<p><span style="line-height:27px;"><font size="2">이제 돌 지난 아이를 둔 아빠입니다. <br></font></span><span style="line-height:27px;"><font size="2">하루하루 애가 커가는 것을 보며 웃지요. </font></span></p> <p><span style="line-height:27px;"><font size="2"><br></font></span><span style="line-height:27px;"><font size="2">우선 저는 여기 적으려는 것을 다 지키며 육아를 하지 않았어요. 육아법은 다 다른거니까요. <br></font></span><span style="line-height:27px;"><font size="2">하지만 연구직 직업을 가지고 있다보니, 육아법도 과학적 근거를 찾아보고 싶어서 적어봅니다.</font></span></p> <p><span style="line-height:27px;"><font size="2"><br></font></span><font size="4"><span style="line-height:27px;">1. <b>24개월 완모가</b> 최고다?</span></font></p> <p><font size="4"><span style="line-height:27px;"><br></span></font><font size="4"><span style="line-height:27px;"><b>맞습니다. 하지만 틀린것이기도 합니다</b>.</span></font></p> <p><font size="4"><span style="line-height:27px;"><br></span></font><font size="4"><span style="line-height:27px;">WHO와 UNICEF의 권장 모유수유기간은 2년입니다. 그중 6개월은 완전히 모유로만, 6개월부터 두돌까지는 모유 + 이유식을 권장하지요. 모유는 영양학적으로나, 면역적으로나 가장 중요한 것이 맞습니다. </span></font><span lang="ko" style="font-size:medium;line-height:1.5;">정확한</span><span lang="ko" style="font-size:medium;line-height:1.5;"> </span><span lang="ko" style="font-size:medium;line-height:1.5;">메커니즘은</span><span lang="ko" style="font-size:medium;line-height:1.5;"> </span><span lang="ko" style="font-size:medium;line-height:1.5;">밣혀지지</span><span lang="ko" style="font-size:medium;line-height:1.5;"> </span><span lang="ko" style="font-size:medium;line-height:1.5;">않았으나 </span><span lang="ko" style="font-size:medium;line-height:1.5;">모유수유한</span><span lang="ko" style="font-size:medium;line-height:1.5;"> </span><span lang="ko" style="font-size:medium;line-height:1.5;">아이는</span><span lang="ko" style="font-size:medium;line-height:1.5;"> </span><span lang="ko" style="font-size:medium;line-height:1.5;">성장기</span><span lang="ko" style="font-size:medium;line-height:1.5;"> </span><span lang="ko" style="font-size:medium;line-height:1.5;">비만율이</span><span lang="ko" style="font-size:medium;line-height:1.5;"> </span><span lang="ko" style="font-size:medium;line-height:1.5;">낮아지는</span><span lang="ko" style="font-size:medium;line-height:1.5;"> </span><span lang="ko" style="font-size:medium;line-height:1.5;">경향을</span><span lang="ko" style="font-size:medium;line-height:1.5;"> </span><span lang="ko" style="font-size:medium;line-height:1.5;">보인다는 연구결과가 있습니다. </span><span style="font-size:medium;line-height:1.5;">(MarsegliaL et al., Women Birth. 2015 Jan 13. pii: S1871-5192(15))</span></p> <p><font size="3"><span style="line-height:24px;"><br></span></font><font size="4"><span style="line-height:27px;">다만 변수는 어머니의 상태입니다. 특히 <font color="#ff0000"><b>중금속 오염</b></font>이 문제입니다.</span></font><span style="line-height:27px;"><font size="2"><br></font></span></p> <p><font size="4"><span style="line-height:27px;"><br></span></font></p> <p class="MsoNormal"><font size="3"></font></p> <p></p> <div> <p class="MsoNormal"><font size="2"><span lang="ko">1. 생후</span> 6<span lang="ko">개월에서</span> 3<span lang="ko">살까지</span><span lang="ko"> </span><span lang="ko">아기에서</span><span lang="ko"> </span><span lang="ko">철분결핍이</span><span lang="ko"> </span><span lang="ko">자주나타남</span>. <span lang="ko">망간</span>, <span lang="ko">납</span>, <span lang="ko">카드뮴등의</span><span lang="ko"> </span><span lang="ko">섭취가</span><span lang="ko"> </span><span lang="ko">철분흡수에</span><span lang="ko"> </span><span lang="ko">방해요소</span>. <span lang="ko">모유가</span><span lang="ko"> </span><span lang="ko">이런</span><span lang="ko"> </span><span lang="ko">중금속의</span><span lang="ko"> </span><span lang="ko">소스가</span><span lang="ko"> </span><span lang="ko">될</span><span lang="ko"> </span><span lang="ko">수</span><span lang="ko"> </span><span lang="ko">있음</span>.  <span lang="ko">장기간의</span><span lang="ko"> </span><span lang="ko">모유수유는</span><span lang="ko"> </span><span lang="ko">오히려</span><span lang="ko"> </span><span lang="ko">철분</span><span lang="ko"> </span><span lang="ko">결핍의</span><span lang="ko"> </span><span lang="ko">요소가</span><span lang="ko"> </span><span lang="ko">될</span><span lang="ko"> </span><span lang="ko">수</span><span lang="ko"> </span><span lang="ko">있으니</span>, <span lang="ko">모유수유중</span><span lang="ko"> </span><span lang="ko">아기에게</span><span lang="ko"> </span><span lang="ko">철분을</span><span lang="ko"> </span><span lang="ko">보충하게</span><span lang="ko"> </span><span lang="ko">하는것이</span><span lang="ko"> </span><span lang="ko">좋음</span>. (Kim Y, Park S, Korean J Pediatr. 2014 Aug;57(8):345-50)</font></p> <p class="MsoNormal"><font size="2"><br></font></p> <p></p> <p class="MsoNormal"><font size="2">2. <span lang="ko" style="line-height:1.5;">모유는</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">아기에게</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">영양학적으로나</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">면역적으로나</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">가장</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">중요한</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">음식임</span><span style="line-height:1.5;">. </span><span lang="ko" style="line-height:1.5;">하지만</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">동시에</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">가장</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">큰</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">환경적</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">위험요소가</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">될</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">수</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">있음</span><span style="line-height:1.5;">. (Cinar N et al., Bosn J Basic Med Sci. 2011Nov;11(4):234-9.)</span><span lang="ko" style="line-height:1.5;">터키의</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">다양한</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">지역에</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">사는</span><span style="line-height:1.5;"> 90</span><span lang="ko" style="line-height:1.5;">명의</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">여성을</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">대상으로</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">한</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">모유성분검사</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">결과</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">시골에</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">사는</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">지역</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">여성에게는</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">납</span><span style="line-height:1.5;">, </span><span lang="ko" style="line-height:1.5;">카드뮴</span><span style="line-height:1.5;">, </span><span lang="ko" style="line-height:1.5;">니켈</span><span style="line-height:1.5;">, </span><span lang="ko" style="line-height:1.5;">크롬</span><span style="line-height:1.5;">, </span><span lang="ko" style="line-height:1.5;">철의</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">성분이</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">높게</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">검출되었으며</span><span style="line-height:1.5;">, </span><span lang="ko" style="line-height:1.5;">공업단지에서는</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">코발트</span><span style="line-height:1.5;">, </span><span lang="ko" style="line-height:1.5;">구리</span><span style="line-height:1.5;">, </span><span lang="ko" style="line-height:1.5;">아연</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">성분이</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">놉게</span><span lang="ko" style="line-height:1.5;"> </span><span lang="ko" style="line-height:1.5;">검출됨</span><span style="line-height:1.5;">.