Journal of the Korean Dietetic Association (대한영양사협회학술지)

The Korean Dietetic Association (대한영양사협회)
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Examining Nutritional and Dietary Risk Factors Across Weight Classes in Elementary School Students using Busan Office of Nutrition Education Center's Dietary Diagnosis System

부산시교육청 영양교육체험센터 식생활 진단 시스템을 활용한 초등학생의 체중급별에 따른 영양·식생활 위험요인 비교

  • Jinseon Song (Division of Character & Physical Development, School Meals, Busan Metropolitan City Office of Education) ;
  • Youngshin Han (Dept. of Food Science and Nutrition, Daegu Catholic University) ;
  • Kyung A Lee (Dept. of Food Science and Nutrition, Daegu Catholic University)
  • 송진선 (부산광역시교육청 인성체육급식과) ;
  • 한영신 (대구가톨릭대학교 식품영양학과) ;
  • 이경아 (대구가톨릭대학교 식품영양학과)
  • Received : 2023.08.18
  • Accepted : 2023.11.20
  • Published : 2023.11.02
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Abstract

This study was undertaken to analyze the growth, nutritional, and dietary risk factors of elementary school students belonging to the Busan Metropolitan City Office of Education and provide the basic data needed to develop an underweight and obesity prevention program. In 2021, BMI and Dietary Screening Test (DST) data of 4,046 children surveyed by the Nutrition Education Experience Center's "Diagnosis System" of the Busan Regional Office of Education were analyzed. The DST consists of 36 questions about lifestyle habits, meal quality, meal regularity, snack quality, and eating behavior. Of the children included, 6.8% were underweight, 65.4% were normal weight, 13.4% were overweight, and 14.4% were obese. Children in the obesity group had shorter sleep and meal times (P<0.001), lower vegetable and fruit consumption frequencies (P<0.001), higher fast food consumption frequencies (P<0.001), higher rates of skipping meals (P<0.01) and breakfast (P<0.001), and more frequently used smartphones and watched TV during meals (P<0.001). The underweight group had the highest scores for all eating development factors but more frequently had chewing and swallowing difficulties (P<0.001). The study confirms underweightedness and obesity are present different problems and indicates that nutrition teachers should conduct accurate studies on the eating habits and behaviors of obese and underweight students and provide individually tailored nutritional counseling.

Keywords

Acknowledgement

본 연구에 많은 도움을 주신 부산광역시교육청 영양교육체험센터 선생님들을 비롯한 영양교사님들께 깊이 감사드립니다. 또한, 자료 정리에 도움을 주신 대구가톨릭대학교 이채홍님께도 감사드립니다.

