DOI QR코드

DOI QR Code

Changes in Dietary Behavior Among Adolescents and Their Association With Government Nutrition Policies in Korea, 2005-2009

  • Bae, Sang-Geun (Department of Preventive Medicine, Kyungpook National University School of Medicine) ;
  • Kim, Jong-Yeon (Department of Preventive Medicine, Catholic University of Daegu School of Medicine) ;
  • Kim, Keon-Yeop (Department of Preventive Medicine, Kyungpook National University School of Medicine) ;
  • Park, Soon-Woo (Department of Preventive Medicine, Catholic University of Daegu School of Medicine) ;
  • Bae, Ji-Suk (Department of Preventive Medicine, Catholic University of Daegu School of Medicine) ;
  • Lee, Won-Kee (Department of Preventive Medicine, Kyungpook National University School of Medicine)
  • 투고 : 2011.08.25
  • 심사 : 2011.11.04
  • 발행 : 2012.01.30

초록

Objectives: This study was conducted to observe recent changes in adolescents' dietary behavior and indirectly evaluate the effects of the government's nutritional policies in Korea. Methods: We analyzed the secular trends in seven dietary behaviors using the Korea Youth Risk Behavior Web-based Survey data from 2005 to 2009. Through literature review, we included the policies implemented for the improvement of adolescents' dietary behaviors during the same periods. Results: The significant linear trends were observed in all dietary behaviors (p<0.05). Overall, all behaviors except the fruit intake rate were desirably changed during five years but undesirable changes were observed between 2008 and 2009 in all behaviors. Within those periods, several policies were implemented including 'Ban on carbonated-beverages in school', 'Green Food Zone', etc. Despite confirmed evidence of their effects, the policies on individual behavior such as nutrition education didn't influence the prevalence of dietary behaviors because they were conducted to too limited persons. Polices on the school environmental improvement, such as ban on carbonated beverage in school, were more effective because they decreased the exposure of undesirable food environment. However, for effect of Green Food Zone improving community environment we couldn't come to a conclusion because of too short period after full implementation. Conclusions: Among government nutrition policies conducted from 2005 to 2009, those on environmental improvement, especially in school, were more effective than those on individual behavior. Therefore, the development and implement of policies on school environmental improvement are needed in Korea.

