?? ?? ???????, ????? ??? ?? ??? ??????, ??? ?????? ???? ????? ?????? ??????, ????? ??????? ????? ?????? ???????? ???????, ??? ???????? ?????? B, ?????? A, ????? ????????. ???? ???? ???????

1
(No Transcript)
2

3
??????? ??????? ?? ??? ??????????? ???????
??????? ??????? ?????? ???
????? ???? ????? ??? ???
?????? ???? ?????? ?????????????? ??? ???
???, ????? ????? ??? ???
??? ???????? ??? ???
?????? ???? ??? ???
????? ??? ?????? ????? ?? ??? ???
????? ??? ?????? ??? ?? ??? ???
????? ??? ????? ????? ??? ???
??? ???
4
????? ????? ????? ?? ???

• ?????? ??????? ???????? ????? (???? ????? ?????
  ?????? ?????? ????? ??????? ????) ?????? ????????
  ????? ??????? ???? ???????? ????? ???? ????
  ????? ?? ????.?????? ??????? ?? ?????? ?? ?????
  ?????

????? ????????? ??? ???? ???
??????? ????????? ?????????
???? ??????? ??????
???? ??????? ??????
?????? ??????? ????????? ????"?
????? ???????? ?????? ????? ??????
????? ??????? ??????????
????? ?????? ??????? ????????
????? ?????? ????????
????? ??? ????????
5
?????? ???????????? ????? ????? ?? ???? ???????
????????

• ?? ?? ???????, ????? ??? ?? ??? ??????, ???
  ?????? ???? ????? ?????? ??????, ????? ???????
  ????? ?????? ???????? ???????, ??? ????????
  ?????? B, ?????? A, ????? ????????. ???? ????
  ???????
• ????? (???? 9 ?????) ????? ????? 3 ???? ????? ???
  ????, ???? ?????? ?????? ??????. ?????? 8-2 ????
  ????? ????? 2 ???? ?? ????? ??? ???? ?????.
  ??????? ??????

6
?????? ?????????? ? AAP - ??????? ?????????
?????? ?????

• ????? ???? ????? ????? ?????? ????????? ??????
  ????? ??? ??? ???? ??????? ?????? ??????
  ???????????????? ????? ?????.
• ??????? ????? ?????? ?????? ???? ????? ??????
  ????? ??????, ?????? ????? ?????? ????? ????. ???
  ?? ??????? ?? ????? ??? ?? ???? ????? ?????.
• ??????? ?????? 8-4 ???? ?? ????? 3 ???? ??? ????,
  ??????? 18-9???? - ????? ????? 4 ???? ??? ????.
  ?????? AAP ???? ????

7
??????? ??????? ?? ??? ???????
3 ????? ???? ???
3 ????? ???????
½ ????? ??????? ?? ?????
4 ???? ?????? ???
½ 5 ????? ??? ?????
100 ?????
5 ??????
10 ?????? ???
7 ????? ?????? ??????
???? ????? ????? ????? ???

????? ????
????? ??????? ???? ?? USDA??? ???

• ?????? ??????? ?? ????? ?? ????? ????? ?????
  ????? ?????? ???

8
??????? ??????? ?? ??? ???????

• ? FDA ???? ????? ???????? ????????, ????
  ??????? ???? ??? ?????? ??????? ?????? ???
  ?????? ?????? ?????? ?????? ?? ???? ??????? D,
  ???? ????? - ???? ?????? ??????, ?????? ?????? ??
  ?????? ??????????????? (????? ?- FDA)
• ????? ???????? ??????? ????? EFSA)), ?????
  ??????? ?? ???? ??? ????? ??? ????? ???? ???????
  D ?????? ???, ??????, ??????? ????. ????? ???????
  ??????? ??? "???? ???? ?????? ????????? ??????
  ?? ???? ??????". ?????? ?????
• ??? ??? ??????? ??? ???? ????? ????? ?????
  ???????. ????? ????? ?Harvard University
  ????? ???? ????? ????? ?? ????? ?????? ?????
  ??????

9
???? ?? ????? ????

• ????? ??? ?????? ?? ????? ??? ??????? ?????????
  ??????? ????? ?????.
• ??? ????? ????? ??????, ??? ?????? ??? ??????
  ???? ????? ?????, ??????? ??? ?????? ???? ??
  ????? ?????? ???????.
• ??? ??? ???? 1 ??? (1,000 ?"?) ???? ?????,
  ???????? ????????? ?? ????? ???? ??????? - ?????.
  
• ????? ????? ?? ? AAP???"? ????? ?? Office of the
  Surgeon General U.S.
• ?????? ???????? ???? (??? ????? ,????????????)
  ??????? ?? ????? ?????.

