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1 2 3 4

1 2 3
4 5
1 2
3



1
2
3
4

1.60
2.
3.

1. 206
2.

;
,
99%

3.600

1.
(
)()

1
1
3 20 6
32 20 8 4

2
3
4
5 3-4

6
5-7M 200-400M2 3-8
7

2
1)

2
3
2.

1500g
2

1.
2. 3-4 90M2

3.
4.

1.

()

()
CO2 O2

(2
3
11
2
3
4
2

PH
7.35
7.45

60-70%
1-4%

45%

20-30%
0.5-1%

0.5%1%

2.

2
3
8090
4
4
T B
B T

1.

B
T
TB

2.
3.

4.

B IgA

1.
1
2 3 (

1.25 D3
)
2.
3.
4.

1.
2.

1.
2.

1.
2.
5


1.

2. T3T4
3.
4.
5.

1.
2.


3.
90%-95%

PH 7.0

()
pH 7.4
1
2
3
4 ( AD
K
5

6
4.

3090 17
6

.
1

60

20

2.

3.


4.

B2 B6
10 15
2g
1
5.

10

20

30

40

300

1500

3300

20

170

430

650

30

250

600

800

135

585

819

900

24

180

360

405

100

600

1300

1250

330

1900

3500

5200

654

3985

8509

12505

20 70
12.5kg 0.9kg

7.5kg 6kg
BMI

6.
0.63MJ150kcal

1.
2.

1. 2.
600~800mL


B1

28 1

12
1.
1) 6 1

2) 12 3 (9kg)
kg=+*0.6

kg=+3.6+-6*0.5
2.
1
23
2 4 4
3)

(1 )

1.
2.
3.
4.

5.
1 1.5 2 2
1820 20 2.5
2 =-6
2
4050gd

3 67

1.
1)
5.5kg( 2kg) 21cm(
5cm)

cm=7+70

kg=2+7 8

2)

2.
370g 251 900g 603
46
8690

3.3 20 6
10

40

3
4.
56 15

36

612 13 18

1.
2.
3.
9-11 5-7cm
11-13 7-9cm

4.
1.

DNARNA

1.

15%~20%
2.
11

3.

4.
5.
6.
40 10~20

12

6
7

8.(DRIs)

(DRIs)

(EAR) (RNI)
(AI) (UL)
(EAR)
EAR 50%
50EAR RNI
RNI RNI RDA
9798 RNI
RNI

AI EAR RNI
AI RNI AI
4~ 6
AI AI
UL UL
UL
UL
RNI AI

EAR
RNI

AI

UL

13

1
1
2
3

2.
1
2
3
4
3.
(1)
2
3
4
5

1934

15%
17% 8%
60%

14


.
1.
1
2
1 4kcal(16.81kJ)
1 9kcal(37.56kJ)
1 4kcal(16.74kJ)

3 10%20% 20%30% 55%65%


2. Kcal KJ
1 4.184 KJ
3.

+++
60%-70%

15%-30%

6%-7%

3%-4%

118
25
1BMR,

0.006590.0126 0.1603
24
(BMR)

kJ/(m*m*h)

1115 1617 1819 2030 3140 4150 51


195.5
193.4
166.2
157.8
158.7
154.1
149.1

46.7
46.2
39.7
37.7
37.9
36.8
36.6
172.5
181.7
154.1
146.5
146.4
142.4
138.6

41.2
43.4
36.8
35.0
35.0
34.0
33.1
2

10
2 45
15

78 1415
3TEF

(SDA)
5%~6% 45
1 30
1012 10

4

23 36
1523 1 4.78

4.

=BMR() PAL()
30 56kgBMR 1316kcal(8.7+829)
PAL 1.8
=13161.8=2368kcal

BMR
=kg

Kcal/

MJ/

Kcal/

MJ/

0~

60.9-54

0.2550-0.226

61.0-51

0.2550-0.214

3~

22.7+495

0.0949+2.07

22.5+499

0.9410+2.09

10~

17.5+651

0.0732+2.72

12.2+746

0.0510+3.12

18~

15.3+679

0.0640+2.84

14.7+496

0.0615+2.08

30~

11.6+879

0.0485+3.67

8.7+829

0.0364+3.47

23 PAL

PAL

16

1.0~2.5

2.6~3.9

>4.0

5.

1.
2.
16%
6.25g 100/16 6.25

1.

--

2.

3.2

3.4

4.4

4.3

3.8

4.0

4.0

5.1

6.8

6.8

5.7

6.4

6.3

7.0

4.1

5.6

7.2

4.9

1.8

2.3

5.5

17

3.4

2.4

3.2

1.2

2.8

2.8

2.3

5.5

7.3

6.2

3.2

7.2

7.2

3.8

2.8

3.1

3.6

2.8

2.5

2.5

2.0

3.9

4.6

4.6

3.2

3.8

3.8

4.8

1.0

1.0

1.0

1.0

1.0

1.0

1.0

3.

4.
1

2
3
12g
2-4g

4
Nitrogen Balance

=-(++)
B=I-(U+F+S)
5%

18

2
28

1/3

250 /

100
4
5
6--

1
2

1
19

%=-/

*100%

2
%=--/

*100%

1PER--
1g
PER=g/g
PER
PER 2.5
PER 2.5PER
PER=/ *2.5
3.92 3.09 4.55 2.3
2.32 0.6 2.16
2BV--

BV=/ *100

96

77

76

94

67

72

85

64

72

83

60

59

83

57

58

76

57

67

74

52

20

3AAS
AAS =(mg)/(mg)*100

23mg

25mg

13mg

1g

58mg

34mg

11mg

0.4

0.74

1.2

1g

0.4 40

1 23mg,25mg,13mg,
583411

AAS=23/58100=0.4100=40
AAS=25/34100=7.35100=73.5
AAS=13/11100=1.18100=118

PDCASS=*


605764 40%40%
20% 73.

