a > h j h < : y i b s : b @ ? g s b g b b o k ? f ? c · pdf file? < j h i ? c k d h...

194
____________________________ , SCHERFIGSVEJ 8 DK-2100 COPENHAGEN Ø DENMARK .: +45 39 17 17 17 : +45 39 17 18 18 : 12000 E-MAIL: POSTMASTER@WHO.DK WEB SITE: HTTP://WWW.WHO.DK EUR/01/5028597 : E73470R 1: , 2002 .

Upload: leliem

Post on 06-Feb-2018

227 views

Category:

Documents


6 download

TRANSCRIPT

Page 1: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

____________________________

,

SCHERFIGSVEJ 8DK-2100 COPENHAGEN Ø

DENMARK.: +45 39 17 17 17 : +45 39 17 18 18

: 12000 E-MAIL: [email protected] SITE: HTTP://WWW.WHO.DK

EUR/01/5028597 :

E73470R

1: ,

2002 .

Page 2: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

,,

. ,,

,,

, ,.

,,

,.

, (

), ,,

.

© – 2002 ., .

, , , (

). ,. :

. ,. ,

, .

,

Page 3: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

“ ”:

�� 1: ,

�� 2: ,

2 10 �� 3: :

1: ,

.

........................................................................................................... 1 ........................................................................................................ 2

1,

............................................................................................... 11 .............................................................................................................................. 17

............................................................................................................... ....................................................................................................................... 21

2 ,

............................................................................................. 23 .............................................................................................................................. 30

........................................................................................................... 34 ....................................................................................................................... 40

3 ,

............................................................................................. 42 .............................................................................................................................. 46

........................................................................................................... 49 ....................................................................................................................... 50

4

............................................................................................. 52 .............................................................................................................................. 55

........................................................................................................... 34 ....................................................................................................................... 62

Page 4: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

5

..............................................................................................64 ...............................................................................................................................68

( ) ..................................................................70 6: ....................................80

...........................................................81

, ................................................................................................................81

2:

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

: ..............................................................................................6 I .......................................................................................................................................6 II .....................................................................................................................................7 : ............................9 : .......................................................................................................55

3: :

Page 5: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 1 -

. (Cornell University, Ithaca, )

.

Page 6: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 2 -

, ., ,

. , , ,.

18–20 . :

�� , , (2)

�� - (4) �� (4) �� (4) �� (4)

( , ,) .

,,

..

, “ , ”

, “ ,

”. , “ :

” ( 2000 ). 6 3 .

, ( ) .

..

,.

Page 7: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 3 -

.

( ).

( ); ( ) ; - *, ( ) , .

. ( )

3, . . ..

..

.,

, – .

,- , .

.

4- :

��

��

��

�� .

, ,, ,

, . . 2–3 .

,, .

. ( , . .),

; “” , .

.

* - – ( ) .

Page 8: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 4 -

., .

.

. / , ,,

..

,..

( ,) ( ).

�� :;

,.

�� : ( .).

�� : (, , ), ,

. .

�� : ,,

, .

�� : , ,, . .

( )�� ;

,,

,

�� ;,

Page 9: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 5 -

�� , ,,

; , ,.

�� ,, , ,

, ( ) ,.

�� , ,,

; – ,

.

��

, ,, .

�� ; , /.

�� /,

.

�� ,;.

�� , .

�� , ,.

.

Page 10: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 6 -

: – , :

��

;

��

,.

: ; . ( ).

: .

I:

--

-

:1.

2.,

3.,

4. ,

_____

_____

_____

_____

_____

_____

_____

_____

_____

_____

_____

_____

Page 11: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 7 -

II:

:1.2.3.

:4.5.6.7.

_______________

_______________

_____

_______________

_______________

_____

_______________

_______________

_____

Page 12: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 8 -

III: / .

/ : ___________

1.2.3.4.5.

/ : _____________

1.2.3.4.5.

/ : ___________

1.2.3.4.5.

/ : ___________

1.2.3.4.5.

/ : ___________

1.2.3.4.5.

/ : ___________

1.2.3.4.5.

_________________________

_________________________

_________________________

_________________________

_________________________

_________________________

_________________________

_________________________

_________________________

_________________________

_________________________

_________________________

_________________________

_________________________

_________________________

_________________________

_________________________

_________________________

Page 13: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 9 -

IV: - --

, ( ) / :

,, ,:

V:

,,

VI:

______________________________________________________________________________________________________________________________________________________________________________

VII:

______________________________________________________________________________________________________________________________________________________________________________

Page 14: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 10 -

1

,

Page 15: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 11 -

:

�� , ( ),

;

�� ,;

��

.

1:

:

��

�� , ,

��

2:

, , ( .).

.:

, .

, –

, . ,,

. ,

. ,, ,

. “

” .

Page 16: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 12 -

3

“ ”“ ”, .

,. ,

., , ,

..

( - , , .) ( ,

.). D.

4

,. ,

( , ;

- ;, ). 2,

.

5

, ,. , ( ) .

-, - () ( ), .

6

, ,; ,

, , “ ”,

. . ( ,

, – ) ( , , ). , -

( ) ( , , ) ,, , .

Page 17: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 13 -

7 8

, ( )

( ), ., 24- ( )

;.

,

( , ,,

). ,. , ,

, .

()

.

:

�� USDA, Composition of Foods, Agricultural Handbook No. 8,Washington, DC �� Bowes and Church's Food Values of Portions Commonly Used, Harper and Row, New

York�� ,�� McCance and Widdowson Composition of Foods; Ministry of Agriculture, Fisheries and

Food, London, UK �� "Infoods" (New Zealand), : <[email protected]> �� COST 99 - "European Nutrient Data Base"

�� COST 99 – .

– “”. - <http://food.ethz.ch/cost99>.

. , 3- ( Clive

West, Department of Epidemiology and Human Nutrition, Wageningen Agricultural University, Netherlands).

�� ,, , ,

.,

. ,, ,. ,

- ,

Page 18: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 14 -

. , 100% ( - ).

, - ( - 12).

9

,. , ,

( - ). ( - ) .

10

( , ,, ).

., ,

, .,

..

().

11-12

,, ,

. ( )

. ,

, ., , ,

.,

( , 24) .

13

.

Page 19: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 15 -

14

,

.

,. ,

,. (Nutrition during pregnancy - USA Subcommittee on Nutritional Status and

Weight Gain During Pregnancy (1992), National Academy Press). (Feig and Naylor, Lancet 1998, 351:1054-55),

,, 6,8 , 11,4 .

.

15

,.

, , - ,.

., .

16-19

, ,.

20

, (

) . ,, ,

, .,

,, .

( CINDI CINDI “ ”), 30%

, 50-60% 10–20% .

. ,

Page 20: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 16 -

( , , , “”)

. .

:

��

�� “ ” CINDI CINDI ( ).

Page 21: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 17 -

1, 1

,

:

• " " " ",

• , ,

1, 4

100

80

:• ( ),

• (45–47 ,48–60 )

•( )

•( - , ,

.)

1, 2

,

,

,

/

,

: -

1, 5

,

,:

••• ( , )••••

• ,• ,• ,•

( D)•

( B1)

1, 3

( ) –

–,

,

,

," – "

,1, 6

,-

,,

, :• ( )• ( K)• ( , , )

, :•• ( B12)• ( , , , )

Page 22: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 18 -

1, 12

= ( ) / ( )2

( , 24)

24 = / ( 1,6 )2

= 24 x ( 1,6 )2

, = 24 x (1,6 x 1,6) = 60,5

1, 9

••• ,•

,•• , ,•• -•• ,••

•• ,

1, 11

• ,

= ( ) / ( )2

•, ,

• ( , ,

)

• – .

1, 8

24-

• 7• ,

•• –

1. ?2. ?3. ?4. ? (

)

1, 10

--

- -

- ,

- , ,- ( , . .)- ( , )-

- , , . .1, 7

:- 24-

: , ,

: ,

-

: , ,

: ,-

: ,

:,

-

:- ( 3–7 )

: ,

:

-:

:

-

::

Page 23: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 19 -

1, 18

CINDI

1, 150 25 50 75 10 0

K aun asN ovo s ib ir sk : in t e rven t.

N ovos ib irsk cont ro lM a lta

M o scow : In te r ven tionM osco w : co ntro l

Tar nob rz eg V o iv odsh ipC z ec hos lov ak ia

A r ea La tinaN ov i-S ad

R est o f D D R -M on ic aC h arle ro i

P ecsW ar saw

H a lle C ount yC ata lon iaB as -R h in

N orth K are liaC o ttbu s C o untyA ugsb urg : r u ra l

K uo p io P ro v in ceK arl-M ar x -S ta d t coun ty

Friu liB re m e n

B u da pes tL il le

Lu xem bo urg P rov in ceB erlin -L ich ten ber g

Tu rku /Lo im aaH a lifax C ount y

G las go wA ugs burg : u rba n

A rea B rianz aStan for d

G h en tT ic in o

N ew cas tleB e lfas t

N orther n Sw edenR he in - N eckar R eg ion

Vaud /Frib ou rgIc e la nd

H a ute -G ar onneG lo s tru p

P ert hG ot ebor gA u ck land

B e jing

L ithua n iaR us si aR us si aM a ltaR us si aR us si aP o la ndC z ech os lovak iaIt a lyS erb iaE . G er m a nyB e lg iu mH un gar yP o la ndE . G er m a nyS pa inFra nc eF in landE . G er m a nyW . G erm an yF in landE . G er m a nyIt a lyW . G erm an yH un gar yFra nc eLu xem bou rgW . G erm an yF in landC an ad aU KW . G erm an yIt a lyU S AB e lg iu mS w it ze rlandA us tr a liaU KS w ed enW . G erm an yS w it ze rlandIc e landFra nc eD en m arkA us tr a liaS w ed enN ew Ze a landC hina

%

< 2 5 2 5 -30 > 30

/ -

1, 15

1, 17

1: ,

1 ( 30–40 )

0,5

2:

160 (100- )

0,5 ( 100 )

3: 1 (300 ) ( , )55 ( )

4: ,70–801 ( 150–200 )

5: 2 , (10 )4 (10 )

1, 14

10-12 ,:

, , 5 ( ) 1–1,5

1–1,5 , 1–1,5

4:

714 (

1–2- )

*

<19,8 12,5–8,019,9–26,0 11,5–16,026,1–29,0 7,0–11,5>29,1 >7

* 6,8 , 11,4 (Feig & Naylor, Lancet 1998; 351: 1054-55)

1, 16

, ,

,,

,,

.

