• 제목/요약/키워드: values of children

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충청 인근지역 어린이, 청소년의 엽산 섭취량과 급원식품 - 일부 식품의 엽산 분석으로 수정한 데이터베이스 활용 (Dietary folate intake and food sources of children and adolescents in Chungcheong area - Using nutrient database revised by measured folate in selected foods)

  • 김지현;이은정;현태선
    • Journal of Nutrition and Health
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    • 제48권1호
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    • pp.94-104
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    • 2015
  • 본 연구에서는 엽산의 급원식품으로 보고된 식품 51종의 엽산을 분석하고, 값에 차이가 많이 있는 경우 엽산 데이터베이스를 수정하여, 수정한 데이터베이스로 어린이와 청소년의 엽산 섭취량을 추산하고 급원식품을 알아보고자 하였다. 대상자는 대전, 충청도 및 전라도에 거주하는 만 20세 미만 567명으로 비연속 2일 동안의 24시간 회상법에 의해 식품섭취조사를 실시하였다. 51종의 식품을 새롭게 분석하여 현재의 데이터베이스와 비교한 결과 현재 값의 18.7%~322.9%의 결과를 얻었다. 기존의 값이 실험한 두 값 사이에 있거나, 기존값과의 차이가 10% 미만인 경우에는 수정하지 않았으며, 그 외에 차이가 있는 40종은 새로운 분석값으로 수정하였다. 수정한 데이터베이스로 대상자들의 엽산 평균섭취량을 성별, 연령별로 나누어 계산한 결과 모든 연령층에서 평균 엽산 섭취량이 권장섭취량보다 높았으나 12~14세 남자와 12~19세 여자의 평균 엽산 섭취량은 권장섭취량보다 낮은 것으로 나타났다. 계란, 배추김치, 쌀, 귤은 모든 연령층에서 엽산 급원식품의 10위 안에 포함되었다. 본 연구에서는 일부 급원식품 51종만을 분석하였으나 한국인들이 자주 먹는 식품의 조리 후 엽산 함량을 분석하여 보완해 나감으로써 더 정확한 엽산 섭취량을 추산할 수 있도록 해야 할 것이다. 또한 12~19세 여자의 평균 엽산 섭취량이 다른 연령층에 비해 상대적으로 낮게 나타난 것을 볼 수 있었는데, 엽산은 성장기 및 가임여성에게 특히 중요한 비타민으로써 이들을 위한 엽산 영양교육이 이루어져야 할 것으로 생각된다.

Efficacy of mid-upper arm circumference in identification, follow-up and discharge of malnourished children during nutrition rehabilitation

  • Mogendi, Joseph Birundu;De Steur, Hans;Gellynck, Xavier;Saeed, Hibbah Araba;Makokha, Anselimo
    • Nutrition Research and Practice
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    • 제9권3호
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    • pp.268-277
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    • 2015
  • BACKGROUND/OBJECTIVES: Although it is crucial to identify those children likely to be treated in an appropriate nutrition rehabilitation programme and discharge them at the appropriate time, there is no golden standard for such identification. The current study examined the appropriateness of using Mid-Upper Arm Circumference for the identification, follow-up and discharge of malnourished children. We also assessed its discrepancy with the Weight-for-Height based diagnosis, the rate of recovery, and the discharge criteria of the children during nutrition rehabilitation. SUBJECTS/METHODS: The study present findings from 156 children (aged 6-59 months) attending a supplementary feeding programme at Makadara and Jericho Health Centres, Eastern District of Nairobi, Kenya. Records of age, weight, height and mid-upper arm circumference were selected at three stages of nutrition rehabilitation: admission, follow-up and discharge. The values obtained were then used to calculate z-scores as defined by WHO Anthro while estimating different diagnostic indices. RESULTS: Mid-upper arm circumference single cut-off (< 12.5 cm) was found to exhibit high values of sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio, negative likelihood ratio at both admission and discharge. Besides, children recorded higher rate of recovery at 86 days, an average increment of 0.98 cm at the rate of 0.14mm/day, and a weight gain of 13.49gm/day, albeit higher in female than their male counterparts. Nevertheless, children admitted on basis of low MUAC had a significantly higher MUAC gain than WH at 0.19mm/day and 0.13mm/day respectively. CONCLUSIONS: Mid-upper arm circumference can be an appropriate tool for identifying malnourished children for admission to nutrition rehabilitation programs. Our results confirm the appropriateness of this tool for monitoring recovery trends and discharging the children thereafter. In principle the tool has potential to minimize nutrition rehabilitation costs, particularly in community therapeutic centres in developing countries.

