• Journal of Nutrition and Health
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• v.30 no.5
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• pp.506-511
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• 1997

In order to investigate the body weight change and human milk intake of breast-fed infants, we examined thirty-three infants with test-weing method in Sokcho area during the first 5 months of lactation. The average birth weight of infants was 3300g. They grew 3300, 3805, 4676, 5878, 6786, 7403, and 8111g when they became 0.5, 1, 2, 3, 4, and 5 months old. The is human milk intake was 515, 650, 718, 731, 746 and 796g/day during the lactatin. Human milk intake of boys was significantly higher than that of girls at 1(p<0.05), 2(p<0.01), and 3(p<0.01) months of lactation. During lactatin, the number of feedings per day decrerased. The human milk intakes per feeding had increased from 54.4g at 0.5 months to 98.9g at 5 months of lactation The human milk intake on infants was not affected by gestational period and birth weight. From this survey, we found a difference between boys and girls in human milk intake.

• Journal of Nutrition and Health
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• v.31 no.9
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• pp.1433-1439
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• 1998

This study was performed to investigate the vitamin A intake of exclusively breast-fed infants and to compare the value with the Recommended Dietary Allollwances(BDA) for Korean infants. We examined retinol and ${\beta}$-carotene contents of breast milk in 32 lactating women by HPLC analysis and also the consumed volume of the milk of their infants by the test-weighing method during the first 5 months of lactation. Total vitamin A contents of the milk shelved 67.3, 56.5, 51.2, 45.2, 39.0 and 34.lR.E./100m1 at 0.5, 1, 2, 3, 4 and 5 months of lactation respectively. Vitamin A intake of breast-fed infants were 320, 371, 368, 325, 292 and 251R.E/day during the five-month nursing period. Vitamin A intake per body weight of breast-fed infants was measured at 86.4, 79.8, 63.6, 49.1, 40.0 and 31.9R.E/kg/day. Body weight gain of infants was not affected by the vitamin A intake from the milk during the lactation. We conclude that breast-fed infants most likely receives vitamin A from the milk adequately compared with the RDA for Korean infants. (Korean J Nutrition 31(9) : 1433-1439, 1998)

• Journal of Nutrition and Health
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• v.32 no.1
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• pp.75-82
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• 1999

In order to investigate the longitudinal changes on zinc secretion of lactating women and zinc intake of breast-fed infants, we examined 20 lactating women(10 primipare and 10 multipare) and their infants during the first 90 days postpartum. We measured the consumed volume of human milk by test-weighing method and zinc concentration by atomic absorption spectophotometry after wet digestion. Weight gain of infants was -5.7, 54.1, 46.3, 42.0 and 32.3g/day at 7, 15, 30, 60 and 90 days postpartum, respectively. The secretion volume of human milk was 527, 608, 724, 841 and 798g/day respectively. The consumed volume of human milk of breast-fed infants was 432, 503, 603, 715 and 715g/day. The intake level of breast milk to secretion volume reached 85.0% in average. The zinc concentration of the milk was 4.29, 3.32, 2.52, 1.62 and 1.18mg/l, and the zinc intake of breast-fed infants was 1.80, 1.69, 1.45, 1.15 and 0.70mg/day. Zine intake per body weight of infants averaged 0.32mg/kg/day during the first 90 days postpartum. The average zinc intake of breast-fed infants was 1.36mg/day, which is 27.2% of the recommended daily allowance for 0-4-month-old infants.

• Journal of Nutrition and Health
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• v.31 no.9
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• pp.1440-1445
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• 1998

In order to investigate the vitamin I intake of exclusively breast-fed infants, we examined 33 lactating women and their infants at 0.5, 1, 2, 3, 4 and 5 months of lactation. Vitamin E contents of human milk were determined by HPLC analysis. Vitamin E contents of the milk showed 539, 520, 464, 422, 409 and 351$\mu\textrm{g}$/100m1 during the lactation respectively. Vitamin E contents of the human milk were not affected by energy, lipid and protein consumption of lactating women. Vitamin E intake of breast-fed infants averaged 3375 and 269$\mu\textrm{g}$/day in boys and girls during the first 5 months of lactation. Vitamin E intake per body weight of breast-fed infants appeared 725, 752, 600, 461, 420 and 334$\mu\textrm{g}$/kg/day respectively. We conclude that breast-fed infants most likely receives adequate vitamin E from the human milk compared with recommended dietary allowances for Korean infants. (Korean J Nutrition 31(9) : 1440-1445, 1998)

