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경기지역 20~30대 여성의 골 건강 관련 영양지식 수준과 칼슘 섭취 관련 식행동 및 영양교육과의 연관성

Bone Health-Related Nutritional Knowledge and its Association with Calcium-Related Dietary Behaviors and Nutrition Education of Women in their 20s and 30s

  • 최은성 (수원대학교 교육대학원 영양교육전공) ;
  • 박찬윤 (수원대학교 건강과학대학 식품영양학과)
  • Eun-Sung, Choi (Major in Nutrition Education, Graduate School of Education, The University of Suwon) ;
  • Chan Yoon, Park (Dept. of Food & Nutrition, College of Health Science, The University of Suwon)
  • 투고 : 2023.01.11
  • 심사 : 2023.01.26
  • 발행 : 2023.02.02

초록

Osteoporosis is a major health problem confronting middle-aged women today. Enhancing calcium intake in early adulthood can increase the rate of calcium gain in bone. In this study, we investigated the association of bone health-related nutritional knowledge levels with calcium-related dietary behavior and nutrition education among women. Data were collected using questionnaires from 347 women aged 20~30 residing in Gyeonggi-do. Subjects were categorized into two groups according to their bone health-related nutritional knowledge (high or low-knowledge group). Knowledge related to bone health and calcium, and dietary habits was assessed, and the preference for and intake frequency of calcium-rich food were collected and analyzed using food frequency questionnaires. The high-knowledge group showed a significantly higher rate of nutritional education experience (33.9%) when compared with the low-knowledge group (18.9%). Not only were the perceptions regarding milk and dairy products more positive in the high-knowledge group (P<0.05), but the intake frequency of calcium-rich foods, such as tofu, soybean, and anchovies, was also higher in this group compared to the low-knowledge group (P<0.05). Overall, the preference for all calcium-rich foods was positively correlated to their intake frequency (P<0.05). Nutrition education experience and the recognition of the need for such education were positively correlated with the bone health-related nutrition knowledge score (P<0.05). In conclusion, bone health-related nutritional knowledge can affect calcium-related dietary behavior and increase the intake of calcium-rich food of 20~30-year-old women and this can contribute to the prevention of osteoporosis. To improve bone health-related nutritional knowledge among young women, it may be important to provide nutrition education.

