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제주지역 요양 (병)원 영양사의 직무중요도, 직무수행도 및 직무만족도 분석 (Job importance, job performance, and job satisfaction in dietitians at geriatric hospitals or elderly healthcare facilities in Jeju)

  • 강혜숙;이윤경;채인숙
    • Journal of Nutrition and Health
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    • 제49권3호
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    • pp.189-200
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    • 2016
  • 본 연구는 제주지역의 요양병원과 요양원 영양사의 직무중요도와 직무수행도 및 직무만족도를 조사 분석함으로써 장기요양 보호를 필요로 하는 노인을 대상으로 하는 시설의 영양사 업무의 문제점을 파악하고 노인급식 및 영양 관리의 질적 향상방안을 모색하는데 기여하고자 하였다. 조사대상 영양사의 성별은 여자가 94.7%로 대부분을 차지하였고 연령별로는 만40~49세 (36.8%)가 가장 많았으며 기혼 (68.4%)이 미혼 (31.6%)보다 높은 비율을 보였고 근무경력은 8년 이상 (34.2%)이 가장 많았고 현재 근무하는 요양 (병)원 근무기간은 1년 미만 (28.9%), 1~3년 미만 (21.1%)과 3~5년 미만 (21.1%), 5~8년 미만 (18.4%), 8년 이상 (10.5%) 순으로 나타났으며 학력은 4년제 대학 졸업이 65.8%를 차지하였고, 근무시설은 요양원이 84.2%, 근무지역은 제주시가 71.1%를 차지하였고 급여는 150~200만원 미만이 65.8%로 나타났다. 조사대상 요양 (병)원은 50~100 병상 미만인 시설 (78.9%)이 가장 많았고, 환자 수에 있어서는 50~100명 미만이 84.2%로 대부분을 차지하였으며, 1식 단가는 1,501~2,000원이 50.0%로 나타났고 영양사수에 있어서는 1명만 근무한다고 응답한 시설이 94.7%로 대부분을 차지하였으며, 조리종사원수는 3~5명 미만이 76.3%로 나타났다. 조사대상 영양사의 직무중요도는 5점 만점에 대해 평균 4.29점으로 나타났고 위생 및 안전관리 (4.77점), 조리작업 관리 (4.44점), 회계관리 (4.30점), 구매관리 (4.29점), 인사관리 (4.19점), 메뉴관리 (4.18점), 영양관리 (3.86점)의 순으로 나타났다. 각 영역별 세부 항목의 직무중요도에 있어서는 평균 점수 이상으로 중요도가 높게 나타난 업무는 구매관리 영역의 식품검수 (4.84점), 급식재료의 발주 및 수불 관리 (4.68점), 재고조사 및 저장식품 관리 (4.66점), 메뉴관리 영역의 일반식단 작성 (4.68점), 위생 및 안전관리 영역의 식재료 위생관리 (4.87점), 급식시설설비 위생관리 (4.84점), 조리원 위생관리 (4.76점), 조리장내 위생관리 (4.76점), 개인위생관리 (4.76점), 위생 및 안전관리일지 작성 (4.63점), 조리작업관리 영역의 조리지도 및 감독 (4.61점), 배식지도 및 감독 (4.50점), 작업일정계획 및 업무분담(4.42점), 인사관리 영역의 조회 및 업무회의를 통한 의사 소통 (4.61점), 회계관리 영역의 예산관리 (4.32점), 결산관리 (4.29점), 원가관리 (4.29점)였다. 반면, 조사대상의 직무중요도 점수가 낮게 나온 업무는 영양관리 영역의 직원 대상 영양교육 (3.61점), 인사관리 영역의 자원봉사자 모집배치와 급식서비스 교육관리 (3.63점), 메뉴관리 영역의 기호도 및 만족도 조사 (3.89점), 치료식 메뉴 개발 (4.00점)의 순으로 나타났다. 조사대상 영양사의 직무수행도는 5점 만점에 대해 평균 2.87점으로 나타나 직무중요도에 비해 매우 낮은 점수를 보였고, 업무 영역별로 살펴보면 조리작업관리 (4.42점), 위생 및 안전관리 (4.21점), 구매관리 (3.32점), 메뉴관리 (2.53점), 인사관리 (2.45점), 영양관리 (1.67점), 회계관리 (1.52점)의 순으로 나타났다. 영역별 세부 항목에 대한 직무 수행도를 분석한 결과 조리작업관리 영역의 조리지도 및 감독 (4.92점), 배식지도 및 감독 (4.79점), 위생 및 안전관리 영역의 위생 및 안전관리 일지작성 (4.71점), 식재료 위생관리 (4.66점), 구매관리 영역의 식품검수 (4.63점)의 순으로 수행도가 높게 나타났다. 한편 조사대상의 직무수행도가 낮게 나타난 업무는 영양관리 영역의 직원 대상 영양교육 (1.13), 치료식 대상 집단 영양교육 (1.24), 회계관리 영역의 결산관리 (1.32), 영양관리 영역의 영양 자료게시 및 노인영양교육 자료개발 (1.45)과 기호도 및 만족도 조사 (1.45) 순으로 나타났다. 조사대상 영양사의 직무중요도와 수행도를 영역별로 격자도 분석 (IPA)한 결과, 중요도와 수행도가 모두 높은 B사분면에는 위생 및 안전관리, 조리작업관리, 중요도와 수행도가 모두 낮은 C사분면에는 메뉴관리, 인사관리, 영양 관리가 속하였다. 구매관리와 회계관리 영역은 직무중요도는 평균 수준이었으나, 구매관리 수행도는 평균 이상으로 높았고 회계관리 수행도는 매우 낮은 것으로 나타났다. 영역내 세부 항목별로 격자도 분석 (IPA)한 결과 위생 및 안전관리 영역의 조리원 위생교육은 A사분면, 다른 항목들은 B사분면에 속하였고, C사분면에 속한 항목은 구매관리 영역의 시장조사하기, 급식통계작성 및 분석, 일반소모품의 청구 및 수급관리의 3항목, 메뉴관리 영역의 치료식식단 작성, 제공 식단의 영양분석, 치료식 메뉴개발, 일반식 메뉴개발, 표준레시피 관리, 기호도 및 만족도 조사의 6항목, 영양관리 영역의 모든 항목, 인사관리 영역의 리더십 관리, 급식업무 매뉴얼의 작성 및 비치, 조리종사원의 인사 관리, 자원봉사자 모집 배치와 급식서비스 교육관리의 4항목, 회계관리 영역의 결산관리, 원가관리의 2항목으로 나타났다. 구매관리 영역의 후원물품접수 및 관리 항목과 조리작업관리 영역의 잔식 및 쓰레기 감량관리 항목은 중요도가 낮고 수행도가 높은 D사분면에 속하였다. 조사대상 영양사의 직무만족도는 5점 만점에 대해 평균 3.37점으로 나타났고 동료에 대한 만족도가 3.72점으로 가장 높았으며, 직무자체 (3.63점), 의사소통 (3.43점), 근무환경 (3.40점), 상사의 감독 (3.34점), 평가와 보상 (3.15점), 전문성 신장 (2.95점)의 순으로 나타났다. 조사대상 영양사의 직무중요도와 직무만족도 (r = 0.395, p < 0.05), 직무수행도와 직무만족도 (r = 0.386, p < 0.05)는 유의적으로 높은 상관관계를 보였다. 이상의 연구 결과를 토대로 살펴볼 때, 조사대상자의 직무수행도 평균 점수가 직무중요도 점수에 비해 현저히 낮게 나타났고 위생 및 안전관리, 조리작업관리 등 급식 관련 업무에 비해 영양관리 영역의 중요도 및 수행도가 낮게 나타나 본 연구의 조사대상 시설이 만성 혹은 노인성 질환을 앓고 있는 고령자가 많다는 점을 고려하여 직무중요도와 수행도가 모두 낮은 영양관리 영역에 대한 인식 제고와 수행도 향상을 위한 방안이 모색되어야 할 것으로 사료된다. 또한, 조사대상의 직무만족도가 가장 낮게 나타난 전문성 신장과 관련하여 '섬'이라는 지역적 한계를 극복할 수 있도록 제주지역 내에서 다양한 전문 교육이 실시되어야 하며 영양사 스스로 전문가로서의 자질 향상을 위해 부단히 노력해야 할 것으로 사료된다.

