Evaluation of a Mobile-based Maternal Feeding Education Program for Overweight Prevention in Infants

라진숙 한국간호과학회 2021 Asian Nursing Research Vol.15 No.2

Purpose The purpose of this study was to evaluate a mobile-based maternal feeding education program for overweight prevention in infants based on breastfeeding attitude, breastfeeding self-efficacy, breastfeeding duration, recognition of hunger and satiety cues of infants, and knowledge regarding providing solids foods. Methods A nonequivalent control group pretest-posttest design was used for the study. Participants included 15 primiparas in the experimental group and 14 primiparas in the control group in all the follow-up tests. Using self-reported questionnaires in electronic format, data were collected four times (before the intervention, 1 month after childbirth, 3 months after childbirth, and 6 months after childbirth). Using SPSS 24 version, independent t-test and repeated-measures analysis of variance were used to test the effects of the mobile-based maternal feeding education program. Results The experimental group showed significantly more positive breastfeeding attitude (F = 5.28, p = .008), higher breastfeeding self-efficacy (F = 3.50, p = .041), and increased breastfeeding duration (t = −2.09, p = .046) than the control group. In addition, the experimental group showed significantly improved knowledge regarding providing solid foods to the infants (F = 4.86, p = .009) in comparison with the control group. However, for education on recognizing hunger and satiety cues of infants, the mobile-based maternal feeding education program was not effective (F = 0.23, p = .878). Conclusion According to the results of this study, the mobile-based maternal feeding education program has the potential to contribute to overweight prevention in infants.

저소득층 학령기 아동의 신체활동과 대사증후군 영향요인

라진숙,강문희 한국모자보건학회 2015 한국모자보건학회지 Vol.19 No.1

Purpose: The purpose of this study was to explore physical activity and metabolic syndromerelated factors on low income school aged children. Methods: Cross-sectional descriptive design was conducted to recruit a convenience sample of102 participants from income school age (10~12 years) children attending at community childcenters in D metropolitan city and C province. The collected data were analyzed using t-test, χ2-test and multiple regression with the SPSS/WIN 21.0. Results: Low income children showed low level of physical activity measured by pedometer. Theoverall prevalence of Mets for low income children (10~12 years) was 10.8% by Ohzeki et al. (2011) definition, which was significantly difference by BMI (%). The highest proportion of lowincome children with the metabolic abnormalities was waist circumstance. Metabolic syndrome wascorrelated with physical activity of low income children. In multiple regression analysis, influencingfactors on metabolic syndrome were BMI (%) and physical activity and they accounted for 54.4%of variance in metabolic syndrome. Conclusion: This study shows that obesity and physical activity are important predictors of metabolicsyndrome of low income school aged children. Therefore, there is a need for the developmentof strategy and intervention program to manage obese and physical activity for this population.

미숙아 어머니의 직접 모유수유 자기효능감

라진숙,채선미 한국모자보건학회 2015 한국모자보건학회지 Vol.19 No.1

Purpose: The purpose of this study was to explore direct breastfeeding self-efficacy (DBSE) ofmothers with premature infants and its relations with their knowledge, attitude and family perceptionon direct breastfeeding. Methods: A cross-sectional descriptive study was employed. A total of 76 mothers with prematureinfants participated in the study from 3 neonatal intensive care units (NICU). Data were collectedusing self-report questionnaires. Results: The mothers of premature infants showed 51% of correct answers on direct breastfeedingknowledge. No one breastfed their premature infants in NICU while about a half of the mothersused bottle feeding with breast milk and formula. Almost all of the mothers with premature infants(96.1%) expressed intention to begin and continue direct breastfeeding. Their DBSE was at amoderate level, 3.09±0.65. The DBSE of the mothers with premature infants was significantlycorrelated with their knowledge, attitude, and family perception on breastfeeding. Also DBSE wassignificantly higher in those with direct breastfeeding experiences than their counterparts. Maternalprevious direct breastfeeding experience, direct breastfeeding experience in NICU, and family perceptionon direct breastfeeding significantly explained 38.8% of the variance in DBSE of motherswith premature infants. Conclusion: Our findings suggest mother of premature infants with experience of direct breastfeedingin NICU and positive family perception on direct breastfeeding seems to increase DBSE. Therefore, NICU discharge program should include education on direct breastfeeding to thosemothers. Also family-centered approach should be developed to improve DBSE of the motherswith premature infants.