키워드

참고문헌

  1. Alswat KA (2017): Gender disparities in osteoporosis. J Clin Med Res 9(5):382-387 https://doi.org/10.14740/jocmr2970w
  2. Anderson JJ, Rondano PA (1996): Peak bone mass development of females: can young adult women improve their peak bone mass? J Am Coll Nutr 15(6):570-574 https://doi.org/10.1080/07315724.1996.10718631
  3. Choi HJ, Kang DH, Kim GE, Cheong HS, Kim SH (2002): A study on nutritional status of the long-lived elderly people in Kyungnam. J Korean Soc Food Sci Nutr 31(5):877-884 https://doi.org/10.3746/JKFN.2002.31.5.877
  4. Choi MJ, Jung YJ (1998): The relationship between food habit, nutrient intakes and bone mineral density and bone mineral content in adult women. J Nutr Health 31(9):1446-1456
  5. Chung HY (2008): Osteoporosis diagnosis and treatment 2007. J Korean Endocr Soc 23(2):76-108 https://doi.org/10.3803/jkes.2008.23.2.76
  6. Chung SH, Kim PN (2004): Educational needs of women with osteoporosis. J Korean Gerontol Nurs 6(1):55-66
  7. Eichler K, Hess S, Twerenbold C, Sabatier M, Meier F, Wieser S (2019): Health effects of micronutrient fortified dairy products and cereal food for children and adolescents: a systematic review. PLoS One 14(1):e0210899
  8. Faul F, Erdfelder E, Buchner A, Lang AG (2009): Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods 41(4):1149-1160 https://doi.org/10.3758/BRM.41.4.1149
  9. Fiorito LM, Mitchell DC, Smiciklas-Wright H, Birch LL (2006): Girls' calcium intake is associated with bone mineral content during middle childhood. J Nutr 136(5):1281-1286 https://doi.org/10.1093/jn/136.5.1281
  10. Go G, Tserendejid Z, Lim Y, Jung S, Min Y, Park H (2014): The association of dietary quality and food group intake patterns with bone health status among Korean postmenopausal women: a study using the 2010 Korean National Health and Nutrition Examination Survey Data. Nutr Res Pract 8(6):662-669 https://doi.org/10.4162/nrp.2014.8.6.662
  11. Han JM, Min SH, Lee MJ (2016): Study on nutrition knowledge, perception, and intake frequency of milk and milk products among middle school students in Chuncheon area. J Korean Soc Food Cult 31(3):205-212 https://doi.org/10.7318/KJFC/2016.31.3.205
  12. Jang SH (2010): An investigation into dietary habit and food preference by university student's nutrition knowledge. Masters degree thesis. Konkuk University. pp.37-39
  13. Jeong YS, Oh JE, Cho MS, Kim YR (2021): Calcium intake and its major food groups and dish groups in Korean adults aged 50 years or older: Korea National Health and Nutrition Examination Survey 2015-2019. J Korean Soc Food Cult 36(6):595-606
  14. Kang JS, Kim HS (2004): A study on the evaluation of a nutritional education program for the middle aged obese women. Korean J Food Nutr 17(4):356-367
  15. Kim EJ, Hwang HJ (2010): Effects of a nutrition education and exercise program of overweight or obese female adults on nutritional and health status. J Korean Soc Food Sci Nutr 39(1):78-84 https://doi.org/10.3746/jkfn.2010.39.1.078
  16. Kim MH, Yeon JY, Kim JW, Byun JE, Bu SY, Choi MK, Bae YJ (2015): A study on sodium-related dietary attitude and behaviors according to sodium-related nutrition knowledge of university students. Korean J Community Nutr 20(5):327-337 https://doi.org/10.5720/kjcn.2015.20.5.327
  17. Kim MJ (2015): Comparison of nutrition knowledge, beliefs, self-efficacy and eating behaviors by calcium intake group in female college students. Masters degree thesis. Seoul Women's University. pp.15-17
  18. Kim MS, Koo JO (2007): Analysis of factors affecting bone mineral density with different age among adult women in Seoul area. Korean J Community Nutr 12(5):559-568
  19. Kim YA (2014): Osteoporosis or low bone mass in adults aged 50 years old and above in Republic of Korea, 2008-2011. Public Health Wkly Rep 7(42):939-942
  20. Korea Centers for Disease Control and Prevention (2019): Korea health statistics 2018: Korea National Health and Nutrition Examination Survey (KNHANES VIII-3). Ministry of Health and Welfare. Sejong. pp.117-119
  21. Korea Centers for Disease Control and Prevention (2020). The eighth Korea National Health and Nutrition Examination Survey. Available from: https://knhanes.kdca.go.kr/knhanes/sub01/sub01_05.do#none Accessed January 25, 2023
  22. Korea Health Industry Development Institute (2020). Main food source for nutrients. Available from: https://www.khidi.or.kr/kps/dhraStat/result16?menuId=MENU01670&gubun=agewoman&year=2020. Accessed January 4, 2023
  23. Kwon SH (2013): Intakes of calcium and dairy products in Korea National Health and Nutrition Examination Survey. Public Health Wkly Rep 6(41):821-827
  24. Kwon S, Lee JS (2017): Study on relationship between milk intake and prevalence rates of chronic diseases in adults based on 5th and 6th Korea National Health and Nutrition Examination Survey data. J Nutr Health 50(2):158-170 https://doi.org/10.4163/jnh.2017.50.2.158
  25. Lee MH (2012): Consumption of dairy products and nutrition education associated with milk intake. Masters degree thesis. Konkuk University. pp.30-31
  26. Lee SJ, Kim KY, Lee YK (2022): Comparison of sodium reduction practice and estimated sodium intake by salty food preference on employees and customers of sodium reduction restaurant in Daegu, Korea. Korean J Community Nutr 27(1):27-35 https://doi.org/10.5720/kjcn.2022.27.1.27
  27. Lim YS, Lee SW, Tserendejid Z, Jeong SY, Go G, Park HR (2015): Prevalence of osteoporosis according to nutrient and food group intake levels in Korean postmenopausal women: using the 2010 Korea National Health and Nutrition Examination Survey Data. Nutr Res Pract 9(5):539-546 https://doi.org/10.4162/nrp.2015.9.5.539
  28. Lytle LA (1994): Nutrition education for school-aged children: a review of research. U.S. Department of Agriculture, Food and Consumer Service. Alexandria. pp.1-100
  29. Matkovic V (1992): Calcium intake and peak bone mass. N Engl J Med 327(2):119-120 https://doi.org/10.1056/NEJM199207093270210
  30. Matsuyama M, Harb T, David M, Davies PS, Hill RJ (2017): Effect of fortified milk on growth and nutritional status in young children: a systematic review and meta-analysis. Public Health Nutr 20(7):1214-1225 https://doi.org/10.1017/S1368980016003189
  31. Min SK, Oh T, Kim SH, Cho J, Chung HY, Park DH, Kim CS (2019): Position statement: exercise guidelines to increase peak bone mass in adolescents. J Bone Metab 26(4):225-239 https://doi.org/10.11005/jbm.2019.26.4.225
  32. Mizushima S, Tsuchida K, Yamori Y (1999): Preventive nutritional factors in epidemiology: interaction between sodium and calcium. Clin Exp Pharmacol Physiol 26(7):573-575 https://doi.org/10.1046/j.1440-1681.1999.03083.x
  33. Oh JY, Kim SB (2010): Development and effects' analysis of nutrition education program for diabetes mellitus at community health center: focused on individual daily energy requirements and food exchange units. Korean J Community Nutr 15(4):485-497
  34. Palacios C, Hofmeyr GJ, Cormick G, Garcia-Casal MN, Pena-Rosas JP, Betran AP (2021): Current calcium fortification experiences: a review. Ann N Y Acad Sci 1484(1):55-73 https://doi.org/10.1111/nyas.14481
  35. Ryu GY, Moon YS (2014): A case study on verification of internet survey. J Korean Data Inf Sci Soc 25(1):11-18
  36. Seoul Food Life Support Center (2016). Eating habits in Seoul: Nutrition Education and Counseling recipient Rate (2007~2013). Available from: https://www.seoulnutri.co.kr/food-db/9.do?categorySeq=. Accessed September 14, 2022
  37. Shortt C, Flynn A (1990): Sodium-calcium inter-relationships with specific reference to osteoporosis. Nutr Res Rev 3(1):101-115 https://doi.org/10.1079/NRR19900008
  38. Sung CJ, Choi YH, Kim MH, Choi SH, Cho KO (2002): A study of nutrient intake and serum levels of osteocalcin, Ca, P, and Mg and their correlation to bone mineral density in Korean postmenopausal women residing in rural areas. Korean J Community Nutr 7(1):111-120
  39. Taylor JG, Bushinsky DA (2009): Calcium and phosphorus homeostasis. Blood Purif 27(4):387-394 https://doi.org/10.1159/000209740
  40. Yoon JS, Choi JY (2013): Calcium foods intake among middle school students in Daegu. J Living Sci Res 39:1-10