액상 대두 유아식을 3개월 이상 섭취한 영유아의 성장과 발달

Growth and Development of Infants Fed Soy- Based Formulas over 3 Months

  • 조상운 ((주)정식품 중앙연구소) ;
  • 신해철 ((주)정식품 중앙연구소) ;
  • 손헌수 ((주)정식품 중앙연구소) ;
  • 정재원 ((주)정식품 중앙연구소) ;
  • 남희정 (명지대학교 식품영양학과) ;
  • 박혜련 (명지대학교 식품영양학과)
  • 발행 : 2004.10.01

초록

The objective of this study was conducted to investigate growth and development status of infants fed soy-based formulas over 3 months. The height and weight were measured and Z-scores were calculated by using standard of the same age groups. Their mothers were interviewed using questionnaires including general and environmental characteristics, total food intakes, soy based formula intakes and Ewha infant development screening test. Main results were as follows: 1) Nutrient intake levels of subjects were similar to or more than the level of Korean Recommended Dietary Allowances except for intakes of vitamin E (79.89% RDA), and the average status of nutrient intakes of infants were fairly good. 2) Z-scores of height for age (HAZ) and Z-scores of weight for age (WAZ), Kaup index, WLI and Ewha Infant Developmental Screening Test score of subjects were in the normal growth range. 3) There were no significant differences among soy based formula intake percentile groups in HAZ, WAZ, Kaup index, WLI and Ewha Infant Developmental Screening Test score. 4) Total energy intake was positively correlated with HAZ (p < 0.00, WAZ (p <0.00, and WLI (p < 0.05) in infants less than 12 month. Also, soy based formula energy intake was positively correlated with HAZ (p < 0.05) in infants less than 12 month. However, energy and soy based formula intake levels of infants over 12 month were not significant among variables. Considering results of this study, infants fed soy-based formulas over 3 months showed normal growth and development status. Further studies are needed to evaluate longterm growth and development in infants fed soy based formulas.