학령전기 아동의 신체활동 수준과 어머니의 신체활동 증진행위

라진숙,채선미 한국모자보건학회 2013 한국모자보건학회지 Vol.17 No.2

Objectives: The purpose of this study was to explore preschool children's physical activity level and their mother's physical activity promotion behaviors. Methods: Physical activity level of preschool children were measured with self report from mothers and were evaluated based on the physical activity guideline of National Association for Sports and Physical Education. Mothers' physical activity promotion behaviors for their children were measured using the questionnaire developed by McMinn et al. A total of 172 questionnaires from the mothers in Seoul and Daejeon were used for data analysis. Results: Mean of structured physical activity time of the preschool children was 37.88 minutes per day and 61% of them had inappropriate level of physical activity. Mean of sedentary behavior time was 137.21 minutes per day. Most of the children (93%) spent longer sedentary behavior time than the guideline. Mothers with preschool children showed moderate level of physical activity promotion behaviors for their children; mean scores of 12.92 out of 25 for physical activity support and 10.13out of 25 for physical activity permission, and a mean score 14.66 out of 25 for sedentary behavior limiting. Correlations between mothers' physical activity support and increasing of structured physical activity (r=0.165, p=0.05) and decreasing of sedentary behaviors (r=-0.298, p<0.001) were statistically significant, but not strong. Conclusions: Preschool children need to increase physical activity and reduce sedentary behaviors. Family focused physical activity program for preschool children could be necessary including parental education for improving parental support to increase physical activity level of preschool children.

저소득층 학령기 아동에 대한 주 양육자의 신체활동 지지 영향요인

라진숙,강문희 한국모자보건학회 2014 한국모자보건학회지 Vol.18 No.2

Objectives: The purpose of this study was to explore physical activity support of primary caregiversfor low income school age children. Methods: Survey methodology using a self- administered questionnaire was employed. Primarycaregivers with low income school age children attending at community child centers in D metropolitancity and G-Gun, Chungnam participated in the study. A total of 160 questionnaires wasanalyzed. Results: Primary caregivers showed moderate level of physical activity support for their children. Significant factors affecting physical activity support of primary caregivers were children’s age (β=-.22, p=.007), relations with children, especially mothers as primary caregivers (β=0.17, p=.039), Energy balance knowledge of primary caregivers (β=.23, p=.004), which explained 18.1%of the variance in physical activity support (F=7.73, p<.001). Perception of Children Weight ofPrimary Caregivers were not correlated with physical activity supports of primary caregivers fortheir children. Conclusion: To improve support of primary caregivers for increasing physical activity of lowincome school age children, education and appropriate information should be provided to improveenergy balance knowledge.

학령전기 아동의 스크린 사용 시간에 영향을 미치는 요인

라진숙 한국모자보건학회 2015 한국모자보건학회지 Vol.19 No.2

Purpose: The purpose of this study was to explore preschool children’s screen time and influencing factors on preschool children’s screen time. Methods: A cross-sectional descriptive study was employed. A total of 376 mothers with preschool children participated in the study from 4 kindergartens in Daejeon. Data were collected using self-report questionnaires. Results: Mean of screen time of preschool children was 142.07 minutes per day and 53.7% of them had inappropriate level of screen time. Significant factors influencing screen time of preschool children were children’s age (β=-.16, p=.001), mothers’ education level (β=-.19, p=.001), mothers’ screen time (β=.34, p<.001), attitude toward children’s screen use (β=.16, p=001), which explained 28.7% of the variance in preschool children’s screen time (F=12.82, p<.001). Conclusion: To maintain appropriate screen time of preschool children, parents should be role model for screen use and they need to keep proper attitude toward children’s screen use. Therefore, parental education and appropriate information should be provided.

