DOI QR코드

DOI QR Code

대구시 삼삼급식소와 일반급식소의 나트륨 및 당류 저감화 실천도 비교

Comparison of the Sodium and Sugar Reduction Practices at Samsam Foodservices and General Foodservices in Daegu

  • 권성영 (경북대학교 교육대학원 영양교육전공) ;
  • 김길례 (경북대학교 식품영양학과) ;
  • 이연경 (경북대학교 식품영양학과 및 장수생활과학연구소)
  • Kwon, Sung-young (Graduate School of Education, Kyungpook National University) ;
  • Kim, Kilye (Department of Food Science and Nutrition, Kyungpook National University) ;
  • Lee, Yeon-Kyung (Department of Food Science and Nutrition, Center for Beautiful Aging, Kyungpook National University)
  • 투고 : 2021.07.23
  • 심사 : 2021.08.20
  • 발행 : 2021.08.31

초록

본 연구는 대구시 삼삼급식소 종사자 80명, 일반급식소 종사자 80명의 총 160명을 대상으로 2020년 9월부터 10월까지 급식소별 종사자의 짠맛과 단맛 선호도, 급식 맛 인식도, 행동변화단계, 식행동과 급식소의 나트륨 및 당류 저감화 실천도를 비교·분석하였다. 1. 조사대상자의 연령은 삼삼급식소 종사자가 일반급식소 종사자보다 50대 이상의 비율이 높았으며, 근무처는 삼삼급식소는 병원(43.8%)과 관공서(42.5%)의 비율이 높았고, 일반급식소는 학교(55.0%)와 산업체(31.3%)의 비율이 높았으나, 직위와근무경력은 두 급식소 간 유의한 차이가 없었다. 2. 짠맛과 단맛 선호도는 삼삼급식소 종사자와 일반급식소 종사자 간 유의한 차이가 없었으나 싱겁게 먹기를 실천하거나 유지하는 단계에 있는 종사자의 비율은 더 높았다. 또한 급식의 짠맛과 단맛 정도는 삼삼급식소 종사자보다 일반급식소 종사자가 더 짜고, 더 달게 인식하는 것으로 나타났다. 3. 짜게 먹는 식행동 조사결과, 삼삼급식소 종사자는 일반급식소 종사자에 비해 '국이나 국수류의 국물을 남김없이 먹는다'는 식행동 점수가 낮았으나, 당류에 관한 식행동은 두 급식소 종사자 간 유의한 차이는 없었다. 4. 나트륨 저감화 실천도는 일반급식소보다 삼삼급식소에서 높은 것으로 나타났다. 두 급식소 간 실천도에서 특히 차이가 큰 항목은 '음식의 간을 전반적으로 싱겁게 하려고 노력하기', '국·찌개의 국물 양을 적게 제공하기', '가공완제품을 사용하기보다 직접 조리하기', '양념해서 오래 재워두지 않고 제공 직전 양념하기', '양념의 짠맛을 줄이고 단맛, 신맛 추가하기', '김치양을 적게 제공하기', '소금, 장류 줄이고 천연조미료 사용하기' 등이었다. 5. 급식소의 당류 저감화 실천도는 삼삼급식소가 일반급식소보다 높았다. 특히 '한 끼 양념과 소스의 종류를 2가지 이하로 식단 구성하기', '첨가당 함량이 높은 식재료 많이 구매하지 않기', '양념 대신 식재료 본연의 맛을 살려 조리하기', '첨가당 함량 높은 식재료 사용 줄이기', '소스를 버무리지 않고 직접 찍어 먹도록 별도 제공하기' 항목에서 삼삼급식소가 일반급식소에 비하여 실천도가 유의하게 높았다. 이상의 결과, 삼삼급식소는 일반급식소에 비하여 급식의 나트륨 저감화 실천도가 높았을 뿐 아니라 당류 저감화 실천도도 높은 것으로 나타났다. 따라서 향후 단체급식소의 나트륨 및 당류 저감화를 보다 확대하고 정착하기 위해서 국가 차원의 지원과 인센티브를 지속적으로 제공하는 것이 필요한 것으로 사료된다.