• ?????? ????? ??? ???

10
????? ???? ?????

• ???? ???? ?? ???? ?????? ???? (???? ??? ????
  ????) ???? ?? ????? ????? ?????.
• ?????? ????? ???? ???? ?? ?????, ????? ????? ????
  ????, ??? ????? ????? ???? ?????? ????.
• ????? ????? ????

11
???? ?? ?????? ????

• ?????? ?????? ??? ??? ????? ??????????? (???????)
  ???? ?? ???? ??????? ????.
• ?????? ???? ?????? ??? 6-2??????? ????? ??????
  ??????? ????????, ???? ???? ????? ?? ??? 5
  ????.?????? ??????? ?????? ??? ???????? ???
  0.5-1.0 ????. ?????
• ????? ???????? ?"????????" ??????? ??????? ????
  ???? ?? ?? 10 ??????? ??????. ?????? ??? ???????
  ???? ?????? ?????? ????? ???.
• ?? ?????? ???, ??????? ?? ??? ???? ??????? ????,
  ?????? ????? ??? ???? ?????? - ?? ??? ????? ????
  ????, ??? ????? ???? ????? ????? ??? ????????
  ?????????.

12
???? ?? ??? ??? ?????? ??????

• ?????? ?????? ??? ??? ?????? ?????? (???? ????)
  ?? ??? ?????? ????? ?????? ?? ??? ???? ??? ???
  ?????, ?????? ????????? ????. ????? ?????? ??????
  ????? ????? ????? ?????? ?????? ??????? ??????
  ?????? ???.
• ?? ?????? ?????? ??? ???? ?????? ???? ??????
  ?????? ?? ?????, ?????? ?????? ?????? ????? ??
  ???? ????. ???????? ?????? ????? ??????? ????,
  ????, ???? ???, ????? ??????. ??????? ??? ??????
  ?????? ?????? ???? ??? ?????? ????? ???????.
• ????? ??????? ?????? ???? ?????? ????? ?? ?????
  ???.

13
???? ?? ??? ??? ?????? ??????

• ?????? 2005 ?????? ??????? ????????? ?"? ? USDA
  (???? ??????? ????????). ?????? ??? ??????? ??
  ????? ??? ?????? ????? ??????? ??? ?????? ??????.
  ??????? ???????
• ?????? ?????? ?? ??????? ????????? ?????? ?????
  (AAP) ??????? ??????? ?????? ??? ?? ?????? ????
  ???????, ??? ????? ?? ????? ???? ??????? ????
  ????? ?? ?????? ??????? ??????. ????? ????? ?????
• ???? ???? ?? ????? ?????? ????? ??????, ??????
  2007, ???? ?????? ??? ????? ???? ?? ????? ??????
  ????? ??????
• ????? ?? ?? ?????? ?????? ?????? ????? ???? ???
  ??? ?? ?? ???? ????? ??????, ?? ?????? ???????
  ????, ??????? ????? ???? ?????? ????? ?? ?????.

14
???? ?? ???, ????? ?????

• ?? ???? ??? ??? ????? ??? ??? ?????? ????? ?????
  ??????, ??? ?? ?? ???? ???????? ?????? ????? ???
  ???? ?? ????????? ????? ?????? ??????? ?????? ??
  ????.
• ????? ?????? ?- National Asthma Council
• ????? ????? ?Repatriation General Hospital-
  Australia -
• ??? ?????? ??? ?????? ??? ????? ?????? ??????
  ???? ???? ?????. (????? )
• ????? ???? ?????? ????? ?????? ????? ??????,
  ??????? 2007, ????? ?? ???????, ???? ????? ?????,
  ??? ??? ?????? ??? ???????, ???? ???? ?????? ??
  ?????? ?????? ???. ????? ????? ?? ????? ??????
  ????? ??????

15
???? ?? ??? ????????

• ??? ?????? ?? ?????? ????? ??? ??????? ???? ??
  ????? ???? ??????. ????? ???? ?? ????? ??????
  ????? ??????
• ??????? ?? ??????? ????????? ?????? ????? (AAP)
  ????? ?? ????? ???????, ????? ?????? ?????????,
  ?????? ????? ????? ????? ?????? ?????, ????
  ????? ???. (??????? ??????? ??? ??????? ??????
  ??????)
• ??????? ?? ? ESPGAN ???? ?? ????? ????? ????
  ????? ????? ?? ??? ??????, ???? ?????? ???????
  ????? ????? ??? ???? ?????, ??? ????? ???????.
  ??????? ESPGAN
• ????? ????? ??? ??????? (??? ??????) ????? ??????
  ?? ?????? ???? ?????, ???? ?? ??? ?????? ???????
  ?? ????? ??????????. (?????)

