Nutrition education discouraging sugar intake results in higher nutrient density in diets of pre-school children
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BACKGROUND/OBJECTIVES: The intake of sugar has increased worldwide, and it is well established that childhood experiences and food preferences affect lifelong eating habits. To discourage sugar intake, nutrition education was imparted, and the effectiveness of the nutrition education program was investigated by considering the nutrient density and major dietary sources of sugar intake. SUBJECTS/METHODS: Twenty four-hour dietary recall and sugar intake frequency of 96 pre-school children (educated n = 47; non-educated n = 49) were collected on 3 consecutive days (1 weekend day, 2 weekdays) after 11 weeks of imparting nutrition education. Dietary intake of nutrients and total sugar were analyzed, and the intake frequency of sugar source foods were identified. All nutrition education programs were focused on a hands-on education program, and consisted of cooking lab, play, activity, animation, and visual materials. The difference between the two groups was verified by the Chi-square test or t-test. All statistical analysis was performed with significance level at P < 0.05. RESULTS: Compared to the non-educated group, the intakes of protein (P < 0.001), fiber (P < 0.01), potassium (P < 0.05), iron (P < 0.05), zinc (P < 0.05), and iodine (P < 0.001) were significantly higher, and the intakes of carbohydrate (P < 0.01) and total sugar (P < 0.05) were significantly lower in the educated group. The cumulative percent of sugar intake of top 20 sugar source foods in the educated group (82.80%) was lower than that of the non-educated group (85.75%). The contribution of beverages on total sugar intake was lower in the educated group. The average frequency of consuming sugary foods was significantly lower in the educated group (P < 0.05). CONCLUSIONS: Our results indicate that nutrition education on discouraging sugar intake is effective in reducing the amount of total sugar consumed, resulting higher nutrient density in the diets of pre-school children.
Abstract
BACKGROUND/OBJECTIVES: The intake of sugar has increased worldwide, and it is well established that childhood experiences and food preferences affect lifelong eating habits. To discourage sugar intake, nutrition education was imparted, and the effectiveness of the nutrition education program was investigated by considering the nutrient density and major dietary sources of sugar intake. SUBJECTS/METHODS: Twenty four-hour dietary recall and sugar intake frequency of 96 pre-school children (educated n = 47; non-educated n = 49) were collected on 3 consecutive days (1 weekend day, 2 weekdays) after 11 weeks of imparting nutrition education. Dietary intake of nutrients and total sugar were analyzed, and the intake frequency of sugar source foods were identified. All nutrition education programs were focused on a hands-on education program, and consisted of cooking lab, play, activity, animation, and visual materials. The difference between the two groups was verified by the Chi-square test or t-test. All statistical analysis was performed with significance level at P < 0.05. RESULTS: Compared to the non-educated group, the intakes of protein (P < 0.001), fiber (P < 0.01), potassium (P < 0.05), iron (P < 0.05), zinc (P < 0.05), and iodine (P < 0.001) were significantly higher, and the intakes of carbohydrate (P < 0.01) and total sugar (P < 0.05) were significantly lower in the educated group. The cumulative percent of sugar intake of top 20 sugar source foods in the educated group (82.80%) was lower than that of the non-educated group (85.75%). The contribution of beverages on total sugar intake was lower in the educated group. The average frequency of consuming sugary foods was significantly lower in the educated group (P < 0.05). CONCLUSIONS: Our results indicate that nutrition education on discouraging sugar intake is effective in reducing the amount of total sugar consumed, resulting higher nutrient density in the diets of pre-school children.
참고문헌 (47)
- 강금지, "서울지역에 사는 유아의 식습관, 영양소 섭취와 영양소 질적 평가에 대한 연구", 대한지역사회영양학회지, 10(4), pp.471~483 (2005), 대한지역사회영양학회
- Okubo H, "Early sugarsweetened beverage consumption frequency is associated with poor quality of later food and nutrient intake patterns among Japanese young children: the Osaka Maternal and Child Health Study", Nutr Res, 36, pp.594~602 (2016)
- Skinner JD, "Do food-related experiences in the first 2 years of life predict dietary variety in school-aged children?", J Nutr Educ Behav, 34, pp.310~315 (2002)
- Ventura AK, "Early influences on the development of food preferences", Curr Biol, 23, pp.R401~R408 (2013)
- World Health Organization, "Guideline: Sugars Intake for Adults and Children", World Health Organization, 1~3 (2015)