Objectives: The purpose of this study was to evaluate the effect of the sodium and sugar reduction practices of the Samsam foodservice project of Daegu, in comparison with that of general foodservices in Daegu. Methods: A survey was conducted on 80 Samsam foodservice workers and 80 general foodservice workers from Sep. to Oct. 2020. We compared each worker's taste preferences, stage of behavior change and dietary behavior regarding sodium and sugar, and each foodservice's practices regarding sodium and sugar reduction. Results: There was no significant difference between the salty taste and sweet taste preferences between the workers at the Samsam foodservices and those at the general foodservices. The percentage of foodservice workers in action or maintenance stage of behavior change for eating less salty was higher in the Samsam foodservices than in the general foodservices (P < 0.05). In addition, regarding the degree of saltiness and sweetness of meals, the workers at the general foodservices perceived their meals to be saltier (P < 0.001) and sweeter (P < 0.01) than the workers at Samsam foodservices. The workers at Samsam foodservices had fewer salty dietary behaviors compared to the workers at general foodservices (P < 0.01). The sodium reduction practice was significantly higher in the Samsam foodservices than the general foodservices (P < 0.001), especially in "efforts to make the food as bland as possible overall" (P < 0.001), and "serving less soup and stew" (P < 0.001). The sugar reduction practice too was significantly higher in the Samsam foodservices than the general foodservices (P < 0.001). Conclusions: The Samsam foodservices were shown to be better in the practice of sodium and sugar reduction compared to general foodservices. Therefore, it is necessary to provide continuous and practical support and incentives at the national level to expand the sodium and sugar reduction practices in foodservices.

