- - 2002
/ 1 / 3 / 3 / 3 / 3 1. 3 2. 7 3. 12 4. 16 5. 18 6. 22 7. 25 / 32 1. 32 2. 70 3. 94 4. 96 5. 99 6. 120 / 121 / 122
< > 1.,,,.,,,,.,,,,.,,. 1960, OECD,..,,,.,,,.,,,,,. 1
2 ( ) ( ), ( ),,,, CD.. 2002 12 2
< > 3,,,,.,,,.,,,, 1 30.. 1. 1),,. 3
4 ( ) ( ) (Alveoli) :., :,., 10 20. :.. :. 1 4
< > 5 2). ( ) :,.,.. ( ) :...,,,,.,,...,,, 2,,.,.,.,.. 5
6 ( ) ( ) ( ) ( ) 2 3,,,. 6
< > 7.. ( ) 15-20..,..,,,.,. 2. 1) 7. A,.,. ( Ig A),,. 2). 10,, (Ig A),. 7
8 ( ) ( ) 3),.,,,,... 0.7 0.9g/ 100. (whey) (casein). (casein), (whey). (casein) 40% (P) (Ca) (micelles). (whey) 60%,. - lactalbumin 30%,.. lactoferrin 10 20%,.. 8
< > 9 secretory Ig A 10%, Ig A. 5., (whey),,. (casein),.. 4.2g/ 100, (long chain fatty acid),. 95% (Triglyceride, TG),.,.., 6, 2... 9
10 ( ) ( )., 90%..,. C 10, 4-6 / 100. B A, E, D. (Ca), (P), (Mg), (Na), (K), (Cl),. (Fe) :, 0.5 / day. 20 90 / 100. 10%, C, lactoferrin, inosine, 50-70%..,.,, 10
< > 11,. (Immune cells) (WBC), phagocytic cell 90%, lysozyme, lactoferrin, lymphocytes. (Immunoglobulin) (WBC). Ig G, Ig M Secratory Ig A. (Lactoferrin).. (Lysozyme). (Nonlactose Carbohydrates) (glucosamines) :. (oligosaccharides) :,. 11
12 ( ) ( ) 1, ( ),,,,,,,,, ( ),,,,,, 3. 1),,,,.,. 12
< > 13 2),,. 3),,,. 4) (Ig A) 32,,,,. 2 3. 5). 6) ( ),. 13
14 ( ) ( ) 7) IQ, EQ DHA,,, IQ, 70%, 1 15%, 2 17 15% 1.,,,,. EQ. 8). 9) 10 15, 70 80 3 4. 4,.,. 5 6 4.5%, 2.8%,..., 14
< > 15, 10),,. 60,,. 11) 1,. 12). 500-650 kcal/ day.. 13). 15
16 ( ) ( ) 14). 98%,. 15).,, 4. 1),,.,.,..,,...,,.. 16
< > 17. 4-6,,. 2) ( 4-6 ).,.......... 4 5 6 17
18 ( ) ( ) 3) (2002. 8. 10 )(_ ) / / / / 5. 1) ( ),.,,.,., 18
< > 19,. 2). 1)... 2)... 7 8..,., 1). 19
20 ( ) ( )..,,.... 9 10 3),,,,. 20
< > 21 4),,,,.,.,,.,. 5),...... ( ). 6). 8........ 21
22 ( ) ( ) 6..,. ( 2), ( 11).,,, ( 11)..,,,,,,, ( ). 2 (Kcal) 2,400 ( NE) 17 (g) 75 B6 ( ) 2.0 A( RE) 1,050 ( ) 350 D( ) 10 ( ) 1,100 E( -TE) 13 ( ) 1,100 C( ) 105 ( ) 18 B1( ) 1.4 ( ) 16 B2( ) 1.7 22
< > 23 11 1).,, ( 1 ).. 150 160g ( ). 2.. 2.., A, 1 2. 23
24 ( ) ( ). A, C,,. 2).,,,,,.,,,...,.....,. 30 60 60 90..,. 24
< > 25.....,.,. 7. 1) ( ) 3 5...,.,,,... (sulfite). 25