키워드

참고문헌

  1. Ahn HS (1995): Nutritional need and assessment of normal infants. Kor J Nutr 28(3): 190-216
  2. Ahn HS (1999): Nutritional intake levels of Korean infants. Korean J Community Nutr 4(4): 610-622
  3. Ahn HS, Jeong JY(1998): Ecological studies of maternal infant nutrition and feeding in urban low income areas. III. Infante's nutrient intakes and growth pattern. Korean J Community Nutr 3(2): 174-189
  4. American Academy of Pediatrics(1998): Soy protein-based formulas: Recommendations for Use in Infant Feeding. Pediatrics 101(1): 148-152
  5. American Academy of Pediatrics(2003): Pediatric Nutrition Handbook, 5thed
  6. Chandra RK(1979): Prospective studies of the effect of breast feeding on incidence of infection and allergy. Acta Paediatr Scand Sep; 68(5): 691-694 https://doi.org/10.1111/j.1651-2227.1979.tb18439.x
  7. Choi KS(2000): A study on feeding practices and growth status and infants and the correlation of mothers perceptions of breast feeding with infants feeding methods in the Pocheon area. Korean J Community Nutr 5(4): 569-577
  8. Choi YS, Oh KW, Yang KM(1998): A study of the influence of environmental factors and factors associated with feeding on infants’ growth. Korean J Community Nutr 3(1): 3-11
  9. Choue RW, Chang YE, Shin KW, Kim CS, Kim SB, Choi YM(2001): Effects of soy based formula on the fatty acid composition of erythrocytes and plasma lipid levels in full term infants. Kor J Nutr 34(7): 778-785
  10. Chung HK(1991): Evaluation of nutrition status on the basis of orphan home children’s anthropometry. Kor J Dietary Culture 6(4): 413-419
  11. Churella HR, Borschel MW, Thomas MR, Breen M, Jacobs J(1994): Growth and protein status of term infants fed soy protein formulas differing in protein content. J Am Coll Nutr Jun;13(3): 262-267 https://doi.org/10.1080/07315724.1994.10718407
  12. Codex Alimentary Commission(1994): Codex standard for follow up formula: Codex Stan 156-1987(amended 1989)
  13. Cunningham AS(1979): Morbidity in breast-fed and artificially fed infants II. J Pediatr Nov;95(5 Pt 1): 685-689 https://doi.org/10.1016/S0022-3476(79)80711-8
  14. DuRant RH, Linder CW(1981): An evaluation of five indexes of relative body weight for use with children. J Am Diet Assoc Jan; 78(1): 35-41
  15. Fomon SJ(1987): Reflections on infants feeding in the 1970s and 1980s. Am J Clin Nutr Jul;46(1 Suppl): 171-182 https://doi.org/10.1093/ajcn/46.1.171
  16. Fomon SJ, Ziegler EE, Nelson SE, Edwards BB(1986): Requirement for sulfur-containing amino acids in infancy. J Nutr Aug;116(8): 1405-1422
  17. Fomon SJ, Zregler EE, Filter LJ, Nelson SE, Edward BB(1979): Methionine fortification of a soy protein formula fed to infants. Am J Clin Nutr 32(12): 2460-2471
  18. Gibson RS(1990): Evaluation of anthripometric indices, In: Principles of nutritional assessment. 247-262, Oxford University Press
  19. Gruskay FL(1982): Comparison of breast, cow, and soy feedings in the prevention of onset of allergic disease: a 15-year prospective study. Clin Pediatr (Phila) Aug;21(8): 486-491 https://doi.org/10.1177/000992288202100807
  20. Hertrampf E, Cayazzo M, Pizarro F, Stekel A(1986): Bioavailability of iron in soy-based formula and its effect on iron nutriture in infancy. Pediatrics Oct;78(4): 640-645
  21. Jeliffe DB, Jeliffe EF(1989): Community nutritional assessment. pp.122-125, Oxford University Press, New York
  22. Joung HJ, Lee NH, Choi YS, Cho SH(2000): Improved nutritional status of children by nutritional management programs at child care centers in Korea. Kor J Nutr 33(8): 901-908
  23. Kim ES, Keum HK(2003): Protein, Ca, Mg and P Intakes of Breast-fed Infants during Lactation. Kor J Nutr 36(9): 942-949
  24. Kim ES, Kim JS, Cho KH(1998): Taurine level in human milk and estimated intake of taurine by breast fed infatns during the early period of lactation. Kor J Nutr 31(3): 363-368
  25. Kim SK(2000): Social Maturity Test. Seoul: ChungAng Aptitude Publishing Co. Ltd.
  26. Kim SK, Kang KH(2000): The factors associated with feeding on Korean infant’s growth. Soonchunyang J Nat Sci 6(2): 227-231
  27. Kim ST(1979): Infant feeding trends in Korea. J Korean Pediatr Soc 22(5): 337-352
  28. Koo BK(2000): Psychological Assessment of Children. Department of Special Education. Kangnam University
  29. Korea Foods Industry Association(2000): Food Code
  30. Korean National Statistical Office(2003): Social indicators in Korea: Household distribution by monthly income group
  31. Korean Pediatrics Society(1998): Anthropometric standards of the 1998 Korea Pediatric Association Height and Weight Standard Chart
  32. Kown JY, Park HR, Whang EM(2001): The assessment of dietary quality in toddler of 12-36 months. Kor J Nutr 34(2): 176-187
  33. Kwon JY(1999): Assessment of Diet Quality Obtained by Dietary Intake Survey in Preschool children: Comparative study on the Kant method. Master thesis, Myongi University
  34. Lee HJ, Lee HO, Chang YE, Kim CS, Chung SJ, Choue RW(2003): The effects of soy based infant formula on growth and development, and the isoflavone concentration of plasma and urine in full term infants. Kor J Nutr 36(8): 841-850
  35. Lee K(1999): Screening device for developmental delay at well baby visit. J Korean Pediatr Soc 2(3): 1043-1049
  36. Lee K(2000): The Seoul infant development screening Test. J Korean Pediatr Soc 43(3): 335-343
  37. Lee K(2002): Ewha infant development screening test. J Korean Pediatr Sco 45(6): 700-711
  38. LSRO Report(1998): Assessment of nutrient requirements for infant formulas. J Nutr Nov; 128(11 Suppl): i-iv, 2059S-2293S
  39. Mimouni F, Campaigne B, Neylan M, Tsang RC(1993): Bone mineralization in the first year oflife in infants fed human milk, cow-milk formula, or soy-based formula. J Pediatr Mar;122(3): 348-354 https://doi.org/10.1016/S0022-3476(05)83415-8
  40. Ministry of Health & Welfare(2002): Report on 2001 national health and nutrition survey: Nutrition survey. Korean Government Publishing Service, Seoul, Korea
  41. Ministry of Health & Welfare(2002): Report on 2002 national nutrition survey by season(I). Korea Health Industry Development Institute. Seoul, Korea
  42. Moon HK, Lee HS, Lee CH, Kim CH(1995): A study on the comparison of infant and child nutritional status assessed by the Korean and the NCHS growth standards. J Korean Public Health Assoc 21(1): 91-104
  43. Moon SB(1997): Korean version of the kaufman assessment battery for children. Seoul: Hakji-Sa
  44. Novak M(1990): Carnitine supplementation in soy-based formula-fed infants. Biol Neonate 58 Suppl 1: 89-92
  45. Ogra SS, Ogra PL(1978): Immunologic aspects of human colostrum and milk. I. Distribution characteristics and concentrations of immunoglobulins at different times after the onset of lactation. J Pediatr Apr;92(4): 546-549 https://doi.org/10.1016/S0022-3476(78)80285-6
  46. Oh KH, Kim KS, Seo JS, Choi YS, Shin SM(1996): A study on the nutrient intakes and supplemental food of infants in relation on the method of feeding practice. Kor J Nutr 29(2): 143-152
  47. Pipes PL, Trahms CM(1993): Nutrition on infancy and childhood. 5thed. Mosby Co.
  48. Sims LS, Morris PM(1974): Nutritional status of preschoolers. An ecologic perspective. J Am Diet Assoc May;64(5): 492-499
  49. Sohn KH, Lee JS, Jeon HJ, Choi JS, Min SH, Park HK, Park J(1996): Development of Nutritionally Balanced Weaning Foods for Korean Infants 1: Investigating the conditions of lactation and peoples perspectives on breast feeding and formular feeding. Korean J Dietary Culture 11(2): 217-229
  50. Song YS(1991): The present stantus of infant feeding in Korea and suggestions for its improvement. Kor J Nutr 24(3): 282-291
  51. Venkataraman PS, Luhar H, Neylan MJ(1992): Bone mineral metabolism in full-term infants fed human milk, cow milk-based, and soy-based formulas. Am J Dis Child Nov;146(11): 1302-1305
  52. Wang SG, Kim JH(1999): A study on infant feeding and weaning practice in Taejon. Korean J Community Nutr 4(4): 489-495
  53. Waterlow JC(1972): Classification and definition of protein calorie malnutrition. BMJ 3:566-569
  54. Welsh JK, May JT(1979): Anti-infective properties of breast milk. J Pediatr Jan;94(1): 1-9 https://doi.org/10.1016/S0022-3476(79)80340-6
  55. World Health Organization(1983): Measuring change in nutritional status guidelines for assessing the nutritional impact of supplementary feeding programmes for vulnerable groups, Geneva