키워드

참고문헌

  1. Lytle LA, Kubik MY. Nutritional issues for adolescents. Best Pract Res Clin Endocrinol Metab 2003;17(2):177-189.
  2. Kelder SH, Perry CL, Klepp KI, Lytle LL. Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors. Am J Public Health 1994;84(7):1121-1126.
  3. Rees JM. The overall impact of recently developed foods on the dietary habits of adolescents. J Adolesc Health 1992; 13(5):389-391.
  4. Larson N, Story M. A review of environmental influences on food choices. Ann Behav Med 2009;38 Suppl 1:S56-S73.
  5. World Health Organization. Food and nutrition policy for schools: a tool for the development of school nutrition [cited 2012 Jan 10]. Available from: http://www.schoolsforhealth. eu/upload/WHO_tool_development_nutrition_program.pdf.
  6. Koplan JP, Liverman CT, Kraak VI; Committee on Prevention of Obesity in Children and Youth. Preventing childhood obesity: health in the balance: executive summary. J Am Diet Assoc 2005;105:131-138.
  7. Sallis J, Owen N. Ecological models of health behavior. In: Glanz K, Rimer B, Lewis F, editors. Health behavior and health education: theory, research, and practice. San Francisco: Jossey-Bass; 2002, p. 462-484.
  8. Kim HR. Obssity prevention strategise for children in secerected developed countries and its implication. Health Welf Poilcy Forum 2009;148:127-137 (Korean).
  9. Devi A, Surender R, Rayner M. Improving the food environment in UK schools: policy opportunities and challenges. J Public Health Policy 2010;31(2):212-226.
  10. Van Cauwenberghe E, Maes L, Spittaels H, van Lenthe FJ, Brug J, Oppert JM, et al. Effectiveness of school-based interventions in Europe to promote healthy nutrition in children and adolescents: systematic review of published and 'grey' literature. Br J Nutr 2010;103(6):781-797.
  11. Nelson M, Lowes K, Hwang V; members of the Nutrition Group, School Meals Review Panel, Department for Education and Skills. The contribution of school meals to food consumption and nutrient intakes of young people aged 4-18 years in England. Public Health Nutr 2007; 10(7):652-662.
  12. French SA, Story M, Fulkerson JA, Gerlach AF. Food environment in secondary schools: a la carte, vending machines, and food policies and practices. Am J Public Health 2003;93(7):1161-1167.
  13. Bellis DA; US General Accounting Office. School Meals Programs: competitive foods are widely available and generate substantial revenue for schools. GAO-05-563. Washington, DC: US General Accounting Office; 2005, p. 5-7.
  14. Stallings VA, Yaktine AL; US Institute of Medicine. Nutrition standards for foods in schools: leading the way toward healthier youth. Washington, DC: National Academies Press; 2007, p. 257-260.
  15. HR Kim. Future directions and strategies of the obesity prevention policies and programs. Health Welf Policy Forum 2011;173:41-54.
  16. Hyon SM, Kim JW. Improvement of dietary attitudes of elementary students by nutrition labeling education. Korean J Community Nutr 2007;12(2):168-177 (Korean).
  17. Chang SO, Lee O, Lee KS. Intake of processed foods and the effects of nutrition label education in 5th grade children. J Korean Diet Assoc 2008;14(2):166-175 (Korean).
  18. Ranson MK, Sinha T, Morris SS, Mills AJ. CRTs--cluster randomized trials or "courting real troubles": challenges of running a CRT in rural Gujarat, India. Can J Public Health 2006;97(1):72-75.
  19. Cochrane Effective Practice and Organisation of Care Group. Study designs accepted for inclusion in EPOC reviews [cited 2012 Jan 10]. Available from: http://epoc.cochrane.org/sites/epoc.cochrane.org/files/uploads/2003% 20Mar%20EPOC%20Newsletter.pdf.
  20. Park EJ, Koh HK, Kwon JW, Suh MK, Kim H, Cho SI. Secular trends in adult male smoking from 1992 to 2006 in South Korea: age-specific changes with evolving tobaccocontrol policies. Public Health 2009;123(10):657-664.
  21. Van Driel ML, Vander Stichele R, Elseviers M, De Sutter A, De Maeseneer J, Christiaens T. Effects of an evidence report and policies lifting reimbursement restrictions for acid suppressants: analysis of the Belgian national database. Pharmacoepidemiol Drug Saf 2008;17(11): 1113-1122.
  22. Chan SS, Wong DC, Fong DY, Leung AY, Mak YW, Lam DO, et al. Short-term impact of new smoke-free legislation on the utilization of a quitline in Hong Kong. Nicotine Tob Res 2009;11(4):356-361.
  23. Korea Centers for Disease Control and Prevention. Reports on the Korea Youth Risk Behavior Web-based Survey 2009. Seoul: Ministry of Health and Welfare; 2010, p. 1-12, 326-329 (Korean).
  24. Lowry R, Wechsler H, Kann L, Collins JL. Recent trends in participation in physical education among US high school students. J Sch Health 2001;71(4):145-152.
  25. Brener ND, Simon TR, Krug EG, Lowry R. Recent trends in violence-related behaviors among high school students in the United States. JAMA 1999;282(5):440-446.
  26. Lyu ES, Chae IS, Lee KH. Interrelations among fast food, beverage intake and sociality, anger expression of adolescents in the Busan area. Korean J Community Nutr 2008;13(6):829-839 (Korean).
  27. Bae J, Joung H, Kim JY, Kwon KN, Kim Y, Park SW. Validity of self-reported height, weight, and body mass index of the Korea Youth Risk Behavior Web-based Survey questionnaire. J Prev Med Public Health 2010; 43(5):396-402.
  28. Bae J, Joung H, Kim JY, Kwon KN, Kim YT, Park SW. Test-retest reliability of a questionnaire for the Korea Youth Risk Behavior Web-based Survey. J Prev Med Public Health 2010;43(5):403-410.
  29. Giskes K, Turrell G, Patterson C, Newman B. Socioeconomic differences in fruit and vegetable consumption among Australian adolescents and adults. Public Health Nutr 2002;5(5):663-669.
  30. BG Kim, SC Yoon. Impacts of the global economic crisis on the Korean economy and economic recovery via devaluation mechanism. J Econ Stud 2010;28(3):1-25 (Korean).
  31. Korea National Statistical Office. Korean Statistical Information Service [cited 2012 Jan 10]. Available from: http://kosis.kr/abroad/abroad_01List.jsp (Korean).
  32. Korea Food and Drug Administration. What has been changed after 1 year of implementation of special law on children's safe eating habit management? [cited 2011 Sep 10]. Available from: http://www.kfda.go.kr/index.kfda? mid=56&pageNo=75&seq=12231&cmd=v (Korean).
  33. Korea Food and Drug Administration. Notification of methods and standard for a nutrition signal light marking system. [cited 2011 Sep 10]. Available from: http://www. kfda.go.kr/index.kfda?mid=56&pageNo=33&seq=14582 &cmd=v (Korean).
  34. Malik VS, Schulze MB, Hu FB. Intake of sugar-sweetened beverages and weight gain: a systematic review. Am J Clin Nutr 2006;84(2):274-288.
  35. Shi L, van Meijgaard J. Substantial decline in sugarsweetened beverage consumption among California's children and adolescents. Int J Gen Med 2010;3:221-224.
  36. O'Brien LM, Polacsek M, Macdonald PB, Ellis J, Berry S, Martin M. Impact of a school health coordinator intervention on health-related school policies and student behavior. J Sch Health 2010;80(4):176-185.
  37. Korea Food and Drug Administration. Enforcement of continuous management on Green Food Zone. [cited 2011 Sep 10] Available from: http://www.kfda.go.kr/index. kfda?mid=56&seq=11639&cmd=v (Korean).
  38. Daejeon chapters of National Council of Homemaker Os Classes. Survey result on Green Food Zone in Daejeon [cited 2011 Sep 10]. Available from: http://www.consumer.or.kr/ magazine/mz_view.html?num=1551 (Korean).

