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全北地域의 農村 및 都市近郊의 乳幼兒 營養에 關한 硏究

Studies on Nutrition of- Infants and Young Children of Rural and Suburb of Cheonbuk Province Focused on Feeding, Nutrient Intake and Physical Growth

대한보건협회지 1978년 4권 2호 p.59 ~ 69
金仁淑, 牟壽美,
소속 상세정보
金仁淑 (  ) - 圓光大學校 家政敎育學科
牟壽美 (  ) - 서울대학교 가정대학 식품영양학과

Abstract


During early life and period of rapid growth, nutrition has profound influence on the health and well being of child. Despite recognition of importance of child nutrition, adequate nutrition has not always been reached among infants and young children of our societies. The purpose of this study was to find out the practices of breast feeding and bottle feeding, the timing of introduction ´of supplementary foods or solids into the infant´s diet, during the termination of breast feeding, and actual status of physical growth and dietary intake of subjects from rural and urban of Cheonbuk province.
The survey was performed by interview with the mothers or the family members responsible for child care, from July 17l&-August 20 of 1977. Two hundred ninety three children: 153 from mountainous farming villages of Whasan, Wanju-county and 140 from suburb of Cheonju, ages from 6 months to, 3 years, were surveyed. The study revealed, the following:
1) Family environment
Nearly 35% of families from rural and 9 % of families from urban had more than four children. Approximately 83% of mothers from villages and 95% of mothers from Cheonju were in the ages of 21 to 35. About 84% of rural mothers received 6 years schooling and over 76% of mothers from -Cheonju received 9 years schooling or more. About 95% of fathers from rural were engaged in farming or laboring and 95% of fathers from Cheonju were engaged in commerce or as government employees.-- Over 83% of village households showed their average monthly income to be W30,000 to W90,000 and nearly 80% of urban households showed it in the range of W90, 000 to W150, 000. Average Engel indices indicated 63% for rural and 42% for urban.
2) Physical growth
Growth patterns_ of infants and young children from urban were superior to the Korean standards of 1975. But marked differences were noted between those of rural and urban. The rural subjects showed much lower growth figures, than those. of urban.
3) Weaning Practices _ -
About 82% of the children from rural and .70% of the children from urban were breastfed. The motives for combined feeding of cow´s milk and cereals from rural subjects was mostly due to the insufficient secretion of breast milk to feed the baby. The 56% of children from rural began to be weaned between ages of 7 months and 12 months while 58% of children from urban began to be weaned within 6 months. Over 48% of mothers from rural and 74% of mothers from urban completely terminated breast feeding within 2 years, although some continued until the child is over 2 years old, or even 3, according to the arrival of the next baby. The motives for weaning were various such as: baby wants to share other new foods from family adult males (40.5% from rural and 16.4% from urban); breast milk no longer covers all nutritional demands of baby (24.9% from rural, 21.4% from urban); weaning means food for health of baby (54.3% from urban and 26.8% from rural); pregnancy during lactation (6.5% from rural and 3% from ´urban); doctor, family or neighbors encourage to introduce the supplementary foods (5%, from urban and 1.3% from rural). The weaning foods used most frequently at the beginning of weaning were boiled rice and rice porridge among the rural subjects while fruit juice, boiled rice, rice porridge and egg yolk among the urban subjects.
4) Dietary Practices
Caloric intake of rural subjects was 69.4% to 71% of the recommended amount while those of urban subjects reached 88.4% to 97.4%. Protein intake of rural subjects only met 48.4% to 56.2% of the recommendation while the urban subjects reached 79.2% to 89.9%. Intakes of calcium and iron of rural subjects were much lower than the recommended amounts while all ages of urban subjects with exception of one-year-old group almost reached. Regarding vitamin intakes mostly close to the recommended figures except niacin. The findings of dietary and nutrition practices were inferior in certain respects to those of the previous study for Yongin-county, Keonggi province, which was studied in 1976 be the author">.
Authors wish this study will provide background and direction of proper nutrition guide to infants and young children for a part of community health and family life improvement programmed.

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