비만아동과 그 부모에 대한 영양교육 효과의 평가(II)-영양지식, 식행동, 식습관과 영양소섭취를상태를 중심으로-

Effect of Nutrition Education Program in Obese Children and Their Parents(II) - Focus on Nutrition Knowledge, Eating Behaviors, Food Habit and Nutrient Intakes -

  • 신은경 (경북대학교 식품영양학과) ;
  • 이혜성 (경북대학교 식품영양학과) ;
  • 이연경 (경북대학교 식품영양학과)
  • 발행 : 2004.10.01

초록

The present study was conducted to investigate the effect of nutrition education program on nutrition knowledge, eating behaviors, food habit, nutrient intakes in obese children and their parents who live in Gumi city. The subjects were 16 obese boys, 20 obese girls with obesity index over 130% and 36 of their parents. The nutrition education for the subjects was carried out by the professional personnel such as doctors, professors, and dietitians. The children were provided with well-balanced lunch meals and had 40 min-lectures on the reasonable weight management, 40 min-games and also had regular exercises (stretching, swimming) for 90 mins everyday during 2 weeks of the program. The parents had 90 min-lectures on childhood obesity, diet therapy, behavior modification, and exercise for 6 times. The nutrition knowledge, eating behaviors and food habits were surveyed by using questionnaires before and after the education. The nutrition intakes of the children were surveyed before and after the education by 3-day food record method. The nutrition intakes of the parents were surveyed before and after the education by using semi-quantity questionnaires. After the education, the mean nutrition knowledge scores were significantly improved compared with the pretest scores in both children and parents. After the education, all subjects' eating behaviors were significantly changed positively and calorie and carbohydrates intakes were significantly decreased and vit. C was significantly increased in obese children. The food habits of the parents were significantly improved after the education. These findings show that the well-designed nutrition education program for obese children and their parents can be an effective approach to help them to improve their nutrition knowledge and to establish desirable food habits and eating behaviors.