피인용 문헌

  1. Unexpected plateauing of childhood obesity rates in developed countries vol.12, pp.None, 2012, https://doi.org/10.1186/1741-7015-12-17
  2. Happiness and health behaviors in South Korean adolescents: a cross-sectional study vol.38, pp.None, 2016, https://doi.org/10.4178/epih.e2016022
  3. Adolescent Overweight and Obesity: Links to Socioeconomic Status and Fruit and Vegetable Intakes vol.13, pp.3, 2012, https://doi.org/10.3390/ijerph13030307
  4. Neighborhood Environments: Links to Health Behaviors and Obesity Status in Vulnerable Children vol.39, pp.8, 2012, https://doi.org/10.1177/0193945916670903
  5. The utility of the agency‐structure framework to estimate the health equity impact of universal obesity prevention policies vol.18, pp.1, 2017, https://doi.org/10.1111/obr.12480
  6. Breast milk fatty acid composition and fatty acid intake of lactating mothers in South Korea vol.117, pp.4, 2017, https://doi.org/10.1017/s0007114517000253
  7. Efficacy of school-based interventions aimed at decreasing sugar-sweetened beverage consumption among adolescents: a systematic review vol.20, pp.13, 2012, https://doi.org/10.1017/s1368980017000076
  8. Korean Adolescents’ Energy Intake of Selected Foods by Eating Place from 1998 to 2012 During Implementation of Two National School Nutrition Policies vol.13, pp.1, 2018, https://doi.org/10.1080/19320248.2017.1337534
  9. Effectiveness of school food environment policies on children’s dietary behaviors: A systematic review and meta-analysis vol.13, pp.3, 2018, https://doi.org/10.1371/journal.pone.0194555
  10. Regulatory initiatives to reduce sugar-sweetened beverages (SSBs) in Latin America vol.13, pp.10, 2012, https://doi.org/10.1371/journal.pone.0205694
  11. Unhealthy food marketing around New Zealand schools: a national study vol.63, pp.9, 2018, https://doi.org/10.1007/s00038-018-1158-7
  12. The effect of Public Health/Pediatric Obesity interventions on socioeconomic inequalities in childhood obesity: A scoping review vol.20, pp.12, 2012, https://doi.org/10.1111/obr.12931
  13. Kids in a Candy Store: An Objective Analysis of Children’s Interactions with Food in Convenience Stores vol.12, pp.7, 2012, https://doi.org/10.3390/nu12072143
  14. Space-time analysis of unhealthy food advertising: New Zealand children’s exposure and health policy options vol.35, pp.4, 2020, https://doi.org/10.1093/heapro/daz083
  15. Energy and Macronutrient Intake Among Children Aged 6−11 Years Old - China, 2016−2017 vol.3, pp.9, 2012, https://doi.org/10.46234/ccdcw2021.055
  16. Cooking Oil and Salt Intakes Among Children Aged 6−17 Years - China, 2016−2017 vol.3, pp.31, 2012, https://doi.org/10.46234/ccdcw2021.166