• Nutrition Research and Practice
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• 제18권5호
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• pp.746-759
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• 2024

BACKGROUND/OBJECTIVES: To encourage schools to transform school meal programs to be more educational, it is necessary to evaluate the related environment using a whole school approach. We developed a school food culture evaluation tool to quantitatively evaluate school food culture in Gyeonggi Province, Korea. SUBJECTS/METHODS: Based on a literature review, a school food culture evaluation system consisting of areas, subareas, indicators, and questions (scored on a 5-point scale) was constructed. The validity of the tool was reviewed using focus group interviews, the Delphi technique, and a preliminary survey. Subsequently, evaluation tool was applied to elementary, middle, and high schools in Gyeonggi Province. Data from 115 schools were used for the final analysis. This included 64 elementary schools, 29 middle schools, and 22 high schools. At least one respondent from each group-school administrators, teachers, and nutrition teachers (or dietitians)-participated. The results were compared at the school level. RESULTS: The evaluation tool consisted of 66 questions in 5 areas (institutional environment, physical environment, educational environment, educational governance, and school meal quality). The total average score for school food culture was 3.83 points (elementary school 3.89 points, middle school 3.76 points, and high school 3.76 points) and did not differ significantly among school levels. Among the 5 evaluation areas, scores were highest for institutional environment (4.43 points) and lowest for physical environment (3.07 points). Scores for educational environment, educational governance, and school meal quality were 3.86, 3.85, and 3.97 points, respectively. CONCLUSION: It is necessary to improve the physical environment to create a desirable school food culture in Gyeonggi Province. To effectively promote healthy eating, ongoing investment and interventions by local authorities at improving school food culture are needed, with an emphasis on particular factors, such as the eating environment and staff training.

• 한국식품영양과학회지
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• 제39권10호
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• pp.1545-1554
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• 2010

본 연구에서는 대전과 충남북 지역에서 지역별로 8개의 학교를 선정하고 각 학교당 4주간의 급식을 수거하여 842개 메뉴의 당 함량을 분석하였고, 수거된 급식메뉴에 대해 초등학교 2학년과 5학년, 중학교 2학년 남녀학생의 급식섭취량을 직접 측정하여 급식을 통한 2,806건의 당 섭취량을 산출함으로써 해당학교 및 지역의 당 섭취 특성을 대표할 수 있는 자료를 확보하였다. Fructose, glucose, sucrose, maltose, lactose의 함량 합으로 구한 총 당류의 함량은 가공식품에서와 달리 학교별로 임의의 조리법에 의해 조리된 음식이므로 그 범위가 넓게 나타났다. 주식류의 당 함량은 급식 100 g당 평균 0.20 g, 부식류는 2.08 g, 후식류는 5.13 g으로 과일음료와 유제품, 과일 등을 포함한 후식류의 당 함량이 다른 군에 비해 훨씬 높은 것으로 나타났으며, 부식류 중에서는 소스류와 조림류의 당 함량이 높았다. 급식메뉴 중 가장 많은 양을 섭취하는 음식은 일품식류, 음료 및 차류, 탕 및 전골류, 찌개류 순이었으며, 주스나 식혜와 같은 음료는 정해진 규격이 있어 다른 부식류에 비해 섭취량이 높게 나타났다. 부식류중에서는 국 종류를 제외하면 30~50 g 범위에서 찜류, 튀김류, 볶음류, 부침류, 조림류, 구이류 순으로 많이 섭취하였으나 무침.나물류와 김치류는 각각 13 g, 10 g만을 섭취하였다. 급식메뉴 중 후식류, 특히 음료 및 차류, 유제품류섭취로 인한 당 섭취량이 가장 많았으며 이들 식품은 당 함량도 높고 규격화된 중량으로 인해 섭취량도 많았기 때문이다. 일품식류는 낮은 당 함량에 비해 급식섭취량이 많아 후식류 다음으로 당 섭취에 크게 기여하였으며, 부식류에서도 조림류에 비해 당 함량이 낮은 튀김류의 급식섭취량이 많으므로 튀김류로 인한 당 섭취량이 조림류로 인한 것보다 높게 나타났다. 급식 한 끼니를 통한 당 섭취량은 평균 4.22 g으로, 학년이 높을수록 급식섭취량과 함께 끼니당 당의 섭취량도 많아 중학생이 5.31 g, 초등학생이 4.03 g을 섭취하였으며, 성별이나 수거시기에 의한 차이는 크지 않았다. 학교급식을 통한 한 끼니의 당 섭취량은 열량섭취량을 기준으로 정한 한국인 총 당류 섭취기준이나 한국인영양조사 결과의 하루 총 당류 섭취량의 10분의 1 이하 수준으로, 한 끼니 해당량으로서도 높지 않은 것으로 판단된다. 다만 과일주스, 식혜 등의 음료나 요구르트 등의 당 함량이 높은 식품이 제공되거나 이러한 후식류가 일품식류와 함께 제공되어 한 끼니당 당의 섭취량이 높은 급식일이 없도록 하는 데에는 관심을 가질 필요가 있을 것으로 판단된다.

