한국식생활문화학회지 (Journal of the Korean Society of Food Culture)

  • 제36권4호
  • /
  • Pages.412-420
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  • 2021
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  • 1225-7060(pISSN)
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  • 2288-7148(eISSN)
한국식생활문화학회 (Korean Society of Food Culture)
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광주광역시 유아의 체중별 식행동과 영양지수

Dietary Behavior and Nutrition Quotient (NQ) Scores According to the Weight Status of Preschool Children in Gwangju Metropolitan City

  • Han, Gyusang (Department of Food and Nutrition, Honam University) ;
  • Yang, Eunju (Department of Food and Nutrition, Honam University)
  • 투고 : 2021.08.17
  • 심사 : 2021.08.24
  • 발행 : 2021.08.30
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초록

This study aimed to assess the association between the weight status and dietary behavior of preschool children. The survey included 412 preschool children aged 2-5 years in 31 childcare facilities in Gwangju. General characteristics of children and their mothers, weight, height, feeding type, complementary feeding, food allergy, and dietary behavior of children based on the Nutrition Quotient for preschoolers (NQ-P) questionnaire were considered. Children were classified into 4 groups by weight status; underweight, normal, overweight, and obese, based on the 2017 Korean National Growth Charts. The percentage of children in the respective groups was 5.3, 70.9, 10.7, 13.1%. Weight status was not related to breast feeding duration nor the starting time of complementary feeding. The NQ-P scores of underweight, normal, overweight, and obese groups were 55.4, 60.0, 60.8, 60.0. Among the three factors covered by the NQ-P, 'balance' and 'environment' scores of the underweight group were lower than that of other groups. Underweight children consumed beans, fish, and white milk less frequently. The 'moderation' scores of the overweight/obese group were lower than those of the normal or obese groups. Obese children more frequently ate processed meat and fast foods. Proper nutrition education is thus needed for not only obese children but also underweight children based on their age, along with their parents, and caregivers.