WHO

5.5

3.5

4.0

1.0

100

2.4

3.8

3.0

1.1

44()

7.2

2.4

4.2

1.4

68()

21

8.0

2.9

3.7

1.3

83()

5.1

3.2

3.5

1.2

88()

1.
1
2
3
4

2.

60%. 90%.

(1)

30g/ pro
0.8g/kg( pro )1.16g/kg( pro )
10%-15

75g

80g

90g

65g

70g

80g

30%50%
(g/100g)

21.3

20.2

8.0

19.8

21.2

10.9

17.1

18.2

9.2

19.1

17.4

35.6

17.2

16.5

11.0

17.3

12.2

20.1

22.7

4.0

20.6

15.2

28.2

26.6

12.1

3.0

20.1

13.3

3.1

12.4

2
22

3--

3555g/L,
200500mg/L
24.0 g/L
200~280mg/L
40~70g/L

()

--

-Protein energy Malnutrition, PEM

21234
56
PEM

PEM

1 --
23

(1)
(2)1
(3)
(4)Monkey face
5)
(6)
(7)

2 PEM
1
213
3
4Moon face
5
6
(7)
(8)
(9)

3.

PEM


--
1.
1
2
14 812
26
1 C=C
MUFA 1 C=C, PUFA)C=C
, SFA

n n-3 n-6 n-7 n-9


n-6 d-n-3
24

14

8-12

2-6

95%

2.

0.91.5 PH 5

2.

.
1.





2.

7- D3

3.EFA
25


EFA
EFA a-< ,
>
-3 ()

EPADHA
1EFA

2
3
4
5 d-
6

4.
1
AI

SFA

MUFA

PUFA

n-6:n-3

20-30 %

10 %

10 %

10 %

(4-6):1

300mg

SFA
MUFA
PUFA
2
3(g/100g)

8 8 3 1 6. 4. 5 1 9 2 4 9 6 5 5 5 4 1 2 4.6 7 1
7. 9. 0. 0. 3 0 . 0 . . 1. . 5. 8. 2. 1. 8. 9. 6.
. .
6 9 9 5
7 0 1 9 3 6 6 5 8 9 0 0 2
1 0

50%
1-1.2g
80%
(mg/100g)
26

2591

2110

1510

1132

871

647

608

585

515

476

466

460

354

341

295

290

288

285

267

226

193

168

165

162

161

158

158

()
1.

FAO WHO

Degree of polymerization

(1-2)

(3-9)

(10)

2.
1
2

1
2
3

1
2
3.
27

55%-65% 1/3

4.
1 55%65%
2
(g/100g)

7
8.
6

7
5.
8

7
4.
8

7
1.
9

7
0.
4

6
7.
5

6
0.
2

5
9.
6

5
7.
1

1
9.
5

9
8.
6

8
0.
2

2
8.
2

1
9.
4

1
5.
3

13.
9

5
8.
9

4
4.
4

2
1.
2

5. Glycemic Index, GI

GI


55 GI
5575 GI
75 GI
GI

GI

GI

105.05.7

65.06.3

100

49.08.0

28

83.812.1

46.03.2

73.513.3

23.04.6

GI

GI

GI

GI

88.1

76.7

72.0

87.9

75.0

66.0

83.2

71.0

52.0

81.6

66.4

52.0

79.6

54.0

43.0

78.5

54.0

43.0

74.9

51.0

36.0

71.0

38.0

36.0

68.0

27.2

28.0

66.0

27.0

25.0

59.3

14.0

47.1

34.5

48.0

40.3

18.0

27.6

32.6

100mg Na Mg Ca K P Cl
0.01%

///////

1
..
.
2 ..
3 .....

5
6


1.Ca-- 1.2kg 2% 99%
29

1%
11.
Ca10(PO4)6
Ca3(PO4)2
1-2 10-12 35
40 0.7%

20-30%>50% 15-20%

2.

3.

3.

2
AI 800mg/>50 1000mg/UL2000mg/

(
) ;(
D
)

3
(mg/100g)

1037

295

284

161

172

332

207

()

152

814

236

()

366

1394

()

445

148

179

422


30

2.Mg 25g 60%65%27%


ATP

2
:

2 3
300-350mg
4



158
147
258

382

mg/100g

199
119

167

152

147

1257


,,

31

3.P
1

3

1.21 21

PTH

4.K
1
1 ATP ,
1g 6mg 1g 18mg

3
4

6
3

4 1600g.
35g
///DRIs
/

///// 300 ,
///
,

25g

AI:350mg

///// ++++
///
, D

400-800g, 1%
AI:700mg

//// 98%,
50mmol/kg,AI:200mg
,.
3.5-5.3mmol/L //

82-100g,

0.15%,

//

32

AI:3.4g
96-106mmol/L

4. Cl

1
80%
2
3 CO2
CO2 H2CO3
H+ HCO3-
CO2
4HCL VB12

6.Na
1
1.
90

2.
3.
4. 6g 0.5g
5.
2

6g(1 400mg)

NaCl 0.1-0.2% 10

0.01%
1.Fe 45

1Fe
1

33

4
5- A

1
2
3

35% 62%

(mg/100g)

17.6

8.3

6.3

16.5

5.6

2.1

7.9

2.7

5.9

3.9

1.5

8.5

10.1

2.3

1.2
34

2.I
1
1

2
3

---


10%
60%
90%
100%

3515mg/kg

3.Zn--

1
1 200

3:

35


1
2
3
4
5
6 T

7 VA
2g
1

2
3 ,.

RNI

15.5mg/

11.5mg/

UI

45mg/

37mg/


VD

4

1000mg/kg

100mg
25mg
80%


4
E

3-20mg 13mg

1
1
; ; ;
36

.
2

3
4

5
6
7

1)

2
E
3-4

1
100 (ug)

10.6

13.7

23.3

30.7

33.6

2
RNI 50ugUL 400ug750ug/!!!

EC A


50-100ug/
1. 10-15mg/kg 10g 100ug
2.

