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재한 중국 유학생들의 고혈압 관련 영양지식과 식생활 실천에 관한 연구

A study on hypertension relevant nutritional knowledge and dietary practices in Chinese college students studying in South Korea

  • 손철 (가천대학교 일반대학원 임상영양학 전공) ;
  • 조우균 (가천대학교 바이오나노대학 식품영양학과)
  • Sun, Zhe (Major in Clinical Nutrition, Graduate school of Gachon University) ;
  • Cho, Wookyoun (Department of Food and Nutrition, College of BioNano Technology, Gachon University)
  • 투고 : 2015.08.17
  • 심사 : 2015.09.09
  • 발행 : 2015.10.31

초록

본 연구는 2014년 9월 8일부터 10월 14일까지 국내 3개월 이상 거주한 만 19세 이상의 대학교에 재학 중인 중국 유학생 276명을 대상으로 고혈압 및 나트륨 관련 영양지식, 고염가공식품 섭취빈도, 고혈압예방 식생활 실천도, 식행동 변화단계를 조사하여 영양지식과 고혈압 예방 실천도와의 관계를 분석한 결과는 다음과 같다. 조사대상자의 고혈압 관련 영양지식 점수는 총 50점 만점 중 평균 40.62점으로 나타났다. '개인의 혈압은 언제, 어디서나 항상 일정하다.'의 정답률이 95.7%로 가장 높은 반면 '고혈압은 유전적 소인이 있는 질병이다.'가 44.6%로 가장 낮았다. 나트륨 관련 영양지식 점수는 총 30점 만점으로 평균 24.00점으로 나타났다. '음식 조리 시 소금을 전혀 넣지 않으면 나의 나트륨 섭취량은 0이다.'와 '나트륨 섭취를 많이 할수록 건강에 좋다.'는 항목의 정답률이 89.5%로 가장 높게 나타났으며. '국, 찌개 등의 국물을 적게 먹는 것은 혈압의 조절에 도움이 된다.'가 56.2%로 가장 낮은 정답률을 보였으나 나트륨 관련 영양지식의 전 항목의 정답률은 50%이상인 것으로 나타났다. 고염가공식품 섭취빈도는 김치류가 6.34점으로 가장 많이 섭취하는 것으로 나타났으며, 고혈압 예방 실천도는 5점 만점 중 총 평균은 3.10점으로 나타났다. 고혈압 예방 실천 항목에서 '담배를 피우지 않는다.'의 평균점수 (4.03점)가 가장 높게 나타났으며 '정기적으로 혈압을 측정하고 의사의 진찰을 받는다.'가 2.47점으로 가장 낮게 나타났다. 고혈압 예방 식행동 변화단계 분포는 고려단계 (47.1%), 행동단계 (32.2%), 고려전단계 (20.7%) 순으로 고려단계가 가장 많은 것으로 나타났다. 고혈압 예방 식행동 변화단계에 따른 고혈압 관련 영양지식, 나트륨 관련 영양지식과 고혈압 예방 실천도는 고려전단계에서 가장 낮고, 행동단계에서는 가장 높게 나타났다. 식행동 변화단계가 고려전단계에서 행동단계로 갈수록 영양지식과 식생활 실천도의 점수가 상승하는 경향이 있었다. 고혈압 및 나트륨 관련 영양지식과 식생활 실천도의 상관관계를 분석한 결과, 영양지식과 고혈압 예방 실천도가 유의한 정 (+)의 상관관계가 있었고, 고염가공식품 섭취빈도와 유의한 부 (-)의 상관관계가 있는 것으로 나타났다. 이상의 결과를 종합하면 고혈압 및 나트륨 관련 영양지식의 점수가 높을수록 고혈압 예방 실천도의 점수가 높았고, 고염가공 식품섭취빈도가 낮았다. 영양지식 점수가 높을수록 식행동 변화의 단계 중 고려전단계나 고려단계보다는 행동단계의 점수가 유의적으로 높았다. 그러므로 중국 유학생들의 건강 식생활 실천을 위해서는 고혈압과 나트륨 관련 영양지식을 교육하고, 한국음식에 대한 이해를 높임과 동시에 건강 식생활 실천을 효과적으로 할 수 있는 교육프로그램을 개발하여 고염가공식품의 섭취빈도를 낮추고, 주기적인 식생활 평가를 통한 유학생 지원 방안을 모색해야 할 것이다.

Purpose: The purpose of this study was to investigate the effects of hypertension relevant nutrition knowledge on practices for prevention of hypertension in Chinese college students studying in South Korea. Methods: We conducted a survey of 276 Chinese students studying more than three months in Korean universities who were aged 19 and older about hypertension and sodium relevant nutrition knowledge, intake of salty processed food, hypertension prevention practices, and stages of behavior change for hypertension. Results: The average score on the questionnaire for hypertension relevant nutritional knowledge was 40.62 out of 50 points, and the average score for sodium relevant nutritional knowledge was 24 out of 30 points. Kimchi was the most frequently eaten salty processed food. The average score for hypertension prevention practices was 3.10 out of 5 points. The behavior change stages for prevention of hypertension were contemplation (47.1%), action (32.2%), and pre-contemplation (20.7%). The students received high scores on nutrition knowledge and showed significantly higher scores on the action stage than on pre-contemplation or contemplation. Nutritional knowledge of hypertension and sodium showed positive correlation with hypertension prevention practices, whereas negative correlation with salty processed food intake. Conclusion: Development of an education program for Chinese students in Korea on hypertension and sodium relevant nutritional knowledge is needed so that they can practice for prevention of hypertension.

