The Effect of Nutrition Plus Program among 0~5 Year Children in the Yeojoo Area - The Improvement in Nutritional Status of Children after Nutrition Supplement of Children and Nutrition Education in Parents/Guardians -

여주지역 영유아 대상 영양플러스 사업 효과 - 영유아 영양보충 및 보호자 영양교육 실시에 따른 영유아의 영양개선효과를 중심으로 -

  • Park, Ok-Jin (Department of Tourism managemant, College of Yeojoo) ;
  • Lee, Min-June (Research Institute of Food and Nutritional Sciences, Yonsei University) ;
  • Kim, Ji-Hyang (Research Institute of Food and Nutritional Sciences, Yonsei University) ;
  • Min, Sung-Hee (Department of Oriental Medical Food Nutrition, Semyung University) ;
  • Lee, Hyun-Sook (Yeojoo Public Healthcare Center)
  • 박옥진 (여주대학 관광경영과) ;
  • 이민준 (연세대학교 식품영양과학연구소) ;
  • 김지향 (연세대학교 식품영양과학연구소) ;
  • 민성희 (세명대학교 한방식품영양학과) ;
  • 이현숙 (여주군 보건소)
  • Published : 2009.12.31

Abstract

This study evaluated the effect of nutritional improvement of 0~5 year children of financially poor families after nutrition supplement of children and nutrition education in parents/guardians. The subject selected among applicants for low-income family financing of the government included 198 children (0~12 months:92, 1~5 years:106), and the average ages were 5.3 months and 2.4 years respectively. Food that includes each nutrient factor was provided to the subject for six months. Nutrition education was performed in two ways, through class and private education, once a month for both. Nutritional improvement was evaluated by body measurement and anemia prevalence rate. As to the survey on breast-feeding, complete breast-feeding accounted for 58.7%, weaning food 27.3%, and combined feeding 14.1% respectively, which shows that breast-feeding accounted for the largest percentage. The education program improved knowledge and attitude of the parents/guardians, which brings in positive effects on growth of children as well. The nutrition knowledge score was improved after nutrition education in 0~12 month children $(8.5\pm1.75\;to\;8.9\pm1.69)$ and 1~5 year children $(7.3\pm1.39\;to\;7.8\pm1.30)$. The nutrition attitude score was significantly improved in 0~12month children $(52.0\pm6.99$ to $53.5\pm5.21$, p < 0.001) and 1~5year children ($45.1\pm7.30$ to $49.0\pm5.96$, p < 0.001). In evaluation on nutritional improvement based on body measurements, it turned out that the wasting was reduced as for children in consideration of the height and weight according to the subject's age. The concentration of hemoglobin after the nutrient treatment for six months was significantly improved, and the anemia prevalence rate as well was reduced from 40.6% to 13.5%, which indicates the significant improvement. Based on the findings above, it turned out that providing quality food to children and nutrition education to the parents/guardians poorly fed in low-income families improved knowledge and attitude of the guardians and prevents anemia and improves growth, which brings in positive effects on growth of children. In the results regarding attitude and knowledge on nutrient/dietary life; however, the improvement level was relatively low when the extent before the education was too small, which indicates the need to revise and complement the contents and methods. In addition, as shown in the result of body measurement, long-term and consistent investigation is necessary since it is difficult to judge the effect on growth only based on short-term nutrient supplement.

