• Title/Summary/Keyword: 아동관

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Obstetric and Neonatal Outcomes of the Teenage Pregnancy (청소년 임신에 따른 임산부와 신생아의 주산기 문제점)

  • Shin, Jeong-Hee;Bauer, Siegfried;Yoon, Young-Sun;Jeong, Hyun-Chul;Rhie, Young-Jun;Lee, Jang-Hoon;Woo, Chan-Wook;Choi, Byung-Min;Kim, Hai-Joong;Park, Sang-Hee;Song, Ji-Won
    • Neonatal Medicine
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    • v.17 no.1
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    • pp.94-101
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    • 2010
  • Purpose:In recent years, Korea has showed a steady increase in the frequency of teenage birth, while the overall birth rate has declined. As the teenage birth is known as a high risk pregnancy itself, we examined perinatal complications of teenage mothers and whose neonates in aspects of medical problem, and social status and support. Methods:We examined the perinatal characteristics of teenage mothers and whose babies, who were hospitalized at Korea University Ansan Hospital from January 2004 to July 2009 using medical records retrospectively. Twenty-seven teenage mothers and their 28 babies were enrolled in this study. Results:Teenage mothers were all unmarried and showed high rates of preterm labor, maternal anemia, and unexpected delivery. Among them, 11 (40.7%) were from families that were separated. Eleven mothers (40.7%) did not have any antenatal care. There were high rates of prematurity and low birth weight (60.7% and 64.3%, respectively). The complication included: respiratory distress syndrome, patent ductus arteriosus and necrotizing enterocolitis. Fourteen babies (51.9%) were not going to be brought up by their biological parents. Conclusion:Teenage pregnancy had high rates of preterm labor and associated complications, often caused by the lack of proper antenatal care. Babies from unmarried mothers were likely to be adopted and this could be a social burden. Therefore, to reduce unplanned teenage pregnancy and births, sex education and social supports should be provided to all teenagers.

A Study on the Stages in the Development of Geographic Concept: The Conception of 'Place' (지리개념의 발달단계에 대한 연구: '장소' 개념을 중심으로)

  • Seo, Tae-Yeol
    • Journal of the Korean Geographical Society
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    • v.31 no.4
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    • pp.699-715
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    • 1996
  • This paper examines the cross-sectional development of children's conception of place. Previous research by Piaget and Weil, Jahoda, Daggs has questioned how young children develop the ablity to comprehend place. Oral interview and graphic test were made vy the children at the age of 5-14, in order to attain information on their knowledge, understanding and feeling about place. These data were used ti indentify developmental stages through cluster analysis. The results suggest that young children's conception of place develops with an identifiable 4 stages. There is no significant difference in development of conception of place between the 2nd year of kindergarten and the 1st year of elementary school, or the between the 5th, 6th year of elementary school and 1st, 2nd year of middle school. Rather, the 4th year of elementary school is an important and crucial truning point in the development of children's conception of place. It is concluded that children's conception of place develops in line with Piaget's general cognitive developmental theory in which the pre-conceptual stage ends at age 7 and the concrete-operation stage starts at age 11 to 12.

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Comparison of Bioethical Perception between Dental Hygiene Students and Non-Health Students (치위생(학)과와 비보건계 학생들의 생명윤리의식에 관한 비교)

  • Ahn, Yong-Soon;Kim, Myoung-Hee;Han, Ji-Hyoung
    • Journal of dental hygiene science
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    • v.12 no.1
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    • pp.1-6
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    • 2012
  • This study was practiced to provide basic data which is necessary for ethical education of dental hygiene students by comparing the bioethical perception between dental hygiene students and non-health students. Questionnaire surveys were conducted for 778 students in two universities in Gyeonggi-Do province and analyzed the collected data with SAS 9.2. The findings of the study were as follows : 1. there was no stastistical difference in the degree of bioethical perception between dental hygiene students and non-health students. 2. Students who have family member in medical field were more conscious of bioethics than students who doesn't. According to religion, the protestants were most conscious and no-religions scored the lowest. 3. In case of dental hygiene students, female was more conscious. According to religion, there were statistical differences between the Catholic and Buddhism, the Catholic and No-religion. 4. Dental hygiene students were more strongly opposed to let infant with fatal congenital disease die than non-health students. 5. Dental hygiene students were more strongly opposed to rejecting organ transplant, trade in human organs and using alternative organ of animal. Also, they estimated higher the possibility of medical irrationalities due to trade in human organs. From these results, a curriculum for bioethical education in department of dental hygiene should be developed to form and improve the more desirable bioethical perception of dental hygiene students.

