DOI QR코드

DOI QR Code

Evaluation of dietary behavior and investigation of the affecting factors among preschoolers in Busan and Gyeongnam area using nutrition quotient for preschoolers (NQ-P)

미취학 아동 대상 영양지수 (nutrition quotient for preschoolers, NQ-P)를 이용한 부산·경남지역 미취학 아동의 식행동 평가 및 영향요인 규명

  • Kim, Soo-Youn (Department of Food & Nutrition, Institute of Symbiotic Life-TECH, College of Human Ecology, Yonsei University) ;
  • Cha, Sung-Mi (Department of Foodservice Industry, Hanyang Women's University)
  • 김수연 (연세대학교 식품영양학과 심바이오라이프텍 연구원) ;
  • 차성미 (한양여자대학교 외식산업과)
  • Received : 2020.07.30
  • Accepted : 2020.11.16
  • Published : 2020.12.31

Abstract

Purpose: This study was conducted to evaluate the dietary behaviors of preschool children using the nutrition quotient for preschoolers (NQ-P) and investigate factors that influence NQ-P in preschool children. Methods: Subjects were 214 parents with children aged 3-5 years residing in Busan and Gyeongnam, Korea. The survey was conducted from March to April, 2019 using a questionnaire that included demographic characteristics, the NQ-P questions, and health consciousness. All data was statistically analyzed by the SPSS program (Ver 25.0) and the statistical differences in variables were evaluated by the chi-square test, Fisher's exact test, t-test, one-way ANOVA, and Tukey's multiple comparison test. Results: The mean score of NQ-P of the total subjects was 58.28, which was within the medium-low grade. The mean score of 'balance' was 60.08, 'moderation' was 47.64, and 'environment' was 67.83. The analysis of related-factors influencing NQ-P scores showed that there was a significant difference according to the frequency of dining out. The scores of the NQ-P (p < 0.05), moderation (p < 0.001), and environment (p < 0.05) were significantly higher in the 1-2 times per week group compare to 3-4 times and 5-6 times per week group. The scores of NQ-P (p < 0.01), environment (p < 0.01) were significantly higher in the high group of parents' health consciousness compared to the those with low health consciousness. Conclusion: According to the results of the evaluation by NQ-P, the dietary behaviors of preschool children residing in Busan and Gyeongnam need to be improved and monitored. For improving their eating behavior and nutritional health status, preschool children and their parents need proper nutrition education programs.

부산·경남지역 만 3-5세의 미취학 아동을 대상으로 NQ-P (균형, 절제, 환경)를 이용한 식행동 평가 및 식행동에 영향을 줄 수 있는 요인을 파악한 결과를 요약하면 다음과 같다. 부산과 경남지역에 거주하는 214명의 미취학 아동의 부모를 대상으로 미취학 아동의 식품 섭취 빈도를 살펴본 결과, 균형 영역에서 성별에 따른 채소류 섭취 (p < 0.01), 비만도에 따른 육류와 생선류 섭취 (p < 0.05)에 유의한 차이가 있었다. 환경 영역에 해당하는 문항별 성별, 연령, 지역, 비만도에 따른 유의한 차이는 없었으나, 절제 영역에서 가공육 섭취빈도에서 성별에 따른 섭취빈도에 유의한 차이가 있었다 (p < 0.05). 부산·경남지역의 미취학 아동의 NQ-P 점수는 영양지수 평균 점수는 58.28점으로, 하위 3개 요인 중 균형요인은 60.08점, 절제요인은 47.64점, 환경요인이 67.83점으로 등급별 기준에 의해 총점과 영역별 점수 모두 '중하' 등급이었다. NQ-P 점수는 절제영역에서 남아 44.54점, 여아 50.79점으로 여아가 유의적으로 높았다 (p < 0.01). 외식횟수에 의해서도 점수의 차이가 있었는데, 외식횟수가 높은 경우에 NQ-P 총점 (p < 0.05), 절제 (p < 0.001), 환경 (p < 0.05) 요인의 점수가 낮은 것으로 분석되었다. 부모의 건강관심도가 높은 그룹에서 NQ-P 총점, 환경요인 점수가 유의하게 높았고 (p < 0.01), NQ-P 총점에 따라서도 균형, 절제, 환경 영역에서 점수차이가 유의한 것으로 나타났다 (p < 0.001). 이상의 결과를 통해 부산·경남지역의 미취학 아동의 식습관은 '중하'에 속하여 지속적으로 식습관 개선을 위한 교육 및 모니터링이 필요한 것으로 나타났다. 또한, 미취학 아동의 식행동이 성별, 외식횟수, 부모의 건강관심도에 따라 차이가 있는 것으로 나타나, 영향요인을 고려하여 보호자 및 미취학 아동 대상 영양교육 프로그램을 개발하는 것이 필요할 것으로 사료된다.

