Journal List > Korean J Community Nutr > v.23(1) > 1038615

TOOLS
Park and Kim: Effects of Nutrition Education Using Dietary Guidebook in Higher Grade Elementary Students of Jeonbuk Area
Research Article

Korean Journal of Community Nutrition 2018; 23(1): 13-27.

Published online: 28 February 2018

DOI: https://doi.org/10.5720/kjcn.2018.23.1.13

Effects of Nutrition Education Using Dietary Guidebook in Higher Grade Elementary Students of Jeonbuk Area

Mi-Ran Park1), Sook-Bae Kim2)

1)Graduate School of Education, Chonbuk National University, Jeonju, Korea.

2)Department of Food Science & Human Nutrition, Research Institute of Human Ecology, Chonbuk National University, Jeonju, Korea.

Corresponding author: Sook-Bae Kim. Chonbuk National University 567, Baekje-daero, Deokjin-gu, Jeonju 54896, Korea. Tel: (063) 270-3823, Fax: (063) 270-3854, sbkim@jbnu.ac.kr

Received 10 February 2018       Revised 20 February 2018       Accepted 20 February 2018

Copyright © 2018 The Korean Society of Community Nutrition

The Korean Society of Community Nutrition

(open-access):

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives

This study was conducted to examine the effects of nutrition education with a dietary guidebook for children on dietary attitude, nutrition knowledge and nutrient intakes.

Methods

The subjects were 54 higher grade elementary students (27 educated vs. 27 non-educated). The educated group was provided individual and/or group lessons (40 min/lesson/week, 4 week) using a dietary guidebook of Children developed by The Korean Society of Community Nutrition (KSCN) & Korean Food and Drug Administration (KFDA). The contents were Balanced Diet, Smart Food Choices, Cooking a Healthy Snack and Building a Healthy Body. We examined the differences in nutrition knowledge, dietary attitudes and dietary intake between the educated group and non-educated group.

Results

After education, the educated group improved dietary attitude, nutrition knowledge and qualitative nutrient intakes compared to the non-educated group. Specifically, among dietary attitudes, ‘taking a meal with salty and spicy food’ increased, while among nutrition knowledge, ‘functions of protein’, ‘functions of fat’, ‘foods with carbohydrates’, ‘foods with fat’, ‘foods with vitamins’, and ‘foods with minerals’ were increased. Nutrition adequacy ratio (NAR) scores for vitamin C, iron, and zinc were increased.

Conclusions

Nutrition education using a dietary guidebook for children developed by the KSCN & KFDA had positive effects on nutrition knowledge and qualitative nutrient intakes. These findings suggest that nutrition education focused on personalized daily energy and nutrient requirements may improve dietary attitude and quantitative nutrient intakes of children.

Keywords: nutrition education, nutrition knowledge, e-book, elementary school student, dietary intake

Figures and Tables

Fig. 1

Dietary guidebook used for nutrition education

kjcn-23-13-g001
Table 1

Contents and tools of nutrition education

kjcn-23-13-i001
Table 2

General characteristics of the subjects

kjcn-23-13-i002

1) N (%)

Table 3

Height, weight and obesity index of the subjects

kjcn-23-13-i003

1) Mean ± S.D

2) Body Mass Index = weight (kg) / height (m2)

< 18.5: under weight, 18.5~22.9: normal, 23~24.9: over weight, ≥25: obese

3) N (%)

NS: Not Significant

Table 4

Effects on dietary attitudes of the subjects

kjcn-23-13-i004

1) Mean ± S.D

*: p<0.05, **: p<0.01 by t-test

(R) denotes a negatively phrased and reversely scored item

NS: Not Significant

Score: seldom, 1; often, 2; frequent, 3; always, 4

2) by ANCOVA test

Table 5

Effects on type and frequency of meal and snack

kjcn-23-13-i005

1) N (%)

*: p<0.05 by chi-square test

NS: Not Significant

Table 6

Effects on nutrition knowledge of the subjects

kjcn-23-13-i006

1) Mean ± S.D

*: p<0.05, **: p<0.01 by t-test

NS: Not Significant

Score: non-corrected, 0; corrected, 1

Table 7

Effects on energy, protein, and fiber intake of the subjects

kjcn-23-13-i007

1) N (%)