소아 흉부촬영 시 나이와 체격에 따른 입사피부선량 (Entrance Skin Dose According to Age and Body Size for Pediatric Chest Radiography)

  • 신귀순;민기열;김두한;이광재;박지환;이귀원
    • 대한방사선기술학회지:방사선기술과학
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    • 제33권4호
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    • pp.327-334
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    • 2010
  • 전리방사선의 피폭에 의한 암 유발확률은 소아가 성인에 비해 크기 때문에 소아 X선 검사 시의 환자선량을 정확히 파악하는 일은 중요하다. 그러나 우리나라는 소아 환자선량에 대한 연구가 활발하지 않다. 그러므로 본 연구에서는 7세 미만 소아를 대상으로 전리함을 이용하여 흉부검사 시의 입사피부선량(entrance skin dose, ESD)을 측정하여 나이, 키, 체중, 가슴두께와 ESD의 관계를 비교한 결과는 다음과 같았다. 소아는 나이에 따라서 키, 체중 및 가슴두께가 비슷한 양상으로 증가하므로, 흉부촬영 시 측정하기 힘든 가슴두께 대신에 나이에 따라서 촬영조건을 설정해도 무방함을 알 수 있었다. 2세 미만 소아의 흉부 A-P 검사 시, kVp는 A병원에서 더 높았으나, mAs는 반대로 B병원에서 높아, ESD 값이 B병원에서 약 1.7배 높았다. 그러나 4세 이상 소아의 흉부 P-A 검사 시에는 mAs는 같았고 kVp는 B 병원에서 7 kVp 높았으나, ESD값은 FID가 먼 B병원(180 cm)에서보다 더 가까운 A병원(130 cm)에서 1.4배 정도 높았다. 또한 같은 나이라도 A-P가 P-A보다 ESD값이 높았다. 나이별에 따른 ESD값을 보면, 1세 미만은 $154{\mu}Gy$, 1세에서 4세 미만은 $194{\mu}Gy$, 4세에서 7세 미만은 $138{\mu}Gy$으로 나타났다. 이 값은 일본의 JART의 권고량($200{\mu}Gy$)보다 낮으나, EC(유럽위원회)나 영국의 NRPB의 권고량보다 높으며, 2009년 12월에 식품의약품안전평가원에 제출된 용역보고서의 진단참고준위(5세 소아에서의 중간값이 $100{\mu}Gy$)보다 높다. 결론적으로 ESD는 X선장치 시스템의 차이보다는 방사선사의 경험적 실행에 의한 촬영조건의 차이에 의해서 크게 달라짐을 알 수 있었으며, 또한 나이가 많다고 더 많은 선량을 받는 것은 아니다. 따라서 나이에 따른 소아의 적정 참고준위의 확립과 점진적인 환자선량의 저감화가 반드시 필요하다.

A Study of Evaluating Eye Movement Based on Ocular Motor Score for Children with Spastic Cerebral Palsy

