본문 바로가기
KERD
논문KCI 등재

Importance-performance analysis of sodium reduction practices by school nutrition teachers and dietitians in the Republic of Korea

1

조회

0

다운로드

1

인용

0

참고문헌

키워드

초록

BACKGROUND/OBJECTIVES: This study investigated the importance and performance level of sodium reduction practices in school meal ser vice by school nutrition teachers and dietitians, and compared them according to school level and placement of the school nutrition teacher. SUBJECTS/METHODS: An online sur vey was conducted with 608 nutrition teachers and dietitians in schools in the Republic of Korea from September 28 to November 12, 2021 (response rate: 57%). The questionnaire comprised 11 items related to sodium reduction practices (purchasing, food preparation and ser ving, and education). The importance and performance level of each item was rated on a 5-point scale. The mean differences were analyzed using t-tests or one-way analyses of variance and Duncan’s post-hoc tests. An importance-performance analysis was performed on sodium reduction practices. RESULTS: Participating in sodium reduction education, sodium reduction education for cooks, and sodium reduction education for students were assessed to have high importance but low performance. Overall, the higher the school level, the lower was the importance level of sodium reduction practices. The performance in kindergartens and elementar y schools was higher than that in middle and high schools. The importance in the purchasing categor y perceived by dietitians was lower as compared to nutrition teachers. In addition, the performance in the purchasing, food preparation and ser ving, and education categories perceived by dietitians was lower than those of nutrition teachers. CONCLUSION: Sodium reduction education for nutrition teachers and dietitians, cooks, and students should prioritize practicing sodium reduction in school meal ser vice. Specific guidelines for managing sodium reduction at all stages—purchasing, food preparation, and ser ving—should also be developed. The results could be used as basic data to reduce the sodium content in school meals.

Abstract

BACKGROUND/OBJECTIVES: This study investigated the importance and performance level of sodium reduction practices in school meal ser vice by school nutrition teachers and dietitians, and compared them according to school level and placement of the school nutrition teacher. SUBJECTS/METHODS: An online sur vey was conducted with 608 nutrition teachers and dietitians in schools in the Republic of Korea from September 28 to November 12, 2021 (response rate: 57%). The questionnaire comprised 11 items related to sodium reduction practices (purchasing, food preparation and ser ving, and education). The importance and performance level of each item was rated on a 5-point scale. The mean differences were analyzed using t-tests or one-way analyses of variance and Duncan’s post-hoc tests. An importance-performance analysis was performed on sodium reduction practices. RESULTS: Participating in sodium reduction education, sodium reduction education for cooks, and sodium reduction education for students were assessed to have high importance but low performance. Overall, the higher the school level, the lower was the importance level of sodium reduction practices. The performance in kindergartens and elementar y schools was higher than that in middle and high schools. The importance in the purchasing categor y perceived by dietitians was lower as compared to nutrition teachers. In addition, the performance in the purchasing, food preparation and ser ving, and education categories perceived by dietitians was lower than those of nutrition teachers. CONCLUSION: Sodium reduction education for nutrition teachers and dietitians, cooks, and students should prioritize practicing sodium reduction in school meal ser vice. Specific guidelines for managing sodium reduction at all stages—purchasing, food preparation, and ser ving—should also be developed. The results could be used as basic data to reduce the sodium content in school meals.

참고문헌 (49)