Keywords

References

  1. Ahn HS, Kim MY (2003): Effect of the nutrition education for infant feeding on mother's knowledge, attitude, practice of weaning. Korean J Food Culture 18(4): 320-332
  2. Bruening KS, Gilbridge JA, Passannante MR, McClowry S. (1999):Dietary intake and health outcomes among young children attending 2 urban day care center. JADA 99:1529-1535 https://doi.org/10.1016/S0002-8223(99)00375-2
  3. Byun SJ, Han KJ, Lee JH (1994): A study on type feeding and attitude of mothers to breast feeding. Korean J Women Health Nurs 4(1): 52-67
  4. Hyun TS, Kim KM, Kang NM, Lim EY (2002): The economic benefits of breasting. Korean J Community Nutr 7(6): 863-871
  5. Hyun TS, Kim KM, Kang NM, Lim EY (2001): Prenatal breastfeeding education and infant feeding practices in public health centers and baby-friendly hospitals. Korean J Community Nutr 6(4): 678-685
  6. Joung HJ, Lee NH, Choi YS, Cho SH (2000): Baseline Dietary behaviors of children for nutritional management program at child care center in Korea. Korean J Nutr 33(8):890-900
  7. Kangdong Gu Health Center (2007): Maternal and infant Care Program
  8. Kang MH, Song EJ, Lee MS, Park OJ (1992): Effect of nutrition education program on nutrition behavior of housewives in a lowincome urban area. Korean J Nutr 25(2): 162-178
  9. Kang SA, Shin HJ, Lim YH, Kim KY, Woo YH, Jun YH, Kim SK (2005): A study of mother's nutritional knowledge on weaning of breast -fed infants, the age of 6 months. Korean J Community Nutr 10(4): 453-461
  10. Kim KR, Hong SA, Kim MK (2008): Nutritional status and food insufficiency of Korean population through the the life-course by education level. Korean J Nutr 41(7): 667-681
  11. Kwon JY, Park HR, Whang EM (2001): The assement of dietary quality in toddler of 12~36 months. Korean J Nutr 34(2): 176-187
  12. Lee JH, Byun SJ, Han KJ (1994): Related factors of breast feeding and mother's educational need. Nurs Science 6: 76-85
  13. Lee JM, Park HJ (2005): Effects of supplementary on iron status development in infants. Korean J Nutr 38(3): 226-231
  14. Ministry of Health & Welfare (2008): 2008 Maternal and infant Care Program
  15. Ministry for Health & Welfare (2007): Korea Health Industry development Institutes. Korea National Health & Nutrition Examination Survey The 4th
  16. Newell GF, Fod HM, Brewer WD, Johnson NE (1985): Strategies to improve nutrition knowledge and food behavior of mothers. J Nutr Ed 17(1): 10-14 https://doi.org/10.1016/S0022-3182(85)80012-1
  17. Owen AL, Owen GM. Twenty years of WIC (1997): A review of dome effects of the program. J Am Diet Assoc 97: 777-782 https://doi.org/10.1016/S0002-8223(97)00191-0
  18. Park CM, Kim KC, Lee JR, Kim HJ (2000): Study on the Actual State of Breast - feeding - Centering Sungju-gun. Kyongbuk, J Korean Society for health education promotion 17(1): 61-79
  19. Rosander K, Sims LS (1981): Measuring effects of an affective-based nutrition education intervention. J Nutr Ed 13: 102 https://doi.org/10.1016/S0022-3182(81)80047-7
  20. Ross JK (1984): Nutrition attitude and knowledge of nursing students. J Am Diet Assn 84(6): 687-688
  21. Sheila A, Puente CA (1985): Saving achieved by giving WIC benefits to women prenatally. Public Health Rep 110(1): 27-34
  22. Swanson JC (1972): Second thoughts on knowledge and attitudes effects upon behavior. J School Health 42: 363 https://doi.org/10.1111/j.1746-1561.1972.tb07105.x
  23. The Korean Pediatric Society (1995): The Korea Young Child Growth Standard
  24. USDA (2001): WIC Nutrition Services Standards, USDA
  25. Yu KH (2005): A study on the iron nutritional status with biochemical parameters in preschool children. Korean J Nutr 38(7): 533-543
  26. Yoon JJ, Kim ID (1970): A study on the feeding type and nutritional statys in Korean infant. Korean J Nutr 3: 65-80
  27. Yoon JW, Park YJ (2008): Effects of a breast feeding promotion for working women. J Korean Acad Nurs 38(6): 843-852 https://doi.org/10.4040/jkan.2008.38.6.843