Abstract
This study aimed at investigating the perception and action plans of the school breakfast program (SBP) proposed by nutrition teachers and dietitians at elementary, middle, and high schools in Gyeongbuk province. The survey was carried via questionnaires throughout April to May 2010. Two hundred ten questionnaires were returned (52.5%) and out of the total, 194 were used for analysis. Of the respondents, 73% disagreed and 27% agreed to the implementation of SBP, although most respondents agreed to the importance of eating breakfast in children. The percentage of disagreement was higher among subjects with working experience of 15 years and more, age of 40 years and more, and those who were employed at elementary schools. The primary reasons of disagreement were 'eating breakfast with family is better' and 'it increases the cost of school foodservice'. The respondents preferred students' optional participation (62.9%) over universal participation (37.1%) of SBP. Action plans of SBP, which were proposed by nutrition teachers and dietitians, included direct operating system by the school, food delivery schedule prior to the day of serving, 2-3 hours of preparation time, serving food 50 minutes before the start of classes, and convenient style menu served at the school cafeteria. Efforts to lessen foodservice employees' workload as well as support from school principals and the Office of Education were suggested as prerequisites for a successful SBP implementation.
References
1. Moon JS, Lee KO, Hwang SS, Ko JS, Lee HK, Shin HJ, Shim JO, Kim JH. Analytic report on the revised Korean National Sample Data from the National School Health Examination in 2009 and 2010. 2011. Seoul: Korean Educational Development Institute; Ministry of Education, Science and Technology.
2. Rampersaud GC, Pereira MA, Girard BL, Adams J, Metzl JD. Breakfast habits, nutritional status, body weight, and academic performance in children and adolescents. J Am Diet Assoc. 2005. 105(5):743–760.
3. Siega-Riz AM, Popkin BM, Carson T. Trends in breakfast consumption for children in the United States from 1965-1991. Am J Clin Nutr. 1998. 67(4):748S–756S.
4. Song WO, Chun OK, Kerver J, Cho S, Chung CE, Chung SJ. Ready-to-eat breakfast cereal consumption enhances milk and calcium intake in the US population. J Am Diet Assoc. 2006. 106(11):1783–1789.
5. Meyers AF, Sampson AE, Weitzman M, Rogers BL, Kayne H. School Breakfast Program and school performance. Am J Dis Child. 1989. 143(10):1234–1239.
6. Kim SH. Children's growth and school performance in relation to breakfast. J Korean Diet Assoc. 1999. 5(2):215–224.
7. Kim HY, Frongillo EA, Han SS, Oh SY, Kim WK, Jang YA, Won HS, Lee HS, Kim SH. Academic performance of Korean children is associated with dietary behaviours and physical status. Asia Pac J Clin Nutr. 2003. 12(2):186–192.
8. Wesnes KA, Pincock C, Richardson D, Helm G, Hails S. Breakfast reduces declines in attention and memory over the morning in schoolchildren. Appetite. 2003. 41(3):329–331.
9. Simeon DT. School feeding in Jamaica: a review of its evaluation. Am J Clin Nutr. 1998. 67(4):790S–794S.
10. Vaisman N, Voet H, Akivis A, Vakil E. Effect of breakfast timing on the cognitive functions of elementary school students. Arch Pediatr Adolesc Med. 1996. 150(10):1089–1092.
11. Lee MS, Sung CJ, Sung MK, Choi MK, Lee YS, Cho KO. A comparative study on food habits and nutrient intakes among high school students with different obesity indexes residing in Seoul and Kyunggi-do. Korean J Community Nutr. 2000. 5(2):141–151.
12. Park KY. Breakfast and health in adolescents. Korean J Pediatr Gastroenterol Nutr. 2011. 14(4):340–349.
13. Ministry of Health and Welfare. Report on national health statistic 2009. 2010. Seoul:
14. Statistics Korea. e-National indices. Current status of school foodservices. accessed 2012 Apr 13. Available from: http://www.index.go.kr/.
15. Lee DN. Issue report no. 86. Current status of universal school foodservice and issues in major nations. 2010. Seoul: National Assembly Research Service.