,-

,,

,,

.

, ,, ,

,,

,,

,,

,,

5

6-11 5

2-3 2

( ),

,

,

-,

,,,

,

,,

D, 12,

,,

,12,

,

,. . -

,

, D , 1, 161, 13

BODY MASS INDEXOverweight (BMI = 25-29.9) Some loss of weight would be beneficial to health.

Obese (BMI = 30-39.9)In view of the risk from further weight gain, it is really important for people in this category to lose weight.

Very obese (BMI > 40) Being this overweight could seriously affect health and wellbeing. There is an urgent need to lose weight. It is advisable for a doctor or dietician to be consulted.

Underweight (BMI > 18.5) More food may be needed and this should be part of a well balanced and nutritious diet. In cases of very low weight, a doctor should be consulted.

OK (BMI = 20-24.9)The right quantity of food is being eaten to maintain weight in the desirable range for health, but make sure there is a healthy balance in the diet. People at the lower end of the weight range should maintain their weight and not be tempted to aim for the underweight category.

2.032.001.981.951.931.901.881.861.831.801.781.751.731.701.681.661.631.601.581.551.531.501.47

38 4 5 51 57 64 70 76 83 89 95 102

108

1 14

1 21

127

134

140

146

153

159

165

Weight (kg)

� Health Education Authority 1994, reproduced by permission

Heig

ht (m

)

Page 24: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 20 -

1, 20

,

,

• ,,

• ,

,

1, 19

Page 25: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 21 -

1

?

3–6

, (

, : I).

:

��

��

��

��

, /:

��

��

��

�� /

��

.

,. ,

,, .

Page 26: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 22 -

2

,

Page 27: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 23 -

:

��

,;

��

, ,.

1:

:

�� ,;

��

, , , , , D, ,, .

2

,,

.,

.

3

“ ”.

, , “ ”.,, ,

.

. , ,, .

Page 28: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 24 -

,, .

4

, , ( , ), ,

. (

)..: Garrow JS, James WP (eds), Human Nutrition and Dietetics, 9th ed., Churchill and

Livingstone, 1993, pp. 787-796.

( , “ ”, “ ”,“ ” . .).

5

.

.

, . ,

, .

, ,. (

, 50% ), ( ,

95% ).

( 200 / ) ( . Durnin et al., Feig and Naylor, Lancet, 1998,

). , , 3 , 2 1,5

( . , 100 ).

, ( . ).,

. ( 400–500 / )

, .

Page 29: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 25 -

, ( 6–8 ) ( 4–5 ).

6

. – 70 /100 . 80% (

76–94%). , 100 85 . – 750 / 6

600 / 6 , 640 /510 / .(2–3 ) 100–150 / 6 .

, ,, 500 / .

7

,.

, , ( . 1). ,

,. ,

, ,,

., 6

1 25 , 175 / .

8

, ,, , ,

, - , ,. ,

, - ., , ,

. , , , ,. ,

, ,.

( ) ; ( )

(Petridou E. et al. 1998, Diet during pregnancy and the risk of cerebral palsy. British J Nutrition 79:407-412).

Page 30: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 26 -

9-10

,,

.,

, ,.

( - , ,). ,

().

11-12

., ,

, ,.

.,

. ,

.,

..

,.

,. ,

. , , , 20–50 / .

, 1–2 – 150 / .

,. -

45% 70% . , ( , 1998 .) .

, 20–40 ( 34–66 ) 1 ,

150 . ,, ,

10 / . 10 . , 6

.

Page 31: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 27 -

5 . ( ) ( ) -

;. ,

. , 23%

55 . - 68% , – 43%. ,

., ,

. 10 ,. ,

( , ),,

, .

13-14

D . ,

D . , D ( ).

, , D. ( ),

, D ( D), ,

D.

15

. ,.

. ,.

.

16-17

,.

. ,, ,.

() .

,

Page 32: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 28 -

( ) 1/2 ..

18-19

( ). ,

.,

( ), , ( . Medical Research Council Vitamin Study Research

Group etc.; Department of Health etc. )., 4 /

,, , 72%. 95% ,

, ..

, , 12

(0,4 ) 0,4 / ., , ,

10 – 4 .

,. ,

., 12, ,

.

20

. , ,,

, .

21

,

. ,, ,

. ,,

,

Page 33: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 29 -

.,

,

.

I: , ,, 6 12, , .

,,

.,

.

.

II: , , , , D, , : ( )

;, ,

., . ,

,. (Ortega et al., 1998, British J

Nutrition 79: 501-507) , , 1100 ,.

() .

, , , (Alyce et al., 1998, American J Clinical Nutrition, 68:345-349).

:

��

��

�� , 100 ( . .)�� , 6 ( . .)�� ( . .)�� , , , , ,

,�� (21)

Page 34: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 30 -

2, 1

,

:

•,

( )•

, , ,, , D, ,

,

2, 5

• ( )• ( 20) • :•• :

( ) ( 19 ):, 1950-2000

2200,

( ), , . .

,

:– 200 3-

50 = 2 (100 )– 300 2- 3-

75 = 3 (150 )

:

2, 6

• , ,

• , ,

: 450-480 380 500

( 200-300 )

2, 3

(a) (b) (c)

2, 4

• ( )•••• ( ,

)

RNI ( . ) PRI ( )

RDA ( )

-,

,.

2, 2

:

– ,

–,

(~5% )– ,

(~95% ),

– , 50%

•••

( ,- )

•( - )

Page 35: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 31 -

2, 11

• 8-10

:• ,• ,•••

,.* .

150 200 200130 130 130150 175 200

* (19 )2, 8

( )� , , ,

, , , B2, B3, B6, B12.

� , ,,

,:

� , ,

( , )

� ,, ( - ),

, )

� –

2, 12

( )• , , , ,

,

• –(25-50 KI KIO3 1 )

• ,

• –

2, 10

( )•

(30 )

• (

)•

, (15%)

.* .12,5 12,5 10,517-21 17-21 1015 30 1518 20 25

* (19 )2, 7

• 925

• - 850 • – 1,25 100 •

0,8 1 •

6 11 ( )• 100

7 • , ,

,

. .45 51 5647 48-60 6346 60 6575 105 115

2, 9

� ( 5-20% ,)

� , ( ), - 20-30%

� - , , , - 2-7%

� C, () -

� , - :– ( , , . .) – ( , )– ( , )–– ,–

:• ,

,•

:••

Page 36: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 32 -

2, 18

• ( )•

• ( . .)

•,

•• : ,

( , , , , , ), ,, , , , ,

,.* .

170 370-470 270200 400 350180 400 280200 600 600

* (19 )

2, 13

•• 30

,• ,

••

• ( , , , , . .) (1 250

)•

( 600 )

,

.* .400-500 1000-1200 1000-1200700 700 1200800-1200 1200 1200800 1000 1000

* (19 )

2, 14

D

• D• (

) D• ( ), , , ,

D ( ) D

• 10 400 D

• D

D • , D

• D

2, 17

( )

, 50 C:• 1 • 100 • 90 • 1 • 1 • 2

,

.* .30 50 5050 65 5060 70 9560�68 72 80

* (19 )

2, 15

•• ,

•( )

• ( 7,3 ),

••

• , ,,

,

.* .6,5 7,3-13,3 11,77,1 7,1 12,112 15 16�19

* (19 )

2, 16

C

•,

• ( - )

� -�

(2�4 , )

:

Page 37: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 33 -

2, 19

( )

•, ,

• , , 0,4

12-• , ,

4 12-• ,

, 12-

2, 20

:•••••

2, 21

• I, Se, C, B1, B2, B6, B12 A•

••

I –

II –• , , Ca, Fe, Zn, Cu, , D• ,

,•

• ,

•,

Page 38: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 34 -

, (6–11 )

�� 1 ( 30–40 )�� 1/2�� 1�� 3�� 2 .�� 1/2�� 1/2 ( , )�� 3/4 ( 30 )�� 1 (100 )

(5–9 )

�� 160 (100% )�� 1/2 ( 100 )�� 1 ( , , . .)�� 1�� 1 ( , , . .)�� 1/2 ( 100 ) ; ,

(2–3 )

�� 1 (300 ) ( / 1,)

�� 1 ( 200 ) /�� 55 ( )�� 1,5 ( 250 )

, , , (2–3 )

�� 70-80�� 2�� 1 ( 150–200 )

1 : 300 .

Page 39: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 35 -

�� 2 , (10 )�� 2 (15 )�� 1 (15 )�� 2 (10 )�� 1 (10 )�� 1 ( 60 )�� 1/2 (30–40 )

Page 40: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 36 -

T 24- ,

.

1 .

...

1. 6 “ , ”? (350 )

2. 5 “ ”? (400 )

3. 2-3 “ ”?

4. 1 “ , , , ”?

5. 2 - 3 “ ”?

6.?

7. ?

8. ?

9. ( ) ()

10. ?

- 10: ! ,.

- 8–9: . ,

“ ”.

- 4–7: ,.

, ,.

- 3 :. .

. ; – .

,.

