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1 w z wz 16(2) : 183~194, 2011 Korean J Community Nutr 16(2) : 183~194, 2011 DOI: /kjcn 초등학교 3 학년을대상으로한영양교육의효과평가 «wáw 1) Á½x 2) ƒm w w œ, 1) w y w w t w, 2) ƒm w y w t w œ Evaluation of a Nutrition Education Program for 3rd Grade Elementary School Students %VL)B,XPO4VOH/JN)BO )ZF,ZFPOH,JN Nutrition Education, Graduate School of Education, The Catholic University of Korea, Bucheon, Korea 1) Department of Food and Nutrition, Seoul National University, Seoul, Korea 2) Department of Food Science & Nutrition, The Catholic University of Korea, Bucheon, Korea "CTUSBDU This study examined the effects of a nutrition education program on nutrition-related knowledge, eating habits, and dietary behavior. Subjects were 3rd grade elementary school students in Anyang, Gyeonggi-do. A 5-week nutrition education program was implemented to 28 children and another 26 children were included in the study as a control group. A self-administered questionnaire was used to assess the effects of nutrition education program. Mean nutrition related knowledge score was improved after education (p < 0.001). There was a significant improvement in knowledge of nutrient source (p < 0.05), role of protein (p < 0.05), food tower (p < 0.001), getting information from nutrition labeling (p < 0.05), and proper way of snacking (p < 0.001). Eating habits and self-efficacy also tended to improve by nutrition education, especially eating habit of snack and self-efficacy on balanced diet reached significant improvement (p < 0.05). Food consumption frequency was not changed significantly, only consumption of sea weeds which is considered as a reluctant food among children was increased after education (p < 0.05). In addition, the number of leftover food items and total amount of leftover at school lunch reduced significantly after education when compared with the same 10-day menu prior to education (p < 0.01). This result suggests that unbalanced dietary behavior has been changed with the nutrition education program. In conclusion, the nutrition education program was found to be effective in improving nutrition-related knowledge, eating habits, and dietary behavior. (Korean J Community Nutr 16(2) : 183~194, 2011) KEY WORD : elementary school childrenánutrition educationánutrition-related knowledgeáschool lunch leftover 서 #: l #45 # vp# #k p#l l #e #e~r# q #m #~ p# # qp#t #e #mk p#rr # # n rp +Wudkpv#5333,/#p #o # #q #mk r p=#5344 #5o#4:p#r rp=#5344 #6o#54p# r }ˆp=#5344 #6o#63p#}ˆ Corresponding author: Hye-Kyeong Kim, Department of Food Science & Nutrition, The Catholic University of Korea, 43-1 Yeokgok 2-dong, Wonmi-gu, Bucheon, Gyeonggi-do , Korea Tel: (02) , Fax: (02) hkyeong@catholic.ac.kr 론 #m #ed p# p# n#tn 1#l # p#e d p# q# o #k #pv /# l # #m p# #k r#p +Nrr# #5339,1 # k p# #mkp#tn p#pe v# #e ˆl #mk # l# n~# p#mk r # # #p 1#533; # mks l# l #9 44 l# # #k p#mk # eˆl # dp# q p#9615(/# p# p#8613( # t l# # p# p# m 1# /# + p#57314(,/# v+ q p#4<919(,/#p+ q p#45918(,# p#mk #mk tp p # p # ˆ #mk p# r #re l +Plqlvwu # iru# Khdowk/# Zhoiduh# dqg# Idplo # Diidluv +PKZID,# )# Nruhd# Fhqwhuv# iru# Glvhdvh# Frqwuro 183