A Study on the Nutritional Assessment of Early Childhood Using Mid-Upper-Arm Circumference (상박위(上膊圍)에 의(依)한 성장기(成長期) 아동(兒童)에 영양상태(營養狀態)의 판정(判定)에 관(關)한 연구(硏究))

  • Tchai, B.S.;Nam, Y.K.;Chung, Y.J.
    • Journal of Nutrition and Health
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    • v.8 no.4
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    • pp.9-14
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    • 1975
  • Growth retardation and a variable degree of body disproportion are recognized features of malnutrition, and mild and moderate protein-calorie malnutrition(PCM). Among the various body measurements suggested to assess the prevalence of all grades of PCM as judged by growth retardation and by body disproportion, the 'mid-upper-arm circumference'-abbreviated to 'arm-circumference' has been suggested as a potential useful simple field index for the assessment of PCM showing that the measurement would give composite information simultaneously on three important effects on PCM-deficit in the muscle protein reservoirs, availability of calorie stores in the form of subcutaneous fat, and growth failure. And this is selected because of its easy accessibility, and less involvement with clinical edema. This study is conducted to make a comparison between the percentage of Korean weight for age standards and the percentage of mid-upper-arm circumference for age standards of 175 preschool children aged $3{\sim}72$ months who are selected among the low-income residents in Seoul. In this study, a comparison is made between the results obtained by expressing the observed weight of the child as a percentage of Korean standard, referred to as 'weight-for-age' and the observed arm-circumference expressed as a percentage of the age-specific arm standard of Jelliffe, referred to as 'arm-for-age'. All the measurements were taken following the techniques described by Jelliffe. The left mid upper arm was measured using a glass-fibre tape and the Fairbanks Morse beam balance was used for weighing. 80% level of weight for age Korean standard and 85% level of arm for are Jelliffe standard were used as an upper borderline limit for PCM. Comparing the 80% weight-for-age and the 85% arm-for-age standard as an upper limit for PCM, for children aged $3{\sim}72$ months, results in 84.6% agreement with the sensitivity of 86.4% and its specificity of 83.5%. If arm circumference alone had been measured and judgement made on this basis, then only 5.1% of the children would have been 'wrongly' classified. And there is a moderately close correlation between arm circumference and weight for age as the data in Table 4 shows. The problem therefore lies in the standard for arm circumference in normal children and in determining what is the lower limit of normal. Once this is clearly difined, one can rely more confidently on arm circumference measurements alone for the nutritional assessment of early childhood.

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A Study on Iron and Protein Nutriture of Preschool and School Children in a Korean Rural Area (일부(一部) 농촌지역(農村地域) 성장기(成長期) 아동(兒童)의 단백질(蛋白質) 및 철분(鐵分) 영양상태(營養狀態)에 관(關)한 연구(硏究))

