DOI QR코드

DOI QR Code

Nutritional status of 3~5 year old children attending kindergarten and childcare facilities: Using data from the 2010 and 2014 Korea National Health and Nutrition Examination Surveys

유치원 및 보육시설 이용 3~5세 원아들의 영양상태 : 2010, 2014년 국민건강영양 조사 자료 이용

  • Park, Mi Yeon (Department of Food & Nutrition Gyeongsang National University) ;
  • Park, Pil Sook (Department of Food Science & Nutrition Kyungpook National University)
  • 박미연 (경상대학교 식품영양학과) ;
  • 박필숙 (경북대학교 식품영양학과)
  • Received : 2017.04.26
  • Accepted : 2017.06.22
  • Published : 2017.08.31

Abstract

Purpose: The purpose of this study was to investigate the nutritional status of 3~5 year old children attending kindergarten and childcare facilities in 2010 and 2014. Methods: Data were obtained from the 2010 and 2014 Korea National Health and Nutrition Examination Surveys (KNHANES) and included 509 subjects aged 3~5 years old attending kindergarten and childcare facilities. Results: In 2014, rate of skipping meals by children was 16.2%, an increase of 5.5% compared with the rate of skipping meals by children in 2010. Calcium intake in 2014 was 397.41 mg at 3 years old, 419.27 mg at 4 years old, and 414.01 mg at 5 years old. For the mean nutrient adequacy ratio (MAR) of subjects in 2010 and 2014, MAR at 3 years old (0.86) was significantly lower than those at 4 and 5 years old (0.90, 0.91) (p < 0.01). In 2010 and 2014, EAR intake at 3 years old (2.72) was significantly higher than those at 4 years old (2.14) and 5 years olds (1.92) (p < 0.01). Conclusion: As a result, compared with 2010 before establishment of the Children's foodservice management center, there was no improvement in the polarization of nutrient intake of children in 2014. Therefore, researchers believe that a continuous monitoring system developed by nutrition experts and children's foodservice management center are needed to improve the nutritional status of children. Of children between the ages of 3~5 years old, those with intakes under EAR were mostly 3 years old. Therefore, researchers suggest that the infant age group of KDRIs, which is classified as 1~2 years old and 3~5 years old, needs to be reestablished considering the growth and development of infants.

2010년, 2014년 3~5세의 국민건강영양조사 자료를 이용하여 유치원 및 보육시설을 이용하는 원아 509명을 대상으로 분석한 결과는 다음과 같다. 2014년 원아들의 조사 전날 결식률은 16.2%로, 2010년 원아의 결식률에 비해 5.5%p 증가하였다. 원아들의 연도별 영양상태를 살펴본 결과, 2014년도 원아들의 칼슘 섭취량은 권장량 대비 가장 적게 섭취한 영양소로, 2010년도 원아들에 비해 1일 39.78 mg (3세), 54.78 mg (4세) 35.78 mg (5세) 적게 섭취하였다. 영양소 적정섭취비의 경우, 2014년 4세와 5세 원아는 2010년 4, 5세에 비해 철과 티아민의 NAR이 유의하게 높았다. 영양 밀도지수에서 2014년 5세 원아의 칼슘과 인 INQ는 2010년 5세에 비해 유의하게 낮은 반면, 티아민의 INQ는 2010년 5세에 비해 높았다. 과잉섭취 대상자 비율에서는 2014년 3~5세 원아들은 2010년 원아들에 비해 철과 티아민 과잉섭취 대상자 비율이 높았다. 또한 원아들의 연령별 영양상태를 살펴본 결과에서는, 평균 영양소 적정섭취비에서 3세의 MAR은 4세와 5세에 비해 유의하게 낮았고, 평균필요량 미만으로 섭취한 영양소의 개수는 4세 (2.14개)와 5세 (1.92개)에 비해 3세에서 2.72개로 유의하게 많았다.