2 184Á w z dqg#suhyhqwlrq+nfgfs,#533<,1# #k p#mk r #mk p #p # qqk/# ~t/# /# / ~# # # p# ˆ #p +Ohh# #5338,/#p p#e p# /#e lp# /# e #pd e p# /# t # lp #p # rp#e /# e/ rr # e# /# p# p# el#p #k p#m k pp#opp # #p +Nlp#)#Fkrl#533;>#Ohh# 533;>#Rk# #533;,1# # #k p#ed #eˆ#s /#k #e # e p#r~# +5414(,l# p#4316(#plp # q pp# k # # k# # p # p 1# p #mk r # #o #m #ed p# # #p #mk op# n /#l # l l # /#mk /# /#k p# p# # n p#pe p # p # l +Sdun#)#Fkdqj#5337>#Sdun# 5339>#Vklq# #5339,1# #533; # mks # # #l p#5413(# p# #4 #p l#m k op # p# p# p#p # l# n l# pe #mk op#eˆm #kv# # p #ppp#k# #p 1# # e p# ˆ # #mk e#pn#l +431;(, #e v #pvp+61;(,p# n# p# p # ˆ / mk op# p# nl #k p#e l#rn #e} # # # # v# # p # p 1 # p#mr # l#pv#k #ed p vrrp # q ol#m p# # #k /#p # pp#ed p# eˆ #l #rp# k # #l erp#mk op# n#tn 1# /# # v # mk# p#mk # # r# l# rr p # prp# p #re l +Exqg #5338,/#n l #5339 #mk #r #ee #p # mk ol# # ep# # /# e# /#mk e#p # # k #mk o# p# #p +Vklq# 5337>#K xq#)#nlp#533:>#\rq#)#k xq#533:,1# mk op#vep#e l#rn l#e} # p# r p # #mkvep#v # #k # #o #tnnpp#ˆ # #q p# #pl v# ~ rp #Žk # #p # # lk# 1 m #ed # p#o #mk op# rrp#qk #v p# #r #k l #mk o# # # #r l #~ rp #p lrk# #rk m +Vxk#)#Nlp#4<<;>#Ohh# #5338,1# p#otp# o # p/# /#l # # k # otp#mk op#k p#p m# # p # r pp# l +Ohh#5336>#Zrr# #5339,1# # e rp #mk ol# k # #p #e p#r rp# ql # p# p# otp# o p #v # p l np#p 1# #r p# p# #l vlp# #r #k p# # vp # p#~ v # n # #p 1 pl# #l # p# n#r #s l#l np#l #6 p# p #mk op#e # # o# q# m 1# p#o # #mk o r kp#re # l l #t p#mk op# q #v er #mk p#l /#qn# p# r#mkve#r #ˆ #tep# o rp # # p# rpp re m +Kzdqj#533;,1#p # p# ˆp # m /# /# p/# dv# # k # ~ # n # lp#v # /#mkve/#ed /#epq /#e p# #s m # ep#er#q # # r l#e # q# m 1# 연구대상및방법 ¼ #l #kke# k l# q #p #K #6 l# # # p# p #q le p#pn l # p# el #mk op#ee m # # # p#ee v#kk 1#s p##87 p /#t#5 ##43 ep mk op#ee # o #5; + #48 /#l#46, #mk op#ee v#kp# s #59 + #46 /#l#46,p l 1#l p#5343 #6o 8o /# rs /#m k o#8t/# s #v l 1# fa i } mk op# # p# #mk o +Khr 5335>#Nzrq# #5339>#Vhr# #5339,p# ˆp #Wdeoh 4l#re # m# p# #tr # pm#ed/# lp n l# m 1#mk o# p#mkve #e # p#v #o # e # d # otr #r m /# o# # p #o # m /# /# p/# dv# # k # ~ #pn m 1# o np# #m k p#p /# p#mk rm# # k/#ed p #re# #e}pv # n # # m 1 ~rp #mk l# # #l #e o/#mk r # #v p#o # # #k
3 «wáw Á½x Á185 Table 1. Summary of nutrition education program Session Topics Activities & Materials 1 Nutrients Nutritional problems Solution to nutritional problem What is the role of nutrients? Food sources of nutrients Why is it harmful to have too much sugar? What can I do to reduce sugar intake? Why is it unhealthy to have too much fat? Which food contains a lot of fat? What is trans fat? Why childhood obesity is harmful? Let's check my obesity index What is balanced diet? What can we find in nutrition labeling? Proper food selection skills 6 Let's play with food tower 7 8 How to improve eating habits? Let's talk about good eating habits Importance of not skipping breakfast Let's talk about good eating habits Balanced diet, not being picky PPT, quiz Worksheets PPT, song PPT, Health signal lights PPT, song cartoons, website PPT, song Food tower model Food stickers PPT, website Videos PPT, website Videos 9 Good food choices for a snack Booklets 10 I can do! Let's talk about what can I do Presentation & Discussion p#o # #~ # #mk r# kp # q #mk #o #e ˆ #mk er# np# #e ˆ p#re mp #ed # p k e# v#k # rp # /# e v#k /# e p#m # p#re m 1# # v p #k p# #kl #e} #e # r # # l#e }pv # o # m 1# p #Žo p +Srzhu Srlqw/#SSW,#q # l# # # #d p # # d # #p # m /#edp# p#vl#tl v# r # # # p# np#p # k #t ep# l # o p #ee m 1# o# # d r mp /# #p l# p l # # m 1# o# # #q # # # ov qp#sl #r p# l# p# # r# m l# #l l#r n m 1 n fa j mk op# # # o # s p# p # op# r/# l# s #ee # # p # # m 1# v # l +Sdun# # 5333># Vklq# 5337>#Zrr# #5339>#K xq#)#nlp#533:,l# l qp#p /#mkve/#ed /#e}pv # m q p#žk #o # # #e s # m 1#q # v #6 # p# p # # r e s m#p # #p #~ # # ov qp#slp# ˆp # l# v# p# p