3. E C

37


1
1

2

2

3
4

5
2

AI2mg/UL8mg/
40%-60%

6
VC
1
1:

2 : DNA RNA

3:

2 RNI

AI 50ug/UL500ug/
C

7.-- 1.1mg
B12

B12
1
1 B12
B12 B12 B12
B12
38

B12

2
2
60g/100g

8. 23g 90%

1-2mg/l

A
B1
B2
PP

B6

400ug/day.
VB12--
B3
B7
D
K

39


1. A
A A1 A2 A1
. A A2
-
A1
A A , A ,,
, A
1
1): 1.
2.: A

,
,

2)

()
, ,,,
,,,,,
,,
3)
4). A

5) A
A
(2)
/RE(g)=1/3 A (IU)+1/6-(g)
RNI800 g UL3000 g .
Na
2.5-5.0 mg

1gRE 1g
3.33IU
6g
12g
3

A (ug/100g)

40


VA

15270 8970 5490 2670 2610


(mg/100g

13. 5. 4. 2. 2. 2. 0. 0.
32 33 81 63 42 40 72 71

1788

910

310

68

41

1042

66

26

0.
62

0.
21

12.
00

0.
92

0.
82
.

0.
75

0.
45

0.
38

0.
52

0.
19

A A

1 200 IU

2 56 IU 3

2. D D2
D2D3
D

D
D

1 VD3
1
2VD+PTH


1.
2.
3.
4.

1. 40%
2.
3.
4.

41

VD
VD

5 g/d 5 g/d 35 60 50
2 150
VD3 VD2
VD


D 6 2-4
D
D
10 g/d
D

3. E
E ,( A

20%-40%

1 E
1,
E , E ,
, E
E ,
2 E E
,, E
E
3 Q E Q
,
4 RNA
5 VE

6 E

42

7 E ,
,

8 E E
, C
2
.

E E
E

14mg/
3 13mg/kg
E -(-TE)
; =(1mg-)+(0.5mg-)+(0.1mg-)+(0.02
mg-) + (0.3mg-)

1. B1

B1
1 B1
1
2
3
B1
1

2
3
4
5
6 B1
A).--

1:

,
43

3.
4.

B).--
1.
2.
3.

4.

C) --

2 B1
1.5mg 1.3mg
1.5mg 1.6mg
4 B1

V
B
1

B1 (mg/100g)

0. 0. 0. 0. 0. 0. 0. 0. 0.
8 7 7 6 4 4 3 2 2
3 8 4 7 3 0 0 5 2




0.
1
8

0.
5
4

0.
4
6

0.
3
2

0.
2
0

0.
1
5

0.
0
2

0.
1
7

0.
1
3

0.
1
1

0.
1
0

0.
0
5

5
B1 B1
B1
B1

2. B2
B2

B1 B2
1 B2
1
2
3
4 B6 PP
5 B2
B2
1
2
3
44

4
3

6
B2

2
B2 (mg/100g)

B2

B2

B2

2.41

0.30

1.10

1.39

0.29

0.92

0.34

0.26

0.20

0.26

0.16

0.26

0.12

0.26

0.10

0.24

0.20

0.14

B2

3. B6
B6
B6
B 12 B6 B6 B6
,

1 B6
1
2
3

B6

2 B6
1.52 B6
45

B6
100

5 B6
4.VB5 PP)

1
1.
DNA
DNA VB6

2.
D

3.
4..

A
1.

2.

(B)
1.

2.

(C
1.
2

(D.
3D
Diarrhea(DermatitisDementia

(a).()

(b).

46

2
. ,
.....

5.

2 8

1
1. DNA DNA

2.
3

3
DFE DFE g =g+1.7
g

250ug 200ug
DFE=250+1.7200=590ugDFE

RNI400ugDFE/UL1000ugDFE/
(85%)
6. B12
B12

B12
B12
1 B12
1
2 DNA
3
4
5
47

6
7
B12
1
2
3
4
5
2 B12
B
B12

3RNI
B12 12g
7. C
C ,
C
C
190192

(1) C
C
, C
C

C : C ,
, C

(2) C
50100mg75 90 2
150 1 125 150 200
RNI100mgUL1000mg

g
500mg/

C C
C
C 1000
(3)
C (mg/100g)

297

125
48

35

73

22

40

19

33

29

27

21

17

15

;
2000mg/100g

8 K
1 K
K

K
K K
K

K
K1 500 RDA( 0.5mg/kg). K
K3
. K3 K .
2 120g
3 K
1. 50-60%
2. 40-50%

2070%
1
1
49

2
3
4
5
2.

:,,
.


2030

11

26 91.2
86.7 2830

3
1800kcaL 25g/d
2400kcaL 30g/d
2800kcaL 35g/d

50

35
15~30 400
25 100 300

60
15%

1.


2.
1kcal 1.5ml
30ml 6 1000ml
3.
4.
2500ml

1200ml

1000ml

300ml

2500ml

500ml

350ml

150ml

1500ml

2500ml

10L

2025

,,

, :, :
,,

51

:0~1 28 )
:1 ~3
:3~6
:6~12
:12~18
:18~60
:60

1.
250400g 50g

B B VE

B1

B2

B6

B12

C
2.
300500g 200400g
2530g
3.

52

300g 3050g
8085%

4.
50g100g 50g75g 25g50g.
300mg 200mg
5.
25 30g 6g
E
3g
20ml 3g 10g 1.5g
6.
7.
8.
9
10

280 =40 --

1018 26

1.