Page 41: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 37 -

Page 42: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 38 -

, 100

/ / ),

403020

1,53/43/4

,30

1202

1

100210190140300

111

12

,

-/

15030025

2/31,25

2,5

20 15

, 6

/ /,

,,

7580

110

31,5

1

25 2

-/

17525

0,75 2,5

,

( )

2525-3050-60

2525

1

2

20 15

Page 43: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 39 -

( ) Fe ( )

,

,271850

11/3

1

0,70,60,8

,

,

( ), .,

15090

10075

90120

10040

11

1/21/2

1/21

11/2

1,50,31,51,5

0,50,9

0,62,2

,

,

,

303030

303060 1

2,50,90,8

0,40,31,2

, 3030

1,50,6

:

�� – 200 / 3-�� – 300 / 2–3-

:

�� – 450-480 /�� – 380 /�� – 500 /

Page 44: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 40 -

, /*

45 51 56 47 48–60 60

46–50 60 65

, / ( 15%) *

12,5 12,5 10,5 17–21 17–21 10

15 30 15 18 20 25

, /*

400–500 1000–1200 1000–1200 700 700 1200

800–1200 1200 1200 800 1000 1000

, /*

6,5 7,3–13,3 11,7 7,1 7,1 12,1

12 15 16–19

, /*

30 50 50 40 65 50

60 70 95 60–68 72 80

, /*

150 200 200 130 130 130

150 175 200

, /*

170 370–470 270 200 400 350

180 400 280 200 600 600

Page 45: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 41 -

* (19 ).

2

?

3–6

( , II), . ., .

.

:

�� ;

�� ;

�� ;

��

( , );

�� ( , , ) ( , ) ;

�� (<30% , <10% );

�� , – ;

�� , - ,;

�� ;

�� (,

. .).

�� ,

, ,- *

;.

* ( ) .

Page 46: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 42 -

Page 47: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 41 -

3

,

Page 48: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 42 -

:

�� , , ,

;

�� ,.

1:

:

�� , , ,;

�� ;�� .

- , ,,

. ( , ,

, ).

2-3

( ), , ,

. 2 3 2 .

, ( , ) ( ,

, .) ..

, , . 100–200

3 ( 100 ). , ,

. (

, , ),.

Page 49: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 43 -

30 ,

( , ). 3 , , 30 60

.

4–6

, 1, ,

( . ) ( , ,) . , ,

..

,. ,

, (Feig and Naylor, 1998, Lancet 351: 1054-55).

6,8 , 11,4 . ,

, ,.

.. . ,

,, 2 ( 6).

7–8

. ,. ,

, ,, ,

. -, .

9

,- , (

). ( )

,.

, . 25–28 ,

.

Page 50: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 44 -

10

, ,

.

11–12

-,

, ., , ,

. , ,. .

13

. ( 40%) ( 20-25%)

..

, , ,.

(

). .

.. ,

.

-,

– , .. -

, ,, (

) .

( “ ”). ,

., ,

.

,, ,

Page 51: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 45 -

/ , ,/ .

, .

14–16

, - ( ,, , ), ,

, , ,, .

( ,, , ,

) ., ,

,.

, , , ,, .

, .,

.,

., .

17

, ,.

, , .

., .

:

�� ( )��

�� ,

�� (17) �� ( )�� :

Page 52: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 46 -

,

• 20–30%• ( 2 )

2–3-•

, ,

Page 53: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 47 -

Page 54: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 48 -

Page 55: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 49 -

( – ; – )

, 2 ( )12-15 ,25-30

( ),

30 1 90 3 250 1,5 8 1 .

, , 25 1 .

90 1 30 1 .

30 1

( – ; –)

,

135% .

, 90-

135% .

,

90% .

: Naeye R.L.: Weight gain and the outcome of pregnancy. Am. J.Obstet. Guynecol. 135:3, 1979

Page 56: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 50 -

3

3 ,

3–6

,/ (

“ ”). ( )

20 .

.

:

�� ;

�� , ;

�� ( ,);

�� .

,, .

“: ”,

.

Page 57: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 51 -

4

Page 58: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 52 -

:

�� ,,

;

��

.

1:

:

�� , ,;

�� ,;

��

.

2–5

,.

,, .

.

..

, ( ).

,. , , ,

.,

(Ortega et al. 1998, J American College of Nutrition, 17:379-384).

,. ,

Page 59: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 53 -

, .

6

. , ,- . ,

, ,. ,

.2–3 .

7

,

. , _ ( )

. ( -

, 13- - , - ), 6

.- ,

6- .

, ( , ) ,

.

, . (WHO 1998, Safe

Vitamin A Dosage During Pregnancy and Lactation).

, ,,

. 6 .

( , 50–70 1 ) - ,

,.

8–11

, ( , ,

) (

Page 60: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 54 -

, ). ,,.

. , ,. , ,

.

:

�� ( )�� ( )��

�� (11)

Page 61: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 55 -

4, 1

:

• ,

•,

4, 4

,.

,

( , , , ).

:- (

127�274 ). - ,-

:--

( 90 )

4, 2

..

:--- ( )--

:- ,--

., ,

.

4, 5

( )

.

.

.

4, 3

( )

. ( )

.

- -

- 0,5 /, -

- , - ,

:

.

.,

1 (10�12 ).

4, 6

; – ,, - .

, .

, ,.

,.

.

.

- , , 1,5�3,1 .

- 80 97,5 .

Page 62: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 56 -

4, 7

(600�700 RE ; 2000�2300 /) .

.

,.

1990 .,.

: , ,, , .

, , ,.

4, 10

Salmonella ; ,

.

1990 . 48% , 26% � .

� 24-48 ., , , , .

,.

:-

( , , , - )- ;

, .

4, 8

Listeria monocytogenes.

– , , ,.

Listeria ,.

( ) .

Listeria ( ,), .

:- (Brie, Camembert etc.),

- ,-- ,

4, 11

( )

, 1986 .

.

:,

. ( , ,

, ) ,.

A( )

4, 9

Toxoplasma Gondii� .

.2 1000.

:- 30�40% ; 3�4%

- : ,

- : , , ,, , ,

:--- /

( , , )--- ,

Page 63: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 57 -

( )( )

( ,, , ,

)

35035030

120120

131111

1113

61-7297-1250,5-1,515-7510-1732-6530-3260-70

180180180180180350

( ) ( )

Page 64: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 58 -

-

, ,

( ).

�� !

?. , .

�� , !!

? , , .

�� , ( , ,)!

? .

��

!

? ,. .

�� , :

( ,. ., , )

, ,

!

? ,.

Page 65: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 59 -

��

!

? .

�� ,/ !

?. , ,

. .

�� !

? .

�� !

?.

+10° .

�� !

? ,.

��

!

? ,, , ,

.

�� ,, , ,

, !

? .

�� !

?. ,

,70° . ,

!

Page 66: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 60 -

��

60° !

? 10 60° . ,

, ( 60° ), ( 10° ).

��

!

?.

�� 70° !?

, , , .,

- .

�� !

? / .

�� ,, , ,

!? ,

.

��

!? ,

.

�� !?

.

�� !

? ,. !

Page 67: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 61 -

�� !? . ,

, .

��

!

?.

.

�� !?

..

��

!? .

�� / , , ,,

, !

? , ,.

�� / . .!? ,

.

�� / /!

?, ,

..

Page 68: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 62 -

4

3–6

,

, .

1, 2 3. ( 1)

( 2) , .

1 , , 3,

,.

, , :

��

;��

;��

;�� /

, ,;

��

;�� , .

,, .

Page 69: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 63 -

5

Page 70: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 64 -

:

��

;

��

;

�� ,, ,

.

1:

:

�� ,, ;

��

;

�� ,, ;

��

, .

2–6

,- .

,,

,.

. ,,

. ,, ,

, / ,

, , .

Page 71: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 65 -

7

. (), (

) ( ).

,. ,

,.

, , , , D . , , ,

. ,, /

( ,, , , .).

, , , ,,

( ) ., ,, .

8

,; , ,

, .

:, -

, ., -

, 4. , -- ,

- .,

, .

:. ,

., ,

..

. ,

Page 72: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 66 -

( ),,

., /

, ., ,

/ ( ,, , ).

: ,, ,

., ( ,

- ).,

.,

().

: 4. ,

.

. ,, -

,.

- : ., -

, ., - , .

( , ,) .

,,

. -,

.

:,

, ,.

: , ,/ .

Page 73: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 67 -

,

,,

.

, : ,- ., 3, ,

.

, .

( , , ): .

,, . . ,

,.

.

:, . ,

,, ,

.

: ,, ,

( , , .) 1 3.

: 8 , 9 , 2 . ,

, ,. ,

,, .

0,5–1 ..

9

.

Page 74: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 68 -

5, 1

:-

, .-

.-

, ,.

-,

.

5, 4

( )

., .

:B12:

--- B12 ( 2,0 / )

:-

-- – ,

()

- (250-300 /, 600 / )

5, 2

– ,,

( ).

( ) –,

, ().

.

,

, .

5, 5

( )D

- D.

- D ,.

- D .

- D: , , ,

- D 10 / (400 IU).

:, .

:-

.- , , , .-

( , ).

5, 3

, , ,

.

.

::

--- , , ,

,-

:-

( , , , )-

5, 6

( )

.

.

15 / ).

:

, ,.

,

.

Page 75: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 69 -

5, 7

,.

:- ?- ( ,

, , . .)?- ?- ( )?- , ? (

, ).- ?- ;

– , D?- ?- ?-

- ?- - ( , ,

, , ,. .), ?

5, 8

()

-

-- ,

------ ,- , , ,

---

5, 9

• – ?• ( )• (

)••

( )•

( ,)

• ( / )•

Page 76: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 70 -

5

3–6

..

,. ,

, .

Page 77: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 71 -

1

, 22 , .- . (“

”),.

. , . ,. ,

.,

( ).

, , , 29 .. , (1–2 )

(1–2 ). – 18,5; – 8 .

, – . – 120 / . – 38 / . – .

. ,. , “

”. ,.

24- , – 2 , 2 , 0,5 , 1 ( ) – (2 , , 40 ,

), 1 , 1 – (1 ), 1 , (1 )

, 0,5 ( ), 1 ( 0,5 )

– (0,5 ), ( 150 1 ),1 , 1 ( 0,5 ), 1 .

, ,. ?

