• Title/Summary/Keyword: indirect nutrition education

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Use of Salimeters and Sodium Reduction Education in School Foodservice in the Gyeonggi Area (경기지역 학교급식의 염도계 사용과 나트륨 저감화 교육실태)

  • Lee, Kyoungsook
    • Journal of the Korean Dietetic Association
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    • v.19 no.2
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    • pp.173-181
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    • 2013
  • This study used survey data to identify the use of salimeters and the prevalence of sodium reduction education in the Gyeonggi region. A survey with 211 dietitians working in school foodservice (106 in elementary schools, 69 in middle schools, and 36 in high schools) was conducted from August 6 to August 17, 2012. The data were analyzed using the SPSS program. Though 86.6% of school kitchens had salimeters, the rate for checking the sodium content of soup or stew was just 62.7% and the rate for checking the sodium content of kimchi and solid food was very low. Since salimeters are mostly used to measure sodium in liquid foods, it is urgent to provide an education and manual on using salimeters and to promote salimetry for kimchi and side dishes. It is also important to provide students with nutritional information by clearly posting the sodium content of food on menus and compelling students to notice them. Sodium reduction education for cooks was conducted in the 70.3% of the kitchens; however, the dietitians perceived that the cooks did not understand the importance of the education. Also, sodium reduction education for students was mostly provided through indirect methods, rather than face-to-face education, resulting in poor educational data (only 36.4% comprehending). By providing detailed guidelines for sodium reduction and labelling accurate content of sodium of the menus, we will be able to enforce practices for sodium reduction in school lunches.

Analysis of Factors Affecting Breakfast Eating Behavior of Children in Indonesia: An Application of the Health Belief Model (인도네시아 아동들의 아침식사하기에 영향을 미치는 요인 분석 -건강신념모델을 이용하여-)

  • Kang, Ran Yi;Lee, Soo Jin;Ryu, Ho Kyung
    • Korean Journal of Community Nutrition
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    • v.25 no.1
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    • pp.1-12
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    • 2020
  • Objectives: This study investigates the current state of consuming breakfast among elementary school students residing in Malang, East Java, Indonesia, and to identify factors that influence breakfast behavior. Methods: The research model was set up as per the health belief model, and slightly modified by adding the subjective normative factors of the theory of planned behavior. The survey was conducted from July 17 to August 15, 2017 using a questionnaire, after receiving the permission PNU IRB (2017_60_HR). Results: The subjects were 77 boys (49.4%) and 79 girls (50.6%) suffering from malnutrition with anemia (21.2%) and stunting ratio of Height for Age Z Score (HAZ) (11.5%). Furthermore, moderate weakness (14.8%) and overweight and obesity (12.3%) by Body Mass Index for Age Z Score (BMIZ) were coexistent. According to the results obtained for breakfast, 21.8% did not eat breakfast before school, with 18.8% of the reasons for skipping breakfast being attributed to lack of food. Even for subjects partaking breakfast, only about 10% had a good balanced diet. The average score of behavioral intention on eating breakfast was 2.60 ± 0.58. The perceived sensitivity, perceived severity, perceived benefits, and self-efficacy of the health belief model correlated with breakfast behavior. Of these, self-efficacy (β=0.447, R2=0.200) and perceived sensitivity (β=0.373, R2=0.139) had the greatest effect on breakfast behavior. Mother was the largest impact person among children. Conclusions: In order to increase the level of breakfast behavior intention among children surveyed in Indonesia, we determined the effectiveness by focus on education which helps the children recognize to be more likely to get sick when they don't have breakfast, and increase their confidence in ability to have breakfast on their own. We believe there is a necessity to seek ways to provide indirect intervention through mothers, as well as impart direct nutrition education to children.