  1. Korea Ministry of Education, "Status of School Meals in 2021" (2022), Ministry of Education
  2. A Study on the Reduction of Sodium in School Meals (report), "Kim HY", Ministry of Education, ~ (2013)
  3. Jeon MS, "Relevance of snacking at school store, school meal caloric intake and its satisfaction of female middle and high school students", master, pp.2016
  4. 임현숙, "대구, 마산, 광주, 제주지역 학교급식의 나트륨 및 칼륨 함량 분석", 한국식품영양과학회지, 42(8), pp.1303~1317 (2013), 한국식품영양과학회
  5. 박소영, "경북 일부지역 중학교 점심급식의 소금 및 나트륨 함량 분석 -삼삼급식소 적용을 위한 기초조사를 중심으로-", 한국식품영양과학회지, 45(5), pp.757~764 (2016), 한국식품영양과학회
  6. 이선규, "초·중학교 학교급식 중 나트륨, 칼륨 섭취실태 조사", 한국식품과학회지, 42(5), pp.578~585 (2010), 한국식품과학회
  7. 이은미, "대전·충청 지역 초·중학교 급식의 나트륨, 칼륨 함량 및 섭취량 조사", 동아시아식생활학회지, 20(6), pp.853~862 (2010), 동아시아식생활학회
  8. Meneton P, "Links between dietary salt intake, renal salt handling, blood pressure, and cardiovascular diseases", Physiol Rev, 85, pp.679~715 (2005)
  9. Kurosawa M, "Highly salted food and mountain herbs elevate the risk for stomach cancer death in a rural area of Japan", J Gastroenterol Hepatol, 21, pp.1681~1686 (2006)
  10. Kurtz TW, "“Salt-sensitive” essential hypertension in men. Is the sodium ion alone important?", N Engl J Med, 317, pp.1043~1048 (1987)
  11. Jones G, "A population-based study of the relationship between salt intake, bone resorption and bone mass", Eur J Clin Nutr, 51, pp.561~565 (1997)
  12. Teucher B, "Sodium and bone health : impact of moderately high and low salt intakes on calcium metabolism in postmenopausal women", J Bone Miner Res, 23, pp.1477~1485 (2008)
  13. 윤진숙, "성인 여성의 나트륨 섭취수준과 칼슘 영양상태 및 골밀도", 대한지역사회영양학회지, 18(2), pp.125~133 (2013), 대한지역사회영양학회
  14. Pitynski D, "Does salt have a permissive role in the induction of puberty?", Med Hypotheses, 85, pp.463~467 (2015)
  15. Korea Ministry of Government Legislation, "Enforcement Rule of the School Meals Act, Chapter 5 Article 1. Nutritional Standards for School Meals, etc", Korean Law Information Center, ~ (2022)
  16. Basic Direction of School Meals in 2022(Report), "Seoul Metropolitan Office of Education", Seoul Metropolitan Office of Education, ~ (2022)
  17. 하인해, "부산지역 중학교 영양(교)사의 나트륨 저감화에 대한 인식, 실천 및 방해요인 조사", 한국식품조리과학회지, 31(2), pp.225~232 (2015), 한국식품조리과학회
  18. 이경숙, "경기지역 학교급식의 염도계 사용과 나트륨 저감화 교육실태", 대한영양사협회 학술지, 19(2), pp.173~181 (2013), 대한영양사협회
  19. 김수현, "대구지역 학교급식 나트륨 저감화 실태 및 나트륨 저감화 방법에 대한 중요도-수행도 분석", 대한지역사회영양학회지, 25(5), pp.386~395 (2020), 대한지역사회영양학회
  20. Lee KS, "Study on the perception of school dietitians about sodium and the analysis on sodium reduction using NEIS", master, pp.2007
  21. 이정희, "경기지역 초․중․고등학교 영양(교)사의 나트륨 저감화에 대한 인식도 및 실천도", 동아시아식생활학회지, 22(6), pp.734~743 (2012), 동아시아식생활학회
  22. 안소현, "성남 지역 외식업소의 나트륨 저감화 현황과 종사자의 저감화 실행에 대한 인식 및 실천용이도", Journal of Nutrition and Health, 52(5), pp.475~487 (2019), 한국영양학회[DOI]
  23. Matzler K, "Importance-performance analysis revisited : the role of the factor structure of customer satisfaction", Serv Ind J, 23, pp.112~129 (2003)
  24. Sampson SE, "The performance-importance response function : observations and implications", Serv Ind J, 19, pp.1~25 (1999)
  25. Martilla JA, "Importance-performance analysis", J Mark, 41, pp.77~79 (1977)
  26. 박혜련, "보건소 영양사 직무 분석 (I) : 업무수행도 및 중요성 인식도 분석", 대한지역사회영양학회지, 13(4), pp.540~554 (2008), 대한지역사회영양학회