  • Jeong, Seo-Young;Oh, Tae-Young
    • The Journal of Korean Physical Therapy
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    • 제32권6호
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    • pp.341-347
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    • 2020
  • Purpose: The purpose of this study is to introduce a tool for evaluating eye movement and analyze the reliability of measurement based on 10 cases of evaluating the oculomotor function of children with spastic cerebral palsy Methods: The participants were selected by 6 medical and welfare institutions in Busan as GMFCS grade 1-3 among spastic diplegia and hemiplegia. Seven examiners evaluated 3 children for the evaluation of inter-rater agreement of Ocular Motor Score (OMS) and evaluated the condition of the ocular motor of 10 children using OMS, a re-examination was performed at six weeks after the initial examination. SPSS ver.25.0 was used to calculate the interclass correlation coefficient and Wilcoxon's signed-rank test, Mann Whitney-U test. Results: The inter-rater agreement of OMS was 0.89. Second mean values were decreased compared first examination in motility/ductions/version, saccades and smooth pursuit, but there was no significant difference. Children under 6 years old had a high mean value of saccades in first examination and the motility/ductions/version, fixation, saccades in second examination, but there was no significant difference. Spastic diplegia children's mean values were higher in head posture, fixation in 8 gaze directions than hemiplegia children in both first and second examination, but there were no significant differences. Conclusion: Ocular motor function in 10 children of spastic children who participated in the study and could see that the scores was differed depending on age, type, grade of cerebral palsy. OMS may be available for this purpose.

한국아동보육사업의 경제적 규모 평가를 위한 지표개발 연구 (Development of Indicators for Evaluating the Size of Economic Investment for Child Care in Korea)

  • 이승희;백일우;김명순
    • 아동학회지
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    • 제26권1호
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    • pp.183-202
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    • 2005
  • This study performed intensive indicators based on a model of economics of education. Trends of childcare in Korea were obtained by producing values developed with statistical data. Results showed that such simple initial indicator values as numbers of children, institutions and teachers have improved. However, intensive indicator values that take demographic and economic conditions into consideration have not reached the same rate of progress as the initial indicator values. In other words, qualitative growth remains at an unsatisfactory level in comparison to quantitative growth and to qualitative growth in members of the Organization for Economics Cooperation and Development (OECD).Thus, financial investment by the government should be expanded in order to reach the desired level of high quality in daycare for children.

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비만 남아의 상반신 원형 제작을 위한 체형 분석(I) - 9~11세 중심으로 - (Analysis of Somatotype for the Bodice of the Upper Body of Obese Male Children(I) - Centering around Nine to Eleven Year Old Boys -)

  • 부애진;홍정민
    • 복식
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    • 제51권1호
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    • pp.87-96
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    • 2001
  • This study, dealing with obese bodily figures from the viewpoint of garment shape, was conducted with obese male children of late school ages(nine to eleven years old) to provide data for making ready-made clothing for obese children by directly measuring and analysing the bodily figure of the upper body of them. The results of the study are summarized as follows. 1. According to the basic statistics, for most of obese children the values of the measuring items by ages appeared to be large, and the results of comparison with the National Anthropometric Survey of Korea made in 1997 showed that the values were more large than those of standard physical conditions. 2. It was shown that in the correlation between items the upper breast circumference had a high correlation with all items, and the weight did with the following items such as circumference, height, width and thickness. 3. The results of the principal component analysis showed that six main components hand an explainable power of more than 75.60% for all materials. The first factor was thickness and obesity of the upper body, the second one the height, the third one the length of front and rear sides, the fourth one the width of neck, the fifth one the length of shoulder, and the sixth one the breast width and the wrist circumference.

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충북 괴산군 벽촌지역 국민학교 아동의 영양실태조사 (Nutrition Survey of Elementary School Children of Remote Villages of Gaesan-gun in Chung Buk Province)

  • 모수미
    • 대한가정학회지
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    • 제28권1호
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    • pp.43-56
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    • 1990
  • A nutrition survey of 198 children, 6 to 12 years old, in the Song Myeon Elementary School and Sam Song Elementary School, located in remote villages of Gaesan county, Chung Buk province, was undertaken between July 11 and 16, 1988, to investigate dietary and nutritional status. Mean values of height, weight, sitting height, arm circumference, girths of chest, and weight for height were 98%, 96%, 101%, 94%, 103% and 98%, respectively, of Korean standards. Compared with the standards for Korean children and values for Yun Jung Elementary School children of Youido, Seoul, anthropometric data of subjects surveyed showed slightly lower results than the standards and further lower results than those of Yun Jung Elementary School children. mean hematocrit value was 39.8±3.1%. 15.3% of subjects were proven to be anemic according to the hematocrit criterion established by the WHO. Mean urinary urea nitrogen/creatinine ratio was 7.9±3.3. Energy and nutrient intake were 61.2 to 134.4% of the RDA's; except for intake of ascorbic acid, most nutrients were below the RDA's. Carbohydrate provided 72% of total energy intake; protein accounted for 11%; fat provided 17%. Family environment, anthropometric data and results of biochemical tests were positively correlated with nutrient intake. The survey emphasizes the need for a nation wide school lunch program.

