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- 주제어 : Macronutrient Composition (검색결과 4 건)
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임상 ; 한국인 모유의 영양소와 영아의 성장과의 관계 분석 연구
이철 ( Chul Lee ),박민수 ( Min Soo Park ),박국인 ( Kook In Park ),남궁란 ( Ran Namgung ),이순민 ( Soon Min Lee ),민경복 ( Kyong Bok Min ),은호선 ( Ho Sun Eun ) 대한주산의학회 2012 Perinatology Vol.23 No.4
목적 : 본 연구는 건강한 수유부와 정상 만삭아를 대상으로 모유의 조성이 영아 성장에 미치는 영향을 확인하고자 하 였다. 방법 : 2011년 10월부터 2012년 3월까지 강남세브란스병원, 서울의 수유 센터 두 곳을 방문한 건강한 수유부와 영 아 173명을 대상으로 하였다. 수집된 모유는 Semisolid-state mid-infrared milk analyzer (MIRIS(R) Human Milk Analyzer, HMA, Miris AB, Uppsala, Sweden)를 이용하여 모유 1 mL를 1분간 분석기에 넣어 측정하였다. 결과 : 모유 성분의 분석을 통하여 섭취량/권장량(%)을 표준 체중 5 percentile 이상인 군과 5 percentile 미만인 군으로 나누어 비교한 결과, 열량은 130.2±34.1%, 68.2±31.7%, 단백질은 133.4±33.9%, 75.0±28.3%, 지방질은 189.6±94.7 %, 91.9±63.2%, 탄수화물은 120.7±17.6%, 72.3±26.5%으로 두 군간에 유의한 차이를 보였다(P<0.05). 표준 체중 25 percentile 이상인 군과 25 percentile 미만인 군으로 나누었을 때도 열량은 135.3±34.3%, 99.0±33.9% 이었으며, 단백 질은 136.7±35.0%, 108.0±33.9%, 지방질은 197.1±97.6, 141.6±79.8%, 탄수화물은 125.1±16.5%, 95.0±22.0%으로 두 군간에 유의한 차이를 보였다(P<0.05). Multiple logistic regression을 이용하여 분석한 결과 표준 체중이 5% 미만인 군에 영향을 미치는 인자는 탄수화물이 가장 유의한 인자이었고(P<0.05), 25% 미만인 군에 영향을 미치는 인자는 단백 질과 탄수화물이었다(P<0.05). 결론 : 본 연구에서는 영아의 체중이 작은 경우 모유 성분의 영양소가 유의하게 낮음을 확인하였다. 이를 통해 출생 후 체중 증가가 유의하게 적고, 성장 곡선상 낮은 체중 분포를 보일 경우 적극적인 모유수유와 더불어 수유부의 식습관 개 선을 통한 적정한 영양공급 및 나아가 영양 강화를 이루어 신생아의 성장 증가를 도모해야 하겠다. Purpose : The aim of this study was to determine the effect of the macronutrient composition of breast milk from Korean women on the growth of infants. Methods : 173 healthy lactating women and breast-fed infants who visited Gangnam Severance Hospital and two breast-feeding centers in Seoul from October 2011 to March 2012 were recruited. We checked the birth weight and body weight of infants while collecting breast milk from the mothers, and analyzed the macronutrient component of breast milk with a mid-infrared milk analyzer (MIRIS(R) Human Milk Analyzer, HMA, Miris AB, Uppsala, Sweden). Group analysis was performed depending on more or less than 5 percentile and 25 percentile of body weight. Results : The amount of daily intake/RDA for calories, proteins, lipids and carbohydrates of breast milk were significantly lower in the less than 5 percentile and 25 percentile group (P <0.05). Using multiple logistic regression analysis, the significant nutrient component that was insufficient in the less than 5 percentile and less than 25 percentile of body weight group respectively was carbohydrates (P <0.05). Conclusion : We conclude that each macronutrient level of breast milk is statistically low in infants with less body weight. These results suggest that nutritional consideration of breast milk is necessary for the growth of breast-fed infants.
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Carbohydrate Composition Associated with the 2-Year Incidence of Metabolic Syndrome in Korean Adults
( Nam H. Cho ),( Ara K. Cho ),( Hyun Kyu Kim ),( Jong Bae Kim ),( Kyung Eun Lee ),( Sung Soo Kim ),( Yeon-jung Kim ),( Hak C. Jang ),( Inkyung Baik ) 한국임상영양학회 2017 Clinical Nutrition Research Vol.6 No.2
The aim of this study was to investigate the association between macronutrient composition and metabolic syndrome (MetS) incidence in Korean adults. Data were obtained from a cohort of 10,030 members aged 40 to 69 years who were enrolled from the 2 cities (Ansung and Ansan) between 2001 and 2002 to participate in the Korean Genome Epidemiology Study. Of these members, 5,565 participants, who were free of MetS and reported no diagnosis of cardiovascular disease at baseline, were included in this study. MetS was defined using the criteria of the National Cholesterol Education Program-Adult Treatment Panel III and Asia-Pacific criteria for waist circumference. MetS incidence rate were identified during a 2-year follow-up period. Baseline dietary information was obtained using a semi-quantitative food frequency questionnaire. Multivariate logistic regression analysis was used to evaluate the association between the quartiles of percentages of total calorie from macronutrients consumed and MetS incidence. In analyses, baseline information, including age, sex, body mass index, income status, educational status, smoking status, alcohol drinking status, and physical activity level was considered as confounding variables. Participants with the second quartile of the percentages of carbohydrate calorie (67%-70%) had a 23% reduced odds ratio (95% confidence interval, 0.61-0.97) for MetS incidence compared with those with the fourth quartile after adjusting for confounding variables. The findings suggest that middle aged or elderly Korean adults who consume approximately 67%-70% of calorie from carbohydrate have a reduced risk of MetS.
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Changes in Dietary Guidance: Implications for Food Composition Tables
Murphy, Suzanne P. The Korean Nutrition Society 2004 Nutritional Sciences Vol.7 No.2
New Dietary Reference Intakes (DRIs) forthe United States and Canada have recently been set for both macronutrients and micronutrients, and are likely to be of interest to health professionals in Korea as well. DRIs are now available for nutrients that did not have Recommended Dietary Allowances set in the past (amino acids, n-3 and n-6 fatty acids, total fiber, added sugar, choline, boron, nickel, and vanadium). Furthermore, the units for the DRIs do not always match those traditionally carried on food composition tables (FCTs). FCT developers will also need to consider carrying new variables to allow the calculation of folate intake in $\mu$g of dietary folate equivalents, vitamin E intake as mg of a-tocopherol (not as mg of a-tocopherol equivalents), and vitamin A intake as $\mu$g of retinol activity equivalents (not as $\mu$g of retinol equivalents). Because the new recommendations for upper levels of intake sometimes refer to a specific form or source of a nutrient, nutrients occurring in foods must be separated from added or supplemental forms for vitamin E, niacin, and folate; pharmacological magnesium must be carried as a separate variable; and preformed vitamin A must be separated from vitamin A from carotenoids. For more information on the DRIs, see: www.nap.edu.
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