대한지역사회영양학회지 (Korean Journal of Community Nutrition)

대한지역사회영양학회 (The Korean Society of Community Nutrition)
권호 표지

임신기의 입덧 및 변비 증상과 임신부의 영양상태 및 신생아 체중과의 관계

Common functional Problems during Pregnancy and Association with Nutritional Status and Weight of Newborns

  • 최봉순 (대구가톨릭대학교 식품영양학과) ;
  • 이인숙 (대구가톨릭대학교 식품영양학과) ;
  • 신정자 (대구과학대학 간호학과) ;
  • 박명희 (대구대학교 식품영양학과) ;
  • 정효지 (서울대학교 보건대학원)
  • 발행 : 2003.04.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Morning sickness during pregnancy is a very common functional problem with different kinds of symptom, but little data are available concerning the nutrition intervention program fur pregnant women in local area. A total of 152 pregnant women who had experienced morning sickness were surveyed to investigate the relationships between morning sickness, nutrient intakes and pregnancy outcome. The results showed that prevalent symptoms were nausea (68.4%), heartburn (59.2%), morning sickness (48.7%), vomiting (42.1%), and constipation (44.7%). The onset of the symptom occurred during the first 3 months (9.3 $\pm$ 2.3 weeks) ; 21.1% of the subjects was experienced two symptom at the same time. This significantly correlated with vomiting (p < 0.01), nausea (p < 0.001), morning sickness (p < 0.001), and heartburn (p < 0.01) with pregnancy weight. There were also correlations between the four symptoms and nutrient intakes. Mean birth weight of 21 newborns was 3.06 $\pm$ 0.42 kg, and the one and five minutes of Apgar scores were 7.74 $\pm$ 0.99 and 8.84 $\pm$ 0.69, respectively. There were negative correlations between vomiting and pregnancy outcomes (p < 0.05). Our data support that morning sickness, especially vomiting during pregnancy is associated with Apgar score and body weight of newborn. (Korean J Community Nutrition 8(2) : 138~148, 2003)