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둘째자녀 출산계획에 영향을 미치는 자녀가치관 및 가족관계 요인 (Family-related Factors Affecting the Second Birth Decision: Focus on the Value of Children and Family Relationships)

  • 강유진
    • 한국지역사회생활과학회지
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    • 제18권4호
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    • pp.639-653
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    • 2007
  • The purpose of this study was to investigate factors affecting the decisions regarding second births. Especially, analysis focused on the connections between desire for a second birth and the family factors such as family values and marital relations because they have been rarely known until now. Data was from 1,156 married women that had only one child and had been part of the national data collected by KIHASA in 2003. Major findings can be summarized as follows. First, it was found that value-related factors affect the likelihood of a second birth. The degree of parental responsibility is negatively related with the desire for a second birth. However, the perceived ideal number of children is positively related to it. Second, it was found that the quality of family relations influences the decision for the second birth. Particularly, marital satisfaction is likely to be the most important factor tending to mediate the effects of socio-demographic factors and value-related factors on the plan for a second birth. These results suggest that the effects of social norms on the number of children and timing of childbearing which exist in the family are becoming weaker. Nevertheless, the traditional value of children such as a preference for a son can still be found.

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청각장애 아동과 일반 아동의 마찰음에 나타난 음향음성학적 특성 비교 (Comparison of Acoustic Phonetic Characteristics of Korean Fricative Sounds Pronounced by Hearing-impaired Children and Normal Children)

  • 김윤하;김은연;장승진;최예린
    • 말소리와 음성과학
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    • 제6권2호
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    • pp.73-79
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    • 2014
  • Alveolar fricative sounds /s/ and /s'/ are learned last for normal children in the speech development process for Koreans. These are especially difficult to articulate for hearing-impaired children often causing articulation errors. The acoustic phonetic evaluation uses testing tools to provide indirect and object information. These objective resources can be compared with standardized resources on speech when interpreting the results of a test. However, most previous studies in Korea did not consider acoustic studies that used the spectrum moment values of hearing-impaired children. Therefore, this study was conducted to compare the characteristics of hearing-impaired children's pronunciation of fricative sounds using spectrum moment values. For this purpose, the study selected a total of 10 hearing-impaired children (5 boys and 5 girls) currently in 3rd or 5th grade and attending one of the elementary schools in Seoul or Gyeonggi-do. For the selection process, their age, type of hearing aid, implantation of hearing aid (CI) before two years of age, hearing capacity (dB) before and after wearing the hearing aid, duration of speech rehabilitation, and time of learning alveolar fricative sounds were all considered. Also, 10 normal children (5 boys and 5 girls) were selected among 3rd or 5th grade students attending one of the elementary schools in Seoul or Gyeonggi-do. The subjects were asked to read the carrier sentence, "I say _______," including a list of 12 meaningless syllables composed of CV and VCV syllables, including alveolar fricative sounds /s/ and /s'/ and vowels /a/, /i/, and /u/. The recorded resources were processed through the Time-frequency Analysis Software Program to measure M1 (mean), M2 (variance), M3 (skewness), and M4 (kurtosis) of the fricative noise. No significant differences were found when comparing spectrum threshold values in the acoustic phonetic characteristics of hearing-impaired children and normal children in alveolar fricative sound pronunciation according to vowels /a/, /i/, and /u/, alveolar fricative sounds /s/ and /s'/, and syllable structure (CV, VCV) other than, for M3 in the comparison of groups according to disability. In the comparison of syllable structures, there were statistically significant differences in M1, M2, M3, and M4 with clinical significance. However, there was no significant difference in results when comparing the alveolar fricative sounds according to the vowels.