26 ( ) ( ) 2) ( ).. 3)..,. 3. 4), 5.,.,. 5)..,,. 26
< > 27 6).. 7).... 8),,,,., 15., 3, 4.,,.,. 9)., ( 27
28 ( ) ( ) ) 16 %.. 3, 4. 10). 5-10.. 11)...,.. 4 6, 4... 12) 37 ( ), 2.5 28
< > 29.,... 15....., 1.5. 13)...... 14)... 29
30 ( ) ( ), 40. 24..,,..,... 15) 2 2...,. 3,.. 3 4... 16),. 30
< > 31,,.. :,, :,,,, :, ( ) :,,,,,,, 17)?,,,,,,,...,.,. 3, 70.,.,..,,,. 31
32 ( ) ( ) 1. 1).. 2),,,.,. 3), (30 )., (20 ).,, (10 ). (15 ). (5 ). 4),,, CD OHP ( CD ), (Over Head Projector) 32
< > 33 5) 1. ( CD ) 1-2.. 33
34 ( ) ( ) 4.. :., (Alveoli),..,,.,.. 10 20,.,. 34
< > 35 5.. : 5,,,,,,, 2,,,.,.,.,.. 35
36 ( ) ( ) 6.. :,.,,. 36
< > 37 7. 8.. 37
38 ( ) ( ) 9. 14.. 38
< > 39 39
40 ( ) ( ) 40
< > 41 15. 23.. Slide 20 14 page. 41
42 ( ) ( ) 42
< > 43 43
44 ( ) ( ) 44
< > 45 45
46 ( ) ( ) 25 36.. 46
< > 47 47
48 ( ) ( ) 48
< > 49 49
50 ( ) ( ) 50
< > 51 51
52 ( ) ( ) 3 7 39.. : 38,.,,. 52
< > 53 : 39..,,,.. 53
54 ( ) ( ) : 40.. 40.. 54
< > 55 4 1 44.. 55
56 ( ) ( ) 56
< > 57 4 5.. 57
58 ( ) ( ) 4 7 58.. 58
< > 59 59
60 ( ) ( ) 60
< > 61 61
62 ( ) ( ) 62
< > 63 59. 7 1.. 63
64 ( ) ( ) 64
< > 65 65
66 ( ) ( ) 66
< > 67 67
68 ( ) ( ) 68
< > 69 69
70 ( ) ( ) 2. 1), OHP,.,,,. ( ),,. 2)? -,, -. -. - IQ, EQ. -,. -. -,,.??? - -? 70
< > 71 3) 2. ( ) 71
72 ( ) ( )?,,,,.,,,,. 72
< > 73,,..,.,,..,. 73
74 ( ) ( ).,...,,, 6 60. 10. 74
< > 75.. (I g A) 32.,,..,. 2 3. 75
76 ( ) ( ).., ( )... 76
< > 77 I.Q, E.Q. I.Q. DHA,,,,, I Q 10. 70%, 1 15%, 2 17 15% 1. E.Q.,,,. 77
78 ( ) ( ),.... 10 15, 70 80 3 4. 4,.,. 78
< > 79..,,. 60,.. 79
80 ( ) ( ),,.. 1.,....... 98%,.,,. 80
< > 81?,, ( ),,.,..,. ( ).,.,..,....,,,,.,,,,,,. 81
82 ( ) ( )?,,,,.,,,,,,,. 1,, 1.. 150 160g ( ). 2. 2. 1 2. 82
< > 83 A, C,..,,..,,.,.,,..... 83
84 ( ) ( )?,,.,.,... :,..,,..,.. 4-6,,,... 84
< > 85 1.. ( ),.,,.,.,,.,.,. 85
86 ( ) ( ) 2........,,..,,.. 86
< > 87 3.,,,,.,.,.,. 4.,...... ( ). 87
88 ( ) ( ) '.(_ ) - (2002. 8. 10 ) / / / / 88
< > 89?.( ) 3 5...,.,,,... (sulf it e)..( )..., 5.,.,. 89
90 ( ) ( )... ( ),. 3....,,..., ( ) 16 %.. 3,4......... 90
< > 91.,,,,., 15., 3, 4.,,.,... ' '. 5-10.. 91