The effect of a healthy school tuck shop program on the access of students to healthy foods

  • Kim, Ki-Rang;Hong, Seo-Ah;Yun, Sung-Ha;Ryou, Hyun-Joo;Lee, Sang-Sun;Kim, Mi-Kyung
    • Nutrition Research and Practice
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    • v.6 no.2
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    • pp.138-145
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    • 2012
  • The objective of this study was to evaluate the effect of a healthy school tuck shop program, developed as a way of creating a healthy and nutritional school environment, on students' access to healthy foods. Five middle schools and four high schools (775 students) participated in the healthy school tuck shop program, and nine schools (1,282 students) were selected as the control group. The intervention program included restriction of unhealthy foods sold in tuck shops, provision of various fruits, and indirect nutritional education with promotion of healthy food products. The program evaluation involved the examination of students' purchase and intake patterns of healthy foods, satisfaction with the available foodstuffs, and utilization of and satisfaction with nutritional educational resources. Our results indicated that among of the students who utilized the tuck shop, about 40% purchased fruit products, showing that availability of healthy foods in the tuck shop increased the accessibility of healthy foods for students. Overall food purchase and intake patterns did not significantly change during the intervention period. However, students from the intervention schools reported higher satisfaction with the healthy food products sold in the tuck shop than did those from the control schools (all $P$ < 0.001), and they were highly satisfied with the educational resources provided to them. In conclusion, the healthy school tuck shop program had a positive effect on the accessibility of healthy food. The findings suggest that a healthy school tuck shop may be an effective environmental strategy for promoting students' access to healthy foods.

Antimutagenic Effect of Extract of Platycodon grandiflorum (장생 도라지(Platycodon grandiflorum) )추출물의 돌연변이 억제효과)

  • Shon, Mi-Yae;Seo, Jong-Kwon;Kim, Haeng-Ja;Sung, Nak-Ju
    • Korean Journal of Food Science and Technology
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    • v.33 no.6
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    • pp.651-655
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    • 2001
  • To investigate the antimutagenic effect of Platycodon grandiflorum DC, methanol extract of Platycodon grandiflorum DC was investigated. In Ames test, the methanol extract showed inhibitory effects of 80-90% on the mutagenicity induced by indirect mutagen of IQ(2-amino-3-methylimidazo[4,5-f]quinoline) and direct mutatgen of MNNG(N-methyl-N'-nitro-N-nitrosoguanidine) in Salmonella typhimurium TA 98 and TA 100. And then the methanol extract was further fractionated. Among the solvent extracted fractions from the methanol extract, the ethyl acetate fraction and butanol fraction exhibited the greatest antimutagenic effect suppressing the mutagenicity IQ and MNNG with inhibition rate of 99% and 98%.

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A Study on the perception Level of Nursing Activities of Staffing the Nursing Unit (간호인력의 배치에 영향을 미치는 간호사의 간호행위 인지정도에 관한 연구)

  • Park Chung-Ja;Lee Kyung-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.1 no.2
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    • pp.193-205
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    • 1994
  • The Study was carried out for the purpose of investigating the degree of perception in nursing activities. The data of this study were collected by self-reported questionnaire composed of 5 point rating scale measure the ideal level and the performance level of nurses activity. For the analysis of the data, percentage, MANOVA and ANOVA were 231 nurses in 3 general hospitals in Taegu. Data was administrated from October 4 through 14, 1994. The results were as follow : 1. The average mean score for the ideal level was 4.19 with a maximum possible score 5points. The highest mean score was Infection Controll and the lowest mean score was nutrition The average mean score for the performance level was 3.75, the highest mean score was fluid and electrolyte, the lowest mean score was nutrition. In the desirable nursing pergormance, Education was found the highest response above charge nurse, Medication was found the highest response above General nurse, environment was found the highest response above aide. 2. In the analysis of the relationship between the ideal level and th performance level, significant defference was found in age, position, career, marital status, occupation satisfaction, Nursing unit, parent. 3. In the analysis of the relationship between the ideal level and the performance level and the general characteristics, significant difference was found in marital status in the ideal level of direct nursing care, significant difference was found in age, position, marital status, nursing unit in the ideal level of indirect nursing care, significant difference was found in age, position, career, marital status, occupation satisfaction, nursing unit in the performance level of direct nursing care. significant difference was found in age (25-29) and above 30 career(4-7 and 7), occupation satisfaction(good and moderate, good and poor) in scheffe test of the performance level of direct nursing care.

