Nutrition Research and Practice

The Korean Nutrition Society (한국영양학회)
권호 표지
DOI QR코드

DOI QR Code

Child health promotion program in South Korea in collaboration with US National Aeronautics and Space Administration: Improvement in dietary and nutrition knowledge of young children

  • Lim, Hyunjung (Department of Medical Nutrition, Research Institute of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University) ;
  • Kim, JiEun (Department of Medical Nutrition, Research Institute of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University) ;
  • Wang, Youfa (Systems-oriented Global Childhood Obesity Intervention Program, Department of Epidemiology and Environmental Health, University at Buffalo, The State University of New York) ;
  • Min, Jungwon (Systems-oriented Global Childhood Obesity Intervention Program, Department of Epidemiology and Environmental Health, University at Buffalo, The State University of New York) ;
  • Carvajal, Nubia A. (MEI Technologies, NASA Information Technology and Multimedia Services contract) ;
  • Lloyd, Charles W. (Johnson Space Center, Human Research Program, National Aeronautics and Space Administration (NASA))
  • Received : 2016.02.26
  • Accepted : 2016.06.23
  • Published : 2016.10.01
Download PDF
⟨ Previous Next ⟩

Abstract

BACKGROUND/OBJECTIVES: Childhood obesity has become a global epidemic. Development of effective and sustainable programs to promote healthy behaviors from a young age is important. This study developed and tested an intervention program designed to promote healthy eating and physical activity among young children in South Korea by adaptation of the US National Aeronautics and Space Administration (NASA) Mission X (MX) Program. SUBJECTS/METHODS: The intervention program consisted of 4 weeks of fitness and 2 weeks of nutrition education. A sample of 104 subjects completed pre- and post- surveys on the Children's Nutrition Acknowledgement Test (NAT). Parents were asked for their children's characteristics and two 24-hour dietary records, the Nutrition Quotient (NQ) at baseline and a 6-week follow-up. Child weight status was assessed using Korean body mass index (BMI) percentiles. RESULTS: At baseline, 16.4% (boy: 15.4%; girl: 19.2%) of subjects were overweight or obese (based on $BMI{\geq}85%tile$). Fat consumption significantly decreased in normal BMI children ($48.6{\pm}16.8g$ at baseline to $41.9{\pm}18.1g$ after intervention, P < 0.05); total NQ score significantly increased from 66.4 to 67.9 (P < 0.05); total NAT score significantly improved in normal BMI children (74.3 at baseline to 81.9 after the program), children being underweight (from 71.0 to 77.0), and overweight children (77.1 at baseline vs. 88.2 after intervention, P < 0.001). CONCLUSIONS: The 6-week South Korean NASA MX project is feasible and shows favorable changes in eating behaviors and nutritional knowledge among young children.