EAR: Estimated Average Requirement

EER: Estimated Energy Requirement

RNI: Recommended Nutrient Intake

AI: Adequate Intake

NS: Not Significant

Table 8

Effects on vitamin and mineral intake of the subjects

kjcn-23-13-i008

1) N (%), *: p<0.05 by chi-square test

2) by ANCOVA test

EAR: Estimated Average Requirement

RNI: Recommended Nutrient Intake

UL: Tolerable Upper Intake Level

AI: Adequate Intake

Goal: population nutrient intake goal

NS: Not Significan

Table 9

Effects on NAR and MAR of the subjects

kjcn-23-13-i009

1) NAR: nutrition adequacy ration

2) MAR: mean adequacy ration

3) Mean ± S.D, *: p<0.05 by t-test

NS: Not Significant

References

1. Brown JE. Nutrition throughout the life cycle. 4th ed. United States: Cengage learning;2010. p. 311.
2. Koo JO, Lee JW, Choi YS, Kim JH, Lee JH. Life cycle nutrition. Seoul: Hyoilbooks;2006. p. 229–231.
3. Kim OH, Park HA, Cho YG, Kim KW, Hur YI, Song JH. Health status and nutrient intakes of 5th grade elementary students in Seoul and Gyeonggi province. Korean J Community Nutr. 2010; 15(6):717–726.
4. Jeong NY, Kim KW. Nutrition knowledge and eating behaviors of elementary school children in Seoul. Korean J Community Nutr. 2009; 14(1):55–66.
5. Lee YM. Eating trends in Korean children. Korean J Community Nutr. 2006; 11(6):819–835.
6. Kang SA, Lee JW, Kim KE, Koo JO, Park DY. A study of the frequency of food purchase for snacking and its related ecological factors on elementary school children. Korean J Community Nutr. 2004; 9(4):453–463.
7. Han HM, Lee SS. A nutrition education program development and the application for the elementary students: Focused on sugar intake education. Korean Assoc Pract Arts Educ. 2008; 21(2):111–131.
8. Son SM, Lee KH, Kim KW, Lee YK. The actual nutrition education and counseling. Seoul: Life science;2010. p. 96–107. p. 189
9. Kim KA, Lee YK. The effect of nutrition education using animations on the nutrition knowledge, eating habits and food preferences of elementary school students. Korean J Community Nutr. 2010; 15(1):50–60.
10. Lee JW, Lee HS, Chang NS, Kim JM. 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. 2009; 42(4):338–349.
crossref
11. Cheong HS, Lee HR. A study on the conditions of the nutrition educations and the perceptions of the nutrition teachers and dieticians in the primary and secondary schools in Gyeongnam area. J Basic Sci. 2013; 30(1):41–59.
12. 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.
13. Her ES, Lee KH. Development of computer-aided nutritional education program for the school children. Korean J Nutr. 2002; 35(7):791–799.
14. Ly SY, Kang HK, Yang IS, Kang MH. Analysis of contents of nutrition information on the internet. J Korean Diet Assoc. 2004; 10(2):224–234.
15. Lim ES, Cho YS, Kim SN, Kim SB. Development and effects' analysis of nutrition education pamphlet for the higher grades elementary students: focused on individual daily needed Food Exchange Units. Korean J Community Nutr. 2012; 17(6):689–706.
16. Son MJ, Cho YS, Kim SN, Seo HJ, Kim SB. Development and effects' analysis of nutrition education pamphlet for the lower grades elementary students: Focused on individual daily needed Food Exchange Units. Korean J Community Nutr. 2011; 16(6):647–660.
crossref
17. Kim KA, Lee YK. The effect of nutrition education using animations on the nutrition knowledge, eating habits and food preferences of elementary school students. Korean J Community Nutr. 2010; 15(1):50–60.
18. The Korean Nutrition Society. Dietary reference intakes for Koreans. Seoul: Han-Arum Publishing co.;2015. p. vi–xii. p. 6p. 53
19. Oh JY, Kim SB. Development and effects analysis of nutrition education program for diabetes mellitus at community health center: focus on individual daily energy requirements and food exchange units. Korean J Community Nutr. 2010; 15(4):485–497.