16
???? ?? ??? ???????????????

• ????? ????? ????? ????? ????? ???????? ??????
  ????? ??? ??? ?????, ????? ?????? ?????? ?????
  ??????, ????? ?? ??? ???? ????? ????? ??????
  ?????? ????? ??????????????? ???? ????.
• ????? ????? ??? ????? ?????? ?????? ??????
  ????????. ????? ????? ?? ?????? ? USDA
• ?????? ??????? ???????? ??????? ????????? ??
  ?????? ??????? ????? ????? ???????? ????? ?????
  ????? ????? ??????? ???, ?? ??? ?????? ?? ??????
  ???? ??? ????? ????? ?????.

17
???? ?? ??? ???????????????

• ?????? ??????, ??????? ???????, ???? ?? ?????????
  ????, ??????? ????? ??? ???? ?????? ??? ?????
  ????, ??? ?????? ?? ???? ??????? D ?????? ?????
  ???? ????. (?????)
• ?????? ??????? ?? ???? ??? ????? ????? ???
  ??????? ????, ???? ????? ?????? ?? ????? ?????
  ???
• ?? ????? ???????? ???? (Bone mineral content,
  BMC)
• ?? ?????? ???????? ???? (Bone mineral density,
  BMD)
• ????? ????? ?? ?????? ? USDA , ????? ??
  Creighton University
• ?????? ????? ???? ?? ??????? ?? ????? ??? ????
  ???? ??? ????? (?????) ????? ?????? ?-The
  American Society for Nutrition

18
???? ?? ????? ??? ?????? ????? ??

• ???? ??? ??? ????? ??? ??????? ?????? ??????
  ????? ??????? ????????, ?? ???? ?????? ??????
  ??????? ??????? ????? ?? ????????.
• ????? ? Journal of Epidemiology and Community
  Health ????? ????? ?"? American Heart
  Association
• ??????? ???? ????? ???? ?? ???? ??? ???? ???
  ????? ??? ??????? ???? ?????? ??????? ????????.
  ??? ?????? ?????? ???? ????? ??? ?????? ????????
  ???? ?? ???????. (?????)

??????? ???????? ??? ???? ?? ???? ????? ?????
???????? ??? (??? ??, ?????, ?????? ?????????,
??????? ?????? ?? ???? ???)?????? ????? ??????
???? ?????? ??????? ?? ???? ??
19
???? ?? ????? ????? ??? ?????? ??? ??

• ????? DASH ???? ?? ?????, ?? ????? ????? ?????
  ??? ??? ???? ????, ?????? ?????? ??? ???.
• ????? DASH ??? ?????? ? The New England Journal
  of Medicine
• ?????? ?????? ?????? ???? ?????? ???????? ?????
  ???? ?????? ??? ??? ??
• ????? ?????? ? The American Society for
  Nutrition ?????? ????? ????? ?????
• ????? ???, ?? ??????? ???????? ?????? ???????
  ???? ??? ?? ?? ????? ??? ????????, ?????? ?????
  ?????? ?? ???? ???? ?? ????? ??? ?? ???? ????.
  ??????? ????? ??? ????????

DASH (Dietary Approaches to Stop Hypertension)
20
???? ?? ????? ??? ?????

• ????? ???? ????? ?? ????, ?????? D ?????? ???
  ????? ????? ?????? ????? ???? 2. ?????? ????? ??
  Académie nationale demédecine
• ???? ?????? ??????? ?Diabetes Care ???? ?? ?????
  ?????? ????? ??? ????? ?????? ?????? ?????? ????
  2. ???? ????? ?? ???? ????? ??? ?????? ????? (3
  ???? ?????) ??? ?????? ????? ?? 21 ???? ?????.
  ????? ????
• ?????? ???????? ?????? ????? ??????? ?????
  ??????-?? (Super-food). ?? ?? ??????, ?????
  ?????? ??????? ??? ?????? ??????? ???????? ??????
  ?? ?????? ?????? ?????, ??? ????? ?? ????. ???
  ??????? ?????? ?????? ??. ?????? ?????

21
????? ??? ?????? ????? ?? ???? ????

• ??????? ???? ?????? ????? ???????? ????, ?? ?????
  ?? ????? ??? ??? ????, ???? ?????? ?????? ??????
  ???????, ????? ???? ?????? ?????, ????? ????? ??
  ????? ????. ????? ????? ??????????? ????
  ????? ?????? ? American Diabetes Association
• ????? ?????, ???? ?-90 ?????? ???? ??? - ??????
  ?????? ??????? ???????, ???? ??? ??? ??? ?????
  ????? ?? ???? ?????? ??? ???? ????? ????? ????
  ??????? ?? ?????. ????? ????? Creighton
  University Medical Center
• ?????? ??? ?? ?????? ??????? ?? ????? ?? ?????
  ?????? ??????? ??????? ???? ???? ????? ?????????
  ????? ?? ????? ???? ????? ??????. ????? ?????
  ?The University of Tennessee, Knoxville Tennessee

22
???? ?? ??? ??????