</span></font></p> <p class="MsoNormal"><font size="2"><span style="line-height:1.5;"><br></span></font></p> <p class="MsoNormal"><font size="2"><span lang="ko">3. 일본의</span><span lang="ko"> </span>7<span lang="ko">개월</span><span lang="ko"> </span><span lang="ko">유아에게</span><span lang="ko"> </span><span lang="ko">심한</span><span lang="ko"> </span><span lang="ko">피부트러블</span><span lang="ko"> </span><span lang="ko">발견됨</span>. <span lang="ko">검사결과</span><span lang="ko"> </span><span lang="ko">높은</span><span lang="ko"> </span><span lang="ko">수준의</span><span lang="ko">  </span><span lang="ko">크롬이</span><span lang="ko"> </span><span lang="ko">검출됨</span>.  <span lang="ko">검사결과</span><span lang="ko"> </span><span lang="ko">엄마가</span><span lang="ko"> </span><span lang="ko">매일</span><span lang="ko"> </span><span lang="ko">많은</span><span lang="ko"> </span><span lang="ko">양의</span><span lang="ko"> </span><span lang="ko">초콜릿과</span><span lang="ko"> </span><span lang="ko">코코아를</span><span lang="ko"> </span><span lang="ko">섭취하며</span>, <span lang="ko">이것이</span><span lang="ko"> </span><span lang="ko">아마</span><span lang="ko"> </span><span lang="ko">크롬의</span><span lang="ko"> </span><span lang="ko">소스로</span><span lang="ko"> </span><span lang="ko">추정됨</span>. <span lang="ko">엄마의</span><span lang="ko"> </span><span lang="ko">중금속</span><span lang="ko"> </span><span lang="ko">섭취가</span><span lang="ko"> </span><span lang="ko">아기에게</span><span lang="ko"> </span><span lang="ko">큰</span><span lang="ko"> </span><span lang="ko">영향을</span><span lang="ko"> </span><span lang="ko">줄</span><span lang="ko"> </span><span lang="ko">수</span><span lang="ko"> </span><span lang="ko">있음</span>. (Adachi A and Horikawa T. Arerugi. 2007 Jul;56(7):703-8.)</font></p> <p></p> <p class="MsoNormal"><font size="2"><br></font></p> <p class="MsoNormal"><font size="3"><b>따라서 완모를 위해 중금속 오염을 미리 체크해보시는 것도 나쁘진 않을 듯 합니다. 특히 아기에게 아토피 증상이 있는 경우 엄마의 중금속 오염상태를 꼭 확인해보시길 추천합니다.</b></font></p> <p class="MsoNormal"><font size="3"><b><br></b></font></p> <p class="MsoNormal"><font size="3"><b>2. 유아돌연사증후군 (SIDS)</b></font></p> <p class="MsoNormal"><font size="3"><b><br></b></font></p> <p class="MsoNormal"><font size="3"><span style="line-height:24px;">부모에게 가장 큰 절망을 안겨주는 증후군중 하나. 원인으로 알려져 있는것들은 엄<b>마의 </b></span></font><b><span lang="ko" style="font-size:11pt;line-height:115%;">흡연</span><span style="font-size:11pt;line-height:115%;">, </span><span lang="ko" style="font-size:11pt;line-height:115%;">부모의</span><span lang="ko" style="font-size:11pt;line-height:115%;"> </span><span lang="ko" style="font-size:11pt;line-height:115%;">부주의</span><span style="font-size:11pt;line-height:115%;">, </span><span lang="ko" style="font-size:11pt;line-height:115%;">아기의</span><span lang="ko" style="font-size:11pt;line-height:115%;"> </span></b><span lang="ko" style="font-size:11pt;line-height:115%;"><b>수면자세, 유전적 요인</b>등입니다. 그중</span><span style="font-size:11pt;line-height:115%;"> </span><span lang="ko" style="font-size:11pt;line-height:115%;">아기를</span><span lang="ko" style="font-size:11pt;line-height:115%;"> </span><b><span lang="ko" style="font-size:11pt;line-height:115%;">엎드려</span><span lang="ko" style="font-size:11pt;line-height:115%;"> </span><span lang="ko" style="font-size:11pt;line-height:115%;">재웠을와</span><span style="font-size:11pt;line-height:115%;">, </span><span lang="ko" style="font-size:11pt;line-height:115%;">부모의</span><span lang="ko" style="font-size:11pt;line-height:115%;"> </span></b><span lang="ko" style="font-size:11pt;line-height:115%;"><b>흡연</b>이</span><span