  • Choung, Young-Jin;Rhee, Hei-Soo;Kang, Kil-Won;Tchai, Bum-Suk
    • Journal of Nutrition and Health
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    • v.7 no.3
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    • pp.27-44
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    • 1974
  • A general survey of 82 perschool children and 473 school children (from 1st to 3rd grade) residing in the Dongnae area of Shindong Myun, choonseoung Gun, Kangwon Province was conducted from June 12 to 21, 1973, to obtain information concerning nutritional status, especially the protein and iron nutrition of preschool and school children in a rural area of Korea. A sample of 58 children 2 to 9 years old was selected from these 555 children for hematological, biochemical and parasitological tests. The results of these tests are presented below, 1) Both the mean body height and mean body weight of these children were higher and heavier than the averages in the Korean Physical Standards. About 39 per cent were above the 90 th percentile of the Korean Physical Standards of height and 35 per cent were above the 90th percentile of the Korean Physical Standards of weight. 2) The rate of infestation by helminthes was 67.6 per cent and there were no cases of hookworm infestation Among the ascaris-infected children, 61.6 per cent fell within an Ascaris E.P.G. count range of $501{\sim}2,000$. This was considered a rather mild intensify of ascaris infection. Nutrient loss due to helminthes was also estimated to be low. 3) The mean hemoglobin level was 11.3gm% $({\pm}0.94)$, and 68.4 per cent of the children were anemic (less than 11gm% among those 5 years old or less, less than l2gm% among those 6 years old or more). The average hematocrit value was 36.1% $({\pm}2.36)$, and only 3.5 per cent showed more than 34% on the M.C.H.C. test. These results showed that the incidence of anemia, in these rural children was high, and that in general it displayed hypochromic characteristics. 4) The average serum iron level was $78.2{\mu}g%$\;({\pm}29.8). The Proportion of the children showing less than $50{\mu}g% in the serum iron level was 5.6 per cent, while 41.8 percent revealed $450{\mu}g% or more in the TIBC determination. Transferrin saturation was below 15% in 71.4 percent of the preschool children, and in 28.6 percent of the school children. Those who had a serum iron level of $50{\mu}g% or less and a TIBC of more than $450{\mu}g% constituted 11.9 percent of the children examined. From these results, it was concluded that especially preschool children were low in iron nutrition, and that most of the anemia might be iron-deficiency anemia. 5) The mean values of total serum protein and albumin were 6.98gm% and 4.99gm% respectively. Especially in serum albumin, all children stowed more than 4 gm%. 6) The mean urinary urea nitrogen Per creatinine ratio was 11.5 $({\pm}4.2)$, and 21.8 percent had a ratio of more than 15. Considering these results, it was suggested that protein nutrition in these children was relatively good.

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A Path Analysis of Social support, Marital conflict, Self-efficacy, and Mothers' parenting stress in Mothers' parenting behaviors of infants (사회적지원, 부부갈등, 자기효능감, 양육스트레스와 영아기 어머니의 양육행동간 경로분석)

  • Kim, Jong-Han
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.9
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    • pp.3924-3933
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    • 2012
  • The purpose of this study is to investigate the relationships of social support, marital conflict, self-efficacy, and mothers' parenting stress, which are known as affecting mothers' parenting behaviors of infants a lot. To this study, We used of Korea Institute of Child Care and Education's "Panel Survey of Korea Child; 2009" data. The subjects of mothers of 11~18 months infants 1,467(M=739, F=728). In order to analyze collected data, Person correlation analysis, regression/path analysis were used. The results of the study were as follows: First, the correlations among social support, marital conflict, self-efficacy, and mothers' parenting stress were between -.475 and .401, which are all significant on the level of within p<.01. Of those the correlation between the variable of self-efficacy, and mothers' parenting stress was shown highest as of -.475. Second, the correlations among these variables and mothers' parenting behaviors of infants were between -.484 and .350(all, p<.01). Mothers' parenting stress shows the highest correlations of all, next social support, self-efficacy, marital conflict in order. Third, multiple-correlation of .533, which explains at 28.4 percentage of total variance of the mothers' parenting behaviors. And -.396 in the degree of mothers' parenting stress, which explains at 15.7 percentage of the total variance of the mothers' parenting behaviors, while .223 in social support(4.97%). But marital conflict has not direct effects but indirect effects.

