초록 close

정신지체 장애아동의 영양관리를 위한 기초자료를 제시하기 위해 특수학교의 재학생 중에서 만 10~12세의 자택통학생 29명과 재활원생 35명(각각 45.3%와 54.7%)의 총 64명(교육가능급 26.6%, 훈련가능급 64.1% 및 다운증후군 9.4%)을 조사한 결과는 다음과 같았다. 1) 에너지 섭취량은 2,070.1 kcal (94.1% RDA), 칼슘은 603.9 mg (75.5%), 철 11.1 mg (92.5%), vt.A는 507.5 RE (84.6%), vt.B2는 1.1 g (88.2%), 나이아신은 14.1 g (93.6%) 및 vt.C는 58.2 g (83.1%)으로 정상아의 권장량보다 낮게 섭취하였고 반년, 단백질은 75.3 g (136.9%)과 vt.B1은 1.6 g (146.8%)은 높게 섭취하였다. 2) 거주형태별로 재활원생은 자택통학생보다 에너지 및 영양소 섭취량이 높았다. 부족수준(< 75% RDA)에 해당하는 장애아 비율이 재택통학생에서 재활원생보다 많았고, 과잉섭취수준(> 125% RDA)에 해당하는 비율은 재활원생에서 자택통학생보다 많았다. 장애정도별로는 훈련가능급과 다운증후군보다 교육가능급에서 vt.C를 제외한 열량 및 영양소 섭취량이 높았다. 3) 장애아동 식사의 MAR은 0.84로서 재활원생(0.90)이 자택통학생(0.76)보다 높았고 특히 재활원생은 칼슘과 vt.C를 제외한 다른 영양소의 NAR이 0.9를 넘는 것으로 나타나 재택통학생보다 식사의 영양균형은 나았으며, INQ < 1의 영양소가 5개나 되었고 특히 재활원생에서 그 비율이 높아 영양밀도가 더 낮았다. 4) 끼니별 섭취량에서 자택통학생은 섭취식품 총량의


We studied the nutritional status of on mentally handicapped children living at home or institutions since early education schol in Seoul were surveyed with questionaires as well as 2-day dietary recall records, with the help of persons of their care-giver when needed. Among the 64 children, 54.7% are living institutions and the rest of them are living at home. They were ranged from the trainable (64.1%), the educable (26.6%), and the non-trainable (9.4%). Their average daily intake of energy intakes (%RDA ) was 2,070.1 kcal (94.1%), Ca 603.9 mg (75.5%), Fe 11.1 mg (92.5%) (84.6%), Vt. B2 1.1 g (88.2%), niacin 14.1 g (93.6%) and Vt. C 58.2 g (83.1%). Their average intakes of these nutrients were significantly higher in subjects of institutions than at home. The nutrients consumed at a much higher level than the RDA of the normal children were Vt. B1 (1.6 g, 146.8%) and protein (75.3g, 136.9%). The higher percentage of children at home were under consumed of several nutrients (< 75% RDA ) than ones in institutions. When comparing the degree of handicap, energy and nutrient intakes except Vt. C were highest in educable children than trainable ones or Dawns children. MAR of the diets of the subjects was 0.84. Children at home showed lower MAR as well as NAR of each nutrients, whereas children belonged to INQ < 1 were less at home. Handicapped children at home were snacking higher amount relative to their calorie intake and too frequently, that may lead to their poor nutrition. There was positive correlations between factors of nutrition and physical and dietary behaviors, but there were no institutions seemed to be more effectively managed. (Korean J Community Nutrition 8(1) : 12 ~ 119, 2003 )