Journal List > Korean J Community Nutr > v.16(2) > 1038289

Kang and Ryu: A Study of the Sustainability of NutriPlus Program Effect - in Pohang Area -

Abstract

This study was conducted to investigate the effect of the NutriPlus+ Program and to observe how the improved statuses were maintained after the program's termination. The subjects were infants and their parents, who have participated in the NutriPlus+ Program conducted by South Healthcare Center in Po-hang for longer than six months, during the period 2007 - 2010. The survey was conducted with questionnaires, and scores were tabulated from each question. After the intervention of the program, scores representing degrees of nutrition knowledge and nutrition attitude increased. The rate of nutritional risk by anthropometric measurement decreased, and the prevalence rate of anemia was significantly decreased as well. The number of subjects lacking any nutrients, except for iron and vitamin C, decreased, which indicates that the NutriPlus+ Program was effective. After enough time had passed after the intervention's completion; however, the scores of nutrition knowledge and nutrition attitude decreased. The number of subjects with low height and weight (proportional to their age) relatively decreased, and the prevalence rate of anemia increased slightly. The number of subjects lacking in energy and calcium consumption increased as well, which indicates that the effect of the NutriPlus+ Program was not maintained after the program's termination.

Figures and Tables

Table 1
The general characteristics of children
kjcn-16-206-i001

1) N (%)

2) Mean ± SD

Table 2
Changes in parents'/guardians' nutrition knowledge score
kjcn-16-206-i002

1) Knowledge about nutritional (0~1) : Correct answer 1, wrong answer 0

2) Mean ± SD

3) *: p < 0.05, **: p < 0.01, ***: p < 0.001 by tests of within-subjects effects

Table 3
Changes in parents'/guardians' nutrition attitude score
kjcn-16-206-i003

1) Ranges (1~6): 6-piont Likert type (high score denote strong agreement)

2) Mean ± SD

3) **: p < 0.01, ***: p < 0.001 by tests of within-subjects effects

Table 4
Changes on the growth of children
kjcn-16-206-i004

1) N (%)

2) **: p < 0.01 by chi-square test

Table 5
Changes in anemia prevalence and hemoglobin concentration
kjcn-16-206-i005

1) N (%)

2) Hemoglobin (Hb) concentration

3) ***: p < 0.001 by chi-square test

4) ***: p < 0.001 by tests of within-subjects effects

Table 6
Changes of nutrient intakes
kjcn-16-206-i006

1) Normal: over 75% of EER or over EAR (KDRIs, 2005)

2) Deficiency: under 75% of EER or under EAR (KDRIs, 2005)

3) N (%)

4) *: p < 0.05, **: p < 0.01, ***: p < 0.001 by chi-square test

Notes

This work was supported for two years by Pusan National University Research Grant