Keywords

References

  1. Lim HJ. Assessment of dietary intake of preschool children in Busan: assessment based on food group intake. Korean J Community Nutr 2001; 6(1): 3-15.
  2. Briggs M, Safaii S, Beall DL; American Dietetic Association; Society for Nutrition Education; American School Food Service Association. Position of the American Dietetic Association, Society for Nutrition Education, and American School Food Service Association--Nutrition services: an essential component of comprehensive school health programs. J Am Diet Assoc 2003; 103(4): 505-514. https://doi.org/10.1016/S0002-8223(03)00163-9
  3. Park KM. A survey of teacher's recognition on nutrition knowledge and nutrition education at day-care centers. Korean J Community Nutr 2005; 10(6): 920-929.
  4. Lee JY, Cho DS. The eating behavior and food preference of preschool children in Sungnam day care facilities. Korean J Food Nutr 2006; 19(4): 482-495.
  5. Lee JH, Kang EJ, Kim C. The difference of perception about nutritional problems and food intakes, nutrition knowledge score and realities of nutrition education between parents and preschool teachers. Korean J Community Nutr 2011; 16(6): 636-646. https://doi.org/10.5720/kjcn.2011.16.6.636
  6. Oh YJ, Chang YK. Children's unbalanced diet and parents' attitudes. Korean J Nutr 2006; 39(2): 184-191.
  7. Lee KW, Yoon JH, Shim JE. Status of children's breakfast skipping and their mothers' needs for breakfast service at child care centers. Korean J Community Nutr 2008; 13(5): 682-692.
  8. Auld G, Boushey CJ, Bock MA, Bruhn C, Gabel K, Gustafson D, Holmes B, Misner S, Novotny R, Peck L, Pelican S, Pond-Smith D, Read M. Perspectives on intake of calcium-rich foods among Asian, Hispanic, and white preadolescent and adolescent females. J Nutr Educ Behav 2002; 34(5): 242-251. https://doi.org/10.1016/S1499-4046(06)60102-4
  9. Cutting TM, Fisher JO, Grimm-Thomas K, Birch LL. Like mother, like daughter: familial patterns of overweight are mediated by mothers' dietary disinhibition. Am J Clin Nutr 1999; 69(4): 608-613. https://doi.org/10.1093/ajcn/69.4.608
  10. Park M, Park P. Factors related to eating habits and nutrition status of mother affecting on body mass index of children aged 1-5years: data from the fifth Korea national health and nutrition examination survey, 2010-2011. Korean J Community Nutr 2016; 21(1): 102-111. https://doi.org/10.5720/kjcn.2016.21.1.102
  11. Waihenya EW, Kogi-Makau W, Muita JW. Maternal nutritional knowledge and the nutritional status of preschool children in a Nairobi slum. East Afr Med J 1996; 73(7): 419-423.
  12. Aparicio G, Cunha M, Duarte J, Pereira A, Bonito J, Albuquerque C. Nutritional status in preschool children: current trends of mother's body perception and concerns. Aten Primaria 2013; 45 Suppl 2: 194-200. https://doi.org/10.1016/S0212-6567(13)70022-2
  13. Jung YH, Kim JH. Evaluation of nutrition quotient and related factors in preschool children. Korean J Community Nutr 2016; 21(1): 1-11. https://doi.org/10.5720/kjcn.2016.21.1.1
  14. Lee JS. Nutrition survey of children of a day care center in the low income area of Pusan: I. A study on nutrient intake and nutritional status. J Korean Soc Food Nutr 1993; 22(1): 27-33.
  15. Park SM, Choi HS, Oh EJ. A survey on anthropometric and nutritional status of children in three different kinds of kindergartens in Cheonan. J Korean Diet Assoc 1997; 3(2): 112-122.
  16. Park SY, Paik HY, Moon HK. A study on the food habit and dietary intake of preschool children. Korean J Nutr 1999; 32(4): 419-429.
  17. The Korean Nutrition Society. Recommended dietary allowances for Koreans. 6th revision edition. Seoul: The Korean Nutrition Society; 1995.
