The Effectiveness of Na Education Program in Elementary School - Six Month Follow-up Study -

초등학생 Na 교육 효과에 관한 연구 - 사전, 사후, 추후 검증을 통한 교육효과 비교 -

  • Lee, Young-Mee (Department of Food and Nutrition, Kyungwon University) ;
  • Park, Hyun-Nae (Department of Food and Nutrition, Kyungwon University)
  • 이영미 (경원대학교 생활과학대학 식품영양학과) ;
  • 박현내 (경원대학교 생활과학대학 식품영양학과)
  • Received : 2010.08.04
  • Accepted : 2010.10.04
  • Published : 2010.10.31

Abstract

Nutrition education in elementary school is confronted with the present problem, as a legal basis about obligation of nutrition education in school was clarified. Moreover, it's also important for providing evidence based scientific resources to make a study of evaluating the education effectiveness. Most studies of the nutrition education effectiveness have evaluated the changing dietary attitude and nutritional knowledge score before and after the nutrition education, and suggested the effectiveness of intervention as changing between pre- and post-treatment. Nutrition education, however, purposing long-term changes, follow-up evaluation process about the learned attitude and knowledge of nutrition education were requested. For these reasons, this study attempted to fulfilled standardized nutrition education program which use "Na Story and Food World" and "Na Story for Me", a textbook for the 1st-3rd grade and 4th-6th grade designed by KFDA, and analyzed the changes about the effectiveness of nutrition education happened over a period of time. In this study, each student was assessed their dietary attitude and nutritional knowledge by four periods, before the education, right after the education, after 3 months, and after 6 months. As a result, an average score of nutritional knowledge before the education, $70.08{\pm}17.91$, were changed significantly higher right after the education to $85.69{\pm}15.05$ (p < 0.001), but it lowered to $84{\pm}15.56$ after 3 month. After the nutrition education, students in all grades had positive dietary attitude to Na reduction (p < 0.001). However, the healthy eating attitude about Na reduction had been unable to maintain after 3 and 6 months. Therefore, the systematic reeducated program in elementary school was positively necessary to reinforce children's learning and cognitive skills to maintain healthy eating knowledge and attitude toward Na reduction.

Keywords

References

  1. Ahn Y, Ko SY, Kim KW (2009): Evaluation of a nutrition education program for elementary school children. Korean J Community Nutr 14(3): 266-276
  2. Cho WK, Lee JM (1991): The study on the tendency of consumption in some processed convenient food according to household income levels. Korean J Food Cookery Sci 7(2): 51-74
  3. Jang SO, Lee OH, Lee KS(2008): Intake of processed foods and the effects of nutrition label education in 5th grade children. J Korean Diet Assoc 14(2): 166-175
  4. Jung YY, Shin EK, Lee HJ, Lee NH, Chun BY, Ann MY, Lee YK (2009): Development and evaluation of a nutrition education program on sodium reduction in elementary school students. Korean J Community Nutr 14(6): 746-755
  5. Kang YH, Yang IS, Kim HY, Lee HY (2004): Effectiveness of webbased nutritional education program for junior and senior high school students. Korean J Nutr 37(7): 576-584
  6. Kim HK (1999): Nutritional status and food preference of school children in Ulsan. Korean J Community Nutr 4(3): 345-355
  7. Kim JM, Lee JW, Lee HS, Jang NS (2009b): The relationship between nutrition knowledge scores and dietary behavior, dietary intakes and anthropometric parameters among primary school children participating in a nutrition education program. Korean J Nutr 42(4): 338-349 https://doi.org/10.4163/kjn.2009.42.4.338
  8. Kim KW, Kang HJ, Shin EM (2009a): Evaluation of nutrition education for diabetes mellitus mangement of older adult. Korean J Community Nutr 14(6): 734-745
  9. Kim KW, Jeong NY (2009): Nutrition knowledge and eating behaviors of elementary school children in Seoul. Korean J Community Nutr 14(1): 55-66
  10. Kim SB, Choi HJ (2008): Effects of nutrition using food exchange system: changes in elementary students' nutrition knowledge, dietary attitude and nutrients intake. Korean J Community Nutr 13(6): 922-933
  11. Korea Centers for Disease Control and Prevention (2008): Korean National Health and Nutritional Examination Survey
  12. Kumanyika SK, Cook NR, Culter JA, Belden L, Brewer A, Cohen JD, Hebert PR, Lasser VI, Raines J, Raczynski J, Shepek L, Diller L, Whelton PK, Yamamoto M (2005): Sodium reduction for hypertension prevention in overweight adult: further results from the trials of hypertension prevention phase II. J Hum Hypertens 19(1): 33-45 https://doi.org/10.1038/sj.jhh.1001774
  13. Lee GY (1986): Dietary guidelines for Korean. Korean J Nutr 19(2): 81-105
  14. Lee JY, Lee SY (2004): A comparative study on nutrition knowledge, eating bebavior and nutrient intake for students at elementary schools with and without nutrition education program. J East Asian Soc Dietary Life 14(6): 561-570
  15. Lee SS (2001): The effect of taste preference on anthropometric measurement and nutrient intakes in children. Korean J Community Nutr 6(2): 130-138
  16. Lee SS, Oh SH (1997): Prevalence of obesity and eating habits of elementary school students in Kwangju. Korean J Community Nutr 2(4): 486-495
  17. Lee YJ, Kim GM, Chang KJ (2000): The analysis of effect an nutrition education of elementary school children, Inchon. J Korean Diet Assoc 6(2): 86-96
  18. Lee YK, Jung YY, Shin YK, Lee HJ, Lee NH, Chun BY, Ann MY (2009): Development and evaluation of a nutrition education program on sodium reduction in elementary school students. Korean J Community Nutr 14(6): 746-755
  19. Lee YK, Shin EK, Lee HJ, Jun SY, Park EJ, Jung YY, Ahn MY (2008): Development and evaluation of nutrition education program for sodium reduction in foodservice operations. Korean J Community Nutr 13(2): 216-277
  20. Lee YM (2006): Eating trends in Korean children. Korean J Community Nutr 11(6): 819-835
  21. Lee YM, Lee MJ, Kim SY (2005): Effects of nutrition education through discretional activities in elementary school. J Korean Diet Assoc 11(3): 331-340
  22. Lee YM, Oh YJ, Park HN, Park SS (2009): Development of teacher's guidebook for 'Na' reduction. Proceeding of 40th Annual conference of KDA, p. 275
  23. Lee YM, Oh YJ, Park SS, Park HN, Kim JA (2009): Development and evaluation of Na reduction program for primary school students. Annual Nutrition Metabolism. IUNS 55(S1): 375
  24. Lee YM, Park HN (2009): Students satisfaction with nutrition education - sugar, sodium, transfat. Proceeding of 48th Annual Conference of KSFC, p. 91
  25. Moon HK, Park Y, Park JH (2008): Evaluation of a nutrition education program for 5th grade students provided by community health centers in the Seoul metropolitan area. J Korean Diet Assoc 14(3): 269-275
  26. Morino T, Langford HG (1978): Salivary sodium correlates with salt recognition threshold. Physiol Behav 21(1): 45-48 https://doi.org/10.1016/0031-9384(78)90275-5
  27. Obarzanek E, Proschan MA, Vollmer WM, Moore TJ, Sacks FM, Appel LJ, Svetkey LP, Most-Windhauser MM, Cutler JA (2003): Individual blood pressure responses to changes in salt intake. Results from the DASH-sodium trial. Hypertension 42(4): 459-467 https://doi.org/10.1161/01.HYP.0000091267.39066.72