• 한국학교보건학회지
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• 제25권2호
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• pp.143-146
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• 2012

Purpose: The purpose of this study was to review the academic development of school health system and projects implemented in Korea since 1945. Methods: This study analyzed and reviewed literatures to find out the process of the development of school health system and projects implemented in Korea. Results: The history of school health in Korea since 1945 could be divided into three periods according to the development of school health system and projects; countermeasure period (1945-1969), support period (1970-1999), and innovation period (2000~). The major school health system and projects were focused on the health screening and prevention, health management and support, and health promotion for each period. Conclusion: School health system in Korea has been set successfully due to school health law(1967) and school meal law(1981), and various countermeasure, support, and innovation projects had implemented during last 60 years.

• 대한지역사회영양학회지
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• 제14권1호
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• pp.43-54
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• 2009

The purpose of the study was to investigate the status of the nutritional education program on educational perception, facilities, contents and systems, which were focused on the school obesity education in the elementary school. A five point Likert scale was used to evaluate the importance and performance of each item in four sections of the survey and Importance-Performance Analysis (IPA; gap between importance and performance) matrix analysis was applied to determine improvement priority. The findings from IPA matrix analysis are in the following. The items of the sections to be improved intensively are recognition of parents and in-charge teacher, availability of the education place, preparation of consulting room, preparation of various teaching media, interest of an education program, meal adjustment of overweight children, combination with education and exercise, education for psychological factors, development of scientific and systematic education program and reduction of meal service duty for education. Accordingly, the IPA matrix analysis suggested that an intensive improvement area should be excessively concentrated on for better performance. The regional gap between importance and performance showed significant difference for textbook and diet of overweight children in Kyunggi-Do. There were significant differences for the government perception, dietary habits and food-life education, fast-food education, education for breakfast importance, and education of school meal indication system and method to read food nutrition indication in Chollabuk-Do. As for the age gap between importance and performance, the twenties showed significantly bigger gaps in perception of school dietitians and linking between school meals and diet education. Therefore, more proactive efforts for the education for obesity prevention are necessary to prevent childhood obesity in elementary school and to help children to possess better health throughout their entire lives.

• 대한지역사회영양학회지
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• 제19권5호
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• pp.459-467
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• 2014

Objectives: The purpose of this study was to suggest the strategies for improvement of home-delivered meal services for the elderly, to identify reasons for recipients to get started with the services and to evaluate the attitude, acceptability and adaptation of recipients to the services from the perspective of life context. Methods: The data was collected through face-to-face in-depth interviews with eighteen low-income elderly recipients of home-delivered meals and analyzed using a qualitative research method. Results: The results were deduced as four themes which comprised of long-term vulnerable socioeconomic contexts resulted in entry to the services, conflicting acceptability to the services, passive adaptation to taking the services, and positive practices to cope with supplement free meals or other services. The service participation was initiated because of a combination of prolonged, vulnerable socioeconomic contexts, including poverty and unexpected life events such as diseases, disability, living alone, aging and unemployment. With regard to taking the services, conflicting acceptability was observed: positive aspects including saving living cost and good quality of meals, and negative aspects including lack of a tailored service and feeling of stigma. Although the recipients needed an individualized service, they did not express their needs and demands for the services and they accepted the unavailability as an accustomed, prolonged vulnerable socioeconomic context. With regard to lack of tailored services, either self-solution such as modification of eating patterns or community-based network and services were used. Conclusions: We suggest that a system to concretely identify recipients' attitude, acceptability and adaptation for home-delivered meal services should be developed in the establishment of a tailored nutrition support system for the low-income elderly.