Composition of Waste Generated in School Foodservice Operations in Andong Area

  • An, Ju-Yeon;Lee, Hye-San-S
    • Journal of Community Nutrition
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    • 제4권2호
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    • pp.130-135
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    • 2002
  • The purposes of this study were to quantify and compare the kind and amount of solid waste generated in two school foodservice operations located in urban and rural areas. A waste stream analysis was conducted to quantify and characterize the kind of waste in the production and service parts of each operation. The SPSS 10.0 for window was used for data analysis. Non-parametric test (Mann-Whitney) was adopted to determine if significant differences exist in amounts of waste generated in the urban school and the rural school. An average of 415 meals, including 43 adult meals, were served daily in the urban school, while an average of 177 meals, including 24 adult meals, were served daily in the rural school. Food waste generated in the production part in the urban school composed approximately 87% and 45%, while that in the rural school composed 71% and 28% by weight and volume, respectively. Waste per meal was not significantly different between the urban school and the rural school in the production part except the cardboard waste. The total waste per meal at lunch was 154g or 465m1 in the urban school and 51g or 334m1 in the rural school. Students in the urban school discarded significantly more food waste and milk than students in the rural school did. The research results suggest that school foodservice dietitians should evaluate the acceptability of menu items based on food waste per meal, and assess the feasibility of implementing a plan for recycling packaging waste and composting organic waste.