농촌영유아의 영양상태(營養狀態)에 관(關)한 조사연구(調査硏究) (A Study on Nutritional Status of Young Children in Rural Korea)

  • 김경식;김방지;남상옥;최정신
    • Journal of Preventive Medicine and Public Health
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    • 제7권1호
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    • pp.1-28
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    • 1974
  • The writers have conducted the investigation to assess the nutritional status of young rural Korean children aged from 0 to 4 years old in August 1971. The survey areas were Kaejong-myon. Daeya-myon, Okku-gun, Jeonra-bukdo, Korea. These survey areas were typical agricultural plain areas. The total numbers of children examined were 2,706 comprising 1,394 male and 1,312 female. The weight, height, and chest circumference of children were measured and means and standard deviations. were calculated for each measurement. In addition, the nutritional status of each child was classified by the four levels of malnutrition and the Gomez classification, The examination of red blood cell count, haematocrit value, and intestinal parasite infection were carried out at the same time. In general, recent work tend to suggest that environmental influences, especially nutrition, are of great importance than genetic background or other biological factors for physical growth and development. Certainly the physical dimensions of the body are much influenced by nutrition, particularly in the rapidly growing period of early childhood. Selected body measurements can therefore give valuable information concerning protein-calory malnutrition. Growth can also be affected by bacterial, viral, and parasitic infection. For the field workers in a developing country, therefore, nutritional anthropometry appears to be of greatest value in the assessment of growth failure and undernutrition, principally from lack of protein and calories. In order to compare and evaluate the data obtained, the optimal data of growth from the off-spring of the true well-fed, medically and socially protected are needed. So-called 'Standards' that have been compiled for preschool children in Korea, however, are based on measurement of children from middle or lower socio-economic groups, who are, in fact, usually undernourished from six months of age onwards and continuously exposed to a succession of infective and parasitic diseases. So that, the Harvard Standards which is one of the international reference standards was used as the reference standards in this study. Findings of the survey were as follows: A. Anthropometric data: 1) Comparing the mean values for body weight obtained with the Korean standard weight of the same age, the rural Korean children were slightly haevier than the Korean standard values in both sexes. Comparing with the Japanese children values, the rural Korean children were slightly haevier in male and in the infant period of female but lighter in female of the period of 1 to 4 years old than Japanese children. 2) Comparing the mean values for height obtained with the Korean standard height of the same age, the rural Korean children were taller than the Korean standard values except the second half of infatn period in both sexes. Comparing with the Japanese children, the rural Korean children were slightly smaller than Japanese children except the first half of infant peroid in both sexes. 3) Mear values of chest circumference of rural Korean children obtained were less than the Korean standard values of the same ages in both sexes. B. Prevalence of Protein-Calory Malnutrition: Children examined were devided into two groups, i. e., infant(up to the first birthday) and toddler (1 to 4 fears old). 1) Percentages of four levels of malnutrition: a) When the nutrtional status of each child was classified (1) by body weight value, the percentages for male and female of children attained standard growth were 52.8%(infant 83.3%, toddler 44.4%) and 39.7% (infant 74.5%. toddler 30.5%), the first level of malnutrition were 31.9%(infant 13.7%, toddler 36.9%) and 31.7%(infant 15.3%, toddler 36,0%), the second level of malnutrition were 12.3%(infant 1.7%, toddler 15.3%) and 23.3% (infant 7.7%, fodder 27.5%), the third level of malnutrition were 2.7%(infant 0.7%, toddler 3.2%) and 4.6%(infant 1.8%, toddler 5.3%) the fourth level of malnutrition were 0.3% (infant 0.7%, toddler 0.2%) and 0.7% (0.7% for infant and toddler) respectively. (2) by height