  18. Kang KJ. A study on food habits, nutrient intakes and nutritional quality of preschool children in Seoul. Korean J Community Nutr 2005; 10(4): 471-483.
  19. Choi MK, Lee SY. The effect of breast feeding on growth development, bone mineral density of carpus, and nutrient intakes in preschool children. Korean J Community Nutr 2005; 10(1): 3-11.
  20. Choi MK, Bae YJ, Sung CJ. The relation among bone mineral density, Ca and Mg contents in hair and nail, and nutrient intakes of preschool children in Chungnam District. Korean J Nutr 2005; 38(7): 544-552.
  21. Lim HJ. Riboflavin nutritional status of preschool children in Busan assessed by dietary intake and urinary excretion. Korean J Nutr 2002; 35(9): 970-981.
  22. Yu KH. A study on the iron nutritional status with biochemical parameters in preschool children. Korean J Nutr 2005; 38(7): 533-543.
  23. Lee JS. A comparative study on the dietary attitudes and nutritional status of preschool children in different income levels in Busan. Korean J Community Nutr 2006; 11(2): 161-171.
  24. Lee JY, Lee MS, Kim SK, Ahn HS. Analysis of dietary factors associated with iron deficiency in preschool children. Korean J Health Promot Dis Prev 2004; 4(4): 233-240.
  25. Lee JM, Park HJ, Park SM. A survey on eating behaviors of preschool children for development snack. Korean J Food Cult 2003; 18(2): 151-159.
  26. Serra-Majem L, Ribas-Barba L, Pérez-Rodrigo C, Bartrina JA. Nutrient adequacy in Spanish children and adolescents. Br J Nutr 2006; 96 Suppl 1: S49-S57. https://doi.org/10.1079/BJN20061701
  27. Moreira T, Severo M, Oliveira A, Ramos E, Rodrigues S, Lopes C. Eating out of home and dietary adequacy in preschool children. Br J Nutr 2015; 114(2): 297-305. https://doi.org/10.1017/S0007114515001713
  28. Ahmadi A, Moazen M, Mosallaei Z, Mohammadbeigi A, Amin-Iari F. Nutrient intake and growth indices for children at kindergartens in Shiraz, Iran. J Pak Med Assoc 2014; 64(3): 316-321.
  29. Statistics Korea. Number of children using childcare facilities in Korea [Internet]. Daejeon: Statistics Korea; 2016[cited 2017 Feb 12]. Available from: http://www.index.go.kr/potal/main/EachDtl-PageDetail.do?idx_cd=3023#quick_02.
  30. Korea Centers for Disease Control and Prevention. 2007 Korean children and adolescents growth standard [Internet]. Seoul: Korea Centers for Disease Control and Prevention; 2008[cited 2017 Feb 12]. Available from: http://cdc.go.kr/CDC/notice/CdcKrInfo0201.jsp?menuIds=HOME001-MNU1154-MNU0005-MNU1889&cid=1235.
  31. Ministry of Health and Welfare (KR); The Korean Nutrition Society. Dietary reference intakes for Koreans 2015. Sejong: Ministry of Health and Welfare; 2016.
  32. Hansen RG. An index of food quality. Nutr Rev 1973; 31(1): 1-7. https://doi.org/10.1111/j.1753-4887.1973.tb05134.x
  33. Center for Children's Foodservice Management (KR). Purpose and history of establishment of center for children's foodservice management [Internet]. Cheongju: Center for Children's Foodservice Management; 2014 [cited 2017 Jun 11]. Available from: https://ccfsm.foodnara.go.kr/.
  34. Korean Statistical Information Service. Status of cared children of child care center [Internet].Daejeon: Statistics Korea; 2014 [cited 2017 Jun 11]. Available from: http://kosis.kr/common/meta_onedepth.jsp?vwcd=MT_OTITLE&listid=154_15407.
  35. Korea Centers for Disease Control and Prevention. Korea National Health and Nutrition Examination Survey guidelines V (2010-2012) [Internet]. Cheongwon: Korea Centers for Disease Control and Prevention; 2012 [cited 2017 Jun 11]. Available from: https://knhanes.cdc.go.kr/knhanes/sub04/sub04_02_02.do?classType=4.