1.,
, .,,. 5 ,
18%,6 4%.
2:
,
3
4
2.
1..
2
3 5
53


3.
1
2
3

0.84 200
2300kCal ,4
=+

+5g

65g

+15g

70g

+20g

80g

20%-30%

20%-30%

+5.5g

925g(440g)

,.
DRIs 75g 5g 15g
20g

3~4kg .
,EPADHA

a-EFA
a-

54

800mg

AI

1000mg

800mg

1200mg
AI

25mg

UL

60mg

20mg

1
, (,,,

30g.
,.
,,,.
2 .
1000mg 300mg 450mg
80%, 200mg
. 10% 50%.
DRIs 25mg 35mg
.UL60mg.
:,,,,,,
3

DRIs 200ugd 1000ugd

RNI

200ug

UL

1000ug

150ug

36240

4323

2645

462

10

100mg 60mg

DRIs 16.5mg/d.UL 35 mg/d.


11.5mg/ d
55


15mgd30mgd
15mg/d

ARNI
AUL
DRNI

800ug
900ug/

800ug

2400ug
5ug
10ug/

5ug

DUL

20g

14mg

14mg

2ug/kg

2ug/kg

1 A
VA A
A
A
6
A
DRIs VA 800ugRE 900ugRE
UL2400ugRE
2 D
VD ,
,,.VD
.
VD DRIs 10ugUL 20ugd
3. E

, E,
.
:
E
E K1 K2
4 K
K (
K1
, K2
56

K
; K 2ug/kgd

B1RNI

1.5mg

1.3mg

B2RNI

1.7mg

1.2mg

B6AI

1.9mg

1.2mg

B12AI

2.6ug

2.4ug

CRNI

130mg

100mg

RNI

600ug

400ug

24g

1. B1
VB1 VB1 ;

DRIs 1.5mg
:,,,
2 B2
VB2 ,
. B2 60% B2 15%
DRIs 1.7mg
:,,,. B2.
3 B6
B6
B6
B6 B6, ,
B12 .
DRIs 1.9mg
4
,
: ,,

,,

B6
DRIs 600ug 1000ug
:,,,.
57

C
C
,C ,,

C
C RNI 130mg
.

1997 <>, 4

1.
4

3 400ug

2.
3.
4.

1.

12

2.
B

3.
4.
400ug
ug/100g

58

425.1

9.2

1172.2

70.7

125.4

87.9

61.2

120.9

46.2

57.2

90.9

5.6

69.4

181.7

48.4

39.8

82.6

66.0

49.6

107.5

102.6
5.

1.
50100g
23 1

200kcal 15g 20g


50100g

2.
250ml 300mg
400500ml
3.
4.
4kg

5.

012

150g
e , 400~600ugd
(2) A
1)75 50 50 10
2 150 10
50 50
150 50 10
3 100
100 25
50 50

59

150 100 50
4 25 6 10
88.3 53.0 320 2110
16.7% 22.6% 60.7% 882 28.3 17.1
A3300 B1 1.56 B2 1.75 C140

1
1 , 200kcal(0.8MJ),
400g 400g,
2,
15g ,,

3,,
B1,B2 ,
B12 ,, A C
,,
4 ,,
,

5 100g , 150200g
2
1 250g, 10g ( 50g, 10g )
2 150g ( 70g, 100g )( 100g )
250g 50g
3 100g, 3g 50g
100g,()50g
50g, 10g
100g
28g
97g, 81g, 335g, 10.5MJ(2500kcal), 15%,
29%, 56%
1.8mg,

,,
,(DHA)
, DHA

250 10 100 10
50
150 70 100

60

150 50 10
250 10
150 100 50 150
10 10
100 25

8 -1
250-500ml
1-3
12
1 2 1

500ML,
800ML 3000
2.

25 702595
100
3.

DHA

20%-25%
4.
1

100 30

1200 /
2.
0.05mg100ml
61

25mg
50mg

5.
55%65%
6 .
1

1200g(4000IU)
3000g
2 D
D
D 10g(400IU) 50g
3B
B1 0.02mg100ml B2 0.03mg 100ml
B1 50B1
B1 1.8mg B2
1.7mg
B1
B2

1.

,,,
B D

2.

45
300500g

250g

, 500g

2.

1.
62

100150g
1/3

3.
500ml, 600mg
4.
5.
6.
500700 200 4~6 200250 50100
250 10001500 500 250

012 AI 95kcal(kgd)
95 kcalkg-1 d -1
2.

6 510
,
AI
2.0g(kgd) 3.5 g(kgd). 4.0 g(kgd).

3.

06 800ml
277g 47
5 45~50%612 30
40%
4.
12gkg( 37)( 40
50) 3060 4
63

5.

0.8 1.5~2%
6
23

4 300mg512 400mg
.
4
4
3
10mg/d12mg/d
.
118mgL
45

06 1.5mgd6 8mgd
.

AI 06 1.5mgd6 8mgd
6
. A

150200gd
D
400gd
. D
D 2 1 D
D D
D 10g(400IU)
. E
VE
VE 14.8mgL 8.9mgL, 2.6mgL VE
0.6mgL E
VE 3mg E d
K
K () K15
gL 4
K
K , 30

64

1 K
K
. C
VC VC 14( 11mg
L) VC
VC
VC 4050mgd

0 6
1. 68

2.
7 814

30

3. D
4. 1 6 K
K 16 K
16 K
5.
6.
6 12
1.
2.
3.

4.
78
1012
65


5.
6.

ARADHA D

IgA

2
4 2

2.

3.

1. :

1):1~6
2).:6~12
3):,,

66

1).
2).-
3). -- 46
7
4). Ca P Na KNa 2.53.0 CaP 2

5). AD

6)

7)

2.

1/3 1/2 2/3 1


2
;
3~4 ;

1030

3.
20%~28% 20%~28%
37% 1 89 8
.
4.

5.
4 8

67


23

46

79

1012

VAVD

B
VC
VAVD

B
VC
VAVD

VAVD

RNI
Kcal/d

1350

RNI
g/d

1300

1450

1400

1350

1300

35
40
45

35
40

3540
3035

45

1~3
1.