MenuGen: 한국 식량자급률 향상을 위한 인터넷 기반의 권장식단검색 및 식단작성 프로그램 (MenuGen: Menu Planning and Recommended Menu Search System for Promotion of Self Sufficiency of Korean Food)

  • 홍순명;배재학;김곤;최정숙;김영옥
    • 대한영양사협회학술지
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    • 제10권3호
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    • pp.272-283
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    • 2004
  • This study was conducted to develop menugen program: Korean recommended menu planning and search based on internet to promote self sufficiency of food in Korea. This program manipulate menu and search 432 Korean recommended menus which have been developed in combination of population characteristics of 9 age level, 3 residential areas, 3 income groups, four seasons and male or female. Clients can select the high self sufficiency recommended menu by inputting their age, residental area, income, season and sex in using Menugen program. MenuGen can analyze nutrients and compare with Korean Recommended Allowance about clients' menu based on their age and sex. It can access the food, dish and menu databases. And also client can use MenuGen program for menu planning and analysis nutrients. Client's menu data can be store, delete, modify and print through MenuGen too. It will be able to read the nutrition analysis data of the foods, the dishes and the menu. Therefore it provides convenient user interface to not only users but also dietitians and nutritionists, who take charge of making a menu, and experts in the field of food and nutrition. MenuGen will help the nutrition policy accomplishment and the food self-supply rate improvement of the nation with use of menu drawing up program of internet base.

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위탁급식 전문업체의 ERP 시스템에서 표준메뉴 정보품질이 사용자 만족도 및 업무성과에 미치는 영향 (Effect of Information Quality of Standard Menu on User's Satisfaction and Performance in ERP System of Contract Foodservice Management Company)

  • 김현아;양일선;김장미
    • 대한영양사협회학술지
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    • 제11권2호
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    • pp.170-178
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    • 2005
  • The purposes of this study were 1) to analyze the effect of the information quality of standard menu system of ERP on the user’s satisfaction 2) to analyze the effect of the information quality of standard menu system of ERP on the user’s performance. The questionnaires were distributed to 260 end users(dietitians, foodservice management managers) in charge of managing the institutional foodservice such as the office(government agencies, factories), schools(universities, middle and high school) and hospitals which were managed by contract foodservice management company “C” in Seoul and Kyunggi. The surveys were performed from July 26 to July 30, 2004. Two hundred and fifty questionnaires were responded(response rate : 96.2%). The statistical analysis was conducted by using SPSS Win(11.5). And the descriptive analysis, factor analysis, reliability test, pearson correlation and simple regression analysis were performed. The results showed that the information quality of standard menu system of ERP have a significant positive effect on the user’s satisfaction(p<0.001) and user’s performance(p<0.001). When constructing standard menu system on ERP in the contract foodservice management company, the information quality of standard menu system of ERP should be guaranteed in order to satisfy the end-user and to improve the user’s performance.

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서울.경기지역 어린이 급식의 운영 현황 분석 (Assessment of the Foodservice Management Practices in Child Care Centers and Kindergartens)

  • 김수연;양일선;이보숙;백승희;신서영;이해영;박문경;김영신
    • 한국식품영양학회지
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    • 제24권4호
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    • pp.639-648
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    • 2011
  • The purpose of this study was to investigate foodservice management practices in the child care centers and kindergartens. Interviews were held from May to July 2008 to understand the current situation concerning foodservices in Seoul and Gyeonggi provinces. Surveys were sent out from August 2008 to April 2009 to 1,478 child care centers and 299 kindergartens via the postal service. Among them, 203 child care centers(13.7%) and 64 kindergartens(21.4%) responded. One of the largest concerns while preparing the food was nutrition(68.7%, 69.8%, respectively) followed by sanitation(24.4%, 27.0%, respectively). The most frequently referred sources for planning the menu were the Seoul child care information center(55.4%) for child care centers and kindergarten related internet sites(39.0%) for the kindergartens. In general, the child care center principal was in charge of planning the menu(40.1%). Child care centers and kindergartens purchased ingredients mostly from large retailers(55.3% and 44.7%, respectively), whereas 46.0% and 56.3% of those did through foodservice suppliers. Dietitians were rarely employed at these facilities, and this may cause unprofessional foodservice management.