A Study in Every Possible Correlation between Daily Food Intake and Growth Rate of Primary School Students (국민학교(國民學校) 아동(兒童)의 영양섭취실태(營養攝取實態)와 성장발육(成長發育)에 관(關)한 연구(硏究))

  • Ryu, Young-Sang;Kim, Sook-He
    • Journal of Nutrition and Health
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    • v.6 no.2
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    • pp.25-33
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    • 1973
  • With the object of the study id every possible correlation between daily food intake and growth rate of primary school students, aged eleven years old, the author distributed prepared questionnaires through 200 children of 5th grade in both sexes in K private primary school, Seoul. Specific object of this study were included following three points: such as daily food intake records for six days. daily food intake records for six days. school records of sample children at the end of 4th grade. physical growth index calculated by means of weight and height of sample children at the first part of the 5th grade. CR. t. F. test as well as percentage calculations were included for statistical analysis. The result of this study were as follows: 1. For the living circumstances a) Average numbers of brother and sister in sampled family were two to three. b) Approximately 50%of the children were brought up by mother's milk at their infants and about 35% of children were weaned at the age of 7 to 12 months. c) Thirty to forty percent of the respondents revealed irregulity in their meal time due to early school time in the morning. d) Monthly average expenditure for daily food reached 20 to 29% out of total income. e) The most favorit foods reflect as follows: The most favorit main dish is boiled rice mixed with other careals and side dish beaf. Fruits and juice are more popular snack among whole children. 2. Nutrition survey a) The calcium and thiamine were the most limited factors out of daily nutrients consumption. b) The total calory intake were composed of carbohydrate 63%, protein 16% and fat 21% respectively. c) The total food intake were composed of 20 to 24% of animal source of foods and 76 to 80% of plant source of foods (vegetables, grains, fruits) d) The total protein intake were composed of 46% of animal protein and 54% of others. e) The grain stuffs consumed in the largest quantity at the level of 50% out whole food groups. f) Twenty four percent of total food intake came from snack between meal time. 3. The result of statistical analysis were as follows: a) The correlation between the calory intake and plysical growth index revealed statistical significancy at the level of p<0.001. b) The correlation between the protein intake and physical growth index revealed statistical significancy at the level of p<0.001. c) The correlation between the meal time and physical growth index revealed statistical significancy at the level of 0.02

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Urinary Urea Nitrogen and Creatinine Ratio of School Child -as an indicator of protein intake- (국민학교(國民學校) 아동(兒童)의 단백식이(蛋白食餌) 섭취(攝取) 평가(評價)에 관(關)한 연구(硏究) -요중(尿中) 요소(尿素) 질소(窒素)와 요중(尿中) Creatinine 비(比)에 의(依)한-)

  • Tchai, B.S.;Kim, H.O.
    • Journal of Nutrition and Health
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    • v.5 no.4
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    • pp.151-159
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    • 1972
  • Protein malnutrition of children is one of the most serious nutritional deficiencies in developing country. Urea nitrogen excretion in ureotelic animals is the function most sensitive to dietary protein. The 24 hours excretion of creatinine in the urine of a given subject is remarkably constant from day to day. The creatinine excretion of different individuals of the same age and sex is also quite constant. Low ratios of urinary urea to creatinine are found children low protein intake. The foregiving world-wide investigations indicate that the urea nitrogen/creatinine ratios seems to be a good biochemical indicator to distinguish among group with different levels of protein intake. The purpose of this study is to evluate an indicator of protein intake on the elementary school children ranged from 6 to 8 years of age living in rural and urban areas. Each child measured for height and weight of body. weight measured by means of a plate from scale and height by a vertical measuring rod. Biochemical test were taken from a finger-tip and urine. Hemoglobin level in the blood was measured by cyanomethemoglobin method. From the urine samples, urea nitrogen and urea creatinie were determined by Folin-Wu method and: calculate the ratio. The following result were obtained: 1) Mean of the body weight and height in urban children(Seoul) was higher and heavier than rural children(Kyunggi, Kangwon). And 12% of boys, 18% of girls in Kyunggi and 25% of boys, 22% of girls in Kangwon area weight less than 80% of Korean Physical Standard weight level. 2) The mean hemoglobin values of boys and girls in Seoul are children were 13. 3g/100ml, 13.1g/100ml and the mean of hemoglobin values in Kyunggi 12.9g/100ml of boys, 12.4g/100ml of girls, and 12.4g/100ml of boys, 12.9g/100ml of girls in Kangwon children. It is found that 22% to 24% children inrural area (Kyunggi, Kangwon) had hemoglobin level less than 12g/100ml which means anemia. 3) The mean of hematocrit level of Seoul, boys and girls children were 33.5%, 34.1% and 33.4%, 33.1%, in Kyunggi area and 33.1%, 32.9% in Kangwon area. 4) Urea nitrogen/creatinine ratios in Seoul children were 9. 0, 10. 0 of boys and girls, the ratio were 8.2, 8.0 in Kyunggi boys and girls children, and 7.5 and 7.4 in Kangwon boys, girls children. Low-income rural and upper-income urban background large differences between two groups in the urea nitrogen/creatinine ratio(Seoul: Kangwon in male, female children. p<0.05, p<0.001). The urea nitrogen/creatinine ratio definetly seems to be a good indicator of the quantity of the protein intake. However, whether or not it is an indicator of the quality of the ingested protein ramains to be seen.

