유아 대상 과일·채소 영양교육 효과분석: 체계적 문헌고찰 및 메타분석

국문 초록 (Abstract)

본 연구는 유아를 대상으로 한 영양교육의 중재효과를 평가하고, 과일·채소의 선호도 및 영양지식 향상에 효과적인 영양교육 유형을 분석하기 위해 체계적 문헌고찰과 메타분석을 수행하였다. 메타분석의 효과크기 결과에 따르면 유아 대상 영양교육은 과일·채소 선호도 및 영양지식을 유의적으로 향상시켰으며, 일반영양교육 보다는 과일·채소 중심 영양교육이 유아의 과일·채소 선호도 및 영양지식 향상에 더 효과적이었다. 또한 유아의 과일·채소 선호도 및 영양지식 향상을 위해서는 원예활동, 요리활동 및 오감활동 등의 직접 노출 활동을 포함하는 영양교육이 더욱 효과적이라는 것을 확인할 수 있었다. 본 연구는 유아대상 영양교육의 효과를 입증했을 뿐만 아니라, 유아의 과일·채소 선호도 및 영양지식 향상에 가장 효과적인 영양교육의 형태를 도출했다는 점에서 의의가 있다.

다국어 초록 (Multilingual Abstract)

Purpose: A systematic review and meta-analysis of nutrition educational intervention studies was performed to assess the association between nutrition education intervention and fruit & vegetable (F&V) preferences and nutrition knowledge in preschool children.
Methods: The relevant studies of nutrition education intervention and F&V preferences and nutrition knowledge published from January 2000 to June 2020 were located using PubMed, Web of Science, Cochrane Library, Research Information Sharing Service, Korean Studies Information Service System databases, and lists of references. A random-effects meta-analysis was conducted to estimate the standardized mean difference with a 95% confidence interval (CI). Subgroup analyses were performed to identify the association between nutrition education and F&V preferences and nutrition knowledge.
Results: The results show that the effect sizes (ES) of F&V preferences and nutrition knowledge of preschool children were 0.31(95% CI, 0.23, 0.39), and 1.69(95% CI, 1.27, 2.12), respectively. The result of subgroup analysis, nutrition education focused on F&V (F&V preferences, ES: 0.32; nutrition knowledge, ES: 2.09) presented a slightly larger effect than general nutrition education (F&V preferences, ES: 0.26; nutrition knowledge, ES: 1.62). As for the type of exposure to F&V, direct exposure education (F&V preferences, ES: 0.40) had a greater effect than indirect exposure (F&V preferences, ES: 0.26). This meta-analysis showed that nutrition education intervention had positive effects on the F&V preferences and nutrition knowledge in preschool children.
Conclusion: In conclusion, from the meta-analysis and subsequent subgroup analysis, we found that varied types of nutrition education intervention had varying effects on F&V preferences and nutrition knowledge in preschool children.

목차 (Table of Contents)

• ABSTRACT
• 서론
• 연구방법
• 결과
• 고찰
• 요약
• REFERENCES

참고문헌 (Reference)

1 김은경, "한국 영 ·유아의 식생활 현황 연구 : 2013 ~ 2015년도 국민건강영양조사를 이용하여" 한국영양학회 51 (51): 330-339, 2018

2 이미숙, "채소를 주제로 한 유아대상 식생활교육 프로그램 개발 및 적용" 대한영양사협회 20 (20): 26-35, 2014

3 주정현, "직접적․간접적 시각적 노출이 유아기 건강한 채소 섭취량에 미치는 효과" 한국건강심리학회 18 (18): 687-708, 2013

4 김일옥, "유아를 위한 영양교육 프로그램의 개발 및 적용 - 4세 아동을 중심으로 -" 한국영유아보육학회 (61) : 45-62, 2010

5 조하나, "유아를 위한 미각교육 프로그램의 개발 및 효과" 한국유아교육학회 35 (35): 263-292, 2015

6 오수민, "유아 대상 '채소와 과일, 유제품의 충분한 섭취'를 위한 영양교육 실시 및 효과 평가" 대한지역사회영양학회 17 (17): 517-529, 2012

7 김수영, "요리 활동 교육이 아동의 편식행동에 미치는 영향" 한국식생활문화학회 23 (23): 556-562, 2008

8 이수진, "실제 채소에 대한 노출 프로그램이 유아의 채소 섭취 및 실제 식사행동에 미치는 영향" 한국건강심리학회 20 (20): 425-444, 2015