Page 78: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 72 -

1.

().

– 2,5 ( , 0,5 1 ).

– 2 – 5-6

- 9-10 .: 10 ,

6 ( . , 6 ), 60 . .

(35–50 / ),- ( ).

Page 79: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 73 -

2

, 30 , .- . (“

, ”),.

. .. , ,

, -.

., ,

. .

, , 32 . ( , ). 3

( 2900 ).. , . ,

. – 24,5; – 11 .

110/60, – 72 . – 112 / . – 33%. – .

, ( ) ..

24- , – (1/2 ), 1 , 1 , 1 ( ) – (2 , , 2 , 1

), 1 , 2 – (1 ), 1 , (1 ),

, 1/2 , 2 – 1/2 , 1 , 1/2

, 2 , 1

, ,. ?

?

Page 80: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 74 -

2

( ,, , . .). , -

. , : ( ), ( ), ( ).

,, .

,, , ,

( ) . .

. ,

( 110 / ; 32%),

.

, :

�� ,,

;

�� ,; ,

( , , , ).

Page 81: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 75 -

3

, 18 , . -

.

. .. – . ,

. “”.

, , . 3200 . .

8–10 . 3 , . ( 4 ),

“ - , : , ,, ”. ,

– “ ”,. “ ”,

- “ ”.

– 26,5; – 1 . – . – 3650 . :

, ,.

.

:

�� ;

�� 2 (, 3–4 );

�� ,;

�� , 2–3 .

Page 82: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 76 -

, . ,, , ,

( ) .

?,

? ,?

Page 83: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 77 -

3

, ( ,

).

,, , -

..

.

.

, ,, .

.

.,

/ .

().

,. ,

.

, -.

, , . ( ;

. .).

Page 84: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 78 -

4

, 32 , .,

, ..

. ( 3- ) ( 3 8 , 3 ) .

,.

.. 2 .

, ( 37 ), ,. 2550 . (

800 ) . , (3 ). 3 , .

1 . , “ ” (1–2 1–2 ). , , .

,,

. , “”.

: - 17,8; 2 – 5 .

– 4800 . : – 95 / ; – 29%; ; – 30 / .

- “ ” , ,, .

, ( , , , . .) . 1 , 2–3 (

). ,1400 . .

?? ?

?

Page 85: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 79 -

4

., ,

,. ,

, . ,

.

, ,.

, , 12 .

, ,.

. ,, . . .

Page 86: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 80 -

6

3-6 , ,

.

, 4.

.

– . ,

, ,.

,, .

Page 87: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 81 -

�� Human Nutrition and Dietetics, 9th edition, by JS Garrow and WPT James, Churchill Livingstone, London 1993

�� Institute of Medicine 1992 Nutrition During Pregnancy and Lactation: An Implementation Guide, Washington, National Academy Press

�� Institute of Medicine 1991 Nutrition During Lactation, Washington, National Academy Press �� 1990 Nutrition during Pregnancy. National Academy Press. ISBN 0-309-04138-4. �� Committee on Medical Aspects of Food and Nutrition Policy – Panel on Child and Maternal

Nutrition. �� Scientific Review of the Welfare Food Scheme – Report to the Welfare Food Scheme Review

Group, November 1999. Department of Health, London �� Nutrition for a Healthy Pregnancy – National Guidelines for the Childbearing Years, Health

Canada 1999. Available on internet http://www.hc-sc.gc.ca

,

�� Advanced Nutrition and Human Metabolism, 2nd edition, by JL Groff, SS Gropper, and SM Hunt, West Publishing Co., 1995

�� American College of Obstetricians and Gynaecologists. Nutrition During Pregnancy. Technical Bulletin No. 179, April 1993

�� American Dietetic Association 1989 Position of the ADA: nutrition management of adolescent pregnancy. Journal of ADA, January, vol 89, no 1: 104-108.

�� Ashton CH 1987 Caffeine and health. BMJ vol 295 no 6609: 1293-1294. �� Beattie JO Alcohol exposure an the foetus. E J Clin Nutr 46, Supple 1 s7-s17, 1992. �� Black AE et al The nutrient intakes of pregnant and lactating mothers of good socio-economic

status in Cambridge, UK. some implications for RDAs of minor nutrients. BJN 56, 59-72, 1986. �� British Dietetic Association Community Nutrition Group. 1985 Vegetarian and Vegan Diets.

Information Sheet no 3. �� Crosse, M 1986 Dietary supplementation in pregnancy. BMJ Vol. 293: 465-466. �� Department of Health. 1989 Listeriosis: advice to doctors goes out. CMO (89) 3, HMSO. �� Department of Health. 1991 Dietary Reference Values for Food Energy and Nutrients for the

United Kingdom. HMSO. �� Department of Health. Pregnancy and folic acid and you . Heywood: Health Publication Unit 1993 �� Drife JO, 1986 Weight gain in pregnancy: eating for two or just getting fat? BMJ Vol. 293, 903-

904.�� Durnin JVGA et al. 1985 Is nutritional status endangered by virtually no extra intake during

pregnancy? Lancet, October 12. �� Durnin JVGA et al. 1987 Energy requirements of pregnancy in Scotland. Lancet, October 17, 897-

900.�� Food Magazine 1989 Microwaves: how do they measure up? Special Report in the Summer

edition. �� Feig DS and Naylor CD 1998 Eating for two: are guidelines for weight gain during pregnancy too

liberal? Lancet Vol. 351:1054-55. �� Fogelman KR and Manor O Smoking in pregnancy and development in early childhood. BMJ 297,

1233-1236, 1988. �� Fraser R. 1990 Nutrition in Pregnancy. The Practitioner, June 8 Vol. 234, 586-590. �� Garner P et al. 1992 Might efforts to increase birth weight in undernourished women do more harm

than good? Lancet ii, 1021-1022.

Page 88: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 82 -

�� Grieve L and Thompson J, Nutriton and Pregnancy, Dept of Nutrition and Dietetics, Stracathro Hospital, Brechtin, Angus 1992

�� Gross R et al. 1994 Treatment of anaemia with weekly iron supplementation. Lancet 344:821. �� Haste FM et al 1991, The effect of nutritional intake on outcome of pregnancy in smokers and non

smokers. BJN 65,347-354 �� Holmes S. 1990 Diet in Pregnancy. Nursing February Vol. 4, No.5. �� Human Nutrition and Dietetics, 9th edition, by JS Garrow and WPT James, Churchill Livingstone,

London 1993 �� Hytten FE, Chamberlain G, Clinical Physiology in Obstetrics, 2nd edn, Oxford: Blackwell

Scientific, 1991 �� Ibbotson M. 1988 Eating for one and a quarter? The Professional Nurse, September 518-522. �� Krause's Food, Nutrition and Diet Therapy, 9th edition, by L. Kathleen Mahan and S Escot-Stump,

Sounders Co., 1996 �� Lawrence M et al 1984 Maintenance energy cost of pregnancy in rural Gambian women and

influence of dietary status. Lancet ii 363-365. �� Lecos CW. 1988 Caffeine jitters: some safety questions remain. FDA Consumer, December 1987-

1988: 22-27. �� Lind T. 1984 Would more calories per day keep low birthweight at bay? Lancet, March 3, 501-502. �� Lyden C. 1988 Pre-pregnancy counselling. The Practitioner, Sept 8, Vol. 232, 919-924. �� Macdonald AD et al 1992 Cigarette, alcohol and coffee consumption and spontaneous abortion. AJ

Public Health 82,85-87. �� Macleod Clark J and Maclaine K. 1992 The effects of smoking in pregnancy: a review of

approaches to behavioural change. Midwifery 8, 19-30. �� Maghissi RS and Evans TN (Eds) 1977 In: Nutritional impacts on women throughout life with

emphasis on reproduction, pp 23-29. �� McKnight A and Merret D. 1987 Nutrition in Pregnancy - a Health Education Problem. The

Practitioner April 8 Vol. 231, 530-538. �� Medical Research Council Vitamin Study Research Group. 1991 Prevention of neural tube defects:

results of the MRC Vitamin Study. Lancet, 338: 131-137. �� Ministry of Agriculture 1990 Bovine Spongiform Encephalopathy (BSE). MAFF Statement, June. �� National Advisory Committee for Nutrition Education (NACNE) 1983 Proposals for nutritional

guidelines for health education in Britain. HMSO London. �� Newman V, Lee D 1991 Developing a daily food guide for women, J Nutr Educ 23(2), 76-82 �� Newman V, Fullerton JT 1990 Role of nutrition in the prevention of preeclampsia - rewiev of the

literature, J Nurse Midwifery 35(5), 282-291 �� Nutrition during pregnancy - USA Subcommittee on Nutritional Status and Weight Gain During

Pregnancy 1990, National Academy Press �� Offringa PJ and Boersma ER 1987 Will food supplementation in pregnant women decrease

neonatal morbidity? Hum Nutr: Clin Nutr 41C, 311-315. �� Plecas D, 1996 Nutrition in Pregnancy and Lactation, UNICEF, Belgrad �� Poppitt SD et al 1993 Evidence for energy sparing in Gambian women during pregnancy: a

longitudinal study using whole body calorimetery. AJCNutr 57: 353-364. �� Rasmussen KM Nutritional consequences of lactation for mother: definition of issues in: Piccano

MF and Lonnerdal B (eds) Mechanisms Regulating Lactation and Infant Nutrient Utilization, New York, Wiley-Liss

�� Ridwan E et al. 1996 Effects of weekly iron supplementation on pregnant Indonesian women are similar to those of daily supplementation. Am J Clin Nutr. 63:884-90.

�� Rosso P, Nutrition and Metabolism in Pregnancy. Oxford University Press, 1990 �� Royal College of Obstetricians and Gynaecologists. 1982 Nutrition in Pregnancy: Proceedings of

the 10th Study Group. September. �� Sadler M. 1989 Listeria. Nutrition and Food Science. No 116. �� Schneck ME et al. 1990 Low income pregnant adolescents and their infants: dietary findings and

health outcomes. JADA Vol 90, 4:555-562.