키워드

참고문헌

  1. Seo YI, Kim MR, Kim EY, Chae JE, Yoon NK. A study on strengthening university plan of foreign students management and support system. Seoul: Korean Educational Development Institute; 2012.
  2. Lee BK, Lee JH. Evaluation of dietary variety by food habits in female university students. Korean J Food Nutr 2011; 24(4): 687-701. https://doi.org/10.9799/ksfan.2011.24.4.687
  3. Gaowei, Kim S, Chang N, Kim KN. Dietary behavior and nutritional status among Chinese female college students residing in Korea. Korean J Nutr 2013; 46(2): 177-185. https://doi.org/10.4163/kjn.2013.46.2.177
  4. Lee MS, Kwak CS. The comparison in daily intake of nutrients, quality of diets and dietary habits between male and female college students in Daejeon. Korean J Community Nutr 2006; 11(1): 39-51.
  5. You JS, Chin JH, Kim MJ, Chang KJ. College students' dietary behavior, health-related lifestyles and nutrient intake status by physical activity levels using international physical activity questionnaire (IPAQ) in Incheon area. Korean J Nutr 2008; 41(8): 818-831.
  6. Guo JL, Kim SK, Kim JW, Kim MH, Kim SN, Kim SB. Effects of nutrition education for Chinese college students in Korea: focused on personalized daily energy requirement and food exchange units. Korean J Community Nutr 2013; 18(6): 565-576. https://doi.org/10.5720/kjcn.2013.18.6.565
  7. Chung EJ, Shim E. Salt-related dietary behaviors and sodium intakes of university students in Gyeonggi-do. J Korean Soc Food Sci Nutr 2008; 37(5): 578-588. https://doi.org/10.3746/jkfn.2008.37.5.578
  8. Ministry of Health of the People's Republic of China. China national health and nutrition examination survey 2002 [Internet]. Beijing: Ministry of Health of the People's Republic of China; 2004 [cited 2013 Aug 29]. Available from: http://wenku.baidu.com/link?url=bWjMOoG8QdNUp4OjTulwpsKja2RW8ZjqujEnF0sFwSpc-KzE203LFWRvd_yW6PUVbVoB_Jb8eoF6NwQHhvkIVeFtDa5ytOFtHe4BnX_Cila.
  9. Lee DT, Lee YS. The age-related trend in blood pressure and the prevalence of hypertension in Korean adults. J Life Sci 2012; 22(2): 148-155. https://doi.org/10.5352/JLS.2012.22.2.148
  10. Eom AY. Influencing factors on health realted to quality of life in hypertension patients. J Korean Biol Nurs Sci 2009; 11(2): 136-142.
  11. Park EM, Hwang BY, Chung TY. Adjustment of international undergraduates from China to academic life in South Korea. Korean J Youth Couns 2010; 18(2): 205-223.
  12. Kim HK, Son YJ, Lee MR, Lim KC, Chang HK, Han SJ, Yang NY, Yoo MR, Ko EJ. Predictors of acculturative stress among Chinese students in Korea. J Korean Acad Adult Nurs 2010; 22(2): 143-152.
  13. Lee NY, Han J. Health status of international students in Korea. J East West Nurs Res 2011; 17(1): 48-56.
  14. Ha KH. Survey of Korean food acknowledgement and preference by Chinese students in Daejeon. Korean J Food Nutr 2010; 23(2): 186-195.
  15. National Health and Family Planning Commission of People's Republic of China. Criteria of weight for adults [Internet]. Beijing: National Health and Family Planning Commission of People's Republic of China; 2013 [cited 2013 Apr 18]. Available from: http://www.nhfpc.gov.cn/ewebeditor/uploadfile/2013/08/20130808135715967.pdf.
  16. Jang JY, Kim MJ, Han JS. A study on food frequency, dietary habits and nutrition knowledge of the elderly who intake high sodium. J Korean Soc Food Sci Nutr 2009; 38(10): 1362-1372. https://doi.org/10.3746/jkfn.2009.38.10.1362
  17. 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.
  18. Kim KN, Lee KS. Nutrition knowledge, dietary attitudes and food behaviors of college student. Korean J Community Nutr 1996; 1(1): 89-99.
  19. Son SM, Kim MJ. Nutritional status and utilization of public health center of elderly. Korean J Community Nutr 2001; 6(2): 218-226.
  20. Yim KS, Min YH, Lee TY. Evaluations of the elderly nutrition improvement program in the community health center: effects of nutrition counseling and education program on elderly dietary behavior. J Korean Diet Assoc 1997; 3(2): 197-210.
  21. Cho K, Kwon S. A comparative study on food habits and nutrient intakes with body mass index of hypertensive patients commuting to a local health center. J Korean Diet Assoc 2002; 8(2): 185-198.