m#nl # r/# m l# n m 1# p p#k p# /#l /# rëq /#l p#v q#o /# r# p#e t q/# pp#~ l# #pep vr# vl# # m /# #l#ee #e~ # # p#eq/#~tp#s # l#~v v +Erg #Pdvv#Lqgh{/#EPL,m# # m 1 # #EPL # tp # # k# #~ #e~ o t +Nruhd# Fhqwhu# iru# Glvhdvh# Frqwuro# dqg Suhyhqwlrq+NFGF,#)#Wkh#Nruhdq#Shgldwulf#Vrflhw +NSV,#533:,p# Ël #EPL# o m# l m 1#r~tp#EPL# o #8(# /#r ~tp 8( ;8(# /# ~tp#;8( <8(# /# p#<8( p p # m 1# # p #s # vk m#mk # #tevoq#q # l# d # rp# rr# #v # n m 1# mkvep#mk #e l# # vep#tr #mk p# o #l /#l p# /#e # # e/#e ˆ #mk e/#k e/#m # e l# #46 v p#re m 1# # l# #r p#4r/#m p#3r p# l l#46r# rp # l# m 1# k p#ed # #eˆ #Žk #o #e p# /#k e #l # #e # /# el # # el /#n e# # e# #eˆ/#e #ˆ # p# #43 p # m 1# # l# #6r#} 6r/# p
4 186Á w 4r, ##63r# rp# tp #r m /#e # r # #p p#l p ee l#r # p #ed p#k # p # m 1# k p# #e # #kk #o #e #s #tn#e p#} /# # #lž /#o # # /# # # /# p /#no# #or /# s /# +;s,m#mk r #ppˆ #e p#ov# # /#ˆ p /#Žd /# e /# e +8s, ##46sp#re m 1#8r#} + p# 3r/#4tpl# r/#4tpl# r/#4 tpl# r/# :r, #r m 1 epq p#k #dd p#m #ed Ëe l# #pv# #qe l# # p #e p# /#r #e /#k e /# e# # e#k /#m #e # /#n /# v #e ˆ l# #43 v# p#re m 1# # l# #8r#} 4r/#qe 5r/# 8r, ##83r# rp# tp #r m #r # p #e l# #qe p# p# p # m 1 n fa jj mk ol#p #k p#er#e # # o # ep#q l# #m p#s m 1#s #k l# # e #s # l#qt# m # p #s /#k p#sk # m#el # # # l#43p# p#re e# #q m 1# o#rë l# #43p p# p #e p#r # p #v l#džƒ #pn #q s m#q # s #ee m 1#dŽƒ #pn #q #s # p# /# / t /# /# /# ep#9 v# l# # # p#d Žƒ #r # #k p# #pep#s l# #d Žƒ # # pvl# p #v m 1# # o s p#pp#q p#rn # r l# m 1# #l p#q #VDV+Vwdwlvwlfdo#Dqdo vlv#v vwhp/ yhuvlrq# <14,# Sdfndjh# Surjudp+Lqf1/# Fdu /# QF/ XVD,p#pn l# } # # p#ee m 1# t l# # m# pp# #fkl0vtxduh whvw #ee /#l # l# # # t # #vwxghqw#w0whvw/#sdluhg#w0whvw # m 1 # r p#op# tp#s?3138 # r m 1# 결 ¼ k qp# #l p# #;15 #p#t# p#5; +841<(,/#l p#59 +7;14(,pl +Wdeoh#5,1#k qep#~ pv l # p # # p# o ; +5;19(,/# s # (,p /# p # # p# o # (,/# s #54 +;31;(,/# p # # p# o # (,/# s #4 +61;(,p # o p# s l# #oprp # p #pe # pp# k +s?3138,1# rëq # # #v # #4 p #p p# q# k 1#l p#vq#o # o p# n# l #vl# e +8313(, #p p# # k /# s p# n# l #vqp# e +9817(, # n # # # ˆ v # rp #op # p # ˆ v#kk 1#e t q #l # te # n # p # ˆ /# s p# n#l #k rp# +<915(, # ˆ # l# # o p#l +931:(,/#s +5813(,/#k v+:15(,/# ˆ+ o o# :14(, # # l#op # p # ˆ +s?3138,1#tevol l# #s # s p# pp# # r # k + o #4716(/# s #631;(,/ vk # #v p#o # ˆ + o 4716(/# s #4817(,1# s qp#e~ #t#eq #~tp# p# 45<17 fp/#6316 njp # # # p #ll /# l # # # o l # p#k p# pp# p# p# ˆ # #v # l#op # p #ll 1# n fa m mk op# #mkve# #kk #o # r# v p# r# v # #ee m /# o#r# #v p mkve# p#913rp # p # ˆ 1# o p mk o# #mk #vep# #rp#;179rp # d +s?31334,# /# s p# p# # k#oprp# # ˆ v#kk +Wdeoh#6,1# o#r#k p# l # e #nop#l /# e# # ep#rp/# p#m #o #e d # l #93(#p p#r pp# ˆ p #mk p# o #l /#e ˆ #mk e/#m # e # l #73( p# p#r pp# ˆ 1 과
5 «wáw Á½x Á187 Table 2. General characteristics of the subjects Variable Gender Age (yrs) Perceived body type Male Female Thinness Normal Fatness Educated (n = 28) 15 (53.6) 1) 13 (46.4) 1 (53.6) 19 (67.9) 8 (28.5) 8 (28.6) 14 (50.0) 6 (21.4) Control (n = 26) 13 (50.0) 13 (50.0) 1 (53.8) 19 (73.1) 6 (23.1) 4 (15.4) 21 (80.8) 1 (53.8) Total (N = 54) 28 (51.9) 26 (48.1) 2 (53.7) 38 (70.4) 14 (25.9) 12 (22.2) 35 (64.8) 7 (13.0) Statistical value * Height (cm) ) Weight (kg) BMI (kg/m 2 ) Obesity status 3) Mother's working status Person who prepare meals Beneficiary of school meal support program Underachieved student Underweight Normal Overweight Obese Yes No Without mom Mother Father Grandparents Others Yes No Yes No 2 (57.1) 15 (53.6) 4 (14.3) 7 (25.0) 12 (42.9) 14 (50.0) 2 (57.1) 17 (60.7) 2 (57.2) 7 (25.0) 2 (57.1) 4 (14.3) 24 (85.7) 4 (14.3) 24 (85.7) 2 (57.7) 20 (76.9) 3 (11.5) 1 (53.9) 17 (65.4) 9 (34.6) 0 (50.0) 25 (96.2) 1 (53.8) 0 (50.0) 0 (50.0) 8 (30.8) 18 (69.2) 4 (15.4) 22 (84.6) 4 (57.4) 35 (64.8) 7 (13.0) 8 (14.8) 29 (53.7) 23 (42.6) 2 (53.7) 42 (77.8) 3 (55.5) 7 (13.0) 2 (53.7) 12 (22.2) 42 (77.8) 8 (14.8) 46 (85.2) * *: p < ) N (%) 2) Mean SD 3) Obesity status by BMI percentiles for age: Underweight: < 5th percentiles, normal: 5th~85th percentiles, overweight: 85th~ 95th percentiles, obese:= 95th percentile Table 3. Comparison of nutrition-related knowledge before and after receiving nutrition education Questions Educated (28) Control (26) Pre Post t-value Pre Post t-value Major nutrients in vegetables ) ** Major nutrient in rice * Major functions of milk Role of protein * Multiple choices on fast food Health problems related to sugar intake Multiple choices on eating habits to prevent obesity Definition of balanced diet ** Matching foods to suitable floor of the food tower *** Multiple choices on breakfast Definition of unbalanced eating Information from nutrition labeling * Multiple choices on proper way of snacking *** Total score 2) *** *: p < 0.05, **: p < 0.01, ***: p < by paired t-test : p < 0.05, : p < 0.01 by t-test (group difference) 1) Mean SD 2) Possible total score ranged from 0 13 points, each item was scored (1=correct or 0=incorrect)
6 188Á w z o# #mk p# oe +s?3138,/# vp# +s? 3138,/#mk el #l #r +s?3138,/# #p #e +s?31334,/#e ˆ+s?31334,/#m # e +s?31334,p##9 # l #op #mkve#r # p# ˆ /# # # #r #e ˆ# l#l m# ep#r #tn#mk # l # s l# #oprp # k 1# s p# p# k# } #r #tn#mk # p#mkve#r #opr p # d l +s?3134,1 m mk op# #e # #kk #o # #v p r# v # #ee # # o#r# #v p#ed r p# # # #v p#e #r l #opr p# p #ll# r# v p# # p # ˆ 1# o # s # #ed #rp#oprp# # ˆ v#kk +Wdeoh#7,1# # o l #mk o# # e # l# #r #op # p # ˆ l# #4 #p # e# k p#v l +s?3138,/# p# k# s p#k e p#e #r # d m #r e #r # m +s?3138,1# h Ð m mk o#ee#r# #v p#e # # / } #n#:sp#e # s p# # p# p#pl /# # #s l# # p# s p#o p # # k +s?3138/#wdeoh#8,1# #m k r #ppˆ# #p #ov# # /#ˆ p /#Žd /# e /# #k# Že p# # s p# kp # rp #op # p # ˆ v#kk 1# o p#mk o# #k p# #e p# p# s p# #op # d l +s?3138,1# #n l# # #s /#o # # /#no# #or /# / #k# Že # #8sp#e p# # #r o# # kv # p# m 1# s p# n # p# # k#} m# e p# #op #v l +s?3138,1# n³q m mk op# #epq # #kk #o # v p# r# v # #ee # /# o p# #q #r #6;1<3r/# s p# r #69156rp # o p# # kv # rp #op # p #ll +Wdeoh#9,1# o p#mk o# # e # # k#š rp# #}p#p # p# v#kp#qep#p p# p#rn #q p# # p#r m##r d # p# m 1# # e v#k # p# # p# #p p# l #op #qe p# dp# ˆ 1# /# p# # k# s p#q p#opr p# #ll 1 Table 4. Comparison of eating habits before and after receiving nutrition education Questions Educated (28) Control (26) Pre Post t-value Pre Post t-value 51. Do you eat meals regularly? ) Do you have breakfast every morning? * 53. Do you eat meals faster than others? * 54. Do you eat meals until you are full? Do you only eat side dishes you like? Do you eat snack more than once a day? * Do you skip meals after eating snacks? Are you eating out more than once a week? Do you have midnight snack? Are you watching TV or reading a book while eating? Total score 2) *: p < 0.05, **: p < 0.01, ***: p < by paired t-test : p < 0.05, : p < 0.01 by t-test (group difference) 1) Mean SD 2) Possible total score ranged from points. Each item was scored (3 = yes, 2 = often, 1 = no) and item 3, 4,5, 7, 8, 9, 10 were scored reversely