- "Excessive the intake of sugars of one in two (46.3%) in children and adolescent" (2016)[URL]
- "Increased sugar in take through processed foods trend" (2014)[URL]
- 이행신, "한국인의 총 당류 섭취실태 평가: 2008~2011년 국민건강영양조사 자료를 이용하여", Journal of Nutrition and Health, 47(4), pp.268~276 (2014), 한국영양학회[DOI]
- 염마영, "유아의 당 저감화를 위한 프로그램의 효과평가", 대한영양사협회 학술지, 22(3), pp.179~192 (2016), 대한영양사협회
- 김미현, "유아용 당류 섭취 줄이기 교육프로그램 개발 및 효과평가", 한국식품영양학회지, 31(3), pp.335~344 (2018), 한국식품영양학회[DOI]
- McCullough FS, "Food choice, nutrition education and parental influence on British and Korean primary school children", Int J Consum Stud, 28, pp.235~244 (2004)
- Foterek K, "Commercial complementary food consumption is prospectively associated with added sugar intake in childhood", Br J Nutr, 115, pp.2067~2074 (2016)
- 한혜미, "초등학생을 위한 영양교육 프로그램 개발 및 적용- 「당」 교육을 중심으로 -", 한국실과교육학회지, 21(2), pp.111~131 (2008), 한국실과교육학회
- 김윤실, "사회인지이론을 적용한 초등학생 대상 영양교육의 효과 -당 섭취에 관한 영양교육 중심으로-", 한국식품영양학회지, 24(2), pp.246~257 (2011), 한국식품영양학회
- Developing a Nutrition Education Model for Reducing Sugar Intake, "Park H", Ministry of Food and Drug Safety, 168~174 (2013)
- Murimi MW, "Factors that contribute to effective nutrition education interventions in children: a systematic review", Nutr Rev, 76, pp.553~580 (2018)
- 주정현, "직접적․간접적 시각적 노출이 유아기 건강한 채소 섭취량에 미치는 효과", 한국심리학회지: 건강, 18(4), pp.687~708 (2013), 한국건강심리학회[DOI]
- 이수진, "실제 채소에 대한 노출 프로그램이 유아의 채소 섭취 및 실제 식사행동에 미치는 영향", 한국심리학회지: 건강, 20(2), pp.425~444 (2015), 한국건강심리학회[DOI]
- Appleton KM, "Sweet taste exposure and the subsequent acceptance and preference for sweet taste in the diet: systematic review of the published literature", Am J Clin Nutr, 107, pp.405~419 (2018)
- 김수영, "요리 활동 교육이 아동의 편식행동에 미치는 영향", 한국식생활문화학회지, 23(5), pp.556~562 (2008), 한국식생활문화학회
- 서주영, "유아 대상의 요리 활동을 포함한 영양 교육 후 식생활 습관 및 식태도 변화", 동아시아식생활학회지, 20(5), pp.794~801 (2010), 동아시아식생활학회
- Sullivan SA, "Pass the sugar, pass, the salt: experience dictates preference", Dev Psychol, 26, pp.546~551 (1990)
- Wardle J, "Modifying children's food preferences: the effects of exposure and reward on acceptance of an unfamiliar vegetable", Eur J Clin Nutr, 57, pp.341~348 (2003)
- Anzman-Frasca S, "Repeated exposure and associative conditioning promote preschool children's liking of vegetables", Appetite, 58, pp.543~553 (2012)
- Fildes A, "Parent-administered exposure to increase children's vegetable acceptance: a randomized controlled trial", J Acad Nutr Diet, 114, pp.881~888 (2014)
- de Wild VW, "Effectiveness of flavour nutrient learning and mere exposure as mechanisms to increase toddler's intake and preference for green vegetables", Appetite, 64, pp.89~96 (2013)
- "Story of sweet taste" (2016)[URL]
- "Story of new sugar" (2014)[URL]
- "Aha! Sugar! It's" (2014)[URL]
- Wise PM, "Reduced dietary intake of simple sugars alters perceived sweet taste intensity but not perceived pleasantness", Am J Clin Nutr, 103, pp.50~60 (2016)
- "Development of the 2017 Korean national growth charts for children and adolescents" (2018)[URL]
- "Guidelines of feeding facility for preschool children; adequate amount of meal" (2013)[URL]
- "Korean food composition table (9th)" (2017)[URL]
- "Ingredients food and nutrition" (2017)[URL]
- "USDA food composition database" (2018)[URL]
- "Food frequency questionnaires of Korea national health & nutrition examination survey" (2016)[URL]
- 김세윤, "충남지역 초등학생의 총당류 섭취와 영양밀도 및 비만도와의 관련성", 동아시아식생활학회지, 27(2), pp.176~184 (2017), 동아시아식생활학회[DOI]
- Gibson S, "Associations between added sugars and micronutrient intakes and status: further analysis of data from the national diet and nutrition survey of young people aged 4 to 18 years", Br J Nutr, 101, pp.100~107 (2009)
- Ministry of Health and Welfare, "Dietary Reference Intakes for Koreans 2015", Ministry of Health and Welfare, The Korean Nutrition Society, 855~862 (2015)
- Chung CE, "Dietary intakes and food sources of total sugars from Korean national health and nutrition examination survey 2001-2002", Korean J Nutr, 40(Suppl), pp.9~21 (2007)
- Azaïs-Braesco V, "A review of total & added sugar intakes and dietary sources in Europe", Nutr J, 16, pp.6~20 (2017)
- Lei L, "Dietary intake and food sources of added sugar in the Australian population", Br J Nutr, 115, pp.868~877 (2016)
- Brisbois TD, "Estimated intakes and sources of total and added sugars in the Canadian diet", Nutrients, 6, pp.1899~1912 (2014)
- Afeiche MC, "Intakes and sources of total and added sugars among 4 to 13-year-old children in China, Mexico and the United States", Pediatr Obes, 13, pp.204~212 (2018)
- Hetherington MM, "Stimulus satiation: effects of repeated exposure to foods on pleasantness and intake", Appetite, 38, pp.19~28 (2002)
- Liem DG, "Sweet and sour preferences in young children and adults: role of repeated exposure", Physiol Behav, 83, pp.421~429 (2004)
- Langlois K, "Change in total sugars consumption among Canadian children and adults", Health Rep, 30, pp.10~19 (2019)