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Validation of a physical activity classification table in Korean adults and elderly using a doubly labeled water method (한국 성인과 노인을 대상으로 이중표식수법을 이용한 신체활동분류표 타당도 평가)

  • Hye-Ji Han ;Ha-Yeon Jun;Jonghoon Park;Kazuko Ishikawa-Takata;Eun-Kyung Kim
    • Journal of Nutrition and Health
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    • v.56 no.4
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    • pp.391-403
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    • 2023
  • Purpose: This study evaluated the validity of a physical activity classification table (PACT) based on total energy expenditure (TEE) and physical activity level (PAL) measured using the doubly labeled water (DLW) method in Korean adults and the elderly. Methods: A total of 141 (male 70, female 71) adults and elderly were included. The reference standards TEEDLW, PALDLW were measured over a 14-day period using DLW. A 24-hour physical activity diary was kept for three days (two days during the week and one day on the weekend). PALPACT was calculated by classifying the activity type and intensity using the PACT. PALPACT was multiplied by resting energy expenditure measured by indirect calorimetry to estimate TEEPACT. Results: The mean age of the study participants was 50.5 ± 18.8 years, and the mean body mass index was 23.4 ± 3.3 kg/m2. A comparison of TEEDLW and TEEPACT by sex and age showed no significant differences. The bias, the difference between TEEDLW and TEEPACT, was male 17.3 kcal/day and female -4.5 kcal/day. The percentage of accurate predictions (values within ± 10% of the TEEDLW) of TEEPACT was 58.6% in males and 54.9% in females, with the highest prediction values in the age group 40-64 years (70.9%) in males and over 65 years (73.9%) in females. The spearman correlation coefficient (r) between TEEPACT and TEEDLW was 0.769, indicating a significant positive correlation (p < 0.001). Conclusion: In this study, the use of a new PACT for calculating TEE and PAL was evaluated as valid. A web version of the software program and a smartphone application need to be developed using PACT to make it easier to apply for research purposes.

Energy expenditure of physical activity in Korean adults and assessment of accelerometer accuracy by gender (성인의 13가지 신체활동의 에너지 소비량 및 가속도계 정확성의 남녀비교)

  • Choi, Yeon-jung;Ju, Mun-jeong;Park, Jung-hye;Park, Jong-hoon;Kim, Eun-kyung
    • Journal of Nutrition and Health
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    • v.50 no.6
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    • pp.552-564
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    • 2017
  • Purpose: The purpose of this study was to measure energy expenditure (EE) the metabolic equivalents (METs) of 13 common physical activities by using a portable telemetry gas exchange system ($K4b^2$) and to assess the accuracy of the accelerometer (Actigraph $GT3X^+$) by gender in Korean adults. Methods: A total of 109 adults (54 males, 55 females) with normal BMI (body mass index) participated in this study. EE and METs of 13 selected activities were simultaneously measured by the $K4b^2$ portable indirect calorimeter and predicted by the $GT3X^+$ Actigraph accelerometer. The accuracy of the accelerometer was assessed by comparing the predicted with the measured EE and METs. Results: EE (kcal/kg/hr) and METs of treadmill walking (3.2 km/h, 4.8 km/h and 5.6 km/h) and running (6.4 km/h) were significantly higher in female than in male participants (p < 0.05). On the other hand, the accelerometer significantly underestimated the EE and METs for all activities except descending stairs, moderate walking, and fast walking in males as well as descending stairs in females. Low intensity activities had the highest rate of accurate classifications (88.3% in males and 91.3% females), whereas vigorous intensity activities had the lowest rate of accurate classifications (43.6% in males and 27.7% in females). Across all activities, the rate of accurate classification was significantly higher in males than in females (75.2% and 58.3% respectively, p < 0.01). Error between the accelerometer and $K4b^2$ was smaller in males than in females, and EE and METs were more accurately estimated during treadmill activities than other activities in both males and females. Conclusion: The accelerometer underestimated EE and METs across various activities in Korean adults. In addition, there appears to be a gender difference in the rate of accurate accelerometer classification of activities according to intensity. Our results indicate the need to develop new accelerometer equations for this population, and gender differences should be considered.