초등학교급식에서 수행되는 급식비 관련 재무관리 업무분석 (Analysis of Financial Management Activities in Elementary School Foodservices)

  • 최은희;이진미;곽동경
    • 대한영양사협회학술지
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    • 제2권2호
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    • pp.123-140
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    • 1996
  • The purpose of this study was to examine financial management practices in elementary school foodservices. Respondents were asked to provide information on demographics, operational characteristics, financial management activities(responsibility, importance and time demand). Data were collected from 106 elementary school foodservice using the mail questionnaire. The results were as follows 1. Time demand of 14 financial management activities was examined. The results of time-demand showed that most financial activities were performed about once per month. Reporting, inventory checking and production cost accounting were performed several times per week. 2. Major financial management activities performed by school dietitians were inventory checking, record keeping, production cost accounting, and foodservice operation planning. 3. Results of the importance rating of 14 financial management activities showed that the production cost accounting, budgeting, controlling meal costs, reporting the national treasury accounts, and inventory checking were rated as very important(4.00-4.49). Factor analysis was conducted on the importance ratings. Five activities were differentiated such as budgeting, record keeping, cost controlling, cost accounting, and reporting. The cost controlling task was identified at the most important one among them. 4. Important ratings for reporting were found to be significantly different by age, and years of experience. The younger and the less experienced were responded with higher scores on reporting. Analysis of variance for the importance scales by meal costs per one person, food cost percentage, labor cost percentage was conducted, but significant differences were not founded.

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위탁급식 전문업체의 운영 현황 조사 및 현안과제 분석 (Analysis of Current Operational Practices and Issues of Contract-Managed Foodservice Companies in Republic of Korea)

  • 엄영람;류은순
    • 대한영양사협회학술지
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    • 제9권3호
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    • pp.197-208
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    • 2003
  • This study was surveyed to provide the information on current operational practices and issues of contract-managed foodservice companies. Questionnaires were distributed to 79 contract-managed foodservice companies (eight large-size, 48 mid-size, 23 small-size companies) from March to May in 2002. The contract-managed foodservice companies provided averages of 269,184 (range 140,036-503,500), 14,837 (range 450-75,269), and 4,065 (range 930-8,050) meals daily from large, medium, and small-size companies, respectively. The companies managed to averages of 268.2 (160-619) foodservice contracts at large-size companies, 21.9 (5-63) contracts at mid-size companies, and 4.7 (1-10) contracts at small-size companies. The average numbers of dietitians were 298.6 (range 104-671) in large-size companies, 22.2(6-86) in mid-size companies, and 3.8(1-9) in small-size companies. The averages of sales were 156.5 billion at large-size companies, 6.7 billion at mid-size companies, and 1.7 billion at small-size companies in 2001. The contract was two types including management fee contract(5%), and profit and loss contract(95%). The cost ratios for office foodservice were 59.5% at food cost, 24.2% at labor cost, 6.3% at profit, and 10.1% at other cost. For hospital foodservice, the ratios were 54.0% at the food cost, 34.6% at labor cost, 3.0% at profit, and 11.8% at other cost. For high school foodservice, the ratios were 62.2% at the food cost, 21.5% at labor cost, 5.4% at profit, and 11.2% at other cost. When the contractors managed to the foodservice, the most important matters were the sanitation management and customer satisfaction. Also, the difficult problems were excess investment of equipments and low meal prices.

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환자들의 병원급식 섭취 실태 및 병원급식 품질 속성에 대한 인식 분석 (In-Patients' Food Consumption and Perception on Foodservice Quality at Hospitals)

  • 김민영;김경주;이경은
    • 대한영양사협회학술지
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    • 제14권1호
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    • pp.87-96
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    • 2008
  • The purposes of this research were to investigate in-patients' perception on foodservice quality and to examine factors influencing their meal consumption at hospitals. Three general hospitals with over 400 beds in Seoul and Chon-An agreed to participate in the research. A total of 516 in-patients of the hospitals were surveyed on their meal consumptions, reasons of plate wastes, perceptions of foodservice quality, and demographic information. A response rate was 76% after excluding responses with significant missing data. On average the regular diet patients consumed 72%, 69%, and 68% of rice, soups, and side dishes served, respectively; the therapeutic diet patients consumed less than 70% of the meals they were served. The consumption rates did not differ significantly by diet type, gender, age, and hospitalization period. Among the therapeutic diet patients, those who had nutrition education consumed significantly more rice than the others (p<0.05). The main reasons why the patients did not eat all food served were 'lack of energy' and 'not tasty'. The patients' perception on foodservice quality was low; the therapeutic diet patients perceived more negatively than the regular diet patients in 'keeping hot food hot, cold food cold(p<0.05)', 'maintaining consistency of taste(p<0.01)', and 'providing nutrition information(p<0.01)'. To achieve the goal of the foodservice at hospitals, the dietitians can use the findings of the research in developing and implementing strategies to improve the patients' meal consumption. Recipe standardization, employee training, and production management will be useful for improving food quality and nutrition education on therapeutic diets for the patients will improve their meal consumption at hospitals.