Page 89: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 83 -

�� Schofield C et al. 1987 The diets of pregnant and post-pregnant women in different social groups in London and Edinburgh; energy, protein, fat and fibre. British Journal of Nutrition, 58, 369-381.

�� Simmer K et al 1991 A double-blind trial of zinc supplementation in pregnancy. Eu J Clin Nutr, 45: 139-144.

�� Taylor DJ and Lind T. 1976 Haematological changes during normal pregnancy: iron induced macrocytosis. BJ Obs Gyn, Vol. 83: 760-767.

�� Thomas Briony (Ed) 1988 In: Manual of dietetic practice. Preconceptual and Pregnancy. BDA, Birmingham.

�� Toxoplasmosis Trust 1989 Toxoplasmosis fact sheets. �� Toxoplasmosis Trust 1991 Toxoplasmosis update. �� Truswell AS. 1985 Nutrition in Pregnancy. BMJ Vol 291, 263-266. �� Van’t Hoff W, 1982 Caffeine in Pregnancy. Lancet May 1: 1020. �� Watson RA 1988 Caffeine: is it dangerous to heath? American Journal of Health Promotion Vol 2,

4: 13-22. �� WHO 1998 Safe Vitamin A Dosage During Pregnancy and Lactation, recommendations and report

of consultation �� Wilcox A et al. 1988 Caffeinated beverages and decreased fertility. Lancet, Dec 24/31: 1453-1456. �� Williams Obstetrics, 20th edition 1997, Appleton and Lange �� Zmirou D et al. 1988 A controlled evaluation of a health education programme for pregnant women

in rural areas. J Epi and Community Health, 42, 177-182. �� 1982 Routine iron and folic acid not necessary. The Pharmaceutical Journal, January 16 1982. �� 1991 Update on salmonella infection. Public Health Laboratory Service - State Veterinary Service

(PHLS-SVS), January Ed 6, ISBN 0961 0162. �� 1991 Food Safety: A Guide from HM Government. Food Sense, London. �� 1991 Vitamin A and Pregnancy. Nutrition and Food Science, no 128, Jan/FEb: 6-7. �� 1991 While you are pregnant: safe eating and how to avoid infections from food and animals:

Advice from Dept of Health. Dept of Health and Central Office of Information, Sept 1001, HMSO.

Page 90: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

____________________________

,

SCHERFIGSVEJ 8DK-2100 COPENHAGEN Ø

DENMARK..: +45 39 17 17 17

: +45 39 17 18 18 : 12000

E-MAIL: [email protected] SITE: HTTP://WWW.WHO.DK

EUR/01/5028597:

E73470R

2:

2002 .

Page 91: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

© – 2002 ., .

, , , (

). ,. :

. ,. ,

, .

,

Page 92: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

:,

.

10 .

Page 93: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

.

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

: ....................................................................................6 I ..............................................................................................................................6 II .............................................................................................................................7

B: ..................9 C: .............................................................................................55

Page 94: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 1 -

1.

,

( / )., 5 19 ,

., ,

. ,,

,.

2.

.

,, ,

. : ,, , .

, ,, .

3.

:

1., ;

2. ,, ;

3. ,;

4. ,;

5. ,;

6. ,.

Page 95: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 2 -

4.

.,

.

5.

. , ,, . –

. 10 ( . ).

6.

,.

, .“ ”,

, ,. ,

“ ” ( ).

Page 96: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 3 -

7.

1

09:00 , , ,

10:00 1: ,

11:00 ,

11:15 1: ,

( )

12:15 1:?

13:30

14:30 2: ,

15:45 ,

16:00 2: ,

( )

16:30 2:?

17:15

NB: -.

, -. ,

.

Page 97: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 4 -

2

09.00

2:?

( )

10.00 3: ,

11.00 ,

11.15 3: , ( )

12.15 3: ,

13.30

14.30 4:

15.45 ,

16.00 4:

17.15

3

09.00

09.00 5:

10.00 5:

11.00 ,

11.15 6:

13.00

Page 98: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 5 -

8.

, : – , – .

::

�� ?

�� ?

�� , ??

.

:

.

Page 99: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 6 -

:

I

2–3 , /. , ,

.

1.,

: ( ) ,( ) , ( ) ?

( ) ( ) ( )

2., :

( ) , ( ) ,( ) ?

( ) ( ) ( )

3. " " 1-

/ 2- , .

4.

?

5. (

, )? /

6.,

, ?

7.

, ?

8.

, ?

9., - ,

? 50-80%

<20%

>80%

20–50%

10., - ,

? 50–80%

<20%

>80%

20–50%

Page 100: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 7 -

II

- , 30 , 24- ,

, ,.

1 2 , ..

,. ,

.

,

:

( ,,)

“ ”

“ ”

“ ”

Page 101: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 8 -

, "�". , : "

", " ", " ".

Page 102: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 9 -

B:

Jenny Salmon

© Crown copyright 2001. First published in the United Kingdom by the Department of Health. Reproduced by permission of the Controller of Her Majesty’s Stationery Office.

Page 103: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 10 -

.

...................................................................................................................................................10 ........................................................................................14

......................................16 .....................................................................................................................................17

.....................................................................................................................18 .....................................................................................................................................................18

......................................................................................................................................................21 ........................................................................................................................22

..................................................................................................................................25 ..............................................................................................................27

.................................................................................................................................................28 ...........................................................................................................................................28

( 1)..........................................................................................................................29 ( 2) ................................................................................................................30

( 3) ..........................................................................................................................31 6 ..........................................................................................................................................32 12.........................................................................................................................................33

( ) .....................................................................................................34 ..............................................................................................................35

...................................................................................................................................................35 ...........................................................................................................................................36

D...........................................................................................................................................37 ...........................................................................................................................................38 ...........................................................................................................................................39

.......................................................................................39 ..........................................................................................................................40

(1 = 40 ).................................................................................................................40 (1 = 30,9 ) ................................................................................................................41 (1 = 24,3 )................................................................................................................42

(1 = 56 ) ....................................................................................................................43 (1 = 65 ).........................................................................................................................45

(1 = 23 )....................................................................................................................46 (1 = 39,1 ) ...................................................................................................................47

(1 = 35,5 ) : . ............................48 (1 = 63,5 ) ..................................................................................................................48

(1 = 127 )......................................................................................................................49 (1 = 79 ) ...................................................................................................................49

.............................................................................................50 .................................................................................................................................51

................................................................................51 .................................................................................................................................54

Page 104: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

WHO Training Course on Healthy Food and Nutrition for Women and their Families

Page 105: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 10 -

?

180 , 140 ?

?

, 20 . ?

- . “”? ,

“ ?”

, . -,

.

“ ” ( ,1969 .)

( , 1979 .) 30 ., , ,

, ..

,

, ( OMA)

. “

” (DH, 1991 .).

.,

.

,, ,

200 .

,. , ,

, .

Page 106: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 11 -

,,

.:

�� ;�� ;�� ;�� .

?

, ,,

, .

,.

,,

??

,. 90%

, , 15% .

, ,, .

,, ,

.?

?

? , ,,

, ., , ,

, ,?

Page 107: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 12 -

,, ( )

.

., .

,,

, , ,,

. ,,

, . ,,

. ,,

..

-. , , .

-,

., , ,

, .

, ,,

, , .

() 1969 1979 . . ,

, ,,

.

“” “ ”. ,

.

– , ,

Page 108: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 13 -

,.

,.

, 1969 1979 .,. .

, , 10% , .

?“ , ” – . ,

., ,

. – , . , , ,

10% , ,, .

, , .

, ,,

.

1969 1979 ., .

, ,. ,

,,

.

– ?

. , , – , .

, ,.

, ,.

.,

.

Page 109: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 14 -

. 1969 1979 ., ,

.

.

, . ,,

. : – ?

“ ”. ,, –

.

, , ,

( ) – . ,

, – .

( ) – ,, ,

. ,.

,.

( )( ) – ,

., .

, , .

– ,

. ,, , ,

, .

Page 110: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 15 -

( ) – ,, – , ,

.

,, .

“ ”, ,,

,,

. . 1 , .

1.

( 3% )..

– , , , .

– , 97% .

( ) ( )

( )

Page 111: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 16 -

,

,,

( , ). ,,

.

,.

,, .

, ,, .

, , .

, ( , ),

.

, ,, ,

- .

.

“ ”. ,, ,

( ) ., ,

.

?

., ,

.

,. , ,

.

Page 112: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 17 -

,, .

,

.

, ,. ,

, , .,

- , ,, ,

, ., .

,

. ,, ,

,.

, ,, , ,

. “4 100 ” . 125-

40% ,.

., ,

,.

.

,, ,

. ,,

, .

Page 113: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 18 -

, , –

,. , ,

, ,.

33 – , , , , ( ), 13

15 , . 18 .

, ,; ,

,,

.

. , (

,).

. , , ( ),

( ) ( ).,

. , ,,

.

( ).

, , 3–10 .

.,

1 . “ ”

Page 114: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 19 -

. ,,

.

1. 0 18

, M / ( / )

0–3 2,28 (545) 2,16 (515)4–6 2,89 (690) 2,69 (645) 7–9 3,44 (825) 3,20 (765) 10–12 3,85 (920) 3,61 (865) 1–3 5,15 (1230) 4,86 (1165)4–6 7,16 (1715) 6,46 (1545)7–10 8,24 (1970) 7,28 (1740)11–14 9,27 (2220) 7,92 (1845)15–18 11,51 (2755) 8,83 (2110)

( ) . , , . . , ,

( ). :

= �

1,4 .

.

1,6 1,7 .

1,8 1,9 .

2. (

) ( = 1,4)

, / ( / )

19–49 10,60 (2550) 8,10 (1940) 50–59 10,60 (2550) 8,00 (1900) 60–64 9,93 (2380) 7,99 (1900) 65–74 9,71 (2330) 7,96 (1900) 75+ 8,77 (2100) 7,61 (1810)

Page 115: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 20 -

(),

.

