대한지역사회영양학회지 (Korean Journal of Community Nutrition)

대한지역사회영양학회 (The Korean Society of Community Nutrition)
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남북한 가임기 여성의 영양상태 비교

Status of Maternal Nutrition in South and North Korea

  • 윤소윤 (서울대학교 식품영양학과) ;
  • 권영혜 (서울대학교 식품영양학과) ;
  • 윤지현 (서울대학교 식품영양학과)
  • Yun, Soh-Yoon (Department of Food and Nutrition, Seoul National University) ;
  • Kwon, Young Hye (Department of Food and Nutrition, Seoul National University) ;
  • Yoon, Jihyun (Department of Food and Nutrition, Seoul National University)
  • 투고 : 2016.04.27
  • 심사 : 2016.06.19
  • 발행 : 2016.06.30
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초록

Objectives: This study compared the nutritional status of child-bearing age women between the Democratic People's Republic of Korea (North Korea) and the Republic of Korea (South Korea). Methods: The data presented in the DPRK Final Report of the National Nutrition Survey 2012 was utilized for the nutritional status and food intake of North Korean women. To produce the South Korean women's data comparable to those of North Korean women, the data from the 2012 National Health and Nutrition Survey were analyzed and the data presented in the 2010 Report of the Korean Agency for Technology and Standards were utilized. Results: The prevalence of maternal anemia (blood hemoglobin < 12.0 g/dL) was over 30% in all the age groups of North Korean women and 8.9%, 14.2%, 16.4% in 20-29, 30-39, 40-49 year old South Korean women, respectively. The prevalence of maternal protein-energy malnutrition (Mid-Upper Arm Circumference < 22.5 cm) was 25.2%, 21.4%, 21.8% in 20-29, 30-39, 40-49 year old North Korean women, respectively and less than 10% in all the age groups of South Korean women. Result of dietary diversity comparison showed that North Korean women consumed less food than South Korean women at all food groups: grains, fruits, vegetables, meat, and dairy. Percentage of North Korean women having consumed protein rich foods-meat and fish, eggs or dairy products-were much lower than those of South Korean women. Conclusions: The striking disparity of nutritional status between South and North Korean women indicates that nutrition support for North Korean women is essential in the process of preparation for a unified nation.