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고교생의 모유영양 지식과 태도 및 모유수유 영양교육 요구 (A Study on Knowledges and Attitudes about Breast Milk Feeding and Needs for Breast Milk Feeding Education among High School Students)

  • 최경숙;이희정
    • 대한지역사회영양학회지
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    • 제11권2호
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    • pp.191-204
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    • 2006
  • This study was carried out to investigate the experiences of breast milk feeding information and education, breast milk feeding knowledge and attitude and needs for breast milk feeding nutrition education of high school students to encourage breast milk feeding. The subjects were 565 (male: 250, female: 315) high school students from first to third grade. The results obtained were as follows: In this survey, only 30.0% of subjects experienced breast milk feeding information and only 6.1% of subjects had breast milk feeding education. And the subjects showed the average scores of knowledge of breast milk feeding were 0.29 points of 1 point. Subjects knew well about ingredients of breast milk but they didn't know well about the physiology and method of breast milk feeding and benefits of breast milk feeding for mothers. The average scores of attitude of breast milk feeding were 3.03 points of 4 points, showed slight positive attitudes of breast milk feeding, but they had negative attitudes of emotional and practical aspects. The future plan of feeding practices was breast milk feeding 35.9% and 60.0% of formula milk feeding. A concern was that the students showed high ratio of formula milk feeding plan and they decided by incorrect knowledge of breast milk feeding. The 33.5% of students answered high school students will need breast milk feeding nutrition education, and they thought hospital faculties were the proper educators of breast milk feeding education, but dietitians were recomended as educators because of easy access at school and good knowledge of life-cycle nutrition. Therefore, to encourage breast milk feeding by mothers and supporters of breast milk feeding, breast milk feeding nutrition education is needed urgently among high school male and female students. And nutrition education programs will have to contain benefits of breast milk for babies and mothers and physiology and practical methods of breast milk feeding to improve emotional and practical attitudes for breast milk feeding. Nationwide campaign to promote breast milk feeding at public areas will be needed.

특수영양식품의 영양표시에 관한 전문가의 인식, 만족도 및 바람직한 영양표시 방법에 관한 연구 (A Study of Health Professionals Awareness, Satisfaction and Desirable Nutrition Labeling of Foods for Special Dietary Uses)

  • 송경희;박혜련;홍주영
    • 대한지역사회영양학회지
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    • 제6권3호
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    • pp.361-370
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    • 2001
  • This survey was conducted to evaluate with 457 health professionals from July, 1999 to September, 1999 the awareness of and satisfaction with the nutrition labeling system in Korea and to determine a desirable labeling system. Professors of food and nutrition and nutrition researchers in the food industry had the hightest scores on awareness of the nutrition labeling system(75.6% and 73.4%, respectively), which was significantly different from each other by occupation(p < 0.01). Frequently checked labeling information were expiration date, production date, price, and company respectively. Special nutrient food producers(56.9%), dietitians(49.3%), nurses(48.1%), researchers(42.3%) answered moderately on satisfaction with nutrition information for products, which was statistically significant(p < 0.01). This suggests that health professionals were unsatisfied with the present nutrition labeling system. In nutrition focusing statements, nutrient content claims, health claims, and working periods were significantly related with nutrition focusing statements and health claims, but not with nutrient content claims : the subject who had been working for more than 10 years and less than 5 years had positive thoughts or those matters while the subjects whose working periods were between 10 and 5 years had the lowest score. The most desirable labeling units were serving size(65.1%). Ninety two percent of the subjects wanted absolute nutrient contents in food and their percentage of the KRDA. Eight nine percent of health professionals agreed that the health claims should be used only with scientific approval by the government or food research institutions. Only 4.4% of subjects were satisfied with current regulations of health claims(p < 0.001). More studies regarding labeling units, their range and nutrient reference values are needed. The opinions of health professionals in nutrition labeling system should discussed to establish a desirable nutrition labeling system.

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