7 «wáw Á½x Á189 Table 5. Food consumption frequency before and after receiving nutrition education Food Educated (28) Control (26) Pre Post t-value Pre Post t-value Vegetables ) * Fish and shellfish Meat and poultry Beans and Tofu Fruits Milk and dairy products Sea weeds * Kimchi Sweets Soft drinks Fast food Flour based food * Street stall foods near school *: p < 0.05 by paired t-test : p < 0.05 by t-test (group difference) 1) Mean SD, Each food item was scored by 5 scales (7 = every day, 5.5 = 5~6 times a week, 3.5 = 3~4 times a week, 1.5 = 1~2 times a week, 0 = rarely) Table 6. Comparison of self-efficacy before and after nutrition education Questions Education (28) Control (26) Pre Post t-value Pre Post t-value I can have meals regularly I can eat meals at moderate pace I can eat adequate amount of meals I can have breakfast every morning I can eat meals with variety of side dishes * I can snack fresh fruits instead of candy or cookies I can choose juice or milk instead of soft drinks I can drink more than two cups of milk a day I can exercise to sweat more than three times a week I can have meals without watching TV or reading a book Total score 2) *: p < 0.05 by paired t-test 1) Mean SD 2) Possible total score ranged from points. Each item was scored by 5-point scales ranging from 'strongly agree' (5) to 'strongly disagree' (1) j m mk op# e#q l# # #kk #o # o#rë # #k p# #pel# #q #dž ƒp# #w0whvw # m +Wdeoh#:,1# o#rl # s # o p# p #llp #mk o# # p# l # o p#q #džƒp# # l# # l#op rp# p # ˆ 1# # o# # +s?31334,/# +s? 31334,/# +s?3134,l # # # l#op # p ˆ pp# lt 1# # p#er#q l# #m p# #o # p# v# p# #pp#q p # r l# m 1# o#r# o # s p#pp#q p# p# #31;: Ë 319: nj/#31;5 Ë 318: njp # p #ll 1 mk o# # #43p p# p#e p #q p# r # o p# #q p#3157 njp #oprp # m +s?3134,1#
8 190Á w z Table 7. Comparison of school lunch leftover between control and educated groups Leftover stickers (piece) Pre Post Educated Control t-value Educated Control t-value Rice ) *** Soup *** Main dish Side dish ** Kimchi Dessert Amount of leftover (kg) *: p < 0.05, **: p < 0.01, ***: p < ) Mean SD ** 고 p#l l # #kke# q# # #6 p p # #43 e#8t p#mk op#mkve/#ed #e l# #m p#s #o #mk op#ee # o #mk op#ee v#kp# s p# m 1# s qp# #eq #~tp#533: # # k# ~ #e~ o# t +NFGF#)#NSV#533:,p#; < m# p# #eq #~t# # p# tpl 1# o # s # # p#eq #~t/# # # # #v p#oprp# p # ˆ v#kk 1# # pp#~ pv l # o p# s l# # # # # p #p # pp# k# o p# pp#~ l# # # p #ppp# lt +s?3138,1# #nl# /# rëq # /#l p#vl#o /#tevol /# vk# p# p# d l# #v p# vrp#v p # # #pl 1 k p#mkve#rp# o#r# #913+79r2433 r,p # l l # +Sdun# #5333>#\x# 533:>#Mhrqj#)#Nlp#533<,# p#mkve# t # # ˆ 1#p # l p# p#7 9 p # # #l p#6 #p# p # #l #4 5 l #mk op# p#p lvv#k # p # p 1# #l # o q #l # # r# l# ol p# l#6 p# p # p/# /# m p#pn # p# pm# l# o m 1# #7/#8/#9 #k p# p #8t #e op#ee # l # # +Ohh# #5338,/#mk vep# #7 p#8;1;rl #;614r/#8 p#8<13 찰 rl #::13r/#9 p#9618rl #;315rp #r # d p# # p#7 p # ˆ #p # rp# m 1#mkvep#rp# o#r# #913l #mk o# o p# p#;179+ #98r2433r,p #k#73(#r # d # rrp# # ˆ 1#p #mk o#e e # ee p# # # l +\rrq# #5333> Ohh#)#Ohh#5337>#\rq#)#K xq#533:,m#o l#k p#mk op#mkve# l# rpp#k# #p 1# #r # pl# # # #s # k p nop#l /# e# # ep#rp/# p#m #o e d # p# r # rp # p# /#mk p o+ˆ, #l + v,l# # ve #e n l# n #mk e# #m # e # l #vep# # s # ˆ 1#p # #8 p# p # #Dkq# +533<,p#l l #mk p# # oe l# #ver # k # m#zrr# +5339,p#l l # ep#rpl# #r pp# p# #mk el# #r pp# o# l # k #l m#o # # m 1#mk ol#p #k p#mkv e# # #mk p# oe /# vp# /#m k el #l #r /# #p #e /#e ˆ/#m e l# # #r~##r #oprp # d l# o# #mkvep# # ˆ pp#k# #p 1 # s l # } #r #tn#mk # +s?3134,l #op #r # dp# ˆ /#p # l l #v #mk o l#nl # l #~o/# # #ˆ# l #mkvel# # d p# eˆ #plp # # p # p 1# mk ol#p #mkvep# #eˆ /#e l #m p#p # # pv#k 1#e eˆ#