92 ( ) ( ) 1.,,, :,, 200 1 2. : - -, 2000 3., :,, 200 1 4. :, 2000 5. / :, 2000 6. / : br ochure, 1998 7. :, 200 1 8. : The Baby-Fr iendly Hospit al I nit iat ive Act ion Folder 2000 9. :, 1995 10. :, 1993 11. : 12. Mardya López-Alarcón et al. : Breastfeeding attenuates reductions in energy int ake induced by a mild immunologic st imulus repr esent ed by DPTH immunizat ion: poss ible r oles of int er leukin- 1, t umor necr os is fact or - and lept in, J. Nut r. 132: 1293-1298, 2002 13. UNI CEF : Breast feeding - foundat ion for a healt hy fut ure, 1999 14. UNICEF : Take the baby - friendly initiative! 15. ht t p://www.unicef.or.kr /bfhi/02_milk/milk.ht m 92
< > 93.. 93
94 ( ) ( ) 3. 1) ( ). ( ). 2) 94
< > 95 3) 3. ( ),,,,.,,,,.,,,,.,,.,,,.. : : 95
96 ( ) ( ) 4. 1) ( ).,.,. 2)?. 96
< > 97 3) 4. ( ) 97
98 ( ) ( ) 98
< > 99 5. 1).... 2),, 99
100 ( ) ( ) 3) 5. ( ) - - 2002 100
< > 101 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15., 16., 17. 18. 101
102 ( ) ( ) :? :.,...,.. 4 6, 4... 102
< > 103 :? : 37 ( ), 2.5.,... 15.,..., 1.5. 103
104 ( ) ( ) :? :...... 104
< > 105 :? :..., 4 0. 24..,,..,... 105
106 ( ) ( ) :? : 2 2...,. 3,.. 3 4... 106
< > 107 :? :,... - :,, - :,,,,, - :, - :,,,,,,, 107
08 ( ) ( ) :? :,,,,., 15.. 3, 4.,,.,. 108
< > 109 :? : 10....,. 109
110 ( ) ( ) :? :....... 110
< > 111 :? :... 2 3. 1 2.,... 111
112 ( ) ( ) :? :. 5 6 4.5%, 2.8%,.. -, -, -. 112
< > 113 :.? :... -. :,,.. -. :,. 3...,. 113
114 ( ) ( ) :? : 1. 8-10, 8-10 2. 6 1, 1.. 114
< > 115 :? :.,,,,,. 4 00 650 kca l.. 13 5 2 1 6 0.6 0.8, 6 0.2 0.4. 4 00kca l., 20g, 4 00,. 115
116 ( ) ( ) :? :.. -.. -. -,. 30 60 60 90.. -,. -. -. 116
< > 117 :? :. DNA.,.. 117
118 ( ) ( ) :? :,,,,,,,,...,.,. 3, 70.,. -,. -. - /. -,,,. 118
< > 119 :? :, 4 6 2., 4 5 ( ).,,. 4 6,. 1, 2.. 2 3. 6. 119
120 ( ) ( ) 6. 1)... 2) ( ). 2002 120
< > 121... 1) 1 3...,? 2) 2 8.... 4.. 3) 3 18..,.... 2 3.? 4). 121
122 ( ) ( ) 1..,,,,.,. 2. 3. ( ) 122
< > 123 ( ) : :,,?. ( )... 1.? 2.? 3.? ( 5 ) 4.? 5.? 123
124 ( ) ( ) *. 6.? 7.? 8.? 9.? 10. IQ? 11. EQ? 12.? 13.? 14.? *. 15.. 16.. 17.. 18.. 19.. 20.. 21.. 22.? 23.? 124
1.. 2.. 3.. 4.. 57-1, 156-800 02-2194-7311, 7340 fax 02-824-1765