Keywords

References

  1. Wang Y, Lobstein T. Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes 2006;1:11-25. https://doi.org/10.1080/17477160600586747
  2. World Health Organization. Childhood overweight and obesity [Internet]. Geneva: World Health Organization; 2016 [cited 2015 September 10]. Available from: http://www.who.int/dietphysicalactivity/childhood/en/.
  3. Dehghan M, Akhtar-Danesh N, Merchant AT. Childhood obesity, prevalence and prevention. Nutr J 2005;4:24. https://doi.org/10.1186/1475-2891-4-24
  4. Birch LL, Anzman SL. Learning to eat in an obesogenic environment: a developmental systems perspective on childhood obesity. Child Dev Perspect 2010;4:138-43. https://doi.org/10.1111/j.1750-8606.2010.00132.x
  5. van Sluijs EM, McMinn AM, Griffin SJ. Effectiveness of interventions to promote physical activity in children and adolescents: systematic review of controlled trials. BMJ 2007;335:703. https://doi.org/10.1136/bmj.39320.843947.BE
  6. Strauss R. Childhood obesity. Curr Probl Pediatr 1999;29:1-29.
  7. Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH. Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med 1997;337:869-73. https://doi.org/10.1056/NEJM199709253371301
  8. Hu C, Ye D, Li Y, Huang Y, Li L, Gao Y, Wang S. Evaluation of a kindergarten-based nutrition education intervention for pre-school children in China. Public Health Nutr 2010;13:253-60. https://doi.org/10.1017/S1368980009990814
  9. Nixon CA, Moore HJ, Douthwaite W, Gibson EL, Vogele C, Kreichauf S, Wildgruber A, Manios Y, Summerbell CD; ToyBox-study group. Identifying effective behavioural models and behaviour change strategies underpinning preschool- and school-based obesity prevention interventions aimed at 4-6-year-olds: a systematic review. Obes Rev 2012;13 Suppl 1:106-17.
  10. Kriemler S, Zahner L, Schindler C, Meyer U, Hartmann T, Hebestreit H, Brunner-La Rocca HP, van Mechelen W, Puder JJ. Effect of school based physical activity programme (KISS) on fitness and adiposity in primary schoolchildren: cluster randomised controlled trial. BMJ 2010;340:c785. https://doi.org/10.1136/bmj.c785
  11. Fitzgibbon ML, Stolley MR, Schiffer L, Van Horn L, KauferChristoffel K, Dyer A. Hip-Hop to Health Jr. for Latino preschool children. Obesity (Silver Spring) 2006;14:1616-25. https://doi.org/10.1038/oby.2006.186
  12. Adams J, Zask A, Dietrich U. Tooty Fruity Vegie in preschools: an obesity prevention intervention in preschools targeting children's movement skills and eating behaviours. Health Promot J Austr 2009;20:112-9. https://doi.org/10.1071/HE09112
  13. National Aeronautics and Space Administration (US). Mission X: Train Like an Astronaut: 2014 Annual Report. Houston (TX): National Aeronautics and Space Administration; 2015.
  14. Yang IS, Kim EK, Chai IS. The development and effect-evaluation of nutrition education program for preschool children in child-care centers. Korean J Nutr 1995;28:61-70.
  15. Kang MH, Lee JS, Kim HY, Kwon S, Choi YS, Chung HR, Kwak TK, Cho YH. Selecting items of a food behavior checklist for the development of nutrition quotient (NQ) for children. Korean J Nutr 2012;45:372-89. https://doi.org/10.4163/kjn.2012.45.4.372
  16. Godin G, Shephard RJ. Godin leisure-time exercise questionnaire. Med Sci Sports Exerc 1997;29:S36-8.
  17. Korea Centers for Disease Control and Prevention. 2007 Korean children and adolescents standard growth chart: commentary [Internet]. Seoul: Korea Centers for Disease Control and Prevention. 2007 [cited 2015 September 22]. Available from: http://www.cdc.go.kr/CDC/notice/CdcKrInfo0201.jsp?menuIds=HOME001-MNU1154-MNU0004-MNU1889&cid=1235.
  18. The Korean Nutrition Society. Dietary Reference Intakes for Koreans. 1st rev. ed. Seoul: The Korean Nutrition Society; 2010.
  19. Story M, Kaphingst KM, Robinson-O'Brien R, Glanz K. Creating healthy food and eating environments: policy and environmental approaches. Annu Rev Public Health 2008;29:253-72. https://doi.org/10.1146/annurev.publhealth.29.020907.090926
  20. Davison KK, Birch LL. Childhood overweight: a contextual model and recommendations for future research. Obes Rev 2001;2:159-71. https://doi.org/10.1046/j.1467-789x.2001.00036.x
  21. Wang Y, Wu Y, Wilson RF, Bleich S, Cheskin L, Weston C, Showell N, Fawole O, Lau B, Segal J. Childhood obesity prevention programs: comparative effectiveness review and meta-analysis [Internet]. Rockville (MD): Agency for Healthcare Research and Quality; 2013 [cited 2015 October 26]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK148737/.
  22. Cai L, Wu Y, Wilson RF, Segal JB, Kim MT, Wang Y. Effect of childhood obesity prevention programs on blood pressure: a systematic review and meta-analysis. Circulation 2014;129:1832-9. https://doi.org/10.1161/CIRCULATIONAHA.113.005666
  23. Wang Y, Cai L, Wu Y, Wilson RF, Weston C, Fawole O, Bleich SN, Cheskin LJ, Showell NN, Lau BD, Chiu DT, Zhang A, Segal J. What childhood obesity prevention programmes work? A systematic review and meta-analysis. Obes Rev 2015;16:547-65. https://doi.org/10.1111/obr.12277
  24. Lloyd CW. The mission X: train like an astronaut pilot study. Acta Astronaut 2012;81:77-82. https://doi.org/10.1016/j.actaastro.2012.07.010
  25. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2013: Korea National Health and Nutrition Examination Survey (KNHANES VI-1). Cheongju: Korea Centers for Disease Control and Prevention; 2014.
  26. Oh K, Jang MJ, Lee NY, Moon JS, Lee CG, Yoo MH, Kim YT. Prevalence and trends in obesity among Korean children and adolescents in 1997 and 2005. Korean J Pediatr 2008;51:950-5. https://doi.org/10.3345/kjp.2008.51.9.950
  27. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2010: Korea National Health and Nutrition Examination Survey (KNHANES V-1). Cheongwon: Korea Centers for Disease Control and Prevention; 2011.
  28. Kim HK, Kim JH. A preliminary study on nutrition education for preschool children in day-care center: dietary habit and nutrition knowledge. J Korean Soc Food Sci Nutr 2006;35:866-73. https://doi.org/10.3746/jkfn.2006.35.7.866
  29. Ekelund U, Sardinha LB, Anderssen SA, Harro M, Franks PW, Brage S, Cooper AR, Andersen LB, Riddoch C, Froberg K. Associations between objectively assessed physical activity and indicators of body fatness in 9- to 10-y-old European children: a populationbased study from 4 distinct regions in Europe (the European Youth Heart Study). Am J Clin Nutr 2004;80:584-90. https://doi.org/10.1093/ajcn/80.3.584
  30. Howerton MW, Bell BS, Dodd KW, Berrigan D, Stolzenberg-Solomon R, Nebeling L. School-based nutrition programs produced a moderate increase in fruit and vegetable consumption: meta and pooling analyses from 7 studies. J Nutr Educ Behav