• ?? ?? ?????? ?????, ??? ??? ???? ?????? ????
  ????? ??? ???? ????? ??? ???? ?? ??? ?????
  ??????? ??? ?????. ????? ???? ????? ??????
  University Medical Centre, Hamilton
• ???? ???????? ????????? ???? ???? ?????? ???????,
  ?? ?????? ?????? ???? ??????? ???? ?? ???????
  ???? ??????.
• ???? ?? ??? ????? ?? ????? ????????, ??????
  ?????? ????? ???????? ????? ???? ??????. ??????
  ????? ?????? ?The American Society for Nutrition
• ??????? ???? ?? ??? ???? ???? ???? ?? ????? ?????
  ????? ??????? ???? ????? ???? ???? ???? ??????.
  ?????? ????? ?? ???"? ?????? Loughborough
  University

23
???? ?? ???? ???????

• ?? ????? ????? ????? ?????? ??? ???? ???? ??????
  ??????? ?????. (?????? ???? ??????? ?????)
• ???? ??????? ???? ?????? ??????? ???? ???????,
  ?????? ????? ????. (??????? ??????)
• ???? ??????? ??? ???????????? ????????. (???????
  ?? ???? ???????)
• ???????? ?????? ??????? ??????? ????? ????? ??
  ???????? ??????????? ?????? ?? ??? ???? ???????
  ?????? ?????, ???? ????? ?????? ????. (??????
  ???? ??????? ?????)

24
????? ??????

• U.S. Department of Health and Human Services and
  U.S. Department of Agriculture. Dietary
  Guidelines for Americans, 2005. 6th Edition.
  Washington, D.C. U.S. Government Printing
  Office, January 2005.
• Optimizing bone health and calcium intake of
  infants, children and adolescents. Pediatrics
  2006117578-85
• Dietary Recommendations for Children and
  Adolescents A Guide for Practitioners.
  Pediatrics 2006117544-59.
• U.S. Department of Health and Human Services.
  Bone Health and Osteoporosis A Report of the
  Surgeon General. Rockville, MD U.S. Department
  of Health and Human Services, Office of the
  Surgeon General, 2004.
• AHA Dietary Guidelines revision 2000 A
  statement for healthcare professionals from the
  Nutrition Committee of the American Heart
  Association. Circulation. 20001022284-99.
• Nutrition Recommendations and Interventions for
  Diabetes. A position statement of the American
  Diabetes Association. Diabetes Care
  200831s61-78.
• ????? ??? ??????? ???? ???????, ????? ????????.
  ???? ???? ?? ????? ?????? ????? ??????, ??????
  2007
• Heaney RP. Calcium, dairy products and
  osteoporosis. J Am Coll Nutr 200019S83-99
• Du X, Zhu K, Trube A, Zhang Q, Ma G, Hu X, Fraser
  DR, Greenfield H. School-milk intervention trial
  enhances growth and bone mineral accretion
  inChinese girls aged 10-12 years in Beijing. Br J
  Nutr 200492159-68.
• Cheng S, Lyytikäinen A, Kröger H, Lamberg-Allardt
  C, Alén M, Koistinen A, Effects of calcium, dairy
  product, and vitamin D supplementation on bone
  mass accrual and body composition in 10-12-y-old
  girls a 2-y randomized trial. Am J Clin Nutr
  2005821115-26.
• Moschonis G, Manios Y. Skeletal site-dependent
  response of bone mineral density and quantitative
  ultrasound parameters following a 12-month
  dietary intervention using dairy products
  fortified with calcium and vitamin D the
  Postmenopausal Health Study. Br J Nutr
  200696114
• 2005 Dietary Guidelines Advisory Committee
  report. Summary of Research on Dairy Intake
  Skeletal Status. p.112-5.
• Pinnock CB, Arney WK. The milk-mucus belief
  sensory analysis comparing cow's milk and a soy
  placebo. Appetite 19932061-70.
• ESPGAN Working Group on Acute Diarrhoea
  .Recommendations for Feeding in Childhood
  Gastroenteritis .JOURNAL OF PEDIATRIC
  GASTROENTEROLOGY NUTRITION 199724619,620
• Cows Milk Allergy A Complex Disorder
  .Crittenden, Bennett, J Am Coll Nutr, 2005

25