초기 여자 청소년의 체중 관련 사회적 압력과 신체 이미지 사이 청소년-교사의 애착관계가 미치는 조절효과

라진숙 한국모자보건학회 2020 한국모자보건학회 학술대회 연제집 Vol.2020 No.-

Purpose: 부정적인 신체이미지는 사춘기로 인한 체형의 변화와 체중증가를 경험하고 사회적인 평가에 민감하게 반응하는 초기 여자 청소년에게서 나타나기 쉽다. 부정적인 신체 이미지는 체형이나 체중에 대한 왜곡된 인식으로 인해 발생하며, 이는 적정 체중 유지에 대한 사회적 압력 인식과 관련성이 높다. 그리나 일부 선행연구에서 체중 유지에 대한 부담감이 높아도 의미 있는 관계에 있는 사람들과 애착이 높은 경우 왜곡된 체중 인식 및 부정적인 신체상의 수준이 감소하는 것으로 나타났다. 우리나라의 경우, 청소년이 학교에 머무르는 시간이 길고 교사는 학습 및 생활 지도 전반에 관여 하므로, 청소년과 교사간 애착관계가 높은 경우 체중 관련 사회적 압력에 대한 인식이 높아도 체중 편향 내재화가 유의하게 증가하지 않을 것이라 여겨진다. 본 연구의 목적은 초기 여자 청소년의 체중 관련 사회적 압력과 체중편향 내재화 사이에서 청소년-교사 애착관계의 조절효과를 확인하는 것이다. Methods: 연구 디자인을 위하여 서술적 상관 관계 연구방법을 이용하였다. 연구대상자는 광역도시와 중소 도시 소재2개 중학교에서 편의 표집한 11~14세 여자 중학생 468명이다. 자가기입 설문지 방법을 사용하여 신체상, 체중관련 사회적 압력, 및 청소-교사의 애착을 조사하였다. 조절효과 확인을 위하여 다중회귀분석과 simple slope analysis를 수행하였다. Results: 체중 편견 내재화는 체형 관련 사회적 압력이 증가할수록 유의하게 증가한 반면 (t = 2.62, p = .0092), 청소년-교사의 애착이 강할수록 감소하였다(t = 4.42, p < .001). 또한 체중 관련 사회적 압력과 청소년 교사의 애착은 유의한 상호작용 효과 (interaction effect)를 보였다(t = -2.38, p = .0177). 즉, 청소년-교사의 애착이 평균보다 높을 때 체형 관련사회적 압력이 증가하여도 체중편견 내재화는 유의하게 증가하지 않았다 (b = 0.02, t = 0.44, p = .6635). 반대로 청소년-교사의 애착이 평균보다 낮을 때는 체형관련 압력이 증가하면 체중 편견 내재화도 유의하게 증가하였다(b = 0.13, t= 3.43, p = .0007). Conclusion: 청소년-교사와의 긍정적인 관계 개선과 나아가 애착형성은 초기 야자 청소년의 긍정적 신체상 수립에 도움을 줄 수 있을 것이다.

