韓国幼児の栄養性貧血に関する研究
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概要
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This study was performed to establish the relation between anemia and the diet of Korean children. Children between the ages of 2 to 6 years, from 680 families were studied in 19 different areas throughout Korea. The age of each child, the child's diet and the diet of the family were recorded each season. Data on blood hemoglobin content of the child and mother, clinical symptoms and measurements of the child and incidence of parasite eggs in the feces were compared each season. The following results were obtained: 1) Hemoglobin content was highest in winter and lowest in spring and was inversely related to frequency of anemia.<BR>hemoglobin anemia<BR>g% (p<0.001) % incidence<BR>winter 12.14±0.19 17.0±3.5<BR>summer 11.24±0.20 33.8±5.3<BR>autumn 10.91±0.29 52.3±5.5<BR>spring 10.70±0.26 58.3±3.1<BR>2) Incidence of anemia increased from 2 years to a 46.3±1.7% maximum at 4 years and decreased after 5 years. 3) Average hemoglobin of mothers of all families tested was 11.35±0.16%, but the incidence of anemia was significantly higher than in the children (65.5±0.8 %) . 4) In spring, summer and autumn, the hemoglobin content of the mothers of anemic childron was significantly lower than that of mothers of normal children (p<0.001) . 5) Height and body weight of anemic children were significantly less than that of normal children (p<0.01) . 6) Among normal and anemic children there was no relation between clinical symptoms due to poor nutrition and appearance of parasite eggs in the feces. 7) The diets of all children consisted of 82.6 to 93.0% vegetables and 6.7 to 14.7% animal derived food. Compared to the rest of the family, the children's diets included more animal derived foods. 8) Among the families tested, diets were very low in lipid, calcium, vitamin A and vitamin B<SUB>2</SUB>, compared to normal requirements for these substances in the Korean diet. 9) The diets of the families of anemic children were low in protein, calcium and vitamin B<SUB>2</SUB>. 10) Compared to normal Korean dietary requirements, the families studied had diets significantly low (p<0.05) in energy, protein, calcium, iron, vitamin A and vitamin B2. Ingestion of iron was slightly higher in summer (p<0.1) . 11) Below age 6, the diets of anemic children were low in protein, iron, vitamin, B<SUB>2</SUB>, compared to the diets of normal children. Above age 6 this situation reversed.
- 学校法人 昭和大学・昭和医学会の論文