16. United States Department of Agriculture (USDA). Food and Nutrition Service. School breakfast program fact sheet. accessed 2012 Apr 13. Available from: http://www.fns.usda.gov/cnd/breakfast/.
17. Hwang JH, Sneed J. Developing a performance criteria model for school foodservice. J Hosp Tour Res. 2007. 31(1):111–129.
18. Kim Y, Yoon J, Kim H, Kwon S. Factors affecting intention to participate in school breakfast programs of middle and high school students in Seoul. Korean J Community Nutr. 2007. 12(4):489–500.
19. Yi BS. A comparative study on dietary life and recognition of diet related factors in elementary, middle and high school students. J Korean Diet Assoc. 2004. 10(3):364–374.
20. Choi YS, Cho HS, Ahn HH, Chung HR, Baek SH, Park YB, Lee KI. Plans of financial expansion of school foodservice and coupling action with local foods. 2010. Seoul: The Korean Nutrition Society.
21. Lee PS, Lee MA, Yang IS, Cha SM. Assessing relative importance of operational factors for school breakfast program using conjoint analysis. Korean J Food Cult. 2007. 22(5):621–632.
22. Yi BS, Yang IS, Park MK, Kim HY, Kim YS, Lee SR. Analysis of the perception of school breakfast program(SBP) by practiced and unpracticed schools. Korean J Food Nutr. 2010. 23(4):588–599.
23. Yi BS, Yang IS. An exploratory study for identifying factors related to breakfast in elementary, middle and high school students. Korean J Community Nutr. 2006. 11(1):25–38.
24. Kwon WJ, Chang KJ, Kim SK. Comparison of nutrient intake, dietary behavior, perception of body image and iron nutritional status among female high school students of urban and rural areas in Kyunggi-do. Korean J Nutr. 2002. 35(1):90–101.
25. Reddan J, Wahlstrom K, Reicks M. Children's perceived benefits and barriers in relation to eating breakfast in schools with or without Universal School Breakfast. J Nutr Educ Behav. 2002. 34(1):47–52.
26. Institute of Medicine. School meals: building blocks for healthy children. 2010. Washington D.C: National Academies Press.
27. Pereira MA, Erickson E, McKee P, Schrankler K, Raatz SK, Lytle LA, Pellegrini AD. Breakfast frequency and quality may affect glycemia and appetite in adults and children. J Nutr. 2011. 141(1):163–168.
28. Deshmukh-Taskar P, Nicklas TA, Morales M, Yang SJ, Zakeri I, Berenson GS. the Bogalusa Heart Study. Tracking of overweight status from childhood to young adulthood. Eur J Clin Nutr. 2006. 60(1):48–57.
29. Deshmukh-Taskar PR, Nicklas TA, O'Neil CE, Keast DR, Radcliffe JD, Cho S. The relationship of breakfast skipping and type of breakfast consumption with nutrient intake and weight status in children and adolescents: the National Health and Nutrition Examination Survey 1999-2006. J Am Diet Assoc. 2010. 110(6):869–878.
30. 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.
31. Gleason PM, Dodd AH. School breakfast program but not school lunch program participation is associated with lower body mass index. J Am Diet Assoc. 2009. 109:2 Suppl. S118–S128.
32. Yeoh YJ, Yoon JH, Shim JE, Chung SJ. Factors associated with skipping breakfast in Korean children: Analysis of data from the 2001 National Health and Nutrition Survey. Korean J Community Nutr. 2008. 13(1):62–68.
33. Breakfast Clubs of Canada. accessed 2012 Apr 13. Available from: http://www.breakfastclubscanada.org/.
34. Korea Health Industry Development Institute. Operation of working team to support school health food store program: support of breakfast club operation and development of education materials. 2011. Cheongwon:
35. Ryu SH, Yeoh YJ, Choo YJ, Yoon J. Middle school boys' and their parents' preference on menu types of school breakfast in Gyeonggi area. J East Asian Soc Diet Life. 2011. 21(6):948–955.