• Journal of Nutrition and Health
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• 제36권10호
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• pp.1083-1093
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• 2003

Efficient financial management is a critical factor in achieving school foodservice goals. The objective of this study was to suggest efficient financial management practices in secondary school foodservices. In pursuit of this objective, we first identified performance indexes for measuring the success of financial management. Second, we suggested financial management standards, financial data classification methods and a report system. Last, we analyzed operating ratios with the financial data of self-operated and contract-managed school food services. The data were collected through an open-ended questionnaire from 10 middle/high school foodservices in Seoul and Kyeonggi Provincial during on-sites visits and interviews with dieticians and managers. Student participation, sales goals, re-contract frequency and number and cost of disaster loss were identified as the performance indexes for financial management. Income statements were compiled by identifying and classifying financial data. Total revenues consisted of subsidies, meal sales, other revenue and interest. Expenditures consisted of purchased food, salaries and wages, utility costs, office supplies, kitchen supplies, purchased services, company overhead indirect costs, facility investment and maintenance, facility usage expenses, employee benefits and miscellaneous. Mean price of a meal was 2,326 won at self-operated foodservices when the subsidies were included as revenues and 2,360 won at contract-managed foodservices. When including the subsidies as revenues, the operating ratios of self-operated foodservice showed that the food cost percentage was 66.9％, labor cost 23.2％, operation cost 9.9％ and profit 0％. The correspond figures at contract-managed foodservices were 57.6％, 21.5％, 15.3％, and 5.5％, respectively. Food costs in self-operated foodservices was significantly higher than that for contract-managed foodservices, however, facility investment and maintenance and facility usage expenses at self-operated foodservices was significantly lower than those for contract-managed foodservices. Based on this study, the methodology and classification system of financial data was found to be applicable to assess the financial structure of school foodservices.

• 대한지역사회영양학회지
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• 제13권6호
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• pp.922-933
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• 2008

The purpose of this study was to investigate the effects of nutrition education using Food Exchange System on elementary students' nutrition knowledge, dietary attitude and nutrients intake. Nutrition education lessons (40 min /lesson, 4 times), '5 major nutrients and functions', '6 food groups and sources of 6 food groups', 'good choice of snacks and eating out' as class lesson, 'daily needed energy and food exchange units' as individual lesson, were provided to 70 elementary students (4th grade 33 students, 5th grade 37 students) in Jeonbuk Province. We assessed the changes in nutrition knowledge, dietary attitude, food habit using a questionnaire and nutrient intake using 24 hr recall method by nutrition education. In nutrition knowledge, there were significant increases in scores of 'functions of carbohydrate', 'functions of protein', 'functions of lipid', 'foods of carbohydrate', and 'foods of lipid'. In dietary attitude, there were significant increases in scores of 'taking a meal with joy', 'taking a meal at ease', 'taking a meal with sufficient protein intake' and 'taking a meal without spicy foods' by nutrition education. There were significant changes in the type of breakfast and in the frequency of snacks. After education, in type of breakfast, it showed higher number of students ate rice oriented meal than they did before education. and in frequency of snacks, it showed lower number of students ate snacks 'over 3 times' than they did before education. In Carbohydrate : Protein : Fat (CPF) ratio (%), it was significantly changed from 55.8 : 17.7 : 26.6 to 63.6 : 15.3 : 21.1. In evaluation of nutrient intake by Dietary Reference Intakes for Koreans (KDRIs), vitamin A, thiamin, niacin, vitamin $B_6$, calcium, phosphate, iron and zinc showed positive changes in distribution of number of children by intake level. That is, there were significant improvements in intakes of vitamin A, thiamin, niacin, vitamin $B_6$, calcium, phosphate, iron and zinc. These results showed that nutrition education using Food Exchange System for elementary students improved nutrition knowledge, dietary attitude and nutrients intake. It suggest that nutrition education using Food Exchange System may improve dietary behaviors and reduce an incidence of obesity in elementary students.

• 대한영양사협회학술지
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• 제10권2호
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• pp.235-245
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• 2004

The Korea School Lunch Program mandates that school meals should safeguard the health and well-being of our children. School meals provide a nutritious diet that contains at least ⅓ of the daily Recommended Dietary Allowances of necessary nutrients at reasonable prices. This study was performed to assess the nutritional management of primary school meals, and to provide basic data for improvement of school meal nutritional guidelines. Three hundred and thirty six dietitians who worked at primary schools were recruited using a stratified sampling method. A survey was done by e-mail with a set of questionnaires about nutritional meal management. During school lunch planning, dietitians referred nutrition standards with priority, followed by students' food preferences and food hygiene. They considered energy as a most important nutrient during primary school lunch planning, followed by protein and calcium. Protein is usually over-served, whereas iron, vitamin A and calcium are usually under-served during primary school meal planning. For first and second grade primary students, grains, meat and vegetable side dishes seemed to be large compared to their eating capacity. Over 92% of school dietitians agreed the needs of food group standards for primary school lunch program. For making a checklist of the school lunch program, energy, protein and calcium were highly recommended, and meat.fish.egg group, vegetable.fruit group and dairy group were also highly recommended by school dietitians. Cooking method was also highly recommended. School dietitians proposed that remodeling of school kitchens and new cooking machine were the most important factors for improving school lunch system. These results suggest that food standards should be established for health-oriented nutritional management of primary school lunch programs. Nutritional checklists could include nutrient-rich foods and food groups, and items about cooking methods.