,,

. 0,8 M / (200 / ) .

.

– , ,

. , ,,

, ,.

.. 1

, 3 . 2 ,

6 .

3.

,/ ( / )

1 1,9 (450) 1 2 2,2 (530) 2 3 2,4 (570)

1 2

3 6 2,0 (480) 2,4 (570)

6 1,0 (240) 2,3 (550)

Page 116: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 21 -

, ,,

“ ” ( , 1985 .).

, , , 10% , .

1991 ., 90% , ,

70% . ,, ,

, 1979 .

19 0,75 / .

,:

i ;

ii ;

iii .

,. ,

,. ,

; ,.

.

4.

, / , / 0–3 - 12,5a

4–6 10,6 12,7 7–9 11,0 13,7 10–12 11,2 14,9 1–3 11,7 14,5 4–6 14,8 19,7 7–10 22,8 28,3

a . ,1980 (DHSS, 1980 .).

Page 117: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 22 -

4 ( )

, / , /

11–14 33,8 33,1 42,1 41,215–18 46,1 37,1 55,2 45,419–49 44,4 36,0 55,5 45,050+ 42,6 37,2 53,3 46,5

, /

+ 6 + 6 6 + 11 + 11

6+ + 8 + 8

,,

, ,,

.

. , ., .

( ) .

. ,( ) . 16

.

( ). ,.

14 ( 14), 16 ( 16) ( 18).

., 2 .

18 .

( )., 2- .

, 4 , ,

Page 118: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 23 -

6 . ( ), .

- - ..

- .

( ) .

, - . ( ).

,, .

, 1%, - – 0,2% .

, ,,

. ,, ,

, - .

, - / ,:

i, - ;

ii 14 16;

iii ;;

iv;

v , ,;

vi ,-

, -, ;

Page 119: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 24 -

vii ,,

;

viii. , -

- ,,

. ,,

.

,, ,

, ,-

. ,, , -

, ,.

– - , - ,- – ,

. , ( , )

, per se.

5.

% *

10 11- 12

-:

1 0,2

6 6,5

- 2 2 30 32,5

33 35

* , - , 5% . 10% .

Page 120: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 25 -

. , ( 15% ), .

(), ( ).

, .

– , ( ) . ( . . 2).

, ,

. ,.

2.

_____________________________________________________________________________

_____________________________________________________________________________

, ( ) ( ,

, )., , ,

( ,

)

( ,

)

,

,

,,

Page 121: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 26 -

. , ,, ,

, . ( 30% )

.

,, , .

,

.

, ( , ,

, , , ).

60 / , 10% . .

, 37%

..

, – 10% 37% – ,

5% , 15% ( . . ). ,

11% , , – 39%.

6.

,%

,

,%

, 15%

10 37

, 15%

11 39

Page 122: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 27 -

“ ”, .

, ., (

) ., .

“ ” (1988 .).

, 20 / .

( ) 11–13 / .

,, .

,:

i;

ii , ,;

iii ,12 / , ,

;

iv , , , ,, ,

, , , .,

,

.

, 18 / , 12 24 / . , ,

. , ,, – ,

.

Page 123: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 28 -

, , ,

.

, 32 / -.

. 32 / .

, , ( ) ,

- , . 6 - 1 .

/ .. ,

, – ,.

, 20 1 .

/ (1988 .).

,- – .

- ,, - .

, 100 .

. , 100 / .

,. ,

,

Page 124: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 29 -

,.

- ,.

, .

7500 /9000 / . 3300 /

,. , ,

, .

7. ( )

0–12 150 250 350 1–3 200 300 400 4–6 200 300 400 7–10 250 350 500 11–14 250 400 600

15–50+ 300 250 500 400 700 600 ,

+100 +350

( 1)

, ., .

, , . 0,4 /1000 .

1000 ,

.

, 3 / ( 1000 ),

.

Page 125: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 30 -

8. , /1000

0–12 0,20 0,23 0,30 1 0,23 0,30 0,40

, / 19–49 = 1,4 . . = 2550

0,60 0,80 1,00 19–49 = 1,4 . .= 1940

0,40 0,60 0,80

( 2)

,.

,.

.

,,

.

-. , , ,

. 120 10 - .

9. , /

0–12 0,2 0,3 0,41–3 0,3 0,5 0,64–6 0,4 0,6 0,87–10 0,5 0,8 1,0

11–14 0,8 0,8 1,0 0,9 1,2 1,115–18 0,8 0,8 1,0 0,9 1,3 1,1 19–50+ 0,8 0,8 1,0 0,9 1,3 1,1

,

+ 0,3

+ 0,5

Page 126: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 31 -

( 3)

– – .,

. , ,.

,, –

. :

= ____________

60

, 2 .

, ( ),,

.

, ,,

,.

– 3 6 / – . , 20 / ,

,.

.

,

NADP ( ) .

1000 ,: , ,

( ,).

.

Page 127: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 32 -

10. , /1000

4,4 5,5 6,6

,

+ 2,3 /

( / ) 19–49 = 1,4 . = 2550

11,2 14,0 16,8 19–49 = 1,4 . = 1940

8,5 10,7 12,8

6

6 ,. ,

,.

( ) .

6 ,.

( /) .

.

, ,6 .

6.

. 50 / 2–7 / .

.

Page 128: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 33 -

11. 6 ( / )

0–6 3,5 6 8 7–9 6 8 10 10–12 8 10 13

1 11 13 15

( / ),(14,7% )

/ 19–49 . = 2550

1,0 1,2 1,4 19–49 . = 1940

0,8 0,9 1,2

12

12 , ,.

12.

– ,, 12, , ,

; , ,, 12;

12. 12, ,

.

,,

12.

.

12 . ( 3 / ) .

Page 129: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 34 -

12. 12, /

0–6 0,10 0,25 0,30 7–12 0,25 0,35 0,40 1–3 0,30 0,40 0,50 4–6 0,50 0,70 0,80 7–10 0,60 0,80 1,00 11–14 0,80 1,00 1,20 15+ 1,00 1,25 1,50

,

+0,5

( )

– .,

, ,. .

,.

, ,, ,

.

-,

.

, ,, ,

, ,.

.

, ,.

Page 130: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 35 -

13. , /

0–12 30 40 50 1–3 35 50 70 4–6 50 75 100 6–10 75 110 150 11+ 100 150 200

,

+100 +60

,, . ,

.

, , (3–7 / )

.

1,7 / ( 3 /1000 ), DHSS (1980 .).

,10 /

- .

, , 10 70 / ., 10 200 /

, .

,200 / .

Page 131: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 36 -

, ,, , , .

, ,. ,

, .

,

.

,,

.

. ,.

30 / 70 / .

40 / , .

10 ,, 40 , .

, ,

.

.

,.

, 20 ,

. , 1 , -

. ,“ ” , .

Page 132: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 37 -

14. , /

0–12 6 15 25 1–10 8 20 30 11–14 9 22 35 15+ 10 25 40

,

+10

+30

D

D .

,, D

, , 5 .

25- D ( D) . 1,25- D –

, .

, 25- D 8 / D c .

, , D . .

, , D, ,

D .

, , D.

D, . 4-,

25- D .

Page 133: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 38 -

D ,. 50 / .

15. D, /

0–6 8,5 6 – 3 7,0 4–64 0 65+ 10,0

10,0

, ( ) ,

, .

,,

.4 / 3 / .

.0,3 100 0,4 1 .

(6% ), .

16. .

0,4 1 ; = 6%

/ 19–49 = 2550

7

19–49 = 1940

5

Page 134: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 39 -

3200 /c .

,.

.

.

,, 1 /

.

, ,, .

. 10 / ( 2 / )

.

, , ,, . . ,

100 . , ( ).

,.

, , , ,, , -

. – ,

.

Page 135: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 40 -

(1 = 40 )

. 1% . 90% , .

30–35 . ,, .

,.

., ,

., .

800 / 20% . , 250 / , 70%.

, 160 . 40%.

70 1 , 150 / 10 .

35%.

, 40%, 300 / 250 / .

, 150 / .

. ,.

, 15% , 30%.

., ,

, .

Page 136: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 41 -

,,

. ,, .

., .

, , 2 / ,, - .

- ,

.

17. , /

0–12 240 400 525 1–3 200 275 350 4–6 275 350 450 7–10 325 425 550

11–14 450 480 750 625 1000 800 15–18 450 480 750 625 1000 800 19+ 400 400 525 525 700 700

,

+550

(1 = 30,9 )

., (

) .

,

.

.

Page 137: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 42 -

18. , /

0–12 185 310 400 1–3 155 215 270 4–6 215 270 350 7–10 250 325 425

11–14 350 370 580 480 770 620 15–18 450 370 580 480 770 620 19+ 310 310 400 400 540 540

,

+425

/ ,. / 1,2:1 2,2:1.

70 / – 4,5 / 65 .

(1 = 24,3 )

. 2 / ,. ,

.

.

() .

, .

,, .

.

Page 138: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 43 -

19. , /

0–3 30 40 55 4–6 40 50 60 7–9 45 60 75 10–12 45 60 80 1–3 50 65 85 4–6 70 90 120 7–10 115 150 200 11–14 180 230 280 15–18 190 250 300

19+ 190 150 250 200 300 270 ,

+50

(1 = 56 )

.

. ,, .

,.

.

. 15%, , ,

. , ,, – , .

, 0,86 / , 15%.

,. ,

15%. , ,

75% . 90% ,

Page 139: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 44 -

10% .

,.

,.

.

, ,. 15%.

. ,,.

20 / . 100 .

20. , /

0–3 0,9 1,3 1,7 4–6 2,3 3,3 4,3 7–12 4,2 6,0 7,8 1–3 3,7 5,3 6,9 4–6 3,3 4,7 6,1 7–10 4,7 6,7 8,7

11–18 6,1 8,0* 8,7 11,4* 11,3 14,8* 19–49 4,7 8,0* 6,7 11,4* 8,7 14,8* 50+ 4,7 4,7 6,7 6,7 8,7 8,7

* 10% ..