키워드

참고문헌

  1. Bae JM, Kang MH. 2016. Age difference in association between obesity and Nutrition Quotient scores of preschoolers and school children. J. Nutr. Health, 49(6):447-458 https://doi.org/10.4163/jnh.2016.49.6.447
  2. Cho W, Kim J. 2015. The current state of food allergy of preschool childcare facilities in Hanam. Korean J. Community Nutr., 20(4):251-258 https://doi.org/10.5720/kjcn.2015.20.4.251
  3. Choi HS, Park M, Hwang H, Lee JE. 2021. Factors associated with childhood obesity among Korean children aged 2-3: based on the Korea National Health and Nutrition Examination Survey (KNHANES) 2016-2018. Korean Public Health Res., 47(2):97-105 https://doi.org/10.22900/KPHR.2021.47.2.009
  4. El-Behadli AF, Sharp C, Hughes SO, Obasi EM, Nicklas TA. 2015. Maternal depression, stress and feeding styles: towards a framework for theory and research in child obesity. Br. J. Nutr., 113(S1):S55-S71 https://doi.org/10.1017/S000711451400333X
  5. Falkner NH, Newmark-Sztainer D, Story M, Jeffery RW, Beuhring T, Resnick MD. 2001. Social educational and psychological correlates of weight status in adolescents. Obes. Res., 9(1):32-42 https://doi.org/10.1038/oby.2001.5
  6. Freemark M. 2018. Determinants of risk for childhood obesity. N. Engl. J. Med., 379(14):1371-1372 https://doi.org/10.1056/NEJMe1811305
  7. Geserick M, Vogel M, Gausche R, Lipek T, Spielau U, Keller E, Pfaffle R, Kiess W, Korneret A. 2018. Acceleration of BMI in early childhood and risk of sustained obesity. N. Engl. J. Med., 379(14):1303-1312 https://doi.org/10.1056/nejmoa1803527
  8. Hwang I, Bang KS. 2016. Factors affecting obesity and overweight in Korean preschool children: based on the Korea National Health and Nutrition Examination Survey 2013-2014. Child Health Nurs. Res., 22(4):237-246 https://doi.org/10.4094/chnr.2016.22.4.237
  9. Ju Y, Lee Y, Song K, Lee Y. 2021. Evaluation of diet quality according to the eating-out patterns of preschoolers and school-aged children in South Korea: based on data from the 2016-2018 Korea National Health and Nutrition Examination Survey. J. Nutr. Health, 54(2):165-178 https://doi.org/10.4163/jnh.2021.54.2.165
  10. Jung YH, Kim JH. 2016. Evaluation of nutrition quotient and related factors in preschool children. Korean J. Community Nutr., 21(1):1-11 https://doi.org/10.5720/kjcn.2016.21.1.1
  11. Kim EK, Song B, Ju SY. 2018a. Dietary status of young children in Korea based on the data of 2013~2015 Korea National Health and Nutrition Examination Survey. J. Nutr. Health, 51(4):330-339 https://doi.org/10.4163/jnh.2018.51.4.330
  12. Kim HY, Kwon S, Lee JS, Choi YS, Chung HR, Kwak TK. Park J, Kang MH. 2012. Development of a nutrition quotient(NQ) equation modeling for children and the evaluation of its construct validity. Korean J. Nutr., 45(4):390-399 https://doi.org/10.4163/kjn.2012.45.4.390
  13. Kim JE, Lee IS, Lim SW. 2017. Overweight or obesity in children aged 0 to 6 and the risk of adult metabolic syndrome: a systematic review and meta analysis. J. Clin. Nurs., 26(23-24):3869-3880 https://doi.org/10.1111/jocn.13802
  14. Kim JH, Jung YH. 2014. Evaluation of food behavior and nutritional status of preschool children in Nowon-gu of Seoul by using Nutrition Quotient (NQ). Korean J. Community Nutr., 19(1):1-11 https://doi.org/10.5720/kjcn.2014.19.1.1
  15. Kim JR, Lim HS. 2015. Relationship between children's nutrition quotient and the practice of the dietary guidelines of elementary school students and their mothers. J. Nutr. Health, 48(1):58-70 https://doi.org/10.4163/jnh.2015.48.1.58
  16. Kim JM, Song JS, Ahn YJ. 2018b. Relationship between obesity and dietary habits of preschool children and their parents in Dongducheon based on the Nutrition Quotient (NQ). Korean J. Community Nutr., 23(3):216-225 https://doi.org/10.5720/kjcn.2018.23.3.216
  17. Kumar S, Kelly AS. 2017. Review of childhood obesity: from epidemiology, etiology, and comorbidities to clinical assessment and treatment. Mayo Clin. Proc., 92(2):251-265 https://doi.org/10.1016/j.mayocp.2016.09.017
  18. Kwon E, Nah EH. 2016. Secular trends in height, weight and obesity among Korean children and adolescents in 2006- 2015. Korean J. Health Educ. Promt., 33(2):1-13 https://doi.org/10.14367/kjhep.2016.33.2.1
  19. Lee AR, Yu YL, Kim HJ, Kim KA, Kim KW. 2016a. Status of dietary life related knowledge, self-efficacy, food preference and dietary behaviors of preschoolers in Kyunggi area. Korean J. Community Nutr., 21(3):274-283 https://doi.org/10.5720/kjcn.2016.21.3.274
  20. Lee G, Ham OK. 2015. Factors affecting underweight and obesity among elementary school children in South Korea. Asian Nursing Res., 9(4):298-304 https://doi.org/10.1016/j.anr.2015.07.004
  21. Lee HJ, Kim JH, Song S. 2019. Assessment of dietary behaviors among preschoolers in Daejeon: using Nutrition Quotient for preschoolers (NQ-P). J. Nutr. Health, 52(2):194-205 https://doi.org/10.4163/jnh.2019.52.2.194
  22. Lee JS, Kang MH, Kwak TK, Chung HR, Kwon S, Kim HY, Hwang JY, Choi YS. 2016b. Development of Nutrition Quotient for Korean preschoolers (NQ-P): item selection and validation for factor structure. J. Nutr. Health, 49(5):378-394 https://doi.org/10.4163/jnh.2016.49.5.378
  23. Lee S, Lee H, Han Y, Ahn K, Lee S, Chung SJ. 2011. Excessive food restriction in children with atopic dermatitis. Korean J. Community Nutr., 16(6):627-635 https://doi.org/10.5720/kjcn.2011.16.6.627
  24. Min SH. 2018. Evaluation of dietary behavior among preschooler in Jecheon area using Nutrition Quotient for preschoolers. Korean J. Food Cookery Sci., 34(4):413-423 https://doi.org/10.9724/kfcs.2018.34.4.413
  25. Park MY, Park PS. 2017. 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. J. Nutr. Health, 50(4):361-375 https://doi.org/10.4163/jnh.2017.50.4.361
  26. Reilly JJ, Kelly J. 2011. Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic review. Int. J. Obes., 35(7):891-898 https://doi.org/10.1038/ijo.2010.222
  27. Reinehr T, Kleber M, Lass N, Toschke AM. 2010. Body mass index patterns over 5-y in obese children motivated to participate in a 1-y lifestyle intervention: age as a predictor of long-term success. Am. J. Clin. Nutr., 91(5):1165-1171 https://doi.org/10.3945/ajcn.2009.28705
  28. Swallen KC, Reither EN, Haas SA, Meier AM. 2005. Overweight, obesity and health-related quality of life among adolescents: the National longitudinal study of adolescent health. Pediatrics, 115(2):340-347 https://doi.org/10.1542/peds.2004-0678
  29. Yang E. 2020. Dietary behaviors of preschool children and food allergy prevalence of preschool childcare facilities in Gwangsan-gu, Gwangju metropoliten city. J. Korean Soc. Food Cult., 35(1):1-10 https://doi.org/10.7318/KJFC/2020.35.1.1
  30. Yon M, Lee HS, Kim D, Lee J, Nam J, Moon GI, Hong J, Kim CI. 2013. Breast-feeding and obesity in early childhood -based on the KNHANES 2008 through 2011-. Korean J. Community Nutr., 18(6):644-651 https://doi.org/10.5720/kjcn.2013.18.6.644
  31. Yon M, Shin HS, Lee HS. 2019. Relationship between complementary feeding introduction and early childhood caries: results from the Korea National Health and Nutrition Examination Survey 2008-2015. Korean J. Community Nutr., 24(2):97-105 https://doi.org/10.5720/kjcn.2019.24.2.97
  32. Korea Disease Control and Prevention Agency. Korean National Growth Charts 2017. Available from: https://knhanes.kdca.go.kr/knhanes/sub08/sub08_02.do, [accessed 2021. 07. 20]
  33. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. 2013 Korea Health Statistics: Korea National Health and Nutrition Examination Survey (KNHANES VI-1). Available from: https://knhanes.kdca.go.kr/knhanes/sub04/sub04_04_01.do, [accessed 2021. 07. 20]
  34. Ministry of Health and Welfare, Korea Disease Control and Prevention Agency. 2019 Korea Health Statistics: Korea National Health and Nutrition Examination Survey (KNHANES VIII-1). Available from: https://knhanes.kdca.go.kr/knhanes/sub04/sub04_04_01.do, [accessed 2021. 07. 20]
  35. World Health Organization. Newsroom fact sheets: Overweight and obesity. Available from: https://www.who.int/en/newsroom/fact-sheets/detail/obesity-and-overweight, [accessed 2021.07.30.]