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논문 상세정보

경북지역 발달장애아동의 식행동과 영양소 섭취량에 관한 연구

A Study on Dietary Behavior and Nutrient Intake of Children with Developmental Disorders in Gyeongbuk Area

Abstract

This study investigated dietary behavior and nutrient intake in children with developmental disorders as compared with non-disabled children and assessed the relationship between dietary behavior and nutrient intake. The survey was conducted on 118 students ($4^{th}$ and $5^{th}$ grade) of four special education schools and 244 students of an elementary school (control group). The survey was carried out using a questionnaire and an interview. Of the disabled children, children with a mental disorder comprised 72.9% and those with emotional disorders including autism comprised 26.3%. The average percentages of height and weight to standards for age were significantly lower in the disabled female children as compared with the non-disabled female children. Scores for table utensil handling skills, eating behavior, and an unbalanced diet were lower in the disabled children compared with those in the non-disabled children. Dietary behavior scores were not significantly different by either gender or age in the disabled children. Mean energy intake was less than the estimated energy requirement in both groups. Nutrients taken at less than the recommended intake level were calcium, iron, vitamin A, and folate in both groups. Food behavior score at mealtime, personal hygiene score at mealtime, and an unbalanced diet score were significantly correlated with iron and vitamin A intake in disabled male children. Personal hygiene score at mealtime was significantly correlated with calcium, iron, and vitamin A intake, and unbalanced diet score was significantly correlated with iron and vitamin A intake in disabled female children. Although the nutritional status of disabled children with developmental disorders was appropriate in general, improvement in their dietary behaviors through education and practice would allow them to eat balanced diets with essential nutrients.

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핵심어 질문 논문에서 추출한 답변
영양관리
영양관리에서 가장 중요한 것은?
올바른 식습관의 형성

성장기에 있는 아동의 영양은 성장 발달 뿐 아니라 일생의 건강을 좌우하기 때문에 아동의 영양 섭취와 영양관리는 대단히 중요하다. 영양관리에서 가장 중요한 것은 올바른 식습관의 형성이라 할 수 있다. 올바른 식습관은 적절한 영양섭취로 이어져 신체발육을 양호하게 하고 적절한 건강을 유지하도록 하며 정서적·지적 발달에 큰 영향을 미치게 된다.

식생활 문제
발달지체나 장애를 지니게 된 아동들이 식생활 문제를 겪는다면 일어나게 될 문제는 무엇인가?
발달장애 아동들에게는 성장부진, 체중증가, 비만, 빈혈, 식품 알레르기, 약물 사용 등의 상호작용에 따른 문제, 변비, 치아상태 불량 등의 문제가 발생하기 쉽고, 식품섭취의 문제는 영양소의 섭취와 영양 상태에까지 영향을 미칠 수 있다

2.3)또한 발달장애 아동들에게는 성장부진, 체중증가, 비만, 빈혈, 식품 알레르기, 약물 사용 등의 상호작용에 따른 문제, 변비, 치아상태 불량 등의 문제가 발생하기 쉽고, 식품섭취의 문제는 영양소의 섭취와 영양 상태에까지 영향을 미칠 수 있다.4)장애아동들의 30~50%가 음식물 섭취와 관련된 섭식의 문제를 가지고 있으며, 정신장애의 정도가 심화될수록 그 심각성이 크다.

올바른 식습관
올바른 식습관이 미치는 영향은?
적절한 영양섭취로 이어져 신체발육을 양호하게 하고 적절한 건강을 유지하도록 하며 정서적·지적 발달에 큰 영향을 미치게 된다

영양관리에서 가장 중요한 것은 올바른 식습관의 형성이라 할 수 있다. 올바른 식습관은 적절한 영양섭취로 이어져 신체발육을 양호하게 하고 적절한 건강을 유지하도록 하며 정서적·지적 발달에 큰 영향을 미치게 된다.1)

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저자의 다른 논문

참고문헌 (21)

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  17. 17. Sullivan PB, Rosenbloom L. Feeding the disabled child. Clinics in developmental medicine. London: Mac Keith Press/Cambridge University Press; 1996. p.1-10 
  18. 18. Kim JD, Bae YK, Cho MS. Eating patterns of children with cerebral palsy by table utensil-hadling skills. J Korean Diet Assoc 2009; 15(2): 139-151 
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