References

  1. Anderson SE, Andridge R, Whitaker RC (2016): Bedtime in preschool-aged children and risk for adolescent obesity. J Pediatr 176:17-22 https://doi.org/10.1016/j.jpeds.2016.06.005
  2. Choi JM, Kim CB (2011): Obesity management and scientific evidence. J Korean Med Assoc 54(3):250-265 https://doi.org/10.5124/jkma.2011.54.3.250
  3. Choi JY, Ryu SH (2010): Effect of the dietary life education program on elementary school students' nutrition knowledge and eating habit. J Korean Pract Arts Educ 23(2):319-334
  4. Choi MK, Lee YS (2008): The dietary behaviors, taste preferences, and nutrient intakes of obese children consuming unbalanced diets. J East Asian Soc Diet Life 18(1):127-134
  5. Heo EJ, Shim JE, Yoon EY (2017): Systematic review on the study of the childhood and adolescent obesity in Korea: dietary risk factors. Korean J Community Nutr 22(3):191-206 https://doi.org/10.5720/kjcn.2017.22.3.191
  6. Kang JH. Korean Children-Adolescents Cohort Study (KoCAS). Gimhae: Inje University; 2018 Apr. Report No.: TRKO201800037970.https://scienceon.kisti.re.kr/srch/selectPORSrchReport.do?cn=TRKO201800037970
  7. Kang JH, Sung EJ (2017): Korean children-adolescents cohort study (KoCAS). Korea Centers for Disease Control and Prevention. Cheongju. pp.40-45
  8. Kim BK, Chung SJ, Han YS, Han HY, Kim MN, Song GE, Choi KA, Park HK (2022): Difference in diet of young children across regions of Seoul. The abstract of the Korean society for Community Nutrition Autumn Conference. Korean Society of Community Nutrition. Seoul. pp.3-9
  9. Kim HR, Lee SH, Choi JM, Oh YI (2011): Children's obesity and underweight among low income families in Korea: status, implications and policy options. Korea Institute for Health and Social Affairs. Seoul. pp.65-82
  10. Kim JH, Kim YS, Kim Y, Kang MS (2013): Fruit and vegetable consumption and factors affecting fruit and vegetable consumption of school children and adolescents: findings from focus-group interviews with school nutrition teachers and nutritionists. Korean J Community Living Sci 24(4):567-581 https://doi.org/10.7856/kjcls.2013.24.4.567
  11. Kim S, Ha K (2023): Association between dietary protein intake and overweight and obesity among Korean children and adolescents: data from the 2014-2019 Korea National Health and Nutrition Examination Survey. J Nutr Health 56(1):54-69 https://doi.org/10.4163/jnh.2023.56.1.54
  12. Korea Disease Control and Prevention Agency (2022): Korea health statistics 2021: Korea National Health and Nutrition Examination Survey (KNHANES VIII-3). Korea Disease Control and Prevention Agency. Cheongju. pp.165
  13. Lee J (2019): Influencing factors on low body weight in Korean adolescents. J Korea Acad Ind Coop Soc 20(7):562-570
  14. Lee YS (2021): A study on the cluster analysis of infants and toddlers eating behavior using eating habit assessment tool based on online platform. Masters degree thesis. Kookmin University. pp.10
  15. Lee YS, Lim HS, Chang NS, Ahn HS, Kim CI, Kim GN, Shin DM (2021): Nutrition through the life cycle. 5th ed. Kyomoonsa. Paju. pp.238-266
  16. Ministry of Education (2023). 2022 Student health examination results. Available from: https://www.moe.go.kr/boardCnts/viewRenew.do?boardID=294&boardSeq=94695&lev=0&searchType=null&statusYN=W&page=1&s=moe&m=020402&opType=N Accessed June 11, 2023
  17. Nagata JM, Iyer P, Chu J, Baker FC, Gabriel KP, Garber AK, Murray SB, Bibbins-Domingo K, Ganson KT (2021): Contemporary screen time usage among children 9-10-years-old is associated with higher body mass index percentile at 1-year follow-up: a prospective cohort study. Pediatr Obes 16(12):e12827
  18. Park MH, Song HY (2019): Relationship among the Korean adolescents obesity, health behavior and smart phone usage. J Korean Public Health Nurs 33(1):47-58
  19. Park SH (2011): Association between short sleep duration and obesity among South Korean adolescents. West J Nurs Res 33(2):207-223 https://doi.org/10.1177/0193945910371317
  20. Park SH (2013): The association between short sleep duration and body mass index among South Korean children and adolescents. J Sch Nurs 29(2):142-150 https://doi.org/10.1177/1059840512450582
  21. Suh Y, Chung YJ (2010): The effect of nutrition education on the improvement of psychosocial factors related to vegetable and fruit intake of elementary school children in pre-action stages. Korean J Nutr 43(6):597-606 https://doi.org/10.4163/kjn.2010.43.6.597
  22. Taveras EM, Rifas-Shiman SL, Oken E, Gunderson EP, Gillman MW (2008): Short sleep duration in infancy and risk of childhood overweight. Arch Pediatr Adolesc Med 162(4):305-311 https://doi.org/10.1001/archpedi.162.4.305
  23. Yoon HB, Song JS, Han Y, Lee KA (2022): A study on the meal patterns of obese children using photo analysis based on the Korean food guide. J Korean Soc Food Sci Nutr 51(2):177-186 https://doi.org/10.3746/jkfn.2022.51.2.177
  24. Yoon HB, Song JS, Han Y, Lee KA (2023): Analysis of the diet of obese elementary school students using various dietary intake survey methods. J Nutr Health 56(1):97-111 https://doi.org/10.4163/jnh.2023.56.1.97
  25. Yun YH, Park K (2013): Underweight related factors in school-aged children in Daegu. J Korean Soc Food Sci Nutr 42(10):1592-1599 https://doi.org/10.3746/jkfn.2013.42.10.1592