• 한국식품조리과학회지
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• 제14권1호
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• pp.57-67
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• 1998

The main purpose of this study was to provide a basic information for the efficient foodservice management in elementary schools. A survey was conducted to get the information on the cost management and centralization needs of dietitians working for school foodservice in Kyungki-do. Detail information was collected from 85 dietitians. Statistical data analysis was completed using the SPSS/PC/sup/＋ package for descriptive analysis, t-test, $\chi$$^2$test and ANOVA. The results of this study were as follows: 1. Meal costs per one person evaluated on the standards of monthly budget basis in May and June, 1996 did not show any significant differance between commisary foodservice schools and conventional ones. Labor costs of island type and rural type were significantly higher than those of urban type. The schools with less than 1,000 feeding numbers spent more labor costs than those with over 1,001-feeding numbers did. 2. In island type and rural type, total meal costs increased according as the scale of the schools decreased. 3. Results of the survey on dietitians' centralization noeds showed that the aspects of common-purchasing and common solid waste management marked the highest ratings, whereas the aspects of commissary foodserice system got the lowest rating.

• 한국식품위생안전성학회지
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• 제19권4호
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• pp.176-184
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• 2004

PAHs 화합물은 유기탄소화합물의 불완전연소에 의해 주로 발생하는데, 일반인들은 대기오염에 의한 호흡노출과 가열조리식품의 경구섭취가 주요 인체노출경로로 알려지고 있다. 본 연구에서는 PAHs 화합물에 오염된 식품이 식생활에 많은 부분을 차지하고 있어 우리나라 대표식품을 참고로 가정식과 외식의 식단을 작성하고 작성한 식단을 근거로 식품 중 PAHs 화합물 오염도를 분석하여, 분석된 PAHs 화합물의 오염도 자료를 활용한 가정식과 외식 1끼 식사를 기준으로 인체노출량을 비교하고, 성인 하루 가정식 2회, 외식 1회 섭취시의 1일인체노출량을 평가하였다. 다빈도${\cdot}$다소비식품에서 PAHs 화합물 오염도를 분석한 결과 총 PAHs 농도는 $2.00\~141.28\;ug/kg$의 범위로 검출되었으며, 멸치볶음이 가장 높게 나타났다. 상대독성계수(TEFS)를 활용하여 환산한 독성등가량은 $0.03\~1.31\;ugTEQ_{BaP}/kg$ 범위였고, 가장 높은 값을 가진 식품은 햄버거이었다. 식품별 오염도와 노출변수들을 고려하여 산출한 끼니별 가정식과 외식에서의 PAHs 화합물 평균인체노출량은 각각 $2.4\times10^{-3}\;ugTEQ_{BaP}kg/meal$와 $4.0\times10^{-3}\;ugTEQ_{BaP}/kg/meal$으로 외식이 가정식보다 PAHs화합물의 인체노출이 1.7배가 높은 수준으로 나타났다 햄버거, 숯불쇠고기구이, 숯불삼겹살구이, 고등어구이 등은 PAHs화합물 오염도와 독성등가량 및 1회분식품섭취량이 모두 높아 PAHs화합물의 주요 노출기여식품인 것을 알 수 있었다. 가정식에서 미역국이 $1.8\times10^{-3}\;ugTEQ_{BaP}/kg/meal$으로, 외식에서는 햄버거가$3.0\times10^{-3}\;ugTEQ_{BaP}/kg/meal$으로 기여도가 가장 높았다. 하루 3회 식사를 고려한 1일 PAHs화합물인체노출량수준은 $8.0\times10^{-3}\~9.7\times10^{-3}\;ug/kg/day$이었다. 본 연구 결과가 PAHs 화합물의 안전성평가와 기준규격설정의 필요성 및 식품 안전관리를 위한 규제를 제정하는 기초 자료가 되길 바라며, PAHs 화합물의 고노출상황을 줄일 수 있는 개개인의 계획된 식단 작성시, 이에 대한 정보를 제공하고자 한다.