9 장혜자, "보육시설의 영양사 배치를 통한 영양교육 및 효과평가" 대한지역사회영양학회 12 (12): 299-309, 2007

10 홍미애, "보건소 영양교육 프로그램이 유아의 영양지식, 식습관 및 부모의 식태도에 미치는 효과" 대한지역사회영양학회 15 (15): 593-602, 2010

11 최차란, "그림책을 활용한 영양교육 활동이 유아의 식습관과 영양지식에 미치는 효과" 동아인문학회 (49) : 363-392, 2019

12 홍샛별, "그림설문지를 이용한 유아 대상 영양교육 효과 분석" 대한지역사회영양학회 15 (15): 475-484, 2010

13 최소라, "국내 채소류와 과일류의 비타민 B6 함량" 한국식품영양학회 32 (32): 745-752, 2019

14 김경희, "경기지역 유치원 아동의 위한 영양교육 프로그램의 효과 평가" 대한지역사회영양학회 11 (11): 598-607, 2006

15 신은경, "건강신념 모델에 근거한 보육시설 유아대상 영양교육 프로그램 개발 및 적용" 대한지역사회영양학회 11 (11): 488-501, 2006

16 Namenek Brouwer RJ, "Watch me grow : a garden-based pilot intervention to increase vegetable and fruit intake in preschoolers" 13 (13): 363-, 2013

17 Duval S, "Trim and fill : a simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis" 56 (56): 455-463, 2000

18 Mo S, "The present status and a future scheme in nutrition education" 23 (23): 208-212, 1990

19 Rodriguez-Casado A, "The health potential of fruits and vegetables phytochemicals : notable examples" 56 (56): 1097-1107, 2016

20 Kang HJ, "The development and effect-evaluation of nutrition education program for nutrition support in kindergarten" 33 (33): 68-79, 2000

21 Higgins JP, "The Cochrane Collaboration's tool for assessing risk of bias in randomised trials" 343 : d5928-, 2011

22 Nekitsing C, "Taste exposure increases intake and nutrition education increases willingness to try an unfamiliar vegetable in preschool children : a cluster randomized trial" 119 (119): 2004-2013, 2019

23 Blom-Hoffman J, "Promoting healthy food consumption among young children : evaluation of a multi-component nutrition education program" 42 (42): 45-60, 2004

24 Moher D, "Preferred reporting items for systematic review and meta-analysis protocols(PRISMA-P)2015 statement" 4 (4): 1-9, 2015

25 Owen LH, "Peas, please! Food familiarization through picture books helps parents introduce vegetables into preschoolers’ diets" 128 : 32-43, 2018

26 Touyz LM, "Parent-targeted home-based interventions for increasing fruit and vegetable intake in children : a systematic review and meta-analysis" 76 (76): 154-173, 2018

27 Başkale H, "Outcomes of nutrition knowledge and healthy food choices in 5-to 6-year-old children who received a nutrition intervention based on Piaget's theory" 16 (16): 263-279, 2011

28 Williams PA, "Nutrition-education program improves preschoolers' at-home diet : a group randomized trial" 114 (114): 1001-1008, 2014

29 Korea Centers for Disease Control and Prevention, "Korea Health Statistics 2018" Korea Centers for Disease Control and Prevention

30 Wright CM, "How do toddler eating problems relate to their eating behavior, food preferences, and growth" 120 (120): e1069-, 2007

31 Korea Health Promotion Institute, "Health Plan 2020" Korea Health Promotion Institute

32 Izumi BT, "Harvest for healthy kids pilot study : associations between exposure to a farm-to-preschool intervention and willingness to try and liking of target fruits and vegetables among low-income children in head start" 115 (115): 2003-2013, 2015

33 Kim J, "Effectiveness of teacher-led nutritional lessons in altering dietary habits and nutritional status in preschool children : adoption of a NASA mission X-based program" 11 (11): 1590-, 2019

34 Korea Centers for Disease Control and Prevention, "Division of Health and Nutrition Survey" Korea Centers for Disease Control and Prevention

35 Alissa EM, "Dietary fruits and vegetables and cardiovascular diseases risk" 57 (57): 1950-1962, 2017

36 Barnes JL, "Development of food group books for three-and four-year-old children" 45 (45): 272-284, 2017

37 Farfan-Ramirez L, "Curriculum intervention in preschool children:nutrition matters!" 43 (43): S162-S165, 2011

38 Higgins J., "Cochrane Handbook for Systematic Reviews of Interventions. Version 5.1.0" The Cochrane Collaboration

39 Egger M, "Bias in meta-analysis detected by a simple, graphical test" 315 (315): 629-634, 1997

40 Cohen J, "A power primer" 112 (112): 155-159, 1992

41 Herforth A, "A global review of food-based dietary guidelines" 10 (10): 590-605, 2019