Page 140: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 45 -

(1 = 65 )

. 60% 30% – .

30%, ( 50%) – , .

,.

, ..

,,

.

. – – ,

, , , .

21. , /

0–6 2,6 3,3 4,0 7 – 3 3,0 3,8 5,0 4–6 4,0 5,0 6,5 7–10 4,0 5,4 7,0 11–14 5,3 7,0 9,0

15+ 5,5 4,0 7,3 5,5 9,5 7,0 ,

0–4 +6,0 4+ +2,5

2 . 50 /

.

Page 141: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 46 -

(1 = 23 )

.. ,

..

,.

:

i ( 3,2 / );

ii-

, ;

iii;

iv 10%

3,2–4,7 / .

,. ,

.

,. .

,.

( )6 .

, ,.

Page 142: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 47 -

22. , /

0–3 140 210 4–6 140 280 7–9 200 320 10–12 200 350 1–3 200 500 4–6 280 700 7–10 350 1200 11–14 460 1600 15+ 575 1600

, , 3,2 /

.

(1 = 39,1 )

.

,- .

() .

.

,, .

, .

,, .

Page 143: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 48 -

23. , /

0–3 400 800 4–6 400 850 7–9 400 700 10–12 450 700 1–3 450 800 4–6 600 1100 7–10 950 2000 11–14 1600 3100 15+ 2000 3500

, 18 /, ,

.

(1 = 35,5 )

. ,( ) .

1,54 ().

(1 = 63,5 )

,.

24. , /

0–12 0,3 1–3 0,4 4–6 0,6 7–10 0,7 11–14 0,8 15–16 1,0 18+ 1,2

,

+ 0,3

Page 144: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 49 -

,.

, 1,6 /.

(1 = 127 )

,,.

, . ,.

.

25. , /

0–3 40 50 4–12 40 60 1–3 40 70 4–6 50 100 7–10 55 110 11–14 65 130 15+ 70 140

; ,.

17 / / 1000 / .

(1 = 79 )

,, .

.

. , .55% .

Page 145: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 50 -

,

.

,.

26. , /

0–3 4 10 4–6 5 13 7–9 5 10 10–12 6 10 1–3 7 15 4–6 10 20 7–10 16 30 11–14 25 45

15–18 40 40 70 60 19+ 40 40 75 60

+15 +15

6 / / .

.

27.

50–400 /

0,5–1,5 / / ,

1,4 /

16 / /

25 /

0,1–1,0 / / ,

0,05 / / –

Page 146: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 51 -

DHSS 1969. Recommended Intakes of Nutrients for the United Kingdom, London, HMSO, 1969 (Report on public health and medical subjects; 120).

DHSS 1979. Recommended Daily Amounts of food energy and nutrients for groups of people in the United Kingdom, London, HMSO, 1970 (Report on public health and medical subjects; 15).

DHSS 1980. Artificial Feeds for the Young Infant, London, HMSO, 1980 (Report on public health and medical subjects; 18).

DH 1991. Dietary Reference Values for Food Energy and Nutrients for the United Kingdom, London, HMSO, 1991 (Report on public health and medical subjects; 41).

WHO 1985. Energy and Protein Requirements. Report on a Joint FAO/WHO/UNU Meeting, Geneva, World Health Organization, 1985 (WHO Technical Report Series; 724).

FAO/WHO 1988. Requir ments of Vitamin A, Iron, Folate and Vitamin B12, Rome, Food and Agriculture Organization, 1988 (FAO Food and Nutrition Series; 23).

Englyst H.N. and Cummings J.H. 1988. An improved method for the measurement of dietary fibre as non- starch polysaccharides in plant foods, J Ass Off Anal Chem 1988; 71:808-814.

, 103 , 1000

, 10-3 , 1

, 10-6 , 1

= ,� 10-3

, 10-9 , 1

,

= 103 1000 . ,, 1 = 4,184

= 103 1000 . ,

= 106 , 1

. ,,

. . 65 7,56 / . 55 5,98 / .

. :.

1,4 () 1,9 ( ,

).

Page 147: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 52 -

,

, -, -

, . ,, ,.

( ), , .

,, .

. ,

– , , .

, , .

, – .

– ,, . ,

( , 97%) ., .

, 1969 .

-, 1979 .

,

,, .

.,

. ,.

, 2 .

.

( )

,.

( )

,.

Page 148: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 53 -

, . . 3 ,.

( )

, 2 .

2, 3 4 .

- - ,,

.- .

,, .

, D.

,, .

,, .

,.

, 2 ,. (

1 1 ) ( 1 1 ).

, .

( )

,“ ”.

.

,. , ,

, .

.

, 20 , .

., .

,,

. 8 10 – .

Page 149: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 54 -

1. ( ) – 0 18

2.3.4.5.6.

:

7.8.9.10.11. 612. 1213.14.15. D 16.

:

17.18.19.20.21.22.23.24.25.26.27.

1.2.

Page 150: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 55 -

C:

1. ?

1.1 ?

– ,. ,

, . ,, ,

., , ,

.

1.

1.2.3.4.5. ( )6.7.8.9.10.11. ( )12. ( )13. ( , )14. ( , )15. ( , )16. ( , )

– ,. 50

( ),, : , , , ,

, ., .

, , , ,,

. ,.

, (“ ”).

, , ., – , .

Page 151: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 56 -

,.

1.2 ?

– ,.

,, ,

.,

., ,

( ).

, . . ,.

1, 16

, ,

,,

,,

.

,-

,,

,,

.

, ,, ,

,,

,,

,,

,,

5

6-11 5 2-3 2

( ),

,

,

-,

,,,

,

,,

D,12,

,,

,12,

, ,

,. .

.

,

, D ,

Page 152: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 57 -

1.3 ?

:, ,

, ..

– ,, – .

2. ,

, , , , ,, , , , ,

. . “ ” “ ” , . ., “

”,.

, .,

“ ”.

. ( ),

6000–14 000 . , ,:

�� – ; -;

�� –

;

�� – . ,, , ,

, , ., ,

.

. 2 “ ”. ,

. ,, ,

“ ”, . . , 30–35 .

, .

Page 153: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 58 -

2. “ ”/

0–40 0–10 ; , , , , -, ,

, 20–240 5–60 , : , , , ,

, , , , , ,, , ,

, : , , , ,, , , ,

, - / , , ,, - , , , , ,

, , , , , ,( )

, 240–480 60–120 , : , , , ,

,, : / , ,

, , ,, ;

, ( ) , ,

, , (, )

, ,, ( )

480–1200 120–300 , , ,, , , , ,

,- , ,

, , ,,

1200–4000 300–1000 , , /, , ,

/ , ,, ,

, ,

, , ;, , 3,5 , 10%

. ,, , ,

. , ,,

. ,, ,

.

– 29 ..

Page 154: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 59 -

2.1

, , . ,,

( ) , , ,,

., .

2.

.

.

, , , ,, , ,

. , ,,

. ,, ,

. (), ,

Page 155: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 60 -

– , , ,.

3. ,

( )

240 60 , 480 120 ; ,

; 720 180 ; ; ;

960 240 ;; ;

1200 300 , . .;,

1800+ 360+ , , ,,

2400+ 600+ ( ) ;, ;

3.

, , ,, .

, ( ) .

50–55% .

,:

1. ( - ) 2.. / .

i. . ( ) ii. i.

. ii.

3.1

,

. (), . ,

., . -

:

Page 156: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 61 -

– , ,, ;

– ,. ,

“ ” .

, . ( ),

, , ,.

,. , ,

( ) .

3.2

.,

. ,,

. , ,.

, .,

, ,. , ,, , .

3.3

,, ,

. , , ,, ., , ,

. ,, ,

, , ,. -

( . . 4). , -, ,

. ,,

.

Page 157: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 62 -

4. ( )

, +

++

+

++

+ +

,

++

+

++

+++

++ ++

3.4

1984 . .,

( ) .

..

3- ( ) = ________________________________________

� 100, 3- ( )

= ,3 .

,,

, ., , ,

. ,

,. . 5

, , .

Page 158: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 63 -

5. ,

,

( , )

/

,,

.

4.

- -,

., / .

.

, , ,.

20 .,

,( . . 6). ,

, .

6.

( )

, , , , ,,

. ,

, , ,.

Page 159: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 64 -

, ,,

. ,.

,, ,

., ,

, , ,. , ,

, .

, ,, .

.

7.

, 100 20 1/2 11 , 100 27 ( ) , 1/2 8

, 1 * 8 , 1/3 5 , 1 8 , 1 8

, 30 8 , 25 6 , 30 4 , 30 4

, (1 ), 100 17 , 2 , 60 5 , 1 , 60 6 / , 1 2

, 1/2 , 100 3,5 , 0

* 1 = 240

,.

. ,, , .

, , ,. ,

., ,

. ,. ,

,,

. ,, , ,

, , .

Page 160: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 65 -

5.

, ,. , ,

.. , , ,

, , ., ,

, .

, ., ( 4)

, -.

3.

,

H 3 C

COOH

H 3 C,

COOH

COOH W6

COOH W3

H 3 CCH 3

CH 3

CH 3

HO

CH 3

,

H 3 C

,

H 3 C

, ( ) ,,

. , -, .

.

. ( ). . 8,

,.

,

Page 161: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 66 -

1, “ ”

2. ,,

.

,, -

,,

.

8.

,

,, ,

/ ,

* (, ,

, )

. , ,

** n-6 ,

, “ ”

n-3 ( ,)

.

*** , ( )

( ,). -

-, ,

,

. ****, - ,

,. , - ,

,

, , , VII

.

, ,,

,.

,.

* – .** – .*** – .**** – - .

1 – .2 – .

Page 162: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 67 -

5.1 -

,, - ,

, ( .. 4). , , ,

, .-

, , ( )/

. - ( ),

, - ,.

4. - -

-. ,

, -,.

