문서 검색 예) semi*
"" 따옴표 내의 구문과 완전히 일치하는 문서만 검색 예) "Transform and Quantization"
쳇봇 이모티콘
안녕하세요!
ScienceON 챗봇입니다.
궁금한 것은 저에게 물어봐주세요.

논문 상세정보

초록

목 적: 철결핍성 빈혈(iron deficiency anemia, IDA)은 영양상태의 개선에도 불구하고 여전히 발견되는 영양질환이다. 저자들은 영유아기에 IDA가 발생할 수 있는 위험 인자에 대해 알아보았고, IDA 환아의 영양 분석을 통하여 철분 및 비타민 D 영양 결핍에 대하여 알아 보았다. 방 법: 2006년 3월부터 2010년 3월까지 저자들의 병원에 내원한 6~36개월의 IDA 환아 103명을 대상으로 하였고, IDA가 없는 같은 연령의 영유아 123명을 비교군으로 혈액검사와 설문 조사를 하였다. IDA가 진단된 6~12개월 환아 중 식이력 작성이 구체적인 11명에 대해서는 Canpro를 이용하여 영양 분석하였다. 결 과: IDA군에서 모유수유 87.4%, 비교군에서는 모유수유 40.7%였다. 이유 시작 시기는 IDA군은 평균 6.4${\pm}$1.8개월이었고 비교군은 평균 5.9${\pm}$1.3개월이었다. 이유식을 잘 먹게 된 시기는 IDA군에서 4주 이내는 46.4%, 비교군에서 4주 이내는 53.5%였다. IDA군의 병원 방문 이유는 호흡기 질환이 36.2%로 가장 많았고, 빈혈 증상으로 방문한 경우는 18.6%였다. IDA 환아 11명의 Canpro 분석에서 철분은 권장섭취량의 40% 미만이었고, 비타민 D 섭취는 30% 미만이었다. 결 론: 모유수유를 하는 영아는 4~6개월에 이유식을 시작해야 한다. 위험 인자가 있는 영아에서 철결핍 빈혈과 비타민 D 결핍이 있을 수 있으므로, 선별검사와 비타민 D 영양 평가가 필요하다. 또한 철분강화 분유, 비타민 D 강화 분유나 이유식을 통한 영양 공급이 필요하다.

Abstract

Purpose: Iron deficiency anemia (IDA) is one of the most common nutritional problems, despite a recent improvement of nutritional status of infants and children. We assessed the risk factors for IDA in infants and vitamin D deficiency and IDA by nutrition analysis. Methods: We analyzed blood tests and evaluated 103 children with IDA and 123 children without IDA, 6-36 months of age, who were cared for in our hospital between March 2006 and July 2010. Nutritional analysis using Canpro was performed among breastfed infants 6~12 months of age who had been diagnosed with IDA and had detailed diet histories. Results: Breastfed infants accounted for 87.4% and 40.7% of the IDA and comparison groups, respectively. The IDA and comparison groups began weaning food at 6.4${\pm}$1.8 and 5.9${\pm}$1.3 months, respectively. In the IDA and comparison groups, 46.4% and 53.5% began to adapt to weaning food within 4 weeks, respectively. The most common reason for hospital care of the IDA group was respiratory symptoms constituting 36.2%. Only 18.6% visited the hospital for palloror anemia. The Canpro analysis, performed on 11 infants with IDA, showed that iron and vitamin D were <40% and 30% of recommended intakes, respectively. Conclusion: Weaning food should be started 4~6 months of age in breastfed infants. In infants at high risk for IDA and vitamin D deficiency, screening tests should be recommended. The high-risk infants may require iron, vitamin D fortified formula, or oral supplements.

참고문헌 (30)