키워드

참고문헌

  1. Mente A, O'Donnell M, Rangarajan S, McQueen M, Dagenais G, Wielgosz A et al. Urinary sodium excretion, blood pressure, cardiovascular disease, and mortality: A community-level prospective epidemiological cohort study. Lancet 2018; 392(10146): 496-506. https://doi.org/10.1016/S0140-6736(18)31376-X
  2. Li Y, Huang Z, Jin C, Xing A, Liu Y, Huangfu C et al. Longitudinal change of perceived salt intake and stroke risk in a Chinese population. Stroke 2018; 49(6): 1332-1339. https://doi.org/10.1161/STROKEAHA.117.020277
  3. Okayama A, Okuda N, Miura K, Okamura T, Hayakawa T, Akasaka H et al. Dietary sodium-to-potassium ratio as a risk factor for stroke, cardiovascular disease and all-cause mortality in Japan: Tthe NIPPON DATA80 cohort study. BMJ Open 2016; 6(7): e011632. https://doi.org/10.1136/bmjopen-2016-011632
  4. Umesawa M, Iso H, Fujino Y, Kikuchi S, Tamakoshi A, Group JS. Salty food preference and intake and risk of gastric cancer: The JACC Study. J Epidemiol 2016; 26(2): 92-97. https://doi.org/10.2188/jea.JE20150023
  5. Deckers IA, van Engeland M, van den Brandt PA, Van Neste L, Soetekouw PM, Aarts MJ et al. Promoter CpG island methylation in ion transport mechanisms and associated dietary intakes jointly influence the risk of clear-cell renal cell cancer. Int J Epidemiol 2017; 46(2): 622-631. https://doi.org/10.1093/ije/dyw266
  6. Horikawa C, Yoshimura Y, Kamada C, Tanaka S, Tanaka S, Hanyu O et al. Dietary sodium intake and incidence of diabetes complications in Japanese patients with type 2 diabetes: Analysis of the Japan Diabetes Complications Study (JDCS). J Clin Endocrinol Metab 2014; 99(10): 3635-3643. https://doi.org/10.1210/jc.2013-4315
  7. Korea Health Statistics. 2019 Korea National Health and Nutrition Examination Survey (KNHANES VIII-1). Osong: Korea Disease Control and Prevention Agency; 2020.
  8. Kwon SH, Oh KW. Food sources of nutrient intake in Korea National Health and Nutrition Examination Survey. Daytime Health Illn 2019; 12(32): 1132-1140.
  9. Ministry of Health and Welfare. The Korean Nutrition Society. Dietary Reference Intakes for Koreans 2020. Sejong: Ministry of Health and Welfare; 2020.
  10. World Health Organization. Global action plan for the prevention and control of noncommunicable diseases 2013-2020 [Internet]. World Health Organization; 2013 [cited 2021 Apr 25]. Available from: https://apps.who.int/iris/bitstream/handle/10665/94384/9789241506236_eng.pdf?sequence=1&isAllowed=y.
  11. Puska P, Jaini P. The North Karelia Project: Prevention of cardiovascular disease in Finland through population-based lifestyle interventions. Am J Lifestyle Med 2020; 14(5): 495-499. https://doi.org/10.1177/1559827620910981
  12. Laatikainen T, Pietinen P, Valsta L, Sundvall J, Reinivuo H, Tuomilehto J. Sodium in the Finnish diet: 20-year trends in urinary sodium excretion among the adult population. Eur J Clin Nutr 2006; 60(8): 965-970. https://doi.org/10.1038/sj.ejcn.1602406
  13. Udagawa K, Miyoshi M, Yoshiike N. (2008). Mid-term evaluation of "Health Japan 21": Focus area for the nutrition and diet. Asia Pac J Clin Nutr 17(S2): 445-452.
  14. Wyness LA, Butriss JL, Stanner S. Reducing the population's sodium intake: The UK food standards agency's salt reduction programme. Public Health Nutr 2011; 15(2): 254-261. https://doi.org/10.1017/S1368980011000966
  15. Ministry of Food and Drug Safety. Guidelines for operating and managing Samsam Foodservice 2021. Ministry of Food and Drug Safety; 2021 [cited 2021 Jul 21]. Available from: https://www.foodsafetykorea.go.kr/portal/board/boardDetail.do?menu_no=3601&bbs_no=NUTRI01&ntctxt_no=1082967&menu_grp=MENU_NEW03.
  16. Ministry of Food and Drug Safety. Press Release: Choose sodium reduction meals in eating out and foodservice [Internet]. Ministry of Food and Drug Safety; 2014 [cited 2014 Dec 26]. Available from: https://impfood.mfds.go.kr/CFBBB02F02/getCntntsDetail?cntntsSn=281366.
  17. Jung JE. Policy trends of sodium reduction. Food Sci Ind 2016; 49(2): 2-7. https://doi.org/10.23093/FSI.2016.49.2.2
  18. Jung JE. Action plan for sugars reduction. Food Sci Ind 2016; 49(3): 12-16. https://doi.org/10.23093/FSI.2016.49.3.12
  19. Ministry of Food and Drug Safety, The Korean Nutrition Society. The study of cost-effectiveness and other benefits of sugars reduction policy [Internet]. The Korean Nutrition Society; 2018 [cited 2020 Jul 10]. Available from: https://rnd.mfds.go.kr.
  20. Lee KS. Use of salimeters and sodium reduction education in school foodservice in the Gyeonggi area. J Korean Diet Assoc 2013; 19(2): 173-181. https://doi.org/10.14373/JKDA.2013.19.2.173
  21. Lee JH. Awareness and practice of sodium reduction by elementary, middle and high school dietitians in Gyeonggi area. J East Asian Soc Dietary Life 2012; 22(6): 734-743.
  22. Ha IH, Lyu ES. Awareness, practice, and obstruction of sodium reduction by middle school dietitians in Busan area. Korean J Food Cook Sci 2015; 31(2): 225-232. https://doi.org/10.9724/kfcs.2015.31.2.225
  23. Kim SH, Shin EK, Lee YK. Sodium reduction practice and importance-performance analysis of sodium reduction methods in school foodservice in Daegu. Korean J Community Nutr 2020; 25(5): 386-395. https://doi.org/10.5720/kjcn.2020.25.5.386
  24. Kang MJ. Analysis of sodium content and sodium perception in sodium-reduced foodservice menu in Daegu [master's thesis]. Kyungpook National University; 2019.
  25. Lee SJ. Restaurant employees and customers recognition and practice of sodium reduction and satisfaction with sodium reduction project [master's thesis]. Kyungpook National University; 2020.
  26. Choi MS. A study on the perception and actual condition of sweet taste test and sugar reduction of foodservice workers in Gyeongnam province [master's thesis]. Changwon National University; 2018.
  27. Ahn SH, Kwon JS, Kim KM, Lee YN, Kim HK. Current status, perception and practicability of restaurant staffs related to reducing sodium use in Seongnam, Korea. J Nutr Health 2019; 52(5): 475-487. https://doi.org/10.4163/jnh.2019.52.5.475
  28. Takachi R, Ishihara J, Iwasaki M, Ishi Y, Tsugane S. Selfreported taste preference can be proxy for daily sodium intake in middle-aged Japanese adults. J Acad Nutr Diet 2014; 14(5): 781-787.
  29. Yoo NH, Kim MJ, Han JS. A study on the food intake frequency, dietary habits and nutrition knowledge of middle school students who like sweets in Busan. J Korean Soc Food Sci Nutr 2007; 36(6): 735-744. https://doi.org/10.3746/JKFN.2007.36.6.735
  30. Hong SM, Lee JH, Kim HK, Yu R, Seo JH, Huh EJ et al. Study on sodium reduction: 'Healthy restaurant for sodium reduction'. J Korean Diet Asoc 2014; 20(3): 174-182. https://doi.org/10.14373/JKDA.2014.20.3.174
  31. Shin HW, Lee YM. The effectiveness of Na reduction program for cook in child-care center: Focus on self-revaluation and strengthen consciousness. Korean J Community Nutr 2014; 19(5): 425-435. https://doi.org/10.5720/kjcn.2014.19.5.425
  32. Jang S, Kim K, Lee YK. Awareness and practice of sugar reduction in school foodservice and the practice of nutrition education in Daegu. Korean J Community Nutr 2021; 26(3): 167-176. https://doi.org/10.5720/kjcn.2021.26.3.167
  33. Ma J, Lee S, Kim K, Lee YK. Sodium reduction in South Korean restaurants: A Daegu-based intervention project. Asia Pac J Clin Nutr 2020; 29(2): 404-413.