9 «wáw Á½x Á191 mkvel# #l # #mkve#r # p #ed # #e r # p#rp# p# p #mk o#p l#e ˆ # l # +Ohh# #533;> Dkq# #533<,# #p # # #oprp# p # # #l l # +Ohh# #5333, #p 1#p # p #e o# p# #s #eˆ # #e p# # p # p 1# #l l #mk ol#p # o#rë #ed # op # p # ˆ # p#plv #mk op #p # # l #l n# p # 1#7 p# p ##;t #mk op#ee #l l #mkvep lp #ed p# # # p # pv#kk l+nlp#)#ohh#5343,/#8t p#mk op#ee #l l # ol#p #op #ed p #o l # o p#wp# p # p 1# # l #~ p# p #mk # d op# #9 o p tq #mkve# # #ˆ p m# l# v v#kp# l e p# #t # pp# #v m # /# 2l p # p/# p# p#pl # l +Vlqjkdo# #5343,1 #ed p#mkve # # op# #v rp p#l n #ed # l#p # l ~ rp #v rp#mk op# n # 1# mk ol#p #ed p# # # /# 4 #p # e pp#v l#k p#e # s #m k# # # #p # rrp# # mp #ne# # #m #eˆ # r # kv # p# ˆ 1 #s qp#mk ol#p #e # # /# o p# s p# #oprp #v +s?3138,#} /# # #s /#no# #or p# #v # p# m 1# # s #} m# e p# #v # +s?3138, # ˆ #mk op#e l#op #m p# ~ # #l 1#p #93 p# p#~ rp #s # p# Ž # r /#e p# n +dydlodelolw,/ r #ed p# # r p#q p#e l# r # # +Shduvrq# #533<, # # e #t #nep# r # l# #mk op # r p# p# # # k#k p#ed p# # #pp# p # 1# #m #eˆ # p#r # p# m #e #e#š rp# #}p#p # # # p# #e # v#k # p e}r#mlp# p#mk op # l # # #pl # 1# #7 #k p# p e v #pn #mk o # # op#8 o # # l +Ohh# #533<,l #k p#e p# op # ˆ #k p#ed # #o #o k p# pvm# #p # n# #p # s op # ep# n p#k# #p 1# /#mk ol#p #epq # # r~r#r #oprp # d v #kkv # r # #e # #p #m# e # #Š rp# #}p pv#k #e # #p p# p#rn # # l r # d # p# m 1# # e v#k # p# # p# #p #p# #r #oprp # d # p# e r # # rrp#qe p# p ˆ #v # # #p 1#Ohh# +533;,p# l l #4 7 p# ep#e #k p# p # #;t p mk op#mkve# /#e #ˆ p# # l# e # # p#q p#v eˆ # e rl# rrp#m p# # m 1# # #l l # #mk op#k p#vrrp#eˆ # # rm l # # p#wk # p # p #dd # rrp#e p#e} #pv # # #p # r # p # p 1 mk ol#p # e#q # #s # #er#e l# #m p# q# m 1#l #rl#ee e #s # ˆp # el #k# #p #43p p# # r l# o#r# # l#pn # p# # #o #rr # 1#mk o# # #k p# #pel# l #džƒp# # /# /# l #op # # ˆ # rrp# # ltl /# p #43p p l# # o#rl# # o# #q p# l# # # p # k# el# #mk op# # ˆ p p#k# #p 1# #8 p# p #t#4 #7t p mk op# # #6p p# p # or #q p# # l l +\xq#5337,# o# #q l# # # # ˆ 1# #l # s # o p#q dž ƒ# # ##q p# l#s # lp # p # # m v# #krp#pv # ol#p # p # l # # p # 1#mk o# # el #q p# lp #kv#er#eˆ # #e p# v# # ˆl # ep# n#tn #p # 1# # #l l#p # ep# # p# e d #pn v#k # l# #mk q l# r #e ˆp# # p#pl# e d # r
10 192Á w z #ed # l#tn # p# # m +Udxolr# 5343,1# # # v # # mk# # ep# #e v # prp#mk o# p #re #p 1# p# p # #mk o# #l #r p tep # # otp# o # # p# #p #er #mk ol# k # #p #e p#r rp# ql # p# p# otp# o p #v # p#l np#p 1# #r rp#e l# o # p #o # n#r p#o # p # # p# er p #p # # l #q # p# #r p#6 p# p # m 1# p/# /# m /# dv# p# p# # # #e # r #r e}pv # o #q # p# # rp#o v # #p # l#e}pv # # l#rp l /# rp #mk op#mkve #q # p dp# rm #ed # # e rl#p # # ˆ 1# #l # #6 #5 +87,p# p # l# #q # r l#m# d p#ed /#e /# /#e l# #m p# l #t5 j ee ##43 ep# o p# # #p #r r p#p 1# # # v # # mk# # ep# #e v # prp#mk o# p #re lp /# # o #l #~ rp #v rp# p# # n# rp# o # # #pp p # 1 요약및결론 #l # #6 p# p # #mk op#m kve/#ed /#e /#epq # # # e q l# #m p#kk q# m 1#s #k p #6 #5 ##87 p # o #5; + #48 / l#46,p# p #8t# k#t#5 +43 e,p#mk o p#ee m /# s #59 + #46 /#l46, # m 1#mk op# # p #o # m /# /# p/ dv# # k # ~ #pn m /# #tr # p m#ed/# lp# n m 1#p # l# rp#m k op# # p#m #ed # l# np# # r#q #l q# mp /#l # # p # 1# 41#s p# o # s p# p/# /# rëq /#l p#vl#o /#tevol /# vk# p p#o # vrp#v p /# o p#qep#~ l# # # #pv # p #e t q#t#l p# p p# s l# # p# vp#pl 1#s qp#eq ~tp# p# #45<17 fp/#6316 nj # # # p #ll /# l p#epl# o #pn # # p #oprp# p #ll 1# 51#s qp#mk