Korean Journal of Pediatrics 2009;52(10):1090-1102.
Published online October 15, 2009.
Current feeding practices and maternal nutritional knowledge on complementary feeding in Korea
Hye Won Yom1, Jeong Wan Seo2, Hyesook Park3, Kwang Hae Choi4, Ju Young Chang5, Eell Ryoo6, Hye Ran Yang7, Jae Young Kim8, Ji Hyun Seo9, Yong Joo Kim10, Kyung Rye Moon11, Ki Soo Kang12, Kie Young Park13, Seong Soo Lee14, Jeong Ok Shim15
1Committee on Nutrition Korean Pediatric Society; Department of Pediatrics, Seoul Metropolitan Dong-bu Hospital, Seoul, Korea
2Committee on Nutrition Korean Pediatric Society; Ewha Womans University School of Medicine, Seoul, Korea
3Committee on Nutrition Korean Pediatric Society; Departments of Preventive Medicine, Ewha Womans University School of Medicine, Seoul, Korea
4Committee on Nutrition Korean Pediatric Society; Department of Pediatrics, Youngnam University College of Medicine, Daegu, Korea
5Committee on Nutrition Korean Pediatric Society; Seoul National University College of Medicine, Seoul Metropolitan Boramae Hospital, Seoul, Korea
6Committee on Nutrition Korean Pediatric Society; Department of Pediatrics, Gachon University, Gil Hospital, Incheon, Korea
7Committee on Nutrition Korean Pediatric Society; Department of Pediatrics, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea
8Committee on Nutrition Korean Pediatric Society; Department of Pediatrics, Chungnam National University School of Medicine, Daejeon, Korea
9Committee on Nutrition Korean Pediatric Society; Department of Pediatrics, Gyeongsang National University School of Medicine, Jinju, Korea
10Committee on Nutrition Korean Pediatric Society; Department of Pediatrics, Hanyang University College of Medicine, Seoul, Korea
11Committee on Nutrition Korean Pediatric Society; Department of Pediatrics, Chosun University School of Medicine, Gwangju, Korea
12Committee on Nutrition Korean Pediatric Society; Department of Pediatrics, Jeju National University School of Medicine, Jeju, Korea
13Committee on Nutrition Korean Pediatric Society; Department of Pediatrics, University of Ulsan College of Medicine, Gangneung Asan Hospital, Gangneung, Korea
14Committee on Nutrition Korean Pediatric Society; Department of Pediatrics, Hallym University College of Medicine, Chuncheon Sacred Heart Hospital, Chuncheon, Korae
15Committee on Nutrition Korean Pediatric Society; Kangwon National University School of Medicine, Chuncheon, Korea
이유기 보충식 현황과 어머니 인식 조사
염혜원1, 서정완2, 박혜숙3, 최광해4, 장주영5, 류일6, 양혜란7, 김재영8, 서지현9, 김용주10, 문경래11, 강기수12, 박기영13, 이성수14, 심정옥15
1대한소아과학회 영양위원회; 서울특별시 동부병원 소아청소년과
2대한소아과학회 영양위원회; 이화여자대학 의학전문대학원 소아과학교실
3대한소아과학회 영양위원회; 이화여자대학교 의학전문대학원 소아과학교실
4대한소아과학회 영양위원회; 영남대학교 의과대학 소아과학교실
5대한소아과학회 영양위원회; 서울대학교 의과대학 보라매병원 소아과학교실
6대한소아과학회 영양위원회; 가천의과대학 길병원 소아과학교실
7서울대학교 의과대학 소아과학교실
8대한소아과학회 영양위원회; 충남대학교 의과대학 소아과학교실
9대한소아과학회 영양위원회; 경상대학교 의과대학 소아과학교실
10대한소아과학회 영양위원회; 한양대학교 의과대학 소아과학교실
11대한소아과학회 영양위원회; 조선대학교 의과대학 소아과학교실
12제주대학교 의학전문대학원 소아과학교실
13대한소아과학회 영양위원회; 울산대학교 의과대학 소아과학교실
14대한소아과학회 영양위원회; 한림대학교 의과대학 소아과학교실
15대한소아과학회 영양위원회; 강원대학교 의학전문대학원 소아과학교실
Correspondence: 
Jeong Wan Seo, Email: jwseo@ewha.ac.kr
Abstract
Purpose
: To evaluate current feeding practices and maternal nutritional knowledge on complementary feeding.
Methods
Mothers of babies aged 9-15 months who visited pediatric clinics of 14 general hospitals between September and December 2008 were asked to fill questionnaires. Data from 1,078 questionnaires were analyzed.
Results
: Complementary food was introduced at 4-7 months in 89% of babies. Home-made rice gruel was the first complementary food in 93% cases. Spoons were used for initial feeding in 97% cases. At 6-7 months, <50% of babies were fed meat (beef, 43%). Less than 12–month-old babies were fed salty foods such as salted laver (35%) or bean-paste soup (51%) and cow's milk (11%). The following were the maternal sources of information on complementary feeding: books/ magazines (58%), friends (30%), internet web sites (29%), relatives (14%), and hospitals (4%). Compared to the 1993 survey, the incidence of complementary food introduction before 4 months (0.4% vs. 21%) and initial use of commercial food (7% vs. 39%) had decreased. Moreover, spoons were increasingly used for initial feeding (97% vs. 57%). The average maternal nutritional knowledge score was 7.5/10. Less percentage of mothers agreed with the following suggestions: bottle formula weaning before 15-18 months (68%), no commercial baby drinks as complementary food (67%), considering formula (or cow's milk) better than soy milk (65%), and feeding minced meat from 6-7 months (57%).
Conclusion
: Complementary feeding practices have considerably improved since the last decade. Pediatricians should advise timely introduction of appropriate complementary foods and monitor diverse information sources on complementary feeding.
Key Words: Complementary feeding, Complementary foods, Weaning


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