, 3~4 . 1100 1350 kcal/d


2.:
, 4050gd
3.
1~2 2 9001000g
75 3 3
AI 30%~35%,
1%,,.,
.
4.
,. 2
,,

68

3035

5.

6.
1 A A 1~3
RNI 500gd
2 D D RNI 10gd
D
31 RNI 0.6mg d 0.6mg d 60mg d

13
1.
350ml
A
100g

5080g
350ml

2.
75g 50g 25g VA

12
100g 100125g 20g
150g

23
100g 125150g 2025g
150200g
3.

4.
5.
6. 12502000ml
7. ()
8.
2.

4 5
3.
69

50 1
9.30 250
25 50 50
100
50 25
250

200ml

50g

1 17g

15g
20g
50g

30g

30g
25g
15g
25g
50g
20g
15g
50g
50g
30g
150ml
10g
20g

200ml

50g

15g
10g

200ml

50g

30g
15g

30g
5g
50g

40g
20g
20g

50g

40g

25g
25g
10g
80g
40g
20g
30g

25g
10g
10g
60g
40g
20g
30g
30g
30g
150ml
10g
20g

30g
10g
15g
20g

3 67

36 104kJ(44kcal) 60%36
1300~1700kcal. :
70

30%~35%, 14%~15%. 50%~60%.

1kg 160g

36 4560g/
50% 6.5 , 300 9 100
, 17 , .
RNI
Kcal/d

1350

RNI
g/d

1300

1450

1400

1600

1500

1700

45
50
55

1600

55

45
50

3035
3035

55

3035

55

3035

36 RNIs

3035
3% 0.5%
)
5060

800mg
d 2000mgd

300mld 600mld

WHO 8 4
50gd
800gd
1

1mg

12mgd 30mgd
C
71

2330g

12mgd

RNI 500600gd 1

UL 2000gd
B
B1 B2
3 B B1
B2
B2 B2
B1 B2 0.7mgd
C
C
C

C 2000
3 60mgd46 70mgd

1.
1
2
3
4 (300600ml)
5
30% 10
40%(
3 ) 30% 8 1000
1500ml/d
6

1 12
(2)
(3)
(4)

72

(5)
(6)
(7)
(8) 30
(9)
(10)

8
2.
1) 1 :
200~300 ( 600 ) 1 100~125 ,,
150 150~200 .

2).
:8~8.30
30%
:11.30~12. 40%( 3 )
:18.0 30%( 20 )
3).

1.


2.

73

()

1.

Kcal/

Kcal/

1700

1600

10

2100

2000

1800

1700

11

2400

2200

1900

1800

14~18

2900

2400

12%~14%. 55%~65%, 25%~30%

g/d

g/d

55

55

10

70

65

60

60

11

75

75

65

65

14~18

85

80

74

3.

, 25%~30% S:M:P<1:1:1
4.
55%~65%
5.

11~18
1000mg/d.

AI(mg/d)

UL(mg/d)

AI(mg/d)

UL(mg/d)

12

30

12

30

16

50

20

50

25

50

14
18

11

18

50

AI(mg/d)

UL(mg/d)

12.0

23

7~

18.0

37

15.0

34

14
18

6
11

AI(mg/d)

UL(mg/d)

13.5

28

19.0

42

15.5

35

RNI 6~10 90g/d;


11~13 120g/d;
14~18 150g/d;
UL800g/d;
6.
A
A RNI6 600gRE/d7~13 700 gRE/d
14~18 800 gRE/d700 gRE/d
UL2000 gRE/d

,<>:

1.

75

25%30% 1/41/3
30%40% 30%~40%

2. C

VC

3.
4.

2
3
4
5 1020

6) 10
7

23

76

5. 710
350g 100125g 50g2030g
300g 50100g 1015g 15g 250g
6. 1113
400g 125150g 5075g3040g
400g 50100g 1015g 15g 250g
3. 14~18
400660g 150175g 5075g50g
300550g 50100g 250g l0g 1020g

.
1.

,.
2.

kcal

(g)

60~

1900

1800

75

65

60~

2200

2000

75

65

70~

1900

1700

75

65

70~

2100

1900

75

65

77

80~

1900

1700

75

65

3.

20%( 1 )
4.

65,

810
1.
1
RNI 800~1000mg/d 2g
(2)

A

C

6.
1 A

2 D
D

( 3 ) E
E
12 10
4 VB1:
B
1 B 2 C

RNI 1.3mg/d,

78


5 VB2


RNI 1.3mg/d
(6) C

130mg/d.
B12B6

B
7.
,,..
.

4
1
B
85g
100g
2.

b-
3.

1
2
3
4

6
7

1
2 45
3
4
5
79


1
2

5
6

1 B12
2
VC

3
4
5
4.

.
.

1. 1000mg/g
2.
3.80mg/d
4.
5. D

80

1.
1

2

7%12% 12.7% 7%
77%

16%19% E
4

2.
1

81

4
B VB1 VB2
VE

2.
1
2

20% 36%
15%

B VE
1.
1
16%20%
2%
2

4
VE VB1
100g 8mgVC
5
100g 7~8mg
2.

82

1. ABCD

A B C D
2. A
A B C D

C
1.
1 VC
2
3 VC
4
5

VB1VB2

2.
1
2
3

1.
1
VC
VC
2

30%
VE B VE

83

3.

1.
1

20%

3
4
B VA VA
VB2VA VB2
VE
5
84

2.

28%33%

1%1.5%
1.
1

2
98%

3
4
5
2.

15%22% 1%10%
1 10 1.5% D H AVA VD VE B2

1.
1
1
85

85%90%

2
3
4
VA VD2
1 1

5
2

2.
1

1.
1
1
80

2
3

4
5
2

2/3

86


15 45

2
7080
8

12

12 1

2.