키워드

참고문헌

  1. Ahn HS, Park JK, Lee DH, Paik IK, Lee JH, Lee YJ (1994): Clinical and nutritional examination in obese children and adolescents. Kor J Nutr 27(1): 79-89
  2. Ben Slama F, Achour A, Belhadj O, Hsairi M, Oueslati M, Achour N (2002): Obesity and life style in a population of male school children aged 6 to 10 years in Ariana (Tunisia). Tunis Med 80(9): 542-547
  3. Choi HJ (2000): A study on effect of nutrition education program and related factors of obese children. Master Thesis, Youngnam University
  4. Drenick EJ, Bale GS, Silzter F (1980): Excessive mortality and causes of death in morbidity obese man, JAMA 243(5): 443-445
  5. Epstein LH, Wing RR, Valoski A (1985): Childhood obesity. Pediatric Clinics of North America 32(2): 363-379 https://doi.org/10.1016/S0031-3955(16)34792-7
  6. Freedman DS, Dietz WH, Srinivasan SR, Berenson GS (1999): The relation of overweight to cardiovascular risk factors among children and adolescents: the Bogalusa Heart Study. Pediatrics 103(6Pt1): 1175-1182 https://doi.org/10.1542/peds.103.6.1175
  7. Hahn DB, Payne WA (1999): Focus on health 4th ed., WCB, pp.127-144
  8. Ju HA (1998): Development of a weight control program for obese children. Doctor Thesis, Pusan National University
  9. Kim CI, Kye SH, Jang YA, Kim BH, Lee HS, Seo HJ (2002a): Report on 2001 National health and nutrition survey
  10. Kim EK, Choi YS, Cho UH, Chi KA (2001): Childhood obesity of elementary school students in Kangnung and Seoul areas-effects of area and parental socio. economic status- Korean J Nutr 34(2): 198-212
  11. Kim EK, Lee AR, Kim JJ, Kim MH, Kim JS, Moon HK (2000): The difference of biochemical status, dietary habits and dietary behaviors according to the obesity degree among obese children. J Korean Diet Assoc 6(2): 161-170
  12. Kim HA, Kim EK (1996): A study on effects of weight control program in obese children. Korean J Nutr 29(3): 307-320
  13. Kim HG, Nam HK (1998): A survey of life style habits of obese school children. J of Korean Soc of School Health 1(1): 99-110
  14. Kim JA (1999): A study on the obese child’s body image, food habit and food attitude. J Korean Society of Maternal and Child Health 3(1): 89-104
  15. Kim JH (1993): A study on nutritional status and serum lipid levels according to obesity index of children in high socioeconomic apartment complex in seoul. Master Thesis, Seoul National University
  16. Kim KH (2001): The effects of body weight control program for obesity children. Korean J Dietary Culture 16(2): 89-98
  17. Kim KH (2002): The effects of parent’s nutritional education for body weight control of obese children. Korean J Dietary Culture 17(2): 185-196
  18. Kim KH (2004): Change of food habits and anxiety level of obese children on body weight control program. Korean J Food Culture 19(3): 326-335
  19. Kim NH, Yoon JS (1992): Riboflavin status of obese and nonobese children in primary school. Korean J Nutr 25(2): 150-161
  20. Kim SS, Yoon JH, Oh BS (2002b): The relationship between elementary school boy’s obesity and high school obesity in men. J Sport and Leisure Studies 18: 1017-1026
  21. Korean Society for the Study of Obesity (1995): 임상비만학, p199, Korea medical Book, Korea
  22. Lee AR, Moon HK, Kim EK (2000): A study on dietary habits, dietary behaviors and body image recognition of nutrition knowlege after nutrition education for obese children in seoul. J Korean Diet Assoc 9(2): 171-178
  23. Lee JS (2002): Approach of childhood obesity management. J Korean Society for the Study of Obesity 11(1): 35-45
  24. Lee KA (2004): Effect of mothers’ nutritional attitudes and knowledge on their children’s obesity inducing factors. Korean J Nutr 37(6): 464-478
  25. Lee KY, Kim JK, Lee NS, Han JH, Park TJ, Jeon HN (2003): The factors associated with change in percent obesity after obesity treatment among obese children and adolescents. J Assoc Family Medicine 24: 64-71
  26. Lee MS, Choi KS, Baek SK (1994): Nutrition survey of songmyun middle school students in goisan country, chung buk province. Korean J Nutr 27(7): 760-775
  27. Lee TH (1995): Physical exercise in the treatment of obesity. J Korean Society for the Study of Obesity 4(1): 1-4
  28. Lee YJ, Chang KJ (1999): A comparative study of obese children and normal children on dietary intake and environmental factors at an elementary school in Inchon. Korean J Comm Nutr 4(4): 504-511
  29. Lee YN (1992): Nutrition survey of children attending an elementary school with a school lunch program, in youido-dong of seoul. Master Thesis, Seoul National University
  30. Lim HS, Lee JI (1993): Relationships of obesity in childhood to plasma lipids, blood pressure and blood glucose. J Korean Soc Food Nutr 22(6): 724-733
  31. Miller WC, Linderman AK, Wallace J, Niederpruem M (1990): Diet composition, energy intake and exercise in relation to body fat in men and women, Am J Clin Nutr 52: 426-430
  32. Mills JK, Andrianopoulos GD (1993): The relationship between children onset obesity and psychopathology in adulthood. J Psychol 127 (5): 547-551 https://doi.org/10.1080/00223980.1993.9914892
  33. Moon SJ, Lee MH, Lee YM, Cho SS, Lee MJ, Lee SM (1994): Nutrition Education-Handbook for practice and lab. Hyoil, pp.198-202
  34. Park HS, Kang YJ, Shin ES (1994a): Serum lipids profiles and diet patterns in obese children in Seoul. J Korean Society for the Study of Obesity 3(1): 47-54
  35. Park J, Ryu SY, Lee CG, Ann HO, Park YB, Park SK, Moon KR, Yang ES, Rho YI, Bae HY (1998): The associated factors with obesity in primary school children- 2 Years Foolow-up Study- J Korean Society for the Study of Obesity 7(2): 134-141
  36. Park JK, Ahn HS, Lee DH (2001a): Effects of step by step diet control program in obese children. J Korean Society for the Study of Obesity 10(2): 165-173
  37. Park JK, Ahn HS, Lee DH (2001b): Dietary intakes and serum mineralscomposition in obese children. J Korean Society for the Study of Obesity 10(2): 156-164
  38. Park JK, Ahn HS, Lee DH, Kin MJ, Lee JH, Lee YJ (1994b): Effectiveness of nutrition education program for obese children. Korean J Nutr 27(1): 90-99
  39. Park YS, Lee JW, Seo JS, Lee BK, Lee HS (2000): Nutrition education & counseling. Kyomoon press
  40. Shin HS (1996): A study on effects of nutrition education and dietary pattern in obese adolescents. Master Thesis, Catholic University of Taegu-Hyosung
  41. Wadden TA, Stunkard AJ, Rich L, Rubin CJ, Sweidel G, McKinney S (1990): Obesity in black adolescent girls: a controlled clinical trial of treatment by diet, behavior modification, and parental support. Pediatrics 85(3): 345-352
  42. Yang HL (2000): Effect of nutrition education program on nutrition knowledge, dietary diversity of elementary school children. Master Thesis, Changwon National University
  43. Yim KS, Yoon EY, Kim CI, Kim KT, Kim CI, Mo SM, Choi HM (1993): Eating behavior, obesity and serum lipid levels in children. Kor J Nutr 26(1): 56-66