DOI QR코드

DOI QR Code

Comparison of Perception and Practice Levels of Dietary Life in Elementary School Children according to Gender and Obesity Status

초등학교 어린이의 성별 및 비만도 수준에 따른 식생활인지.실천수준의 비교

  • Received : 2011.11.15
  • Accepted : 2011.12.15
  • Published : 2011.12.31

Abstract

This study was performed to analyze children's perceptions and practice levels according to gender and obesity status using a dietary life safety index. A national survey was conducted on fifth grade children (n = 2,400), who were selected using three-stage stratified cluster sampling from 16 provinces. The average height was 144.8 cm, and weight was 38.8 kg. The average body mass index was 18.4 kg/$m^2$ and underweight, overweight, and obese children were identified using the 2009 KHNANES cutoff values, which were 5.3%, 10%, and 5.9%, respectively. The perception and practice scores for hand-washing prior to eating were high and the score for willing to buy at a clean store was also high. However, students answered that the hygiene level of food stores near the school was poor. More students skipped breakfast than lunch or dinner. The frequency scores for fruit and vegetables were significantly higher for girls than those for boys. Students had a good understanding of nutrition labeling but did not frequently check the label. Seventy-five percent of the students tried to avoid high calorie foods with low nutritional value, but only 40% had the appropriate knowledge about high calorie foods with low nutritional value. Girls had better dietary life perception and practice levels than those of boys. No differences in perception or practice levels were observed based on obesity status. Nutrition education on the importance of eating breakfast and having accurate knowledge on nutrition labeling and high calorie foods with low nutritional value is needed. Behavior-centered education should be implemented to improve the perceptions and practice level of student's dietary life.