• Journal of Nutrition and Health
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• v.34 no.2
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• pp.165-175
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• 2001

We performed case-control study to evaluate relationship between food intake and risk of breast cancer. We interviewed breast cancer cases(n=108) who were newly histologically identified and selected from Hanyang and Soonchunhyang University Hospital in Seoul. We used hospital-based control subjects(n=121), who were selected from the patients in the department of plastic surgery, general surgery and opthalmology of the same hospital by frequency matching. Matching variables were age($\pm$4 age) and menopausal status. We collected information on general characteristics of subjects, history of disease, family history of breast cancer, vitamin supplementation, alcohol intake, and food intake through individual interview. Dietary information was ascertained via a food frequency questionnaire method(total item=98). All analyses was conducted according to menopausal status. Especially, pepper and grape intake in premenopausal women, showed protective effect in breast cancer. Otherwise consumption of meat, pork, and fish was not associated with breast cancer risk in this study. At milk and dairy products, milk intake was associated with lower risk of breast cancer in postmenopausal women and overall intake of soy products was associated with breast cancer risk, but not significant. These findings suggested that consumption of some fruit and vegetable intake was a protective factor on breast cancer and further study with more number of subjects should be need to evaluate the breast cancer risk. (Korean J Nutrition 34(2): 165~175, 2001)

• Women's Health Nursing
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• v.29 no.1
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• pp.66-75
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• 2023

Purpose: Supportive interventions to improve breastfeeding practice are needed in nursing. This study investigated the effects of pectoralis major myofascial release massage (MRM) on breast pain and engorgement among breastfeeding mothers and on breast milk intake and sleep patterns among newborns. Methods: Breastfeeding mothers who had delivered between 37 and 43 weeks and had 7-to 14-day-old newborns were recruited from a postpartum care center in Gunpo, Korea. Participants were randomized to the MRM or control group. The outcome variables were breast pain and breast engorgement among breastfeeding mothers and breast milk intake and sleep time among newborns. The experimental treatment involved applying MRM to separate the pectoralis major muscle and the underlying breast tissue in the chest. After delivery, the first MRM session (MRM I) was provided by a breast specialist nurse, and the second (MRM II) was administered 48 hours after MRM I. Results: Following MRM, breast pain (MRM I: t=-5.38, p<.001; MRM II: t=-10.05, p<.001), breast engorgement (MRM I: right, t=-1.68, p =.100; left, t=-2.13, p=.037 and MRM II: right, t=-4.50, p<.001; left, t=-3.74, p<.001), and newborn breast milk intake (MRM I: t=3.10, p=.003; MRM II: t=3.09, p=.003) differed significantly between the groups. Conclusion: MRM effectively reduced breast engorgement and breast pain in breastfeeding mothers, reducing the need for formula supplementation, and increasing newborns' breast milk intake. Therefore, MRM can be utilized as an effective nursing intervention to alleviate discomfort during breastfeeding and to improve the rate of breastfeeding practice (clinical trial number: KCT0002436).

• Preventive Nutrition and Food Science
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• v.1 no.2
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• pp.230-233
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• 1996

The purposes of this study was to investigate selenium content of human milk and selenium intake of breast-fed infants at each period of lactation longitudinally. The human milk intake in breast-fed infants was measured by test weighing method from 20 lactating mothers at 1,2 and 3 months postpartum. Selenium content in the milks was determined by atomic absorption spectrophotometry with hydride generation after wet digestion of samples. Selenium intake in breast-fed infants was calculated by multiplying human milk intakes by selenium contents. The milk intakes were 640, 726 and 715g/day at 1,2 and 3 months postpartum. The selenium contents in human milk were characterized by a pattern of slight decline with advancing stage of lactation;13.1, 11.5 and 9.8$\mu\textrm{g}$/L at 1,2 and 3 months during lactation. There was a large individual variation at any stage of this study. The mean dietary selenium intakes in breast-fed infants were 8.38, 8.32 and 6.97$\mu\textrm{g}$/day at 1,2 and 3 months postpartum, respectively. The mean daily intakes on a body weight basis were gradually decreased during the course of lactation.

