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KMID : 0616620020080040411
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Journal of Soonchunhyang Medical College
2002 Volume.8 No. 4 p.411 ~ p.426
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The Study of the Nutritional Health Status of Preschool Children and the Investigation of its Determinants in Rural Korea
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방숙/Bang Sook
한성현/김영옥/정혜경/Han Seung Hyun/Kim Young Ok/Chong Hae Kyung
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Abstract
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A nutritional health survey was conducted in July 1984 in order to provide bench mark. data for the nutritional health status of preschool children residing in rural Korea. (Seosan County).
The primary objectives of this study based on this survey data were;
1) to measure nutritional health status of preschool children and
2) to identify responsible factors determining the variation of nutritional health status of preschool children in rural Korea
The sample of 1, 175 preschool children under six in Seosan County was first classified by three categories of nutritional health indicators namely anthropometric index, biochemical. in dex, clinical signs of deficiency(as dependent variables).
It is hypothesized that the nutritional health status of preschool children are varied´. by 6 explanatory factors; namely (1) nutrient intake of children (2) Socio-economic status. of the household (3) child´s morbidity (4) parental factor (5) environmental sanitation and. (6) mother´s behavioral factor(e.g. feeding practice) as schematized in Figure 1.
The result indicated that, for the preschool children
(1) the level of growth failure based on weight, height, skinfoldthickness was 12.8%, 10.6%-and 15. 1% respectively. Anaemia (Hb below l lg/100ml) among them was 7. 1%. The prevalence of clinical signs of Vitamin B2 deficiency was 7.9%.
(2) This growth failure was highly correlated with the level of nutrient intake of children fed by their mothers.
(3) Among nutritional health indicators, weight of children was more sensitive in identifying: the variation of nutritional health status than height and skinfoldthickness.
(4) The nutrient intake level of children was varied by socio-economic factors especially-education level of their parents.
(5) In explaining the variation of Hb level of preschool children, the stepwise multiple regression analysis indicated that the explanatory variables included in decending order a importance height of father, Hb value of mother, time introducing supplementary diet, level of iron_ intake, duration of breastfeeding. Indicating that 5eneti:- factor such as height of father, mother´s nutritional status & mother´s child feedin" rractice are important variables in determining children´s nutritional health status (measured by Ilb level).
(6) In explaining the variation of weight for hei.-ht, the regression analysis indicated that the variables such as occupation of father, food preference, birth interval explains the variation more than calorie & iron intake of children.
The above findings suggest that, apart from genetic S biolo;nc l factors of parents which are not manipulatable, the mother´s behavior in child feeding izs a crucial factor in improving the nutritional health status of preschool children in rural Korc_..
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