Keywords

References

  1. Jang YJ, Lee MS, Na BJ, Kim KY, Bae SH, Kim CW, Kim EY. A study on the knowledge, attitude and practice of handwashing of middle school students. J Korean Soc Health Educ Promot 2007; 24(4): 1-12
  2. Lee H, Choi SM. Hand washing awareness among students in Seoul and antibiotic resistance of staphylococcus aureus isolated on their hands. J Environ Health Sci 2009; 35(4): 278-286
  3. Ministry of Education, Science and Techinology (MEST), Ministry of Health and Welfare, KCDC. 2009 Korea youth health risk behavior web-based survey. Seoul; 2010
  4. Kim K. The survey of school store sale items and awareness of healthy foods, school store using of studnets. Proceedings of the 2008 health school store diffusion plan forum. 2008. Dec 23.: Seoul; 2008
  5. KCDC, Ministry of health and welfare. 2009 Korea national health and nutrition examination survey. Seoul; 2010
  6. Dodor BA, Shelley MC, Hausafus CO. Adolescents' health behaviors and obesity: Dose race affect this epidemic? Nutr Res Pract 2010; 4(6): 528-534 https://doi.org/10.4162/nrp.2010.4.6.528
  7. Francis DK, Van den Broeck J, Younger N, McFarlane S, Rudder K, Gordon-Strachan G, Grant A, Johnson A, Tulloch-Reid M, Wilks R. Fast-food and sweetened beverage consumption: association with overweight and high waist circumference in adolescents. Public Health Nutr 2009; 12(8): 1106-1114 https://doi.org/10.1017/S1368980009004960
  8. Sebastian RS, Wilkinson Enns C, Goldman JD. US adolescents and MyPyramid: Associations between fast-food consumption and lower likelihood of meeting recommendations. J Am Diet Assoc 2009; 109(2): 226-235 https://doi.org/10.1016/j.jada.2008.10.053
  9. Nickelson J, Roseman MG, Forthofer MS. Associations between parental limits, school vending machine purchases, and soft drink consumption among Kentucky middle school students. J Nutr Educ Behav 2010; 42(2): 115-122 https://doi.org/10.1016/j.jneb.2009.02.005
  10. Collison KS, Zaidi MZ, Subhani SN, Al-Rubeaan K, Shoukri M, Al-Mohanna FA. Sugar-sweetened carbonated beverage consumption correlate with BMI, waist circumference, and poor dietary choices in School children. BMC Public Health 2010; 10: 234-247 https://doi.org/10.1186/1471-2458-10-234
  11. Smith KJ, Gall SL, McNaughton SA, Blizzard L, Dwyer T, Venn AJ. Skipping breakfast: longitudinal associations with cardiometabolic risk factors in the childhood determinants of adult health study. Am J Clin Nutr 2010; 92(6): 1316-1325 https://doi.org/10.3945/ajcn.2010.30101
  12. Yi SJ. A study on the contents and legal problems of the children food preference management system under the 'special act on children eating habit safety management'. Korean Comparative Public Law Assoc 2009; 10(4): 327-350
  13. Chung HR, Kwak TK, Choi YS, Kim HYP, Lee JS, Choi JH, Yi NY, Kwon S, Choi YJ, Lee SK, Kang MH. Development of evaluation indicators for a children's dietary life safety index in Korea. Korean J Nutr 2011; 44(1): 49-60 https://doi.org/10.4163/kjn.2011.44.1.49
  14. Kang MH. Production and evaluation of safety index for children's dietary life. KFDA report. Seoul; 2009
  15. http://www.cdc.gov/healthyweight/assessing/bmi/childrens_ bmi/about_childrens_bmi.html
  16. National Youth Police Institute. 2009 study on obesity and policy for children and young people, Seoul; 2010
  17. Ku PJ, Lee KA. A survey on dietary habit and nutritional knowledge for elementary school children's nutritional education. Korean J Diet Cult 2000; 15(3): 201-213
  18. Kim KH. Food habits, eating behaviors and food frequency by gender and among Seoul and other regions in upper-grade elementary school children. Korean J Community Nutr 2010; 15(2): 180-190
  19. Kim MJ, Kim YH. Dietary habits, nutrition knowledge and dietary behaviors of the 3rd grade elementary school students in Ulsan area by sex and skipping breakfast. J East Asian Soc Diet Life 2010; 20(2): 209-217
  20. Yi BS. Comparative analysis on meal and food preference between non-obese and obese elementary school children. Korean J Food Cult 2007; 22(4): 482-491
  21. Bang YM, Kim KY, Lee MS, Na BJ. A study on the related factors of skipping breakfast in elementary students. J Korean Soc Health Educ Promot 2006; 23(3): 17-35
  22. Nam KH, Kim YM, Lee GE, Lee YN, Joung H. Physical development and dietary behaviors of children in low-income families of Seoul area. Korean J Community Nutr 2006; 11(2): 172- 179
  23. Lee S, Ahn HS. Comparison of major dish item and food group consumption between normal and obese children: Application to development of a brief food frequency questionnaire for obesityrelated eating behaviors. Nutr Res Pract 2007; 1(4): 313-320 https://doi.org/10.4162/nrp.2007.1.4.313
  24. Rosenheck R. Fast food consumption and increased caloric intake: a systematic review of a trajectory towards weight gain and obesity risk. Obes Rev 2008; 9(6); 535-547 https://doi.org/10.1111/j.1467-789X.2008.00477.x
  25. Bowman SA, Gortmaker SL, Ebbeling CB, Pereira MA, Ludwig DS. Effects of fast-food consumption on energy intake and diet quality among children in a national household survey. Pediatrics 2004; 113(1 Pt 1): 112-118
  26. Fraseer LK, Edwards KL. The association between the geography of fast food outlets and childhood obesity rates in Leeds, UK. Health Place 2010; 16(6): 1124-1128 https://doi.org/10.1016/j.healthplace.2010.07.003
  27. Chang SO, Lee O, Lee KS. Intake of processed foods and the effects of nutrition label education in 5th grade children. J Korean Diet Assoc 2008; 14(2): 166-175
  28. Yon MY, Han YH, Hyun TS. Dietary habits, food frequency and dietary attitudes by gender and nutrition knowledge level in upper grade school children. Korean J Community Nutr 2008; 13 (3): 307-322
  29. Hyon SM, Kim JW. Improvement of dietary attitudes of elementary students by nutrition labeling education. Korean J Community Nutr 2007; 12(2): 168-177
  30. Park SS. Kim NY, Han MJ. Processed food preferences and food and nutrition labeling perceptions of middle school students. Korean J Food Cookery Sci 2008; 24(2): 164-173
  31. Ko SY, Kim KW. Nutrition label use, self-efficacy, snacking and eating behavior of middle school students in Kyunggi area. Korean J Community Nutr 2010; 15(4): 513-524

Cited by

  1. A study on the perception of nutrition labeling among high school boys based on their weight vol.45, pp.2, 2012, https://doi.org/10.4163/kjn.2012.45.2.150
  2. Selecting items of a food behavior checklist for the development of Nutrition Quotient (NQ) for children vol.45, pp.4, 2012, https://doi.org/10.4163/kjn.2012.45.4.372
  3. Production and evaluation of children's dietary life safety index data on metropolitan cities and provinces in Korea vol.6, pp.6, 2012, https://doi.org/10.4162/nrp.2012.6.6.542
  4. Food insecurity reported by children, but not by mothers, is associated with lower quality of diet and shifts in foods consumed vol.12, pp.3, 2015, https://doi.org/10.1111/mcn.12206
  5. Eating Habits and Food Additive Intakes Are Associated with Emotional States Based on EEG and HRV in Healthy Korean Children and Adolescents vol.36, pp.5, 2017, https://doi.org/10.1080/07315724.2017.1281774
  6. Evaluation of items for the food behavior checklist and nutrition quotient score on children in rural areas of Gyeongbuk vol.46, pp.5, 2013, https://doi.org/10.4163/jnh.2013.46.5.427
  7. 어린이 영양지수로 살펴본 유아와 초등학생의 식행동과 비만 사이의 관련성에 있어서 연령의 차이 vol.49, pp.6, 2011, https://doi.org/10.4163/jnh.2016.49.6.447
  8. 어린이 영양지수 (nutrition quotient)를 이용한 경기 지역 일부 초등학생의 식습관 평가 vol.19, pp.3, 2011, https://doi.org/10.5392/jkca.2019.19.03.494