키워드

참고문헌

  1. 식품섭취실태조사를 위한 식품 및 음식의 눈대중량(1988) : 한국식품공업협회 식품연구소
  2. 안홍석(1995) : 여성과 영양, 교문사. 서울，pp.67-69
  3. 최연순 등(1999) : 여성건강 간호학，수문사，서울，pp.317-357
  4. Ain HS, Park YS, Park SH (1996): Ecological Studies of Maternal-Infant Nutrition and Feeding in Urban Low Income Areas: I Anthropometric measurements, Dietary Intakes and Serum Lipids Content/Fatty Acids Composition of the Pregnant. Korean J Com-munity Nutrition 1(2): 210-214
  5. Ain HS, Park SH (1999): Maternal Serum Zinc Concentration and Pregnancy Outcomes. KJN32 (2): 182-188
  6. Aim HS, Lee KJ, Kim YT (2000): Relationship between Vitamin B6 of Maternal-Umbilical Cord Plasma and Pregnancy Outcome. KJN 33 (3): 263-270
  7. Apgar V (1952): Apgar Scoring System, Ped Nur 2nd. ed
  8. Beal VA (1971a): Nutritional Studies During Pregnancy: I Changes in Intakes of Calories, Carbohydrate, Fat, Protein, and Calcium. J Am Diet Assoc58 (4): 312-320
  9. Beal VA (1971b): Nutritional Studies During Pregnancy: II Dietary Intake, Maternal Weight Gain, and Size of Infant. J Am Diet Assoc 58 (4): 321-326
  10. Bowen DJ (1992): Taste and food preference changes across the course of pregnancy. Appetite 19(3): 233-242
  11. CAN-Pro (1999): Computer Aided Nutritional Analysis Program, The Korean Nutrition Society, Seoul
  12. Choi BS, Lee IS, Shin JJ, Kim WK, Park MH (2000): Factors Affecting Dietary & Nutrition Intake During the First, Second and Third Trimester and Pregnancy Outcome: I Effects of maternal stress on dietary and nutrient intake and on neonatal weight. J of the Kor-ean Society of Food Culture 16(3): 203-214
  13. Christian JL, Greger JL (1991): Nutrition for Living. 3rd ed. The Ben-jamin/ Cummings Publishing Co., pp549-551
  14. Chung ES (1987): A Study on the Relationship between Pregnant Wo-men's Morning Sickness and the Anxiety level. J Pulsar Medical College 27 (2): 229-236
  15. Giddens JB, Krug SK, Twang RC, GUI S, Midwiving M, Prado JAM (2000): Pregnant adolescent and adult women have similarly low intakes of selected nutrients. J Am Diet Assoc 100(11). 1334-1340
  16. Human WJ, Lee JY, Kwak CS (1997): Dietary Intakes and Psychological Stress of Pregnant Women in Teaboy in Relation to Neonatal Birth Weight. Korean J Community Nutrition 2: 169-178
  17. Jarnfelt-Samsioe A, Samesome G, Veined GM (1983): Nausea and Vo-miting in Pregnancy -A Contribution to its Epistemology. Gynecol Obtect Invest 16: 221-229 https://doi.org/10.1159/000299262
  18. lung KY, Krim SJ (2000): Differences of women's perception of fatigue according to the period of pregnancy. J Korean Academy of Nursing 30 (3): 731-739
  19. Karates AG, Vlachonikolis IG, Coddington CA (1989): Nutrition during pregnancy: the effects of an educational intervention program in Greece. AJCN 50(5): 970 https://doi.org/10.1093/ajcn/50.5.970
  20. Kalkwarf HJ, Bell RC, Khoury JC, Gouge AL, Miodovnik M (2001): Dietary fiber intakes and insulin requirements in pregnant women with type I diabetes. J Am Diet Assoc 101(3): 305-310
  21. Krim SH (1976): Changes of the Food Preferences and the Practice of Pica of Women in the latter Half of Pregnancy. KAN9(4): 28-35
  22. Kolo KB (1996): A Study on the Alcohol Consumption and Nutritional Status in Patients with Alcoholic liver Disease. Kyungpook Na-tonal University, Doctorial dissertation
  23. Kretchmer N, Zimmermann M (2000): Developmental Nutrition, Allyl& Bacon, Pearson Education Publishing Co. Translated by Lam HS, et al. Gyomunsa Publishing Co. Seoul, pp.101-103, 117-162
  24. Lee GSR (1982): A Nutrition survey of the Later Half of Pregnancy in Nam-Hae Do. J Korean Home Economics Association 20(3): 35-43
  25. Lee MA (1999): Dietary Habit and Health Status of Industrial Workers. Catholic University of Taegu-Housing, Graduate school. Depart-menet of Food Science and Nutrition. Master's degree
  26. Lee MR, Cho CH, Kim EK, Song MS (1985): The Complaints Rates of Minor Discomforts and Its Influencing Factors. Research in Nur-sing & Health I(1): 199-206
  27. Mo SM, Koo JO, Lee JW, Choi HM (2000): Nutrition Throughout the Life Cycle. Hyoil Co., pp,47- 61
  28. Park MH, Ahm HS (1987): A Study on Dietary Changes during Pre-nancy25(4): 63-71
  29. Park MK, Lee YS (1999): The Relationship among Stressful Life Events, Maternal-Fetal Attachment Behaviors and Childbirth Variables during Pregnancy. J Korean Society Maternal and Child Health 3 (1): 47-61
  30. Pooly CJ (1986): Fatigue during the first trimester of pregnancy. JOANN 15(5): 375-379
  31. Recommended Dietary Allowances for Korean (1999): 7th reversion. The Korean Nutrition Society, Seoul
  32. Ri OK (1985): A Clinical Study on Pregnancy-Induced Nausea and Vomiting, Department of Medicine, Graduate School, Pulsar Na-tonal University master's degree thesis
  33. Samaritan V, Rouse D, Swipes S, Rose N, Nimbly J (1991): Vitamin B6 Is Effective: Therapy for Nausea and Vomiting of Pregnancy: A Ran-domized, Double-Blind Placebo-Controlled Study. Obtect Gynecol 78 (1): 33-36
  34. Shin JJ (2000): Relationship between Maternal Eating Patterns & Nutrition Status of Pregnant Women and Birth-weight Regarding in Taegu Area, Catholic University of Taegu-Housing. Doctorial dissertation
  35. Shin YS (1999): A Study on the Intensity of Morning Sickness and the Solution of Morning Sickness according Maternal Characteristics. J of the Korean Society of Maternal and Child Health 3 (1): 35-46
  36. Shin YS (2000): Relationship of Maternal Demographic, Obstetric and Behavioral Factors with Birth weight. J of the Korean Society of Maternal and Child Health 4(1): 7-15
  37. Song YS, Kim SH (1989): Nutritional status of Rural Pregnant Women in Relation to Physical condition of Offspring. Korean J Nutr 22 (6): 547-556
  38. Titers FD, Olsen CL, Hook EB (1986): Nausea and vomiting of pre-nancy and association with pregnancy outcome. Am J Obtestet Gynecol 155: 1017-1022
  39. You KS (1985): An Analysis on Factors affecting Diet status of Prier-nant Women during nemesis, J Chonbuk Medical School, pp.93-112
  40. Yu KH, Yoon JS (1999): A Cross-Sectional Study of Nutrient Intakes By Generational Age and Pregnancy Outcome. KJN32(8): 877-886