3.0% 80%
20% 85.

1.

2.
3.
4.

87


5.

1.
99 VE
99%
VE VA
2.

50%

1.
1
2
1
2
3 50 100
2 20%

20%40%40%
3

3.

7kcal

B VB1 VB2

88

1.

2.
89

3.


1.

2.

1
2
3
4
5
4.
1
2
3
4
5
6

1.

2.
1
90

2
3
3.

4
E
5
6

1
2
3
4

1.
1 VDVk
2
3 VAB
2.
1
2 VAVE
3 VE

3.
1
VE DNA
2
3 =
4.
1
5-5-HT6
1 12
91

2
DNA RNA
3
4 DHA<226>EPA<205>
5.
1 GI
2
3
6.

1
2
7.
1
2
3
8.
1
2

3
4

9.

1
2 L
3
10.

1
2

92

1.2.3.4.

1.

2. 3.

1.
1
1

2
2

2.
1
2
3

1.
1
2
2.

93

1.
2.
3.

1.
2.

94

.
1.

2

3

95

1
a
b
c

PH

P
P0 Aw=P/P0

3
2

CuFeNi

96


CO2
4.
A.
.
B.
C.

D.
E.
F.
2.
1A....
B...
C.

2

1(Pseudomonas)PH 5.05.1

2(Micrococcus)(Staphylococuss)

3(Bacillus)(Clostridum)

4(Enterobacteriaceae)

5(Vibrio)(Flavobacterium)
5%
6(Halobacterium)(Halococcus) 12%

7(Lactobacillus)
3

1
gmlcm2

97


4
A.
B.
C.
D.
E..
F.
5
A.
B.
C.

D...
E.
6
.
.
7

3.

200
280 26

70%

98

1.

280

AFB1
2.
1 10

2 AFT

1963

3AFT AFT

3.
1

10
70%

99

Vb1

AFB1
1.

2.

3.

T2

4.


3
5
1
112~121 0.56Kg/cm2~
1Kg/cm2 20~30

62.830
71.7 15

.
3 120~150 1~3

4 1mm 1m

4.
1. 2. 3. 4. 5.

100


5.

N
.

1.
1

1605
2.

3.

4.

5.
1

101

10
2-3

500
5-10 5-15 3-5
2

15
4

2-5 1-2

2.

3.

4.

102

5.

6.

<>
()
1
Bt

1
2
40-60%

1
2
3
45.

103

1
2
3
4

80

<>

1.
(1)
(2)
(3)

2
(1)
(2)
(3)
3
(1)
(2)
(3)

1.Hg
2.ge)
3Pb
(1)

(2)

104


4As
(1)
(2)

<>N-
N-

N-NOC 300
90% : N- N-

1N-


2N-

N-
1

NaNO3---NaNO2---NO---

2
3-NO3-NO2
4
5
6

:
PH
SCN SCN()

().N-
1.
1)N-

105

3 N-

5 NOC
NOC
2

3
N-
1
2

VC
3 VC
4

5MnMo
6 ADI
7

SCN

<>

PAH
200
a B(a)P

190
aB(a)P
1 5 178 310~312

2
B(a)P AHH
DNARNA

3B(a)P

106

4 B(a)P

B(a)P
B(a)P

>190

AFB1 N-

<>

1.
1PEPP
H

LD50

2PS

(3(PVC)

HCl

107

4
FDA

2.
(1
2
3

1.

2.
(1)
40K 226Ra228Ra210Po
40 (K)
226 (Ra)
210 (Po )
(2)
1.
2.

3.
131I90Sr89Sr137Cs
4.

5.
108


1.
.
2.
3.

4 .
1)..
2)
3),,
4).
5),,,.
6),,.
7)..
8),..

1.

2.

3.

109


4.

5.

6.
7.

1. 12%~14%
10%~13%
2.

3.

4.

5.

1.
2.

3..
4..
5.
6..

1.

4.
3.
0 60Co

1..
110

2.
3.
4.
5.
6.
p7.0~7.4
pH 5.4

pH

1
2

1
2

10 5~15 -25 6~9

111

62.8 30
71.7 15 80~85
10~15
137.8 2
10
85
3.

112

1
2
3
4

0.2%

1. 2. 3. 4.
5.
6. 7. 8.
113


.
1.:.
.
WHO

2.





3.

114

a.
b.
c.
d..
4.
1)
2)
3)
4)

.
:

()
1.

12-36
3-7

1.

2.

2.

1 69

2
3:
(1)
(2)
(3)
()

() 6 10
38

115

3..

1
2


2-4 ,
, 1-3

4.

6~10
1-5 8-16

5.

10 8
A BE

4~5
-

30%~70% 10%
~10

116

2
3

4
5
6

7 70
8 15

9
10 5

1-5

0.5-1


5
3

10

117

4

10 3

2~5

10 5

4~6 40%~60%

5
300 80 10
0.5-6
1

3-4

2 10
14000

3 1mg
160mg
12 312

23


6.

118

0.5-3

7.

01-02 50-100

8.

10-50

9.

12
:

10.

11.

1
512
1030

2.
119

A A A
A
3.

10-24

4.

14% 7%

5.

6.
0.2-0.5 3

1%
25%~50% 20 1~2 /
C

7.

120

8 .

(1)

(2)

(3)

()

121


1.
2.
3.

122


1.
2.
3.
4.

DRIs

DRIs

1.EAR
2. UL

DRIs

1. EAR
2. (AI)
3. UL
4.
5. RNI
6.
7.


1.
2.


1.
2.

123

1.

2.

3.