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A Study on Iron Deficiency Anemia of Pre-School Children in Rural Area in Korea (한국농촌(韓國農材) 미취학아동(未就學兒童)의 철결핍성빈혈(鐵缺乏性貧血)에 관(關)한 연구(硏究) -충청남도(忠淸南道) 대덕군(大德郡) 유성면(儒城面) 상대리(上垈里)를 중심(中心)으로-)

  • Tchai, B.S.;Lee, Hyo-Eun
    • Journal of Nutrition and Health
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    • v.3 no.3
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    • pp.149-159
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    • 1970
  • This study is to investigate the status of anemia, especially iron deficiency anemia among pre-school children in rural area in Korea. The survey was conducted in Sang-dae Ri, Yusong Myon, Daedok Gun, Chung Chong Nam-Do from July 30 th to August 12th, 1968. The measurements were done of height, weight, hematologist and biochemical levels on ninety-two pre-school children, 47 male, and 45 female, one to six years of age. Hemoglobin was determined by the method of cyanmethemoglobin and hematocrit by micro hematocrit centrifuge. The determination of serum iron, iron-binding capacity was done by the method of Ramsay using bathophenanthroline and the serum albumin was determined by Biuret Reaction. The results of this study are as follows: 1) 54.4 percent of the pre-school children weighed less than 90 percent of the Korean General Standard Weight level. 2) The average hemoglobin level was $11.0{\pm}1.57gm/100ml$, 38.0 percent of the children were anemic with less than 1.0gm/100ml. Of the anemic children 60 percent were below the Korean General Standard Weight level. 3) 27.5 percent of the pre-school children were found to have below 32 percent of a hematocrit values and 28.0 percent showed less than 33 percent in M.C.H.C. These results showed that the incidence of hypochromic anemia in these pre-school children was high. 4) 37.9 percent of these children had a serum iron level less than $50{\mu}g/100ml\;and\;31.0\;percent\;had\;a\;TIBC\;above\;400{\mu}g$ while 48.3 percent showed a transferrin saturation lower than 15 percent. On the basis of these findings, it is concluded than the cause of this anemia was iron deficiency. 5) In this group there was a little evidence of low total serum protein levels. However, 10.4 percent of the children had a deficient serum albumin level, below 2.80 gm/100ml while 51.7 percent had a low level, less than 3.50gm/100ml, and 34.5 percent of the children had a low level of TIBC, less than $350{\mu}g/100ml$, and considering these facts, it is suggested that some of the anemias have a multiple causes through protein deficiency and repeated chronic infection apart from iron deficiency.