영아기 과체중 예방을 위한 모바일 웹 기반 초산모 대상 식이교육 프로그램 평가

라진숙 한국모자보건학회 2020 한국모자보건학회 학술대회 연제집 Vol.2020 No.-

Purpose: 영아기는 생리적 지방 축척과 더불어 식이습관이 생성되는 시기로 과체중 발생 위험이 높은 시기이다. 특히 영아기의 과체중은 식이를 통한 과도한 열량 섭취와 관련이 높다. 따라서 생애 초기 과체중 예방과 이후 아동기의 과체중 또는 비만 발생을 위하여 영아기 과체중 예방을 위한 부모 대상 식이 교육의 중요성이 강조된다. 선행연구에 의하면, 영아 과체중 예방 식이 교육들은 모유수유 증진, 영아 과체중 예방을 위한 고형식 제공 방법, 영아의 배고픔과 배부름 신호에 반응하는 수유에 초점을 두고 있다. 또한 모바일 웹 기반 학습은 선행연구에서 사용한 강의 또는 가정방문에 비하여 반복학습과 동영상과 사진 등의 다양한 교육 매체의 활용이 가능하고 사용자 편의성이 높아 스마트폰 보급률이 높은 우리나라에서 적절한 교육 방법으로 평가 받는다. 본 연구의 목적은 영아기 과체중 예방을 위한 모바일웹 기반 초산모 대상 식이 교육 프로그램을 개발하고 모유수유 태도, 모유수유 자기효능감, 모유수유 기간, 영아 배고픔, 배부름 신호에 대한 인지, 영아 과체중 예방을 위한 고형식 제공과 관련된 지식에 대한 효과를 평가하는 것이다. Methods: 중재 프로그램의 효과 평가를 위하여 대조군 사전사후 유사실험연구 설계를 사용하였다. 15명의 초산모는 실험군, 14명의 초산모는 대조군에 할당되었으며, 이들은 중재와 효과 평가에 전 과정에 참여하였다. 초산모는 분만 예정일 2주전부터 분만 후 영아 생후 6개월까지 중재에 참여하였으며, 온라인 설문지를 통하여 중재 참여 전, 영아 생후 1개월, 3개월, 6개월에 프로그램 효과를 평가하였다. 분석은 SPSS 24 버전을 이용하였으며, 중재의 효과는 반복측정분산분석방법을 사용하였다. Results: 실험군은 대조군에 비하여 유의하게 증가한 긍정적인 모유수유 태도 (Group×time interaction: F = 5.28, p = .008), 모유수유 자신감 (Group×time interaction: F = 3.50, p = .041), 모유수유 기간 (t = -2.090, p = .046) 을 나타냈다. 또한 실험군은 대조군에 비하여 유의하게 증가한 영아 과체중 예방을 위한 고형식 제공에 대한 지식 수준 (Group×time interaction: F = 4.86, p = .009)을 보였다. 그러나 영아영아 배고픔, 배부름 신호에 대한 인지 수준에 있어 실험군과 대조군 간 유의한 차이는 없었다. Conclusion: 모바일 웹 기반 초산모 대상 식이교육 프로그램은 잠재적으로 영아기 과체중 예방에 효과가 있다고 여겨진다

Factors Associated with Metabolic Abnormalities in None-Obese and Obese Postmenopausal Women

라진숙 대한산업경영학회 2024 산업융합연구 Vol.22 No.6

This study aimed to identify factors associated with metabolic abnormalities in non-obese and obese postmenopausal women based on biopsychosocial model. Secondary data analysis was conducted using data from 5,335 postmenopausal women who participated in the Korean National Health and Nutrition Examination Survey (2015–2021). According to logistic analysis with applying a complex simple analysis in SPSS 26.0, biomedical (increased age; a family history of hypertension, type 2 diabetes, dyslipidemia, and cardiovascular diseases) and biosocial factors (low educational level) were associated with 1-2 metabolic abnormalities and metabolic syndrome, regardless of adiposity. Additionally, low familial socioeconomic status and prolonged sedentary behaviors were the biosocial and psychosocial factors associated with metabolic syndrome regardless of adiposity. Finally, insufficient physical activity was associated with metabolic syndrome in obese postmenopausal women. Based on these results, tailored strategies should be developed considering the significant factors associated with metabolic abnormalities and adiposity in postmenopausal women.

학령전기 아동 어머니의 아동 체중인식

라진숙,채선미 한국간호과학회 2012 한국간호과학회 학술대회 Vol.2012 No.-