Keywords

Acknowledgement

This work was supported by the National Research Foundation of Korea (NRF) and the Center for Women In Science, Engineering and Technology (WISET) Grant funded by the Ministry of Science and ICT (MSIT) under the Program for Returners into R&D (WISET 2018-814).

References

  1. Seo SJ, Shin HS. A study on eating behavior, developmental outcomes of young children, and nutritional attitude and knowledge levels of mothers. J East Asian Soc Diet Life 2009; 19(6): 839-845.
  2. Lee JS, Kang MH, Kwak TK, Chung HR, Kwon S, Kim HY, et al. Development of nutrition quotient for Korean preschoolers (NQ-P): Item selection and validation of factor structure. J Nutr Health 2016; 49(5): 378-394. https://doi.org/10.4163/jnh.2016.49.5.378
  3. Kim EK, Song B, Ju SY. Dietary status of young children in Korea based on the data of 2013-2015 Korea National Health and Nutrition Examination Survey. J Nutr Health 2018; 51(4): 330-339. https://doi.org/10.4163/jnh.2018.51.4.330
  4. Sim HM, Han YS, Lee KA. Analysis of the types of eating behavior affecting the nutrition of preschool children: using the Dietary Behavior Test (DBT) and the Nutrition Quotient (NQ). J Nutr Health 2019; 52(6): 604-617. https://doi.org/10.4163/jnh.2019.52.6.604
  5. Ministry of Health and Welfare. Korea Health Statistics 2018: Korean National Health and Nutrition Examination Survey (KNHSNES VII-3) [Internet]. Cheongju: Korea Centers for Disease Control and Prevention; 2018 [cited 2020 Apr 30]. Available from: https://knhanes.cdc.go.kr/knhanes.
  6. Choi MJ, Yoon J. The effect of eating habits and nutrient intake on the physical growth indices in preschool children. Korean J Community Nutr 2003; 8(1): 3-14.
  7. Kim JH, Jung YH. Evaluation of food behavior and nutritional status of preschool children in Nowon-gu of Seoul by using nutrition quotient (NQ). Korean J Community Nutr 2014; 19(1): 1-11. https://doi.org/10.5720/kjcn.2014.19.1.1
  8. Lee HJ, Kim JH, Song S. Assessment of dietary behaviors among preschoolers in Daejeon: using Nutrition Quotient for Preschoolers (NQ-P). J Nutr Health 2019; 52(2): 194-205. https://doi.org/10.4163/jnh.2019.52.2.194
  9. Randall Simpson J, Gumbley J, Whyte K, Lac J, Morra C, Rysdale L, et al. Development, reliability, and validity testing of Toddler NutriSTEP: a nutrition risk screening questionnaire for children 18-35 months of age. Appl Physiol Nutr Metab 2015; 40(9): 877-886. https://doi.org/10.1139/apnm-2015-0048
  10. Randall Simpson JA, Keller HH, Rysdale LA, Beyers JE. Nutrition Screening Tool for Every Preschooler (NutriSTEP): validation and test-retest reliability of a parent-administered questionnaire assessing nutrition risk of preschoolers. Eur J Clin Nutr 2008; 62(6): 770-780. https://doi.org/10.1038/sj.ejcn.1602780
  11. Manios Y, Kourlaba G, Grammatikaki E, Androutsos O, Moschonis G, Roma-Giannikou E. Development of a diet-lifestyle quality index for young children and its relation to obesity: the Preschoolers DietLifestyle Index. Public Health Nutr 2010; 13(12): 2000-2009. https://doi.org/10.1017/S1368980010000698
  12. Jung YH, Kim JH. Evaluation of Nutrition Quotient and related factors in preschool children. Korean J Community Nutr 2016; 21(1): 1-11. https://doi.org/10.5720/kjcn.2016.21.1.1
  13. Kim EM. Evaluation of dietary behavior of infants and toddlers in Ganghwa county by using Nutrition Quotient (NQ). J East Asian Soc Diet Life 2017; 27(1): 17-28. https://doi.org/10.17495/easdl.2017.2.27.1.17