References

1. Ahn HS, Lim HJ. Articles / Analysis of factors associated with the preschool children's nutrition awareness - 1. assessment of the nutrition awareness and involvement in food-related activities -. J Korean Soc Diet Cult. 1994. 9(3):311–321.
2. An JB. Public policy measures in the era of population aging. International Trade Business Institute Review. 2010. 1–110.
3. Brush KH, Woolcott DM, Kawash GF. Evaluation of an affective-based adult nutrition education program. J Nutr Educ. 1986. 18(6):258–264.
4. Centers for Disease Control. Nutrition section CDC analysis of nutritional indices for selected WIC participants. 1978. Atlanta: GA Centers for Disease Control.
5. Choi MJ, Yoon JS. 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.
6. Choi MS. Effects of nutrition education and exercise intervention on health and diet quality of middle-aged women. Korean J Nutr. 2009. 42(1):48–58.
7. Collins T, Leeper J, Northrup RS, Demeillier S. Integration of WIC program with other infant mortality programs. Final Report Appalachian Region Commission Report. 1981. Tuscaloosa, AL: University of Alabama.
8. Edozien JC, Switzer BR, Bryan RB. Medical evaluation of the special supplemental food program for women, infants, and children. Am J Clin Nutr. 1979. 32(3):677–692.
9. Hammond GK, Barr SI, McCargar LJ. Teacher's perception and use of an innovative early childhood nutrition education program. J Nutr Educ. 1994. 26(5):233–237.
10. Han HK, Lee YR. A study on factors impacting on the mental health level of the elderly people living alone. J Korean Gerontol Soc. 2009. 29(3):805–822.
11. Heaney RP, Abrams S, Dawson-Hughes B, Looker A, Marcus R, Matkovic V, Weaver C. Peak bone mass. Osteoporos Int. 2000. 11(12):985–1009.
12. Kang MH, Song EJ, Park OJ. Effect of nutrition education program on nutrition behavior of housewives in a low-lncome urban area. Korean J Nutr. 1992. 25(2):162–178.
13. Kennedy ET, Gershoff S. Effect of WIC supplemental feeding on hemoglobin and hematocrit of prenatal patients. J Am Diet Assoc. 1982. 80(3):227–230.
14. Kennedy ET, Gershoff S, Reed R, Austin JE. Evaluation of the effect of WIC supplemental feeding on birth weight. J Am Diet Assoc. 1982. 80(3):220–227.
15. KHIDI. Woman, Infants and children supplemental nutrition program. 2005.
16. Kim JS, Park MS, Jo YS, Lee JW. Effects of school-based nutrition education for Korean food guide on food intake frequency of adolescents. Korean J Community Nutr. 2005. 10(5):582–591.
17. Kim KA, Shim YH. Cognitive performance and hyperactivity in terms of eating behavior and physical growth among preschools-I. A survey on eating behavior of preschoolers-. J Korean Soc Diet Cult. 1995. 10(4):255–268.
18. Kim MY, Han SY, Jeong JH, Kim SH, Lee JK, Park ES, Zhang XH, Seo JS. Effectiveness of nutrition-exercise education program on weight control of adult women. Korean J Community Nutr. 2009. 14(2):168–174.
19. Kim SH, Kim SH, Shim CS. The effect and retention of CPR training in nursing students. J Korean Soc Emerg Med. 2007. 18(6):496–502.
20. Kwon KU. A study on the improvement direction of the education and care policies for early childhood of poverty homes. J Educ Adm. 2005. 23(1):281–306.
21. Ritchie LD, Whaley SE, Spector Phil, Gomez Judy, Crawford PB. Favorable impact of nutrition education on California WIC families. J Nutr Educ Behav. 2010. 42(3):S2–S10.
22. Ministry for Health & Welfare. The guiduidence of nutriplus+ program for women, infants and children. 2009.
23. Ministry for Health & Welfare. The guiduidence of nutriplus+ program for women, infants and children. 2010.
24. Ministry for Health & Welfare. The guiduidence of nutriplus+ program for women, infants and children. 2011.
25. Moon SJ, Lee MH. An effect of children's food attitude on nutritional status and personality. Korean J Nutr. 1987. 20(4):258–271.
26. Newell GK, Fox HM, Brewer WD, Jonson NE. Straetegies to improve nutrition knowledge and food behavior of mothers. J Nutr Educ. 1985. 17(1):10–14.
27. Park OJ, Lee MJ, Kim JH, Min SH, Lee HS. 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-. Korean J Community Nutr. 2009. 14(6):767–776.
28. Park YH, Kim HH, Shin KH, Shin EK, Bae IS, Lee YK. A survey on practice of nutrition education and perception for implementing nutrition education by nutrition teacher in elementary schools. Korean J Nutr. 2006. 39(4):403–416.
29. Paige D. Evaluation of the WIC program in infants on the Eastern Shore of Maryland. 1983. Baltimore, MD: Report to the Maryland State Health Department.
30. Pelto JM. Results of a nutrition intervention program: the WIC program in Alaska. Alaska Med. 1982. 24(2):14–17.
31. Ritchie LD, Whaley SE, Spector Phil, Gomez Judy, Crawford PB. Favorable impact of nutrition education on California WIC families. J Nutr Educ Behav. 2010. 42(3):S2–S10.
32. Rosander K, Sims LS. Measuring effects of an affective-based nutrition education intervention. J Nutr Educ. 1981. 13(3):102–105.
33. Rush D, Sloan NL, Leighton J, Alvir JM, Horvitz DG, Seaver WB, Garbowski GC, Johnson SS, Kulka RA, Holt M. The national WIC evaluation: evaluation of the special supplemental food program for women, infants, and children. V. Longitudinal study of pregnant women. Am J Clin Nutr. 1988. 48:2 Suppl. 439–483.
34. Rye J, White M, Majchrzak M. Intervention outcomes in Arizona's W1C program, July 1976 through March 1977. 1978. Pima County, Tucson, AR: Unpublished report.
35. Schelzel O, Britton MA. An assessment of the WIC program in Pennsylvania. 1978. Pennsylvania Health Department;Unpublished report.
36. Sekhobo JP, Edmunds LS, Reynolds DK, Dalenius K, Sharma A. Trends in prevalence of obesity and overweight amongchildren enrolled in the New York State WIC program, 2002-2007. Public Health Rep. 2010. 125(2):218–224.
37. Sin EK, Lee YK. Evaluation of food and nutrient intake of preschool children in day-care centers. J Korean Soc Food Sci Nutr. 2005. 34(7):1008–1017.
38. Smith EL, Gilligan C, Smith PE, Sempos CT. Calcium supplementation and bone loss in middle-aged woman. Am J Clin Nutr. 1989. 50(4):833–842.
39. Son JY, Park YH, Park MH, Son ES, Park JY, Kim SH. The effects of multimedia educational program on knowledge and behaviors of preschool children in preventing respiratory disorders. J Korean Clin Nurs Res. 2008. 14(1):173–185.
40. Välimäki MJ, Karkkainen M, Kamberg-Allardt C, Kaitinen L, Alhava E, Heikkinen J, Impivaara O, Makela P, Palmgren J, Seppanen R. Exercise, smoking and calcium intake during adolescence and early adulthood as determinants of peak bone mass. BMJ. 1994. 309(6949):230–235.
41. Vazquez-Seoane P, Windom R, Pearson HA. Disappearance of iron-deficiency anemia in a high-risk infant population given supplemental iron. N Engl J Med. 1985. 313(19):l239–l240.
42. Welten DC, Kemper HC, Post GB, Van Mechelen W, Twisk J, Lips P, Teule GJ. Weight-bearing activity during youth is a more important factor for peak bonr mass than calcium intake. J Bone Miner Res. 1994. 9(7):1089–1096.
43. Wright DE, Radiclife J. Parents perceptions of influences on food behavior development of children attending day care facilities. J Nutr Educ. 1992. 24(4):198–201.
44. Weiler PG, Stalker HP, Jennings SW, Fister WT. Anemia as a criterion for evaluation of a special supplemental food program for women, infants, and children. Pediatrics. 1979. 63(4):584–590.
45. Yim KS. The effects of a nutrition education program for hypertensive female elderly at the public health center. Korean J Community Nutr. 2008. 13(5):640–652.
TOOLS
Similar articles