미취학 아동에 있어 신체발달, 손목 골밀도 및 영양섭취와의 상관성

The Correlation among Growth Development, Bone Mineral Density of Carpus and Nutrient Intakes in Preschool Children

  • 명금희 (청운대학교 식품영양학과) ;
  • 나현주 (청운대학교 식품영양학과) ;
  • 최미경 (청운대학교 식품영양학과) ;
  • 김애정 (혜전대학 식품영양과)
  • 발행 : 2004.04.01

초록

This study was conducted to examine the correlation among growth development, bone mineral density, and nutrient intakes in preschool children. A total of 62 preschool children measured the anthropometric characteristics and the bone mineral density of carpus using DEXA. The questionnaires categorized to determine health status, life style, dietary behaviors, and dietary intakes were filled out by children's mothers. The average ages of the study subjects were 62.4 months in boys and 62.1 months in girls. The birth height and weight of the subjects were 50.9 cm and 3.4 kg in boys and 50.3 cm and 3.3 kg in girls, respectively. The average height, weight, % body fat, and obesity index were 111.7 cm, 19.6 kg, 15.0%, -2.1% in boys and 109.4 cm, 18.7 kg, 17.5%, 0.2% in girls, respectively. The bone mineral density in carpus was 0.25 g/cm$^2$ in boys and 0.24 g/cm$^2$. In girls. Proportions of children having regular meals were 69.0%, 94.7%, and 69.0% for breakfast, lunch, and dinner, respectively. The major reasons for irregular meal were poor appetite and lack of time for breakfast and snacks for dinner. Most of the children(52.6%) had breakfast with the whole family together, and all the children had lunch and dinner with a part of the family. Most of the children answered they had snack more than once a day, and 64.3% had an unbalanced diet. The intakes of energy, calcium, iron, zinc, vitamin A, vitamin B$_1$, niacin, and vitamin C did not meet the Korean RDAs. Average bone mineral density in carpus was positively correlated to the body weight, the total body water, the lean body mass, and the obesity index, respectively(p<0.01, p<0.01, p<0.01 and p<0.01). The body weight, the total body water, and the lean body mass showed the significant negative correlations with the animal iron intake(p<0.05, p<0.01 and p<0.01). The bone mineral density in the distal carpus was negatively correlated to the animal protein intake and the animal iron intake(p<0.05 and p<0.05). And the bone mineral density in the ultradis carpus and the average bone mineral density in the carpus were positively correlated to the plant calcium intake(p<0.05 and p<0.05). Therefore, more systematic studies to investigate the roles of protein, iron, and calcium in growth development of preschool children were required.

키워드

참고문헌

  1. 1988년 한국 소아 신체발육 표준치 대한소아과학회
  2. 2001 국민건강 · 영양조사 보고서-영양조사부문(Ⅱ) 보건복지부
  3. 최신 갱년기 관리 아주대학교 의료원 갱년기 연구회
  4. J Kor Soc Food Nutr v.23 The effect of several factors in infant nutrition on disease affection Chang,H.S.
  5. Kor J Dietary Culture v.6 Evaluation of nutrition status on the basis of orphan home children's anthropometry Chung,H.K.
  6. N Eng J Med v.322 Risk factors for hip fracture in white women - study of osteoporotic fractures research group Cummings,S.R.;Nevit,M.C.;Browner,W.S.
  7. Am J Clin Nutr v.51 Calcium absorption from kale Heaney,R.P.;Weaver,C.M.
  8. Am J Clin Nutr v.58 Dietary intakes and urinary excretion of calcium and acids: a crosssectional study of women in China Hu,J.F.;Zhao,X.H.;Parpia,B.;Campbell,T.C.
  9. Am J Clin Nutr v.69 Early childhood anemia and mild or moderate mental retardation Hurtado,E.K.;Claussen,A.H.;Scott,K.G.
  10. Kor J Nutr v.33 Baseline dietary behaviors of children for nutritional management programs at child care centers in Korea Joung,H.J.;Lee,N.H.;Choi,Y.S.;Cho,S.H.
  11. Am J Clin Nutr v.68 Effect of zinc supplementation on growth and body composition of Ugandan preschool children: a randomized, controlled intervention trial Kikafunda,J.K.;Walker,A.F.;Allan,E.F.;Tumwine,J.K.
  12. Kor J Lipid v.4 Serum lipid levels and growth of kindergarten children in low income area in Seoul Ko,Y.M.;Lee,J.H.;Kim,B.H.;Lee,Y.N.;Kwak,C.S.;Choi,H.M.
  13. Kor J Dietary Culture v.10 Analysis of factors associated with the preschool children's nutrition awareness: Ⅲ. Dietary intakes and nutrition awareness of children Lim,S.J.;Ahn,H.S.;Kim,W.J.
  14. Hum Biol v.47 Bone mineral content in Canadian Eskimos Mazess,R.B.;Mather,W.
  15. J Bone Miner v.8 Determinatns of bone mineral density and risk factors for osteoporosis in healthy elderly women Ooms,M.E.;Lips,P.;Van Lingrn A;Valkenburg,H.A.
  16. J Kor Dietetic Assoc v.3 A survey on anthopometric and nutritional status of children in three different kinds of kindergarten in Cheonan Park,S.M.;Choi,H.S.;Oh,E.J.
  17. Kor J Nutr v.32 A study on the food habit and dietary intake of preschool children Park,S.Y.;Paik,H.Y.;Moon,H.K.
  18. Nutr Rev v.53 Calcium requirements of children Prentice,A.
  19. Kor J Community Nutr v.6 An ecological study of food and nutrition in elementary school children in Korea Sung,C.J.;Sung,M.K.;Choi,M.K.;Kang,Y.L.;Kwon,S.J.;Kim,M.H.;Seo,Y.L.;Adachi,M.;Mo,S.M.
  20. Am J Clin Nutr v.63 no.S Putting body weight and osteoporosis into perspective Wardlaw,G.M.
  21. BMJ v.3 Classification and definition of protein calorie malnutrition Waterlow,J.C.
  22. J Nutr Edu v.24 Parent's perception of influence on food behavior development of children attending day care facilities Wright,D.E.;Radcliff,J.D.
  23. Kor J Nutr v.26 Eating behavior, obesity and serum lipid levels in children Yim,K.S.;Yoon,E.Y.;Kim,C.I.;Kim,K.T.;Kim,C.I.;Mo,S.M.;Choi,H.