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유아 대상 과일·채소 영양교육 효과분석: 체계적 문헌고찰 및 메타분석

Effectiveness of nutrition education intervention focusing on fruits and vegetables in children aged six years and under: a systematic review and meta-analysis

  • 안수민 (경희대학교 동서의학대학원 의학영양학과) ;
  • 안혜진 (경희대학교 동서의학대학원 노인학과 고령서비스-테크 융합전공) ;
  • 우정현 (경희대학교 동서의학대학원 의학영양학과) ;
  • 윤영 (농촌진흥청 국립농업과학원 식생활영양과) ;
  • 박유경 (경희대학교 동서의학대학원 의학영양학과)
  • An, Sumin (Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University) ;
  • Ahn, Hyejin (Department of Gerontology (AgeTech-Service Convergence Major), Kyung Hee University) ;
  • Woo, Jeonghyeon (Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University) ;
  • Yun, Young (Food & Nutrition Division, National Institute of Agricultural Sciences) ;
  • Park, Yoo Kyoung (Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University)
  • 투고 : 2021.06.11
  • 심사 : 2021.09.06
  • 발행 : 2021.10.31

초록

본 연구는 유아를 대상으로 한 영양교육의 중재효과를 평가하고, 과일·채소의 선호도 및 영양지식 향상에 효과적인 영양교육 유형을 분석하기 위해 체계적 문헌고찰과 메타분석을 수행하였다. 메타분석의 효과크기 결과에 따르면 유아 대상 영양교육은 과일·채소 선호도 및 영양지식을 유의적으로 향상시켰으며, 일반영양교육 보다는 과일·채소 중심 영양교육이 유아의 과일·채소 선호도 및 영양지식 향상에 더 효과적이었다. 또한 유아의 과일·채소 선호도 및 영양지식 향상을 위해서는 원예활동, 요리활동 및 오감활동 등의 직접 노출 활동을 포함하는 영양교육이 더욱 효과적이라는 것을 확인할 수 있었다. 본 연구는 유아대상 영양교육의 효과를 입증했을 뿐만 아니라, 유아의 과일·채소 선호도 및 영양지식 향상에 가장 효과적인 영양교육의 형태를 도출했다는 점에서 의의가 있다.

Purpose: A systematic review and meta-analysis of nutrition educational intervention studies was performed to assess the association between nutrition education intervention and fruit & vegetable (F&V) preferences and nutrition knowledge in preschool children. Methods: The relevant studies of nutrition education intervention and F&V preferences and nutrition knowledge published from January 2000 to June 2020 were located using PubMed, Web of Science, Cochrane Library, Research Information Sharing Service, Korean Studies Information Service System databases, and lists of references. A random-effects meta-analysis was conducted to estimate the standardized mean difference with a 95% confidence interval (CI). Subgroup analyses were performed to identify the association between nutrition education and F&V preferences and nutrition knowledge. Results: The results show that the effect sizes (ES) of F&V preferences and nutrition knowledge of preschool children were 0.31(95% CI, 0.23, 0.39), and 1.69(95% CI, 1.27, 2.12), respectively. The result of subgroup analysis, nutrition education focused on F&V (F&V preferences, ES: 0.32; nutrition knowledge, ES: 2.09) presented a slightly larger effect than general nutrition education (F&V preferences, ES: 0.26; nutrition knowledge, ES: 1.62). As for the type of exposure to F&V, direct exposure education (F&V preferences, ES: 0.40) had a greater effect than indirect exposure (F&V preferences, ES: 0.26). This meta-analysis showed that nutrition education intervention had positive effects on the F&V preferences and nutrition knowledge in preschool children. Conclusion: In conclusion, from the meta-analysis and subsequent subgroup analysis, we found that varied types of nutrition education intervention had varying effects on F&V preferences and nutrition knowledge in preschool children.

키워드

과제정보

This research was funded by the agro-food based basic research of the Korea Rural Development Administration grant (project No. PJ01416602).

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