  1. Brundtland GH. Reducing risks to health, promoting healthy life. 2002;288:1974. 
  2. Brundtland GH. Iron deficiency anaemia: assessment, prevention, and control. A guide for programme managers. WHO/NHD 2001;3:15-22. 
  3. Yip R, Binkin NJ, Fleshood L, Trowbridge FL. Declining prevalence of anemia among low-income children in the United States. JAMA 1987;258:1619-23. 
  4. Yang YJ, Kim SK, Hong YJ, Kim GK, Hyon IY, Hong KS, et al. The prevalence of iron deficiency in preschool children. Korean J Pediatr Hematol Oncol 1998;5:14-20. 
  5. National Health Insurance Corporation. Iron deficiency anemia. Available from: URL: http://www.nhic.or.kr/portal/site/ida/ida.htm. 
  6. Brotanek JM, Halterman JS, Auinger P, Flores G, Weitzman M. Iron deficiency, prolonged bottle feeding, and racial/ethnic disparities in young children. Arch Pediatr Adolesc Med 2005;159:1038-42. 
  7. Chang JH, Cheong WS, Jun YH, Kim SK, Kim HS, Park SK, et al. Weaning food practice in children with iron deficiency anemia. Korean J Pediatr 2009;52:159-66. 
  8. Ahmed F, Khan MR, Akhtaruzzaman M, Karim R, Marks GC, Banu CP, et al. Efficacy of twice-weekly multiple micronutrient supplementation for improving the hemoglobin and micronutrient status of anemic adolescent schoolgirls in Bangladesh. Am J Clin Nutr 2005;82: 829-35. 
  9. Giovannini M, Sala D, Usuelli M, Livio L, Francescato G, Braga M, et al. Double-blind, placebo-controlled trial comparing effects of supplementation with two different combinations of micronutrients delivered as sprinkles on growth, anemia, and iron deficiency in cambodian infants. J Pediatr Gastroenterol Nutr 2006;42:306-12. 
  10. Henderson A. Vitamin D and the breastfed infant. J Obstet Gynecol Neonatal Nurs 2005;34:367-72. 
  11. Dawodu A, Agarwal M, Hossain M, Kochiyil J, Zayed R. Hypovitaminosis D and vitamin D deficiency in exclusively breast-feeding infants and their mothers in summer: a justification for vitamin D supplementation of breast-feeding infants. J Pediatr 2003;142:169-73. 
  12. Atiq M, Suria A, Nizami SQ, Ahmed I. Vitamin D status of breastfed Pakistani infants. Acta Paediatr 1998;87: 737-40. 
  13. Ho ML, Yen HC, Tsang RC, Specker BL, Chen XC, Nichols BL. Randomized study of sunshine exposure and serum 25-OHD in breast-fed infants in Beijing, China. J Pediatr 1985;107:928-31. 
  14. Park SY, Park SW, Kang SK, Jun YH, Kim SK, Son BK, et al. Subclinical rickets in breast-fed infants. Korean J Pediatr 2007;50:1188-93. 
  15. Dallman PR, Siimes MA. Percentile curves for hemoglobin and red cell volume in infancy and childhood. J Pediatr 1979;94:26-31. 
  16. The Korean Nutrition Society. Dietary referance intakes for Koreans, 2005. Available from: URL:http://www.kns.or.kr/KDRIs/abst.htm. 
  17. Committee on Nutrition, American Academy of Pediatrics. Pediatric nutrition handbook. 3rd ed. Elk Grove Village, IL: American Academy of Pediatrics, 1993. 
  18. Hallberg L. Bioavailable nutrient density: a new concept applied in the interpretation of food iron absorption data. Am J Clin Nutr 1981;34:2242-7. 
  19. Lee JS, Lee YN, Kim ES. Changes on breast milk intake and weight of breast-fed infants during the lactation. The Korean Journal of Nutrition 1997;30:506-11. 
  20. Dallman PR, Simmes MA, Stekel A. Iron deficiency in infancy and childhood. Am J Clin Nutr 1980;33:86-118. 
  21. Oski FA, Honig AS, Helu B, Howanitz P. Effect of iron therapy on behavior performance in nonanemic, irondeficient infants. Pediatrics 1983;71:877-80. 
  22. Lozoff B. Iron deficiency and child development. Food Nutr Bull 2007;28:560-71. 
  23. Lozoff B, Jimenez E, Wolf AW. Long-term developmental outcome of infants with iron deficiency. N Engl J Med 1991;325:687-94. 
  24. Agaoglu L, Torun O, Unuvar E, Sefil Y, Demir D. Effects of iron deficiency anemia on cognitive function in children. Arzneimittelforschung 2007;57:426-30. 
  25. Kajosaari M, Saarinen UM. Prophylaxis of atopic disease by six months total solid food elimination. Evaluation of 135 exclusively breast-fed infants of atopic families. Acta Paediatr Scand 1983;72:411-4. 
  26. Fox AT, Du Toit G, Lang A, Lack G. Food allergy as a risk factor for nutritional rickets. Pediatr Allergy Immunol 2004;15:566-9. 
  27. Schoetzau A, Filipiak-Pittroff B, Franke K, Koletzko S, Von Berg A, Gruebl A, et al. Effect of exclusive breast-feeding and early solid food avoidance on the incidence of atopic dermatitis in high-risk infants at 1 year of age. Pediatr Allergy Immunol 2002;13:234-42. 
  28. Frank RG, Scott HS, Wesley AB, and the Committee on Nutrition and Section on Allergy and Immunology. Effects of early nutritional interventions on the development of atopic disease in infants and children: the role of maternal dietary restriction, breastfeeding, timing of introduction of complementary foods, and hydrolyzed formulas. Pediatrics 2008;121:183-91. 
  29. Wagner CL, Greer FR. American Academy of Pediatrics, Section on Breastfeeding and Committee on Nutrition. Prevention of rickets and vitamin D deficiency in infants, children, and adolescents. Pediatrics 2008;122:1142-52. 
  30. Specker BL, Tsang RC, Hollis BW. Effect of race and diet on human milk vitamin D and 25-hydroxyvitamin D. American Journal of Diseases in Children 1985;139: 1134-7. 

이 논문을 인용한 문헌 (3)

  1. 2011. "" Korean journal of pediatrics, 54(7): 282~286 
  2. 2011. "" Korean journal of pediatrics, 54(7): 298~303 
  3. Yoon, Hyung Joo ; Kim, Myung Hee ; Jang, Ki-Hyo ; Lee, Je-Hyuk 2014. "Comparison of Obesity Level and Eating Habits According to Intake Experience of Mother's Milk and Eating Habits of Baby Foods by Elementary School Students" 韓國食生活文化學會誌 = Journal of the Korean Society of Food Culture, 29(5): 380~389 

원문보기

원문 PDF 다운로드

  • ScienceON :

원문 URL 링크

원문 PDF 파일 및 링크정보가 존재하지 않을 경우 KISTI DDS 시스템에서 제공하는 원문복사서비스를 사용할 수 있습니다. (원문복사서비스 안내 바로 가기)

상세조회 0건 원문조회 0건

DOI 인용 스타일