value, the percentages for male and female of children attained standard growth were 80.3% (infant 97.3%, toddler 75.6%) and 75.1% (infant 96.4%, toddler 69.5), the first level of malnutrition were 17.9% (infant 2.0%, toddler 22.3%) and 23.6% (infants 3.6%, toddler 28.8%), the second level of malnutrition were 1.2% (infant 0.3%, toddler 1.5%) and 1.1% (infant 0%, toddler 1.4%), the third level of malnutrition were 0.4%(infant 0.3%, toddler 0.5%) and 0.2%(infant 0%, toddler 0.3%), the fourth level of malnutrition were 0.1%(infant 0%, toddler 0.1%) and 0% respectively. (3) by body weight in relation to height, the percentages for male and female of children attained standard growth were 87.9% (infant 77.6%, toddler 87.9%) and 78.2% (infant 77.4%, toddler 78.2%), the first level of malnutrition were 12.2% (infant 18.4%, toddler 10.6%) and 18.2% (infant 17.9%, toddler 18.3%), the second level of malnutrition were 1.9%(infant 3.3%, toddler 1.5%) and 3.0%(infant 3.3%, toddler 2.9%), the third level of malnutrition were 0.1%(infant 0%. toddler 0.1%) and 0.5% (infant 0%, toddler 0.6%), the fourth level of malnutrition were 0.1%(infant 0.7%, toddler 0%) and 0.3% (infant 1.5%, toddler 0%) respectively. b) When the nutritional status of each child according to the mother's age at perturition, i. e., young aged mother (up to 30 years old), middle aged mother (31 to 40 years old) and old aged mother (41 years or above) was classified (1) by body weight, among infants and toddlers, at each year of age, with increasing the mother's age, there was an increase in percentage of subjects underweight. This tendency of increasing percentage of underweight was more significant in the infant period than the toddler period. (2) by height value, no significant differences between each mother's age group were found. c) When the nutritional status of each child according to the birth rank, i. e., lower birth rank (first to third) and higher birth rank (fourth or above) was classified (1) by weight value, children of higher birth rank were slightly more often underweight than those of lower birth rank, but not significant. (2) by height value, no differences were found between children of lower and higher birth rank. 2) Gomez Classification: When the nutritional status of each child was classified a) by body weight value, the percentages for male and female of children. attained standard growth were 53.1% (infant 82.6%, toddler 44.9%) and 39.2% (infant 73.4%, toddler 30.1%), the first degree of malnutrition were 39.4% (infant 14.7%, toddler 46.2%) and 47.1% (infant 21.9%, toddler 53.8%), the second degree of malnutrition were 7.3%(infant 2.3%, toddler 8.6%) and 12.9% (infant 4.0%, toddler 15.2%). and the third degree of malnutrition were 0.2%. (infant 0.3%, toddler 0.2%) and 0.8% (infant 0.7%, toddler 0.9%) respectively. b) by height value, the percentages for male and female of children attained standard growth were 80.8% (infant 97.0%, toddler 76.3%) and 73.8%(infant 95.6%, toddler 68.0%), the first degree of malnutrition were 18.5% (infant 2.7%, toddler 22.9%) and 24.6% (infant 4.4%, toddler 30.0%), the second degree of malnutrition were 0.6%(infant 0.3%, toddler 0.7%) and 0.5% (infant 0.1%, toddler 0.7%), and the third degree of malnutrition were 0.1%(infant 0%, toddler 0.1%) and 1.1% (infant 0%, toddler 1.3%) respectively. C. Results of clinical laboratory examination: 1) Red blood cells: The ranges of mean red blood cell counts for male and female were $3,538,000/mm^3\;to\;4,403,000/mm^3\;and\;3,576,000/mm^3\;to\;4,483,000/mm^3$ respectively. The lowest red cell counts were seen at the age of 0-3 months for male and 1-2 months for female. 2) Haematocrit value : The ranges of haematocrit value of male and female were 35.1% to 38.8% and 34.7% to 38.8% respectively. The lowest haematocrit values were seen at the age of 2-3 months for male and 1-2, months for female. 3) The prevalence rates of intestinal parasites for male and female children with Ascaris lumbricoides were 34.1% (infant 18.8%, toddler 38.1%) and 36.0%(infant 18.4%, toddler 40.7%), with Trichocephalus trichiuris were 6.8% (infant 2.9%, toddler 7.9%) and 9.0% (infant 3.0%, toddler 10.6%), with Hookworm were 0.3% (infant 0.5%, toddler 0.2%) and 0.3% (infant 0.5%, toddler 0.3%), with Clonorchis sinensis were 0.4%(infant 0%, toddler 0.5%) and 0.1%(infant 0%, toddler 0.1%) respectively.

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