– (37 )., , -

, , , .,

4.

- -

H C

(CH2)n

C H

(CH2)n

CH3

OH

C

CH3

(CH2)n

C HC H

(CH2)nC

O

OH

-

()

-

()

Page 163: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 68 -

,; , ,

,. ,

.

. 10%

, “ ” 50%. 10–35%, . .

30–90 20–70 35 55 .

, , 25–35%.

:. ,

.

9.

, 1 * 8 , 30 1,5 , 1 0 , 1 . . 10

/ , 1 . . 4 , 1 . . 20 , 1 . . 1,5 , 1 * 0,5

, 1 . 5 , 1 1 - , 100 1,5 , 2 1

, 100 20 , 1/2 0,5 , , 100 7 , 1/2 0

, 100 2,1 0 , 30 1,0

, 1 . . *1 / = 240

6.

( ), ,. .

29 ,

.

80 ( . . 10), , .

40 . .

, , , ,, , ( ),

.

Page 164: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 69 -

,, 1, 2, 6, ,

, ,. , ,

, ,.

40 . - , –

, , 8–20 .

10.

( %/ ) ( ) ( ) ( ) 3–8* 200 9,6 7,6 11,5 90 10,4 8,2

18,5 60 11,1 8,8 38,5 30 11,6 9,2

* .

7.

– , .

, 13 , ( . . 11).

13 :

�� : ( ), D ( ), E ( )K ( );

�� : ( 1), ( 2), ( 3), ( 5), ( 6), , 12

( ), , ( ).

,.

, ,, ,

., , . . ,

,. ,

, .

,, ( ) ( ).

Page 165: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 70 -

11.

( ),

,,

,,

,,

,

D ( )

,

( ),, ,

,;

,,

:

,

;

()

, ,,

. .,

,

(),

,

, ,

,

( )1

( ) ,, , ;

2( ) , , ,

-

(

3)

,, , ,

,12

( ), , ,, ,

(

)

Page 166: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 71 -

, ,,

, 12

, , ,

, ,

,

7.1 ,

, ( - ) ( .

. 12). , . –

, ( ) .

,, .

5

,

*

,

,.

,, ,

, .

, ,,

, .

,,

.

( ),.

,,

.

Page 167: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 72 -

,.

, , .,

., , - ,

.

12.

( ), , ,

, , , ,-

(>600 ), ,

, , , , ,, ,

, , ,, , ,

(>3000 ), , ,

, ,-10

( / ), , , , ,

, ,, , , , , ,

,

7.2

, ( 12) .

, ,,

( ), , ,( ). ,

, 4 , ,

,

400 .

8.

15 ; , – . , , (

) , . ( ) , , ,

, ,. , ,

Page 168: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 73 -

,, .

,, . 13. 5

. ,.

,12.

13.

- ,, , , , , .

.,

., , ,

. , ( ),.

, ,.

14. – ,

,

:,

,; , ,

,

:

( ), ,

:,

: ,

;

;

Page 169: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 74 -

:, , ,

, , ,

:

;;

, , ,,

,

,

,

,

,

(),

( )

, , ,,

,,

,

,,

- ( ) .,

, , . ( , , )

, ,. 1 ,

12 .

, , ,, .

.

8.1

– , ,,

,.

, ( ,

Page 170: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 75 -

), , , ,. ,

.

, , . 15.

- ( ), ( ), ( )

( ).,

.

15. ,

( / )

7055

1,00,8

, 0,25–11–22-6 6-12 12–1612–16

0,560,240,220,380,360,66

28 95

0,481,90

, 6

10,00,3

1–1,4 1000 , 10

. , ., , , (5–20%)

, , .,

. , ,, (20–30%).

, , , , ,, . ,

,. ;

,, ,

.

8.2

99% , ,,

, , ,. ,

, ,

Page 171: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 76 -

,, . ,

,, ,

.

, D,

. ,,

D .,

( . . 16). , 30-

, - , . ,, ,

.

16. ,

, ,

( )

???

8.3

, , - , , –

. ,; ,

.. ,

( ) , , ., ,

., , . .

100 .

. ,, – ,

.

.

Page 172: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

“ ”

- 77 -

, ,. ,

,.

, , ,. ,

, .

., .

. –- – .

17.

, ( , , );

( ,); ,

;

;

,,

1. Garrow, J.S. and James, W.P.T. (eds). 1993. Human Nutrition and Dietetics. Edinburgh, Churchill Livingstone

2. MAFF. 1995 Manual of Nutrition. London HMSO 3. James, W.P.T. 1988. Healthy Nutrition: preventing nutrition-related disease in Europe.

Copenhagen, WHO Regional Office for Europe. 4. Rose, G. 1992. The Strategy of Preventive Medicine. Oxford, Oxford University Press. 5. WHO Study Group. 1990. Diet, Nutrition and the Prevention of Chronic Diseases. WHO

Technical Report Series 797, 1990, WHO Geneva. 6. National Research Council (US), Committee on Diet and Health. 1989. Diet and Health:

Implications for reducing chronic disease risk. Washington DC, National Academy Press.

Page 173: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

2001 .

Page 174: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

2

EUR/01/5028598:

. E73182R

,.

,. ,

,.

© – 2001 .,

. ,,

, (

). ,.

:.

,. ,

, .

Page 175: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

______________________________________________________________________

3

. (Cornell University, Ithaca, )

.

3

4

: 5

- ? 5

6

? 14

? 14

14

? 15

, 16

18

19

21

Page 176: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

______________________________________________________________________

4

, , ?, , ., , ,

,.

:

��

�� /��

�� .

– .,

,. ,

,, .

.

,:

:.

, ,.

,, .

Page 177: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

______________________________________________________________________

5

:, .

– .

:

, ; “ ”,

.

, , –

, .

– ?

, “ ” –

.

3- 200–300 ,

.,

2–3 ( 1 1–2 ) .

. ,, , , ,,

, , ,, . ,

Page 178: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

______________________________________________________________________

6

, “ ”., , ,

.

, 5 .

1. , , , –– 6–11

?

1 ( 30–40 )31/2 ( )1/23/4 ( 30 ) 1 (100 .).

., , , ,

, ..

,,

.

( , ) – .

Page 179: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

______________________________________________________________________

7

, , ,, , , ,

.

2. – 5 ( 400 )

?

1/2 ( 100 ) ( :, , , ,

. . – )1 ( ,

, , . .)11/21 ( 1 , 1 2

)1/2 ( 100 ) ,

160 (

).

,,

. , ( ,), , ,

.

, .

Page 180: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

______________________________________________________________________

8

:

1 , 3 160 .

, “ ”, :

, ,! ,

.

.“ ”, ,

, , –

. ,.

10 :

50 ;/ , ,

70 ;, 90 .

,.

, 5–10 .,

.,

.

Page 181: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

______________________________________________________________________

9

3. – 3

?

1 ( 200 )45 ( )1,5 ( 250 )1 (200 ) .

.;

.- ,

,.

.

, ,, ,

, .

, ,

, ,.

.

, (), ,

.

Page 182: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

______________________________________________________________________

10

4. , , – 2

?

1–1,5 ( 150–200 )270–80 , .

, , , , – , .

, ,, – , . ,

( , ),. ,

, ,.

, .

.,

– .

5. , , , , –

, , ,, , , , ,

: ,, / .

,.

Page 183: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

______________________________________________________________________

11

.

( , ), –

.

, ,,

- – “ ” .

(6 ):

,.

.

, ,, , , ,

.

1.

,, .

, -. ,

, 3

Page 184: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

______________________________________________________________________

12

, ., , , ,

, ,.

400 (0,4 ),

.

2.

.

..

– ,

. ,

.

, . ( ,, )

., ,

, , ( . , ,

, , ).,

,, .

Page 185: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

______________________________________________________________________

13

,, .

, ,.

, :

.

3.

., .

, ,, .

4.

,.

, :.

, ,, , ,

. , ,,

.

Page 186: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

______________________________________________________________________

14

?

. ,

.

?

: 6–8 ., , ,

, . ,.

, .

,.

1.

. – .

. 3 ,

.

2.

Page 187: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

______________________________________________________________________

15

..

,, ,

.

:.

!

3.

.,

,.

3–4 .

, ,, ,

.

4.

., - ,

.

Page 188: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

______________________________________________________________________

16

?

10–12,5 .

4- 1,5–2 .

, , 1 3 .

,,

. ,,

( ). , “ ” “ ”.

. , .

,.

, – !

,

1.

70% ,: 9–10 . , 4-

,. , :

Page 189: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

______________________________________________________________________

17

�� ( 2 )

�� ,

�� ,, , , ,

�� .

2.

- .

:

�� ,(6–8 )

�� , ( , ,

,, )

,.

, ,.

3.

,.

– 30–50% .

, :

Page 190: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

______________________________________________________________________

18

�� ,, –

,

�� ,

( , , ,. .)

��

�� ,,

�� , ,

�� ,.

,.

.

, .

:

�� – ;,

,;

�� (

Page 191: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

______________________________________________________________________

19

),

,;

�� ,,

;�� ,

;��

6 ,,

( , 6

– , !);

��

;,

;��

;, ;

�� , –

.

, (

: http://www.who.dk/Nutrition/main.htm).

Page 192: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

______________________________________________________________________

20

3–4 ,. – ,

,.

– .

, .

:

�� ,

;��

, -;

��

,

;�� –

;��

– ,

(, );

��

, (

Page 193: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

______________________________________________________________________

21

).

,.

:

�� : ,;

��

;�� ,

( ) ;��

; ,;

,;

� ,

;;

� ;� ,

,;

();

Page 194: A > H J H < : Y I B S : B @ ? G S B G B B O K ? F ? C · PDF file? < j h i ? c k d h ? j ? = b h g : e v g h ? ; x j h _____ j ? = b h g : e v g h ? ; x j h x g b k ? n @ _ g _ \ z

______________________________________________________________________

22

� ,

, ;� ;� ,

;� ,

:– ,

,

.