20. Ministry of Food and Drug Safety. Life cycle nutrition management [Internet]. Food safety Korea;2013. Updated 2015 Aug 24. cited 2016 May 5. Available from: http://www.foodsafetykorea.go.kr/portal/board/boardDetail.do.
21. Park SH. Effects of nutrition education using smartphone application for elementary school children [master's thesis]. Chonbuk National University;2014.
22. Cho JH, Kim SB, Kim SK, Kim MH, Kim GS, Kim SN. Development of “Children's Food Avatar” Application for Dietary Education. Korean J Community Nutr. 2013; 18(4):299–311.
crossref
23. Hyun T, Yon MY, Kim SH, Kim NH, An SM, Lee SM. Development of a nutrition education website for children. Korean J Community Nutr. 2003; 8(3):259–269.
24. Park YS, Lee JW, Seo JS, Lee BK, Lee HS, Lee SK. Nutrition education and counselling. 5th ed. Paju: Kyomunsa;2014. p. 299–311.
25. Lee HL, Lee KE, Ko KS, Hong EA. Relationship between Broca index of late school-aged children and their mothers' eating, cooking, and exercise habit. J Korean Soc Food Sci Nutr. 2016; 45(10):1488–1496.
crossref
26. Lee KA. Activity-based nutrition education for elementary school students. Korean J Nutr. 2003; 36(4):405–417.
27. You JS, Kim SM, Chang KJ. Nutritional knowledge and dietary behavior of the 6th grade elementary school students in Daejeon area by gender and skipping breakfast. Korean J Nutr. 2009; 42(3):256–267.
crossref
28. Lim JY, Na HB. Effects of a health education program for elementary school children in Gyeonggi-do rural area. Korean J Community Nutr. 2011; 16(1):1–13.
crossref
29. Jung JY, Choi HS, Lee JS, Kim SY, Park HJ, Kim MO. Nutrition through the life cycle. Seoul: Kwangmoonkag;2012. p. 161–168.
30. Thompson J, Manore M, Vaughan L. The science of nutrition. Boston: Benjamin Cummings;2010. p. 338p. 360–376.
31. Kim YN, Na HJ. Food sources of thiamin, riboflavin and niacin based on food composition table and national annual food supply data in food balance sheet. Korean J Nutr. 2001; 34(7):809–820.
32. Lee YJ, Kim GM, Chang KJ. The analysis of effect on nutrition education of elementary school children, Inchon. J Korean Diet Assoc. 2000; 6(2):86–96.
33. Kim MJ. Comparison of food and nutrient intake between weekday and weekend for elementary and middle school students by gender in Busan and some parts of Kyungsang-namdo. J Nutr Health. 2013; 46(4):332–345.
crossref
34. Kim YJ, Choi YJ, Kim HS. Factors related to calceneal broadband ultrasound attenuation, anthropometric indexes and nutrient intakes among elementary school children in Chungnam. Korean J Community Nutr. 2013; 18(4):312–323.
crossref
35. Lee KH, Choi IS, Oh SH. A study on intake/excretion of sodium in Korean children. Korean J Nutr. 1995; 28(8):749–758.
36. Heo OS, Oh SH, Shin HS, Kim MR. Mineral and heavy metal contents of salt and salted-fermented shrimp. Food Sci Biotechnol. 2005; 37(4):519–524.
37. Shin HH. Dietary sodium intake and cardiovascular diseases. Korean J Community Nutr. 2002; 7(3):391–393.
38. Korea Centers for Disease Control and Prevention. Korea Health Statistics 2014: Korea National Health and Nutrition Examination Survey (KNHANES VI-2) [Internet]. Korean Ministry of Health and Welfare;2014. cited 2016 Dec 20. Available from: https://knhanes.cdc.go.kr/knhanes/index.do.
39. Lee HJ, Lee CH, Lee KS, Jung YJ, Ha SH, Jung YY, et al. Survey on sodium contents in meals of school food service and sodium intakes of students in Busan and Gyeongsangbuk-do. J Korean Soc Food Sci Nutr. 2010; 39(1):85–91.
40. Kim BR, Cho YE. A study on the evaluation of nutrient intake of middle school students in Kangneung. J Korean Soc Food Sci Nutr. 2001; 30(4):739–746.
TOOLS
ORCID iDs

Sook-Bae Kim
https://orcid.org/0000-0002-8385-3687

Similar articles