  36. Korea Centers for Disease Control and Prevention. Korea National Health and Nutrition Examination Survey guidelines VI (2013-2015) [Internet]. Cheongju: Korea Centers for Disease Control and Prevention; 2014[cited 2017 Jun 11]. Available from: https://knhanes.cdc.go.kr/knhanes/sub04/sub04_02_02.do?classType=4.
  37. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2010: Korea National Health and Nutrition Examination Survey (KNHANES V-1). Cheongwon: Korea Centers for Disease Control and Prevention; 2011.
  38. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2014: Korea National Health and Nutrition Examination Survey (KNHANES VI-2). Cheongju: Korea Centers for Disease Control and Prevention; 2015.
  39. Korea Health Industry Development Institute. Korea health statistics: food source based on nutrients [Internet]. Cheongju: Korea Health Industry Development Institute; 2015 [cited 2017 May 19]. Available from: http://www.khidi.or.kr/kps/dhraStat/result3?menuId=MENU01654&siteId=SITE00002.
  40. Noh HJ, Jeong MA. Relationship between snack consumption patterns and socio-economic status and oral health behavior in Samcheok-Si children. J Korea Contents Assoc 2013; 13(8): 250-257. https://doi.org/10.5392/JKCA.2013.13.08.250
  41. Chung MR, Lee YM, Lee KW. A study on the nutritional evaluation and food service managements of snacks in early childhood education institute. J Korean Home Econ Assoc 2000; 38(4): 99-113.
  42. Kim HS, Lee HO. Survey on nutritional status of pre-school children in Asan measured by anthropometric and nutrient intake analysis. J Korean Diet Assoc 2005; 11(1): 114-124.
  43. Williams BM, O'Neil CE, Keast DR, Cho S, Nicklas TA. Are breakfast consumption patterns associated with weight status and nutrient adequacy in African-American children? Public Health Nutr 2009; 12(4): 489-496. https://doi.org/10.1017/S1368980008002760
  44. The Korean Nutrition Society. Dietary reference intakes for Koreans. Seoul: The Korean Nutrition Society; 2005.
  45. Ministry of Health, Labour and Welfare (JP). Dietary reference intakes for Japanese [Internet]. Tokyo: Ministry of Health, Labour and Welfare; 2014[cited 2017 Jun 11]. Available from: http://www.mhlw.go.jp/stf/shingi/0000041824.html.
  46. National Institutes of Health (US). Nutrient recommendations: dietary reference intakes (DRI) [Internet]. Bethesda (MD): National Institutes of Health; 2011 [cited 2017 Jun 11]. Available from: https://ods.od.nih.gov/Health_Information/Dietary_Reference_Intakes.aspx.
  47. British Nutrition Foundation. Nutrient requirements [Internet]. London: British Nutrition Foundation; 2016[cited 2017 Jun 11]. Available from: https://www.nutrition.org.uk/nutritionscience/nutrients-food-and-ingredients/nutrient-requirements.html.
  48. European Food Safety Authority (IT). Dietary reference values and dietary guidelines [Internet]. Parma: European Food Safety Authority; 2015 [cited 2017 Jun 11]. Available from: https://www.efsa.europa.eu/en/topics/topic/drv.
  49. Chinese Nutrition Society. Ditarynutrient intake guidance for the Chinese population [Internet]. Beijing: Chinese Nutrition Society; 2013[cited 2017 Jun 11]. Available from: http://www.cnsoc.org/en/information/policy2.html.

Cited by

  1. Dietary status of young children in Korea based on the data of 2013 ~ 2015 Korea National Health and Nutrition Examination Survey vol.51, pp.4, 2018, https://doi.org/10.4163/jnh.2018.51.4.330
  2. 대전에 거주하는 미취학 아동과 그 어머니의 식행동 및 이들의 관련성: 영양지수를 활용하여 vol.26, pp.1, 2021, https://doi.org/10.5720/kjcn.2021.26.1.12
  3. 광주광역시 유아의 체중별 식행동과 영양지수 vol.36, pp.4, 2021, https://doi.org/10.7318/kjfc/2021.36.4.412