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참고문헌

  1. DPRK Central Bureau of Statistics. DPRK Final Report of the National Nutrition Survey 2012 [internet]. UNICEF, World Food Programme, World Health Organization; 2013 [cited 2015 Oct 21]. Available from: http://www.unicef.org/eapro/DPRK_National_Nutrition_Survey_2012.pdf.
  2. FAO, IFAD and WFP. The state of food insecurity in the world 2015. Meeting the 2015 international hunger targets: taking stock of uneven progress. Rome, FAO; 2015. ISBN. 978-92-5-108785-5.
  3. Statistics Korea. Population projection of DPRK from 1993 to 2055 [internet]. 2010 [cited 2015 Oct 21]. Available from: http://kostat.go.kr
  4. Bae SI. Humanitarian assistance to DPRK of international community. The Korean J Int Stud 2004; 44(1): 255-280.
  5. EU, UNICEF, WFP. Nutrition Survey of the DPRK [internet]. UNICEF; 1998 [cited 2015 Oct 21]. Available from: http://www.pwdigby.co.uk/pdf/Report_on_the_DPRK_Nutrition_Assessment_1998.pdf.
  6. DPRK Central Bureau of Statistics. Report of the Second Multiple Indicator Cluster Survey 2000, DPRK [internet]. 2000 [cited 2015 Oct 21]. Available from: https://mics-surveysprod.s3.amazonaws.com/MICS2/East%20Asia%20and%20the%20Pacific/Korea%2C%20Democratic%20People%27s%20Republic%20of/2000/Final/Korea%2C%20Democratic%20People%27s%20Republic%20of%202000%20MICS_English.pdf.
  7. DPRK Central Bureau of Statistics. Report of the DPRK Nutrition Assessment [internet]. UNICEF; 2002 [cited 2015 Oct 21]. Available from: http://www.unicef.org/dprk/nutrition_assessment.pdf.
  8. DPRK Central Bureau of Statistics. DPRK 2004 Nutrition Assessment Report of Survey Results [internet]. 2004 [cited 2015 Oct 21]. Available from: http://www.unicef.org/dprk/dprk_national_nutrition_assessment_2004_final_report_07_03_05.pdf.
  9. UNICEF CBS. DPRK Multiple Indicator Cluster Survey 2009 [internet]. DPRK Central Bureau of Statistics; 2009 [cited 2015 Oct 21]. Available from: http://planipolis.iiep.unesco.org/upload/Korea%20DPR/Korea_DPR_MICS_2009.pdf.
  10. Koo J, Kim JH, Byun KW, Son JM, Lee JW, Lee JH et al. Nutrition through the life cycle. 2nd ed. Seoul: Powerbook; 2013. p. 32.
  11. Bae HS. Risk factors affecting the health of pregnant women and fetus. Korean J Community Nutr 2008; 13(6): 805-817.
  12. Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, Onis M et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet 2013; 382(9890): 427-451. https://doi.org/10.1016/S0140-6736(13)60937-X
  13. Song YW, Shin JH, Yoon YS, Jeong HC, Yim HE, Choi BM. Perinatal complications of mothers and neonates resulting from inadequate prenatal care. Korean J Perinatol 2010; 21(4): 347-355.
  14. Gortmaker SL. The effects of prenatal care upon the health of the newborn. Am J Public Health 1979; 69(7): 653-660. https://doi.org/10.2105/AJPH.69.7.653
  15. Quick JD, Greenlick MR, Roghmann KJ. Prenatal care and pregnancy outcome in an HMO and general population: a multivariate cohort analysis. Am J Public Health 1981; 71(4): 381-390. https://doi.org/10.2105/AJPH.71.4.381
  16. Garrido GG. The impact of adequate prenatal care in a developing country: testing the WHO recommendations [internet]. 2009 [cited 2015 Oct 21]. Available from: http://papers.ccpr.ucla. edu/papers/PWP-CCPR-2009-014/PWP-CCPR-2009-014.pdf.
  17. Lim HS. Nutritional factors of the women of reproductive age and pregnancy outcome. Korean J Community Nutr 2002; 7(6): 894-906.
  18. Jeon BJ. Low fertility era and maternal health promotion. J Korea Contents Assoc 2014; 14(6): 162-173. https://doi.org/10.5392/JKCA.2014.14.06.162
  19. Kim S, Lee E. The trend and the task of North Korean women researches. J Korean Assoc North Korean Stud 2012; 16(2): 229-268.
  20. Lim SH. The impact of the food crisis on North Korean women. Korean J Unification Aff 2005; 17(1): 167-190.
  21. Shim JE, Yoon J, Jeong SY, Park M, Lee YS. Status of early childhood and maternal nutrition in South Korea and North Korea. Korean J Community Nutr 2007; 12(2): 123-132.
  22. Ministry of Health and Welfare. 2012 National Health and Nutrition Survey [internet]. Ministry of Health and Welfare; 2012 [cited 2015 Aug 31]. Available from: http://knhanes.cdc.go.kr.
  23. Korea Agency of Technology and Standards. 6th Korean Agency of Technology and Standards data[Internet]. Korea Agency of Technology and Standards; 2010 [cited 2015 Aug 31] Available from: http://sizekorea.kats.go.kr.
  24. World Health Organization. Iron deficiency anaemia: assessment, prevention and control. A guide for programme managers. WHO/NHD/01.3; 2001. p. 17.
  25. de Benoist B, McLean E, Egli I, Cogswell M. Worldwide prevalence of anaemia 1993-2005. WHO global database on anaemia. World Health Organization; 2008. p. 8.
  26. World Food Programme. Hunger map 2015 [internet]. 2016 [cited 2015 Sep 17]. Available from: http://documents.wfp.org/stellent/groups/public/documents/communications/wfp275057.pdf.
  27. Kim Y, Hwang SJ. Effects of socio-cultural pressure and objectified body consciousness on the behavior of women for appearance management. J Korean Soc Costume 2008; 58(10): 112-122.
  28. Joo JY, Bae JI, Lee JH, Park JS, Han KS, Bae KH. The association of maternal body mass index with birth weight and cesarean delivery. Korean J Obstet Gynecol 2001; 44(6): 1103-1108.
  29. Kim SG, Kim YK, Kim HR, Park JS, Son CG, Choi YJ et al. The 2012 national survey of fertility, family health & welfare in Korea. Korea Institute for Health and Social Affairs; 2012 Apr. Report No. 2012-54.
  30. Lee JJ. Effect of women's first childbearing age on the risk of low birth weight. Korean J Pediatr 2007; 50(12): 1206-1211. https://doi.org/10.3345/kjp.2007.50.12.1206
  31. Lim HS, Lee JA, Jin HO. The evaluation of the dietary diversity and nutrient intakes of Korean child-bearing women. Korean J Human Ecol 2000; 3(1): 15-24.
  32. Choi JH, Kim SK. Comparison of the dietary factors between normal and osteopenia groups by bone mineral density in Korean female college students. J Korean Soc Food Sci Nutr 2008; 37(7): 869-878. https://doi.org/10.3746/jkfn.2008.37.7.869
  33. Korean Statistical Information Service. Population Census [internet]. Statistics Korea; 2010 [updated 2012 Aug 28; cited 2015 Sep 16]. Available from: http://kosis.kr/statisticsList/statisticsList_01List.jsp?vwcd=MT_ZTITLE&parentId=A#SubCont.
  34. Hanyang University Cooperation Foundation. Health promotion strategies and programmes development for health inequalities alleviation. Hanyang University Cooperation Foundation; 2009 Dec. Report No. 08-55.
  35. Ministry of Health and Welfare. The National Health Plan 2020. Ministry of Health and Welfare; 2011. Report No. 11-1352000-00028-13.

피인용 문헌

  1. Distribution of Diseases studied in North Korean Articles of ‘Internal Medicine’ vol.38, pp.2, 2016, https://doi.org/10.15709/hswr.2018.38.2.589
  2. Systematic review of evidence on public health in the Democratic People’s Republic of Korea vol.4, pp.2, 2019, https://doi.org/10.1136/bmjgh-2018-001133
  3. Frequently covered diseases in North Korean internal medicine journal Internal Medicine [Naegwa]-Secondary publication vol.6, pp.2, 2019, https://doi.org/10.6087/kcse.169
  4. Timely Initiation of Complementary Feeding and Associated Factors among Mothers of Children Aged 6–24 Months in Dessie Referral Hospital, Northeast Ethiopia, 2019 vol.2020, pp.None, 2020, https://doi.org/10.1155/2020/6756202