4.
1
2
3
4
5
6
7
8


1.
1
220020
325
4
5
6
7
1
2
3
4
2.
1

1
2
3
2
124


1.
2.
1
1.
2.
1800kcal
2600kcal
1

50g100g 57
2

300500g
3
200400g

4
5075g

50100g
6

2550g 1
7

300g 360g 45g

3050g 40g 80g 120g


240g 650g

125

510g
9

25g 30g

10
6g
20ml 3g 10g 1.5g

1.
2.
7 g/d
1600kcal 1800kcal 2000kcal 2200kcal 2400kcal

225
250
300
300
350

30
30
40
40
40

300
300
350
400
450

200
200
300
300
400

50
50
50
75
75

300
300
300
300
300

25
25
25
50
50

50
50
75
75
75

20
25
25
25
30

6
6
6
6
6
3.
50g

(g)

50

50

60

150 110

375

80

80

100g

105

100

100

120

110

126

2600kcal
400
50
500
400
75
300
50
100
30
6

2800kcal
450
50
500
500
75
300
50
100
30
6

g
70
60
45
55
40
350
190

120
115
115
150
120

110
125
110

100g

130

120

120

115

115

105

115

120
160
115

g
130
170
150
145
150
120
180

50g

50

50

85
75

30

60

55

50

85

90

35

80

50

70

35

50

30

55

23
50g

85

75

90

65

80

60

95

70

85

130

85

80

80

105

70
50g

g
50

80

145

105

280

35

350

730

110

127


100g

g
100
15
100
4.
5.

10

Nutritional Deficiency Diseases

1
2
3

B5, C B

C B12
B6 E

Protein energy Malnutrition,


PEM

2123
456

PEM
PEM

128

1 --
(1)
(2)1
(3)
(4)Monkey face
(5)
(6)
(7)
2 PEM
1
213
3
4Moon face
5
6
(7)
(8)
(9)
3.
PEM

1.
2.
3.
4.

A D

A A
D
A

A A
A Vitamin A Deficiency WHO
A
1.
1
2
129

4
b- A
5
A
6

2.

1.
2.: A

,
,

3.
2)

()
, ,,,
,,,,,
,,
3)
4)
A

5) A
A
3.
1 A
4 A (ug/100g)

VA 15270 8970 5490 2670 2610 1788


(mg/100g

130

910

310

68

41

1042

66

26

13. 5. 4. 2. 2. 2. 0. 0. 0. 0. 12. 0. 0.
0. 0. 0. 0. 0.
32 33 81 63 42 40 72 71 62 21 00 92 82 75 45 38 52 19

2 A

3
A 1 30
4 A

D D
1.
1
2 D
3 D
4 D
2.
1Rickets

2 1 2

3.
1 3 7
9 D
79 D

12 D
131

AD

B1

VB1B2

B1

B2

B1 Vitamin B1 deficiency

B1
1.
1

2
3

B1
4
5
2.
1
VB1 3

Wernicke B1

4
3.
1
2
3
B1 (mg/100g)

V 0. 0. 0. 0. 0. 0. 0. 0. 0. 0.

0.

132

0.

0.

0.

0.

0.

0.

0.

0.

0.

0.

B
1

8
3

7
8

7
4

6
7

4
3

4
0

3
0

2
5

2
2

1
8

5
4

4
6

3
2

2
0

1
5

0
2

1
7

1
3

1
1

1
0

0
5

4 B1

B2
1.
1
2
3
2.

1
2
3

4
3

6
B2

4.
1 B2
2
3
B2 (mg/100g)

B2

B2

B2

2.41

0.30

1.10

1.39

0.29

0.92

0.34

0.26

0.20

0.26

0.16

0.26

0.12

0.26

0.10

0.24

0.20

0.14

133

C
C

1.
1
2

3
4
2.
1
VC 34

3
4

3.

VC

1.
2.
1 5

2
134

3 8

3.
ug/100g

425.1

9.2

1172.2

70.7

125.4

87.9

61.2

120.9

46.2

57.2

90.9

5.6

69.4

181.7

48.4

39.8

82.6

66.0

49.6

107.5

102.6

400ug

1.
1

2 VD

2.
1
1

2
3.

135

1.
1
2
3
4
2.
1

2
3
4
5
6
3.
1
2
3
4
VAVB2VB12

5
6 (mg/100g)

17.6

8.3

6.3

16.5

5.6

2.1

7.9

2.7

5.9

3.9

1.5

8.5

10.1

2.3

1.2

136

1.
1
2
3
4
5
2.
1

2
3

4.
(mg/100g)

13.25

3.86

6.47

8.5

3.36

6.24

4.73

2.64

5.49

4.65

2.55

5.00

2.98

2.36

3.79

2.75

2.32

2.62

2.28

137

1.

2.
1
2

3.

1.
2.
1
2
3
4
3.
1
2
1 50100ug/d
2

138

ACE
C

A E A


1.

2.
1 BMI
=/*kg/m*m
18.523.9>=24>=28
2 WC

>90cm80cm
3 WHR
>0.9>0.8
4
1) kg=cm-105
=[/]*100%
2)
10% 20% 2030%
3050% 50% 100%
3.
1
2
3
4.
1
2
3

139

5.
1
lcal=kg*2025kcal/kg
30% 40% 30%
5% 25g
2
1 20%
20% 60% 50%

3 30g 500750g 100g

4
5
6

1.
1
1 >=140mmHg >=90mmHg
2

mmHg
mmHg

<140
<90

140~159
90~99
12
160~179
100~109
1
>=180
>=110

2
1)
50

2)
2040

3)
4)

5)
140


6)
7)

8)
3
1 10%
2
3
4
5 250ml
6 500g 200g
7
8
2.
1
TCTGHDL-C

2
1


TG
HDL-C
2


5
VC TC

VE
3

141

1

50%60% 10%20% 30%
8%10% 7%10% 10%15%
300mg/d

50%60% 10%20% 30%
7% 7%10% 10%15%
200mg/d
2
30kcal/kg



25%
20% 300mg 25g

111

300mg
55%60%

30g

(mg/100g)

2591

2110

1510

1132

871

647

608

585

515

476

466

460

354

341

295

290

288

285

267

226

193

168

165

162

161

158

158

3.
1
1)
2)

142

3)
4)

5)
6)
2
1
2
3
4
5

6VEVB6VB12
3
1

2


25%
300mg
50%60%

15%
2530g


3
800kcal

1200kcal


4.
1)

143



2)



mmol/L
75g 2h
mmol/L

<6.1
<7.8

>=7.0
>=11.1
IGT
<7.0
7.811.1
IFG
6.1~7.0
<7.8
1.
1

2.
1
=*
kcal/kg*

2025 1520 15

35
30
2025

144


40
35
30
4550 40
35
2
55%60% 20%25% 15%
30%
3 30g
4 VCVEVB1VA
5
6
7
8

1.
1
2
3
4
5
6
2.