  27. Park HR, "Sanitation management of cooks in childcare centers in South Korea according to working duration and the type of childcare center: importance-performance analysis", Food Control, 73, pp.1452~1458 (2017)
  28. Lee MJ, "Survey on the current state of sodium reduction according to dietary behavior and nutrition knowledge of school dietitian", master, pp.2015
  29. Feldman C, "A laboratory analysis of total fat content and an examination of portion size of foods served in four New Jersey public middle-school foodservice operations", J Foodserv, 20, pp.264~274 (2009)
  30. Diliberti N, "Increased portion size leads to increased energy intake in a restaurant meal", Obes Res, 12, pp.562~568 (2004)
  31. Levitsky DA, "The more food young adults are served, the more they overeat", J Nutr, 134, pp.2546~2549 (2004)
  32. 홍순명, "‘나트륨 줄이기 참여 건강음식점’의 나트륨 저감화 실태", 대한영양사협회 학술지, 20(3), pp.174~182 (2014), 대한영양사협회[DOI]
  33. 한진경, "영양교사와 급식영양사의 직무만족도 및 수행도 비교연구(I)", 한국식생활문화학회지, 24(5), pp.525~532 (2009), 한국식생활문화학회
  34. Manios Y, "Health and nutrition education in elementary schools : changes in health knowledge, nutrient intakes and physical activity over a six year period", Public Health Nutr, 2, pp.445~448 (1999)
  35. Powers AR, "Effects of a nutrition education program on the dietary behavior and nutrition knowledge of second-grade and third-grade students", J Sch Health, 75, pp.129~133 (2005)
  36. Wagner N, "Nutrition education for children – results and perspectives", J Public Health, 13, pp.102~110 (2005)
  37. McAleese JD, "Garden-based nutrition education affects fruit and vegetable consumption in sixth-grade adolescents", J Am Diet Assoc, 107, pp.662~665 (2007)
  38. Lytle LA, "Changes in nutrient intakes of elementary school children following a school-based intervention : results from the CATCH study", Prev Med, 25, pp.465~477 (1996)
  39. Reynolds K, "Social cognitive model of fruit and vegetable consumption in elementary school children", J Nutr Educ, 31, pp.23~30 (1999)
  40. Worsley A, "Nutrition knowledge and food consumption: can nutrition knowledge change food behaviour?", Asia Pac J Clin Nutr, 11(Suppl 3), pp.S579~S585 (2002)
  41. 김은경, "학교 급식 영양(교)사의 나트륨 저감화 인식도, 실천도 및 저감화 방안", 한국식품조리과학회지, 32(2), pp.222~232 (2016), 한국식품조리과학회[DOI]
  42. Mattes RD, "Relative contributions of dietary sodium sources", J Am Coll Nutr, 10, pp.383~393 (1991)
  43. Lee MK, "Sodium intake of students and sodium content of processed foods used in the school meal service", master, pp.2009
  44. Korea Ministry of Government Legislation, "School Meals Act, Chapter 2 Article 7. Placement, etc. of Nutrition Teachers", Korean Law Information Center, ~ (2022)
  45. 한장일, "영양교사 (정규직)와 학교영양사 (비정규직)의 직무수행도 및 직무수행에 영향을 미치는 요인", Journal of Nutrition and Health, 48(6), pp.558~570 (2015), 한국영양학회
  46. 홍영선, "고용형태에 따른 경기지역 학교 영양교육 실태 및 직접 영양교육 활성화 방안", 대한지역사회영양학회지, 18(3), pp.233~242 (2013), 대한지역사회영양학회
  47. Oh H, "Revisiting importance–performance analysis", Tour Manage, 22, pp.617~627 (2001)
  48. Ko Y, "Analysis of recognition and educational needs on competency of secondary school informatics teachers", Int J Adv Sci Eng Inf Technol, 7, pp.1632~1637 (2017)
  49. Son EJ, "A needs analysis of character education on socio-biological human exploration using Borich priority and locus for focus model", Int J Acad Res Reflect, 7, pp.16~22 (2019)

이 간행물의 다른 논문 (15건)