  22. Son SM, Huh GY, Lee HS. Development and evaluation of validity of dish frequency questionnaire (DFQ) and short DFQ using Na index for estimation of habitual sodium intake. Korean J Community Nutr 2005; 10(5): 677-692.
  23. Writing group of 2010 Chinese guidelines for the management of hypertension [Internet]. Beijing: Chinese Hypertension League; 2011 [cited 2011 Mar 11]. Available from: http://www.bhli.org.cn/uploadpic/pdf/20150320020336_49221.pdf.
  24. Lee SH. Relationship of awareness of hypertension and stages of changes, eating behaviors, and nutritional knowledge in male workers [dissertation]. Daegu: Keimyung University; 2011.
  25. Chung SH. Nutritional knowledge of preventing cancer and dietary practice according to dietary behavior change stage [dissertation]. Seoul: Ewha Womans University; 2009.
  26. Reynolds KD, Hinton AW, Shewchuk RM, Hickey CA. Social cognitive model of fruit and vegetable consumption in elementary school children. J Nutr Educ 1999; 31(1): 23-30. https://doi.org/10.1016/S0022-3182(99)70381-X
  27. Van Horn L, Dolecek TA, Grandits GA, Skweres L. Adherence to dietary recommendations in the special intervention group in the Multiple Risk Factor Intervention Trial. Am J Clin Nutr 1997; 65(1 Suppl): 289S-304S. https://doi.org/10.1093/ajcn/65.1.289S
  28. Park HO, Hong MS, Sohn CY. Survey on nutrition knowledge, food behaviors, and food frequency of sodium intake in Korean university students. J East Asian Soc Diet Life 2015; 25(1): 12-19. https://doi.org/10.17495/easdl.2015.2.25.1.12
  29. Lee KH, Lee SS, Kim YK, Lee KA. The preference, knowledge and intake of sodium in different grade of elementary school students. J Korean Pract Arts Educ 2012; 25(4): 41-58.
  30. Rho J, Kim H. A study on the knowledge, dietary behavior related to sodium, attitudes towards a low-salt diet of adults in the Jeonbuk area. Korean J Hum Ecol 2013; 22(4): 693-705. https://doi.org/10.5934/kjhe.2013.22.4.693
  31. Ahn SH, Kwon JS, Kim K, Yoon JS, Kang BW, Kim JW, Heo S, Cho HY, Kim HK. Study on the eating habits and practicability of guidelines for reducing sodium intake according to the stage of change in housewives. Korean J Community Nutr 2012; 17(6): 724-736. https://doi.org/10.5720/kjcn.2012.17.6.724
  32. Kwon SO, Oh SY. Analyses on the factors related to stages of dietary behavioral changes among child bearing aged women. Korean J Nutr 2003; 36(7): 759-768.
  33. Chung SJ, Kim WY. Nutrition knowledge and food habits of housewives. J Korean Home Econ Assoc 1985; 23(4): 101-108.
  34. Kim KH. A study of the dietary habits, the nutritional knowledge and the consumption patterns of convenience foods of university students in the Gwangju area. Korean J Community Nutr 2003; 8(2): 181-191.
  35. Lee SH, Ryu HK. A comparative analysis of salt-related dietary patterns accroding to the sodium intake of college students in Busan. Korean J Community Living Sci 2015; 26(1): 167-176. https://doi.org/10.7856/kjcls.2015.26.1.167
  36. Yoo SJ, Jung LH. A study on food involvement and dietary behavior of middle school students in Naju area. J Korean Home Econ Educ Assoc 2008; 20(1): 63-83.
  37. Lee YO, Choi YH. Factors affecting the preventive behavior of cardiocerebrovascular disease in blue color workers. Korean J Rehabil Nurs 2013; 16(1): 63-70. https://doi.org/10.7587/kjrehn.2013.63

피인용 문헌

  1. Comparison Study of Dietary Behavior, Nutrition Knowledge, and Body Weight Perception of Female High School Students in Jeonju, Korea and Jinan, China vol.25, pp.1, 2016, https://doi.org/10.5934/kjhe.2016.25.1.121
  2. High School Students' Sugar Intake Behaviors and Consumption of Sugary Processed Food Based on the Level of Sugar-related Nutrition Knowledge in Seoul Area vol.22, pp.1, 2017, https://doi.org/10.5720/kjcn.2017.22.1.1
  3. Comparison of Sodium-Related Dietary Behavior and Low-Salt Dietary Attitude Based on the Gender and Salty Taste Assessment of Chinese International Students in the Jeonbuk Area vol.31, pp.2, 2015, https://doi.org/10.17495/easdl.2021.4.31.2.91