3.
1
2025kcal/kg
500kcal

0.51kg
2

3
10%15% 25%
111
50g 55%65%
4
2000ml 810
3000ml

145


7
6001000mg/ 150mg/

100g

mg

mg
1
0.4

10.3

0.9

11.1

0.9

11.3

1.1

11.4

1.2

11.8

1.3

12.4

1.4

12.6

1.9

14.4

2.0

14.6

2.2

14.6

2.4

15.7

2.8

17.1

3.2

17.5

3.5

17.7

4.2

18.1

4.3

18.5

4.5

20.0

5.3

22.4

5.4

23.0

5.6

24.4

6.1

24.5

6.6

25.0

7.2

27.7

7.5

28.4

8.0

31.7

8.2

31.7

8.7

32.4

8.8

33.4

9.3

34.6

9.4

44.5
100g

mg
53.2
54.0
57.0
57.0
63.2

146

mg
111.5
122.5
132.4
132.6
137.1


66.6

137.4

75.1

137.7

75.7

140.2

83.7

140.3

87.9

140.6

92.8

113.1
100g

mg

mg

166.5

262.2

175

291.6

160400

295.0

202.4

363.0

233.0

589.1

238.0

825.0

239.0

638.9

120g


1.
1

2
3 80%
4 60%
5
6
7 VD
8 VK
9 VA
10 VC
11
2.
1
2
3
4 15%
5 250ml

147

7 DVAVCVK
8 6g
9
10
11
12

1/3

1.
1

2
3

4 A VA
5 VE
6 VC
7

8
VB1VB12VB2
2.
1
2
3
4
3.
1
2
3
4
5
6
4.
1
2
3 500g
4
45%60%
5

148

6
7
8
9
10
11
12
13

15%
80g
25%
6g

14
15

149

B1B2B6B12CAEK

150

E A A
2

95%

40 1

mg/dl
2
mg/dl

mg/dl

mg/dl

mg/dl
HDL
mg/dl

mmHg
BMI()
Kg/m 2
BMI()
Kg/m2

<108
<144
<7.0
0
<136
<200
> 42
<140/80
2025
19-24

108-140
144-180
7.0-8.5
0-500
136-200
200-250
42-35
140/90
2527
24-26

>140
>180
>8.5
>500
>200
>250
<35
>140/90
>27
>26

513, p248-250.

100g
100g

1. 10 1 3 30
151

2. 150ml7 3 4

3. 120

60

Nutrition Education)

1.
1. 2. 3. 4.
1.
2.
3.
4.
2.

300 700
152

1.

2.

Community Nutrition

10 -30 5000-50000

1.

153

2.
3.

Community Mobilization

1.
2.
3.
4.
5.


1.

2.


1.
2.
3.
4.
5. (Input) (Output)

(Output)

Benefit

1.

2.
1
2
3
154

4
5

1.
1
2
3
4
1
2)
3)
4
2.
1
2
3
4
5

1
1.
1
2

3
4
5
6
7

8
9
10
2.
3.
P292P298

2
1.
155

2.
3.
5.20P300P302
3

1.

2.
1.

2.

3.
(
5 )
4.
P400P407

1.

2.

3.
1
2
3

156

4
4.

5.

P411P416

5
1.

2.

3.
4.

P420P422

1
2
3
4

3
1.

1
2

3Problem StatementsProgress note


S-O-A-PS
Subjective DataO
Objective DataA Asssessment
P
Plan

4Flow Sheet
2
1.
2

157

3
4

P427P434

4
1.
2.
1Proportion
2
3
4
5

4 60

1.

A
6367
658
2433
B
10455
890
3033
C
4778
237
1650
D
4111
213
1503
2.
1
2
3.
4.
5.

A
6367
658
2433
18.9
10.34
38.21
B
10455
890
3033
23.5
8.15
29.01
C
4778
237
1650
12.8
4.96
34.53
D
4111
213
1503
11.6
5.18
36.56

158

1.
1

2
VB12

3 A
A

4 D
D
5VC

8
2.
1
1
2
1.2.3.
2
1.
2.

3.

4.
3.
1.
()
2. ()
A..
B.. W ,when where who what why.
C..,.
3

159


4
1:
1.. 2. 3..
2.
1
2.
3.
3
4

.
1..
2.
3.
6 12

30%

4.
1
2.
3. 612
4.
5
6.

7.
8.
9.
2
1.

10s
6 150-/

170-
2.
3.
10%20% 10%
20%

37 70 170
160

240kCal.
1.
2.
3.
1
2
3
4. ( 10%20%)
5.
1
2
3
4
5
6.

Kcal/kg/

0.115

100-120

0.121

100-120

0.132

120-140

0.158

140-160

30 /

0.170

140-160

100 / 0.067

80-100

90 ,

33 ,,.

:(0.067Kcal//kg33 6 70Kg0.121Kcal//kg70kg90 )/7241.9Kcal/


.

161

162

163

164

165

166

167

26
2001 12 11
2002 7 1 1993 3 15


168

00

169

( 30


170


2002 7 1 1993 3 15

20012010

12 6
20012010

10
171

172

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