An Analysis of the Causal Relationship between Knowledge and Behavior towards Food Hygiene among Child Consumers (아동소비자의 식품위생에 대한 지식과 행동의 인과관계 분석)

  • Kim, Mee-Ra;Kim, Hyo-Chung
    • Journal of the Korean Home Economics Association
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    • v.44 no.3 s.217
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    • pp.143-151
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    • 2006
  • The purpose of this study was to investigate the levels of knowledge and behavior towards food hygiene among child consumers, examine the factors influencing them, and analyze the causal relationship between them. The data were collected from 521 elementary school students in Youngnam area by a self-administered questionnaire. Frequencies, Pearson's correlation analysis, multiple regression analyses, and path analysis were conducted by SPSS Windows. The results from this study were as follows. First, the level of knowledge towards food hygiene was not particularly high, and the level of behavior was somewhat more than the average. Second, the factors influencing the level of knowledge towards food hygiene were school record (upper and middle), and concerns about food hygiene. In addition, concerns about food hygiene, the frequency of food hygiene education in the family, and the level of knowledge towards food hygiene had an effect on the level of behavior towards food hygiene. Third, in the analysis of the causal relationship between the knowledge and behavior towards food hygiene, school record indirectly influenced the behavior towards food hygiene, and the frequency of food hygiene education in the family directly affected the behavior towards food hygiene. On the other hand, concerns about food hygiene had direct and indirect influence on the behavior towards food hygiene. In addition, the knowledge towards food hygiene showed a direct effect on the behavior towards food hygiene. These results imply that knowledge towards food hygiene is a very important factor to improve the children's behavior towards food hygiene and that parents' concerns and guidance for children are needed.

Indirect Assessment of Obesity and Correlation between Energy Intake and Energy Expenditure of Middle School Students (중학생의 간접적 비만판정과 에너지섭취 및 소비량과의 관계)

  • Kim, Yun-Hwa;Jang, Hyun-Sook
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.26 no.2
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    • pp.291-299
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    • 1997
  • This study was accomplished to investigate the prevalence of obesity in 371 Kumi-city middle school students. The means of this study were anthropometric measurement and questionnaires about nutrient intake and energy expenditure. Anthropometric measurements were height, weight, arm circumference and skinfold thickness(biceps, triceps, subscapular, supraliac, calf). The results obtained are as follows: Energy, calcium, iron intake for boys were lower than RDA. Iron intake was low in girls. Energy intake is lower than energy expenditure and RDA for boys. Energy intake, energy expenditure and RDA for girls were balanced. The average height, weight and arm circumference of boys were respectively 160.0cm, 49.4kg, 23.1cm and those of girls were respectively 155.9cm, 48.9kg, 22.6cm. Prevalence of obesity was respectively 5%, 4%, 7%, 4%, 59%, 15%, 14%, 24% for boys and 6%, 10%, 13%, 9%, 30%, 7%, 1%, 3496 for girls by RBW, BMI, RI, OI, %Fat I, %FatII, %FatIII, triceps. Correlation between subscapular skinfold thickness and BMI, RI, OI and %FatII showed high.

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The Effect of Job Environment Factors on Turnover Intention of School Foodservice Employee and Mediating Effect of Organizational Commitments (직무환경 요인이 학교급식 조리종사자의 이직의도에 미치는 영향과 조직몰입의 매개효과)

  • Lee, Kyung-A;Heo, Chang-Goo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.4
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    • pp.254-264
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    • 2018
  • The study aims were to verify the influences of job environment factors and work attitude on turnover intention of school foodservice employees, and then to verify the mediating effect of organization commitment between six areas of worklife and turnover intention so that organizations can intervene to reduce the turnover intentions of employees. The subjects were 205 employees who were working in the school foodservice field. The job environment factors were measured by six areas of worklife (workload, control, reward, fairness, community, value) and the organizational commitment was measured by two types of commitments (affective, continuance). The results were as follows. First, workload, reward, community and value of six areas of worklife reduced affective commitment, control and fairness increased continuance commitment, and affective commitment reduced turnover intention. Second, only reward and community showed direct effect on turnover intention, but all six areas of worklife had a statistically significant indirect effect on turnover intention through affective commitment. These results showed that job environment factors had both direct and indirect effect on employees' behavior through employees' affection. These findings imply that organizations can control employees' turnover intention by providing education or social support to maintain their affective commitment even when organizations cannot change job environment.