• Journal of Nutrition and Health
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• v.26 no.8
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• pp.974-981
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• 1993

The longitudinal changes on contents of calcium, phosphorous and magnesium of breast milk of 23 Korean lacto-ovo-vegetarians(primiparae=11, multiparae=12) at 0.5, 1, 2 and 3 months postpartum have been studied. The mean ash content of breast milk per 100ml was 0.21g in total lactating women(n=23), and it decreased significantly during lactation(p<0.05). The mean calcium, phosphorous and magnesium contents of breast milk per 100ml were 26.83mg, 14.01mg and 2.72mg, respectively. Body calcium and phosphorous contents decreased significantly during lactation(p<0.05), but magnesium content tended to increase during lactation. There were no significant differences in ash, calcium, phosphorous and magnesium contents between primiparae and multiparae. The ratio of calcium to phosphorus was about 1.95:1 in breast milk and 0.62 : 1 in maternal dietary intake. In calcium and phosphorous, no correlation was found between maternal dietary intake and the concentration in breast milk. This study suggests that the contents of calcium, phosphorous and magnesium in lacto-ovo-vegetarian breast milk are not different from the concentrations of those in non-vegetarian.

• Korean Journal of Community Nutrition
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• v.12 no.3
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• pp.223-234
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• 2007

This study was done to determine the trans fatty acid (tFA) composition of human milk from postpartum to sixth months after delivery, to investigate the tFA intake of lactating women, and to estimate the intakes of tFA by infants exclusively fed breast milk. A total of 27 lactating Korean women participated to this study voluntarily, gave their breast milk, and responded to an investigation of their diets. The lactating women consumed 2.3-2.8 g/d of tFAs over the period of the first, second, third, and sixth months postpartum, which was 3.4-4.9% of the total fat intake and 0.8%-1.2% of the total energy intake. The proportions of tFAs in the breast milk were 1.89% in colostrum, 1.78% in transitional milk, and 1.78-2.25 in mature milk of the first, second, third, and sixth months postpartum. The tFAs of the breast milk identified in this study were C16:1n9t, C18:1n9t, C18:2n6t12t, C18:2n6t12c, C18:2n6t12t and C18:2n6t11t. Among them, C18:1n9t was predominant, which made up 59.26% of all tFAs in cob strum, 62.36% in transitional milk, and 64.42% in mature milk. The proportion of total tFA was unchanged with time, although some significant differences were noted for individual tFAs. The percentages of C18:2n6t12c and C18:2n6c12t decreased over the study period. Estimated tFA intake of the exclusively breast-fed infants was 0.18 g/d when fed colostrum, 0.29 g/d when fed transitional milk, and 0.53 g/d when fed mature milk until the sixth month of postpartum. Those were 0.5%, 0.8%, and 1.1% of the total energy intake. The results in this study indicate that lactating Korean women consume not a large quantity of tFAs, secrete breast milk not containing much tFA, and the estimated intake of tFAs by infants fed exclusively breast milk is not great.

• Journal of Nutrition and Health
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• v.30 no.7
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• pp.840-847
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• 1997

In order to investigate the protein intake of breast-fed infants, we examined sixty infants during the first 5 months of lactation. Human milk intake infants increased during lactation with the respective values of 525, 671, 734, 744 , 765 and 768g/day t 0.5, 1, 2, 3, , 4 and 5 months postpartum. The average protein contents of human milk showed 1.58, 1.38, 1.23, 1.11, 1.08and 1.07g/100g respectively. The protein intake of boys during the first 5 months of lactation averaged 9.11g/day which was higher than the 7.71g/day average for girls. Body weight of infants at birth was 3337g, which increased significantly during lactation. The protein intake per body weight of breast-fed infants in boys was significantly higher than that in girls(p<0.01). Protein intake of breast-fed infants had survey, a revaluation of the protein intake and recommended dietary allowance of protein during early infancy should be considered.