  14. Kim JM, Song HJ, Ahn YJ. Relationships between obesity and dietary habits of preschool children and their parents in Dongducheon based on the Nutrition Quotient (NQ). Korean J Community Nutr 2018; 23(3): 216-225. https://doi.org/10.5720/kjcn.2018.23.3.216
  15. Min SH. Evaluation of dietary behavior among preschooler in Jecheon area using nutrition quotient for preschoolers. Korean J Food Cookery Sci 2018; 34(4): 413-423. https://doi.org/10.9724/kfcs.2018.34.4.413
  16. Yang EJ. Dietary behaviors of preschool children and food allergy prevalence of preschool childcare facilities in Gwangsan-gu, Gwangju metropolitan city. J Korean Soc Food Cult 2020; 35(1): 97-106. https://doi.org/10.7318/KJFC/2020.35.1.97
  17. Parraga IM. Determinants of food consumption. J Am Diet Assoc 1990; 90(5): 661-663.
  18. Wright DE, Radcliffe JD. Parents' perceptions of influences on food behavior development of children attending day care facilities. J Nutr Educ 1992; 24(4): 198-201. https://doi.org/10.1016/s0022-3182(12)81156-3
  19. Johnson SL, Birch LL. Parents' and children's adiposity and eating style. Pediatrics 1994; 94(5): 653-661.
  20. Zuercher JL, Wagstaff DA, Kranz S. Associations of food group and nutrient intake, diet quality, and meal sizes between adults and children in the same household: a cross-sectional analysis of U.S. households. Nutr J 2011; 10(1): 131-142. https://doi.org/10.1186/1475-2891-10-131
  21. Wroten KC, O'Neil CE, Stuff JE, Liu Y, Nicklas TA. Resemblance of dietary intakes of snacks, sweets, fruit, and vegetables among mother-child dyads from low income families. Appetite 2012; 59(2): 316-323. https://doi.org/10.1016/j.appet.2012.05.014
  22. Song HH. The Effects of mothers' eating habits and nutritional knowledge on their children's eating habits and obesity. Asian J Child Welf Dev 2013; 11(2): 67-86.
  23. Morrison H, Power TG, Nicklas T, Hughes SO. Exploring the effects of maternal eating patterns on maternal feeding and child eating. Appetite 2013; 63: 77-83. https://doi.org/10.1016/j.appet.2012.12.017
  24. Larsen JK, Hermans RC, Sleddens EF, Engels RC, Fisher JO, Kremers SP. How parental dietary behavior and food parenting practices affect children's dietary behavior. Interacting sources of influence? Appetite 2015; 89: 246-257. https://doi.org/10.1016/j.appet.2015.02.012
  25. Kim YS, Lee HM, Kim JH. Sodium-related eating behaviors of parents and its relationship to eating behaviors of their preschool children. Korean J Community Nutr 2015; 20(1): 11-20. https://doi.org/10.5720/kjcn.2015.20.1.11
  26. Kim SH, Park GS. Survey on actual situation and importance of use of snacks according to young children mother's nutrition knowledge. J East Asian Soc Diet Life 2016; 26(2): 141-151. https://doi.org/10.17495/easdl.2016.4.26.2.141
  27. Kasparian M, Mann G, Serrano EL, Farris AR. Parenting practices toward food and children's behavior: Eating away from home versus at home. Appetite 2017; 114: 194-199. https://doi.org/10.1016/j.appet.2017.03.045
  28. Cha W, Park SH, Jung SJ, Chang KJ. Effects of dietary habits and feeding practices of their parents on dietary habits and food preference of children in Incheon. Foodserv Ind J 2019; 15(3): 31-43. https://doi.org/10.22509/KFSA.2019.15.3.003
  29. Jung HY, Ahn JH. The effects of mother's eating attitude and children's self-regulation on children's eating behavior. J Parent Educ 2019; 11(2): 73-88.