style="font-size:11pt;line-height:115%;"> SIDS</span><span lang="ko" style="font-size:11pt;line-height:115%;">에</span><span lang="ko" style="font-size:11pt;line-height:115%;"> </span><span lang="ko" style="font-size:11pt;line-height:115%;">큰</span><span lang="ko" style="font-size:11pt;line-height:115%;"> </span><span lang="ko" style="font-size:11pt;line-height:115%;">영향이</span><span lang="ko" style="font-size:11pt;line-height:115%;"> </span><span lang="ko" style="font-size:11pt;line-height:115%;">있는것으로</span><span lang="ko" style="font-size:11pt;line-height:115%;"> </span><span lang="ko" style="font-size:11pt;line-height:115%;">보인다는게 크게 알려진 사실이지요. </span><span style="font-size:11pt;line-height:115%;"> </span><span style="font-size:9pt;line-height:1.5;">(Hutchison BL et al., N Z Med J. 2015 Jan30;128(1408):15-22.)</span></p> <p class="MsoNormal"></p> <p></p></div> <p class="MsoNormal"></p> <p></p> <p class="MsoNormal"><font size="3">잘 알려지지 않은 이 증후군의 원인이 있는데 바로 <b><font color="#ff0000">급격한 온도변화와 높은 온도</font></b>를 유지시키는 것입니다. 특히 한 연구결과에 의하면 아기의 <font color="#ff0000"><b>수면 중 머리를 모자로 감싸는 것</b></font>이 이 증후군의 위험성을 증가시킨다는 보고가 있습니다.</font></p> <p class="MsoNormal"><font size="3"><span lang="ko">1. 이</span><span lang="ko"> </span><span lang="ko">증후군을</span><span lang="ko"> </span><span lang="ko">보인</span><span lang="ko"> </span><span lang="ko">유아에게서</span><span lang="ko"> </span><span lang="ko">높은</span><span lang="ko"> </span><span lang="ko">레벨의</span><span lang="ko"> </span><span lang="ko">온도</span><span lang="ko"> </span><span lang="ko">스트레스</span><span lang="ko"> </span><span lang="ko">관련</span><span lang="ko"> </span><span lang="ko">유전자의</span><span lang="ko"> </span><span lang="ko">발현이</span><span lang="ko"> </span><span lang="ko">보임</span>. <span lang="ko">갑작스러운</span><span lang="ko"> </span><span lang="ko">온도의</span><span lang="ko">  </span><span lang="ko">변화가</span> SIDS<span lang="ko">의</span><span lang="ko"> </span><span lang="ko">원인일</span><span lang="ko"> </span><span lang="ko">수</span><span lang="ko"> </span><span lang="ko">있음</span>. (Rohde MC et al., Forensic Sci Int. 2013 Oct10;232(1-3):16-24.)</font></p> <p></p> <p class="MsoNormal"><font size="3"><span lang="ko">2. 영국의</span><span lang="ko"> </span><span lang="ko">한</span><span lang="ko"> </span><span lang="ko">연구팀</span><span lang="ko"> </span><span lang="ko">결과에</span><span lang="ko"> </span><span lang="ko">의하면</span>  <span lang="ko">아기의</span><span lang="ko"> </span><span lang="ko">수면시</span><span lang="ko"> </span><span lang="ko">사용하는</span><span lang="ko"> </span><span lang="ko">모자가</span> SIDS<span lang="ko">의</span><span lang="ko"> </span><span lang="ko">위험요인이</span><span lang="ko"> </span><span lang="ko">될</span><span lang="ko"> </span><span lang="ko">수</span><span lang="ko"> </span><span lang="ko">있다고</span><span lang="ko"> </span><span lang="ko">함</span> (BlairPS et al., Arch Dis Child. 2008 Sep;93(9):778-83)</font></p> <p></p> <p class="MsoNormal"><font size="3"><br></font></p> <p class="MsoNormal"><font size="3"><span style="line-height:24px;"><b>아기의 안전을 위해 금연, 똑바로 재우기, 모자를 씌우지 않기를 실천해보는 것을 추천합니다.</b></span></font></p> <p class="MsoNormal"><font size="3"><span style="line-height:24px;">시간이 없으므로 여기까지...</span></font></p> <p class="MsoNormal"><font size="3"><span style="line-height:24px;"><br></span></font></p> <p class="MsoNormal"><font size="3"><span style="line-height:24px;">다음은 수면 교육법에 대해 써볼께요.</span></font></p> <p class="MsoNormal"><font size="3"><span style="line-height:24px;">그리고 아무탈 없이 잘 자라주고 있는 이쁜 우리아들~~</span></font></p> <p class="MsoNormal"><img src="https://scontent-a.xx.fbcdn.net/hphotos-xap1/v/t1.0-9/1919623_782830748450705_7135030104887762983_n.jpg?oh=7d13466962a4fe51e49206eca7ab255e&oe=55596AEC" alt=""></p>