Journal of Nutrition and Health

The Korean Nutrition Society (한국영양학회)
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Correlation analysis of sodium-related knowledge, dietary behavior, attitudes towards a low-salt diet and meal attitude guidance for elementary school teachers in Jeonbuk area

전북지역 초등학교 교사의 나트륨에 대한 지식, 나트륨섭취 식행동, 저염식 태도 및 식생활지도와의 관계 연구

  • Moon, Hyun Ok (Major of Nutrition Education, The Graduate School of Education, Chonbuk National University) ;
  • Rho, Jeong Ok (Department of Food Science and Human Nutrition, Chonbuk National University)
  • 문현옥 (전북대학교 교육대학원 영양교육전공) ;
  • 노정옥 (전북대학교 식품영양학과)
  • Received : 2016.09.27
  • Accepted : 2017.02.07
  • Published : 2017.04.30
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Abstract

Purpose: The purpose of the study was to identify teacher's knowledge about sodium, dietary behaviors related to sodium, attitudes towards a low-salt diet, and meal attitude guidance as well as examine the relationship between these variables. Methods: The participants were 351 teachers at an elementary school in the Jeonbuk area. The data were analyzed using ANOVA, Duncan test, and Pearson correlation coefficients with SPSS v. 20.0. Results: The score for teachers' knowledge about sodium was 12.92 points of a possible 16, the score for dietary behavior related to sodium was 46.85 points of a possible 70, and the score for attitude towards a low-salt diet was 33.63 points of a possible 50. Their score for meal attitude guidance was 59.95 points of a possible 80. The knowledge showed significant differences by hypertension drug (p < 0.05) and stress level (p < 0.05). The dietary behavior of sodium use showed significant differences by gender (p < 0.01), work experience (p < 0.05), BMI (p < 0.01), drinking (p < 0.05), concern about health (p < 0.05), and stress level (p < 0.05). The attitude towards a low-salt diet showed significant differences by gender (p < 0.05), marital status (p < 0.05), work experience (p < 0.05), drinking (p < 0.05), concern about health (p < 0.001), and stress level (p < 0.05). Meal attitude guidance showed a significant difference by marital status (p < 0.001), age (p < 0.001), work experience (p < 0.001), drinking (p < 0.01), regularity of health checkup (p < 0.001), concern about health (p < 0.001), and stress level (p < 0.05). There was a low positive correlation between knowledge about sodium and dietary behavior related to sodium as well as between dietary behavior related to sodium and attitudes towards a low-salt diet. Attitudes towards a low-salt diet showed a positive correlation with meal attitude guidance. Conclusion: Therefore, it is necessary to consider educational programs on increasing knowledge and attitudes towards a low-salt diet in teachers for improvement of meal attitude guidance activities for students.

본 연구는 전북지역 345명의 초등학교 교사들을 대상으로 교사들의 나트륨 영양지식, 나트륨 식행동, 저염식 태도수준을 파악하고 교사들의 식생활지도 수행과의 관계를 조사하고자 하였으며, 그 결과를 요약하면 다음과 같다. 조사대상자의 나트륨에 대한 지식에 대한 총점은 16점 중 12.92점이며 '소금을 적게 섭취하면 고혈압, 심혈관 질환, 위암, 골다공증 등의 질병을 예방할 수 있다'가 가장 높은 정답률을 보였고, '신선한 야채와 과일을 많이 먹으면 다량의 칼륨이 나트륨을 몸 밖으로 배출시켜 준다'가 가장 낮은 정답률을 보였다. 조사대상자의 나트륨관련 식행동에 대한 총점은 70점 중 46.85점이며 '젓갈이나 장아찌가 식탁에 없으면 섭섭하다'가 가장 높았고, '라면, 국수 등을 먹을 때 김치를 꼭 먹는다'가 가장 낮은 점수를 보였다. 조사대상자의 저염식 태도에 대한 총점은 50점 중 33.63점이며 '염분에 대한 정보가 주어진다면 저염 식품을 선택하겠다'가 가장 높았고, '가공식품이나 스낵 속의 나트륨 함량을 확인한다'가 가장 낮은 점수를 보였다. 조사대상자의 식생활지도 수행에 대한 총점은 80점 중 59.95점이며 '학생들과 함께 급식을 한다'가 가장 잘 이루어지나 '식품영양표시를 이용하여 저나트륨 식품을 선택하도록 지도한다'와 '급식 시 학생들이 잘 접하지 않은 음식이 나오면 그 음식의 유래나 영양가 등을 학생들에게 설명해 준다'가 잘 이루어지지 않는 것으로 나타났다. 조사대상자의 일반적인 특성에 따른 나트륨에 대한 지식은 고혈압약 복용, 스트레스 정도에서 통계적으로 유의한 차이를 보였다. 나트륨 관련 식행동은 성별, 근무경력, BMI, 흡연, 음주, 건강에 대한 관심, 스트레스 정도에서 통계적으로 유의한 차이를 보였다. 저염식 태도는 성별, 결혼 유무, 근무경력, 음주, 운동, 건강에 대한 관심, 스트레스 정도에서 통계적으로 유의한 차이를 보였다. 식생활지도 수행은 결혼유무, 연령, 근무경력, 음주, 건강검진, 건강에 대한 관심, 스트레스 정도에서 통계적으로 유의한 차이를 보였다. 나트륨에 대한 지식, 나트륨 섭취 식행동, 저염식 태도 및 식생활 지도 수행간의 관계는 나트륨에 대한 지식은 나트륨 섭취 식행동 (r = 0.252, p < 0.01)간에 낮은 상관관계를 보였다. 나트륨 섭취 식행동은 저염식 태도 (r = 0.319, p < 0.01)간에 낮은 상관관계를 나타냈고, 저염식 태도와 식생활 지도 수행 (r = 0.435, p < 0.01)간에는 순 상관관계를 보였다. 이상의 결과, 전북지역 초등교사의 나트륨에 대한 지식수준과 식생활지도 수행정도는 보통수준이나 나트륨 섭취 식행동과 저염식태도는 낮은 수준으로 나타났다. 교사들의 교육경력에 따라서 나트륨관련 지식수준의 차이는 없었으나 장기근무 교사일수록 또한 본인의 건강에 대한 관심이 높을수록 나트륨 섭취 식행동, 저염식 태도 및 식생활지도 수행점수가 높았다. 그러나 고혈압약을 복용하고 있음에도 불구하고 나트륨관련 지식이 낮은 것을 볼 때 교사대상의 나트륨관련 질병 등에 대한 영양교육의 필요성이 매우 높겠다. 본 연구결과 교사들의 나트륨관련 지식과 나트륨관련 식행동 간에 낮으나 어느 정도의 상관관계가 있으므로 근무기간이 짧은 교사의 경우는 직무연수 등을 통하여 나트륨에 대한 정보를 정확하게 전달하여 교사들 스스로 올바른 식생활관리가 가능하도록 할뿐만 아니라 장기적으로 학생들의 식생활지도가 잘 이루어지도록 하여야 하겠다. 따라서 초등교사의 식생활지도 수행에 좀 더 긍정적인 영향을 미칠 수 있도록 나트륨에 대한 지식 및 저염식 태도 등 식생활에서 실천 가능한 교육 프로그램 및 교육매체 개발 등을 위한 영양교사와의 협조체계가 필요하며 이를 위한 교육청 및 학교행정부서의 적극적인 지원이 필요하겠다.

Keywords

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