vep# o#r# #v p# p#913r+46r# r,p # p # ˆ p /# o p#mk o# #mk #vep# #rp#;179rp # d +s?31334,# # s p# p# # k#oprp # ˆ v#kk 1# o p#mk p# oe +s? 3138,/# vp# +s?3138,/#mk el #l #r +s?3138,/# #p #e +s?31334,/#e ˆ+s? 31334,/#m # e +s?31334,# l #r d l 1 61# o # s p# o#r#ed r # p m / mk o# # o # s # #ed #rp#oprp # ˆ v#kk 1# # o l #mk o# #n e m#e #ep#ˆ #rn # # l # #r # # p# mp # # e# # l# r #op # p # ˆ l# #4 #p # e# k p#v l +s?3138,1# 71# o p#mk o# #k p# #e p# p# s p# #op # d l +s?3138, # #s /#o # # /#no# #or /# /# #k# Že # #8sp#e p# # #r # o# # kv # p# m 1# s p# n # p# k#} m# e p# #op #v l +s?3138,1 81# o # s p# o#r#epq r # p m /# o p#mk o# # e # # k#š r p# #}p#p # p# v#kp#qep#p p# p#rn #q p# # #r m##r # d p# m 1# # e v#k # p# # p# p p# l #op #qe p# dp# ˆ # # p # k# s p#q p#oprp# #ll 1 91# o# #r# #43p p# e# p l# q s #ee # # o#rl # s # o p# p #llp #mk o# # o p#q #džƒp# # l # # +s?31334,/# +s?31334,/# +s? 3134,l # # # l#op # p # ˆ 1# p# # v# p# #pp#q p # r # # o#r l # o # s p# #q p# #31;: nj/#31;5 njp # # # l# p #llp # o# # o p#
11 «wáw Á½x Á193 q p#3157 njp #oprp # m +s?3134, p p#l # # #q #e p#pn l#e e # #6 #k # p#mk op#mk ve p# eˆ #epq /#eˆ # #e r rp #sp# p # # p# ˆ p # ep#q s m#q p# e # e rl#op m p#t# #ppp#e m 1# # v # # mk# # ep# #e v #ed # l p # #k p# prp#mk o# p #re # pp /# # o #l #~ rp #v rp# p# # n# rp# o # # #pp p # 1 k Ahn Y, Ko SY, Kim KW (2009): Evaluation of a nutrition education program for elementary school children. Korean J Community Nutr 14(3): Bundy D (2005): School health and nutrition: policy and programs. Food Nutr Bull 26(2): S Heo ES (2002): Evaluation of problem and nutritional education status for children's nutrition, and the development of internet assisted nutritional education program for children's healthy dietary habit. Dissertation, Changwon National University Hwang SN (2008): Nutrition education for elementary school students step by step process. Seoul Metropolitan Office of Education Hyun SM, Kim JW (2007): Improvement of dietary attitudes of elementary students by nutrition labeling education. Korean J Community Nutr 2(2): Jeong NY, Kim KW (2009): Nutrition knowledge and eating behaviors of elementary school children in Seoul. Korean J Community Nutr 14(1): Kim KA, Lee YK (2010): The effect of nutrition education using animations on the nutrition knowledge, eating habits and food preferences of elementary school students. Korean J Community Nutr 15(1): Kim SB, Choi HJ (2008): Effects of nutrition education using food exchange system: changes in elementary students' nutrition knowledge, dietary attitude and nutrients intake. Korean J Community Nutr 13(6): Koo JO, Lee JW, Choi YS, Kim JH, Lee JH (2006): Nutrition throughout the life cycle. Hyoil Publishing Co., Seoul Korea Centers for Disease Control and Prevention, The Korean Pediatrics Society (2007): Korean national growth charts Kwon YK, Jang YA, Kim KW (2006): Application of a practical nutrition education program (KHIDIKIDS) for the improvement of dietary attitudes and habits of elementary students. Korean J Nutr 39(8): Lee JW, Lee HS, Chang NS, Kim JM (2009): The relationship between nutrition knowledge scores and dietary behavior, dietary intakes and anthropometric parameters among primary school children participating in a nutrition education program. Korean J Nutr 42(4): Lee JY, Lee SY (2004): A comparative study on nutrition knowledge, eating behavior and nutrient intake for students at elementary schools with and without nutrition education program. J East Asian Soc Diet Life 