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유기농 이유식 제품 제조 기술 현황과 소비 전망

  • Sin, Hyeon-Ho
    • 한국유가공학회:학술대회논문집
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    • 2006.06a
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    • pp.29-45
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    • 2006
  • 최근에 들어 웰빙(well-being)과 함께 로하스(LOHAS: Lifestyle of Health and Sustainability)란 개념이 급속도로 확산되고 있으며, 이를 만족하는 식품으로 친환경 농산물과 유기 가공 식품이 대두되고 있다. 여러 마케팅 조사에서도 친환경 농산물과 유기 가공 식품의 소비자 선호도는 상당히 높게 나타난다. 이러한 다양한 소비자의 요구에 맞춰 우리의 2세에게 더욱 안전하고 좋은 품질의 이유식을 제공하고 나아가 한계에 이른 '지구와 환경을 해치지 않는 지속가능 한 소비'를 유도하고자 업체들은 유기농 이유식을 개발하고 있다. 유기농 소비자 10명 가운데 7명은 최근의 웰빙 붐 때문에 유기농에 관심을 가지게 됐으며, 가격이 다소 비싸더라도 가족의 건강을 위해 친환경 농산물을 구입하는 것으로 나타났으며, 국내외를 막론하고 친환경 농산물과 유피 가공 식품의 시장 동향을 살펴보면 지속적으로 증가하고 있으나, 아직까지 일반 제품에 비해 미미한 수준이며, 국내는 인증 제도가 없으나, 유기 가공 식품표시기준에 따라 표시되고 있다. 일반적으로 이유식이라 함은 식품공전에서 영 ${\cdot}$ 유아용 곡류 조제식만을 말하지만 넓게 축산물의 조제유류, 영아용 조제식, 성장기용 조제식, 기타 영 ${\cdot}$ 유아식을 포함할 수 있으며, 유기농 이유식 제조 현황을 살펴보면 동결, 분무, 드럼 등의 건조와 퍼핑이나 Extruder를 통한 알파화로 원료를 가공하여 은 살균, 멸균, 균질, 혼합, 건조, 냉각, 포장 등의 다양한 공정으로 이루어진 분무건조나 유동층이나 연속식 과립기를 사용하여 분말이나 입자형 이유식을 생산하며, 동결 건조를 하여 열수를 가해 죽 상태로 먹을 수 있도록 한 제품, 데워서 떠 먹일 수 있도록 병조림이나 레토르트 유동식 제품, 바로 마실 수 있는 쥬스류, 두유류, 과자 등으로 생산하고 있다. 주된 메이저4사는 일동후디스, 남양유업, 매일유업, 파스퇴르유업으로 다양한 제품들을 생산하고 있으며, 두유를 위주로 한 정식품, 연세우유와 종근당건강, 다양한 다국적 기업들의 제품이 수입되고 있는 실정이다. 이유식 시장도 96년 하반기부터 정체를 보이는 상태다. 2002년도 이유식 시장은 약 1,300억원 규모로 업체들의 고가 신제품과 유기농 이유식 출시로 판매 금액은 소폭 상승하였으나 판매 수량은 큰 변동이 없다. 저출산에 따른 양육비 집중과 유기농 제품에 대한 저변이 크게 확산돼 베이비 웰빙은 어느 정도 예견된 일이거니와 이미 미국 등 선진국에선 유아에 그치지 않고 아동까지 유기농과 고급 원료를 사용한 고가의 웰빙 제품이 봇물을 이루고 있는 상황이어서 유아식 시장은 어느 때보다 경쟁이 치열할 것이며, 국내 식품 업체들이 너도나도 유기농 제품과 매장사업에 뛰어들고 있다. 유기 가공 식품의 지속적인 발전을 위해서 (1) 국내산/수입산 공통으로 인증 제도가 도입되고 원료 농산물뿐만 아니라, 모든 공정이나 공장에 대한 종합적 관리와 동일한 인증 표시가 이루어져야 한다. (2) 정부 부처의 이기를 타파할 수 있는 법정부적 기구나 대책이 필요하다. (3) 유기 가공 식품을 취급하는 업계에서는 기존 3%의 비의도적 혼입치의 고려나 상한선 재설정을 요구하고 진정한 유기 가공 식품으로 공정 경쟁한다. (4) 활발한 인증심사원의 교육과 배출로 인증이나 심사기관의 민간 이양을 적극 장려하고 국가관 상호 신뢰를 구축한다. (5) 각 소비자 단체나 소비자는 환경을 살리고 생명체의 공생이라는 관점에서 최선의 길이 유기농 제품임을 인식하고 소비하여 우리의 다음 세대에게서 빌려온 소중한 환경을 물려준다.

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