  30. Woo T, Lee KH. Exploring parenting variables associated with sweetness preferences and sweets intake of children. Nutr Res Pract 2019; 13(2): 169-177. https://doi.org/10.4162/nrp.2019.13.2.169
  31. Chun IA, Han MA, Park J, Choi SW, Ryu SY. The association between parental characteristics and dietary habits of early childhood. J Korean Soc Matern Child Health 2013; 17(1): 150-161. https://doi.org/10.21896/JKSMCH.2013.17.1.150
  32. Bazzani C, Capitello R, Ricci EC, Scarpa R, Begalli D. Nutritional knowledge and health consciousness: do they affect consumer wine choices? Evidence from a survey in Italy. Nutrients 2019; 12(1): 84-103. https://doi.org/10.3390/nu12010084
  33. Sameroff AJ, Feil LA. Parental concepts of development. In: Sigel IE, editor. Parental Belief Systems: the Psychological Consequences for Children. Hillsdale (NJ): Lawrence Erlbaum Associates; 1985. p.83-105.
  34. Lee KA. A Comparison of eating and general health practices to the degree of health consciousness in Pusan college students. J Korean Soc Food Sci Nutr 1999; 28(3): 732-746.
  35. Yoo JN, Jeong HS. Consumer awareness of nutrition labelling in restaurants according to level of health consciousness. Korean J Food Nutr 2011; 24(3): 282-290. https://doi.org/10.9799/ksfan.2011.24.3.282
  36. Kim JS. Nutrition labels and the snack purchasing behavior [master's thesis]. Seoul: Kookmin University; 2015.
  37. Ham S, Jeong JY, Kim YS. Relationships among customer attitudes, behavioral intention and healthconsciousness toward menu labeling in restaurants. J Tourism Leis Res 2016; 28(1): 365-384.
  38. Hong H. Scale Development for Measuring Health Consciousness: Re-conceptualization. Paper Presented at the 12th Annual International Public Relations Research Conference, Holiday Inn University of Miami Coral Gables, Florida [Internet]. 2009 [cited 2018 Mar]. Available from: https://www.instituteforpr.org/wp-content/uploads/IPRRC_12_Proceedings.pdf#page=212.
  39. Kim HA. Influences of the parents' food habits and health beliefs on child obesity [master's thesis]. Seoul: Seoul National University; 2000.
  40. Korea Centers for Disease Control and Prevention. 2017 Korean national growth charts for children and adolescents. Cheongju: Korea Centers for Disease Control and Prevention; 2017.
  41. Cho SH, Bae M, Kim HN, Kim WJ, Park MS, Yoon HY, et al. A survey on the intake pattern and consumption propensity of milk by preschool children in the Bucheon area. Korean J Food Nutr 2011; 24(4): 607-616. https://doi.org/10.9799/ksfan.2011.24.4.607
  42. Kim HR. An overview of food safety and nutrition policy for children and tasks ahead. Health Welf Policy Forum 2010; 161: 27-36.
  43. Kang RY, Lee SJ, Ryu HK. Analysis of factors affecting breakfast eating behavior of children in Indonesia: an application of the health belief model. Korean J Community Nutr 2020; 25(1): 1-12. https://doi.org/10.5720/kjcn.2020.25.1.1
  44. Seo JY, Lee IS, Choi BS. Study of food intakes and eating patterns among preschool children in Daegu area-assessment of dietary pattern and dietary diversity. Korean J Community Nutr 2009; 14(5): 521-530.
  45. Lee SS. A study on dietary behavior of children according to the their preferences for fast food. Korean J Community Nutr 2004; 9(2): 204-213.

Cited by

  1. 대전에 거주하는 미취학 아동과 그 어머니의 식행동 및 이들의 관련성: 영양지수를 활용하여 vol.26, pp.1, 2021, https://doi.org/10.5720/kjcn.2021.26.1.12