14(6): Lee OK, Chang SO, Park MJ (2008): Comparison of nutrition knowledge, dietary attitude and dietary habit in elementary school children with and without nutrition education. J Korean Soc Food Sci Nutr 37(11): Lee SY (2003): A comparative study on nutrition knowledge, eating behavior and a nutrient intake for students in elementary schools with and without nutrition education problem. MS thesis, Dongguk University Lee YJ, Kim GM, Chang KJ (2000): The analysis of effect on nutrition education of elementary school children, Incheon. J Korean Diet Assoc 6(2): Lee YM, Lee MJ, Kim SY (2005): Effects of nutrition education through discretional activities in elementary school - Focused on improving nutrition knowledge and dietary habits in 4 th -, 5th - and 6 th - grade students. J Korean Diet Assoc 11(3): Ministry for Health, Welfare and Family Affairs, Korea Centers for Disease Control and Prevention (2009): 2008 National health statistics - The 4th Korea national health and nutrition examination survey. Korea Centers for Disease Control and Prevention, Korea Oh YJ, Lee YM, Kim JH, Ahn HS, Kim JW, Park HR, Seo JS, Kim KW, Kwon OR, Park HK, Lee EJ, Sung HN (2008): Interview survey of elementary school students' nutrition education and practice. Korean J Community Nutr 13(4): Park A, Chang KJ (2004): A study on elementary school dietitian's status and recognition of nutrition education in Incheon. Korean J Community Nutr 9(6): Park HO, Kim EK, Chi KA, Kwak TK (2000): Comparison of the nutrition knowledge, food habits and life styles of obese children and normal children in elementary school in Kyeong-gi province. Korean J Community Nutr 5(4): Park YH, Kim HH, Shin KH, Shin EK, Bae IS, Lee YK (2006): A survey on practice of nutrition education and perception for implementing nutrition education by nutrition teacher in elementary schools. 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12 194Á w z survey on the needs of educators, learners and parents for implementing nutrition education by nutrition teachers in elementary schools. J Korean Diet Assoc 12(1): Singhal N, Misra A, Shah P, Gulati S (2010): Effect of controlled school-based multi-component model of nutrition and lifestyle intervention on behavior modification, anthropometry and metabolic risk profile of urban Asian Indian adolescents in North India. Eur J Clin Nutr 64(4): Suh EN, Kim CK (1998): Analysis of nutrition education for elementary schools based upon elementary school teachers within inner Seoul. Korean J Nutr 31(4): Trahms CM (2000): Nutrition in childhood in: Nutrition throughout the life cycle. McGraw-Hill, Boston Woo TJ, Her Es, Lee KH (2006): Effect-evaluation of nutrition education textbook and teaching manual in elementary school. J Korean Diet Assoc 12(3): Yon MY, Hyun TS (2007): Evaluation of nutrition education program for obese children. J Human Ecol 11(2): Yoon HS, Yang HL, Her ES (2000): Effect of nutrition education program on nutrition knowledge, dietary diversity of elementary school children. Korean J Community Nutr 5(3): Yu OK, Park SH, Cha YS (2007): Eating habits, eating behaviors and nutrition knowledge of higher grade elementary school students in Jeonju area. Korean J Food Culture 22(6): Yun HH (2004): Effects of nutrition education on eating behavior, nutrition knowledge and nutrient intake by school mealservice. An empirical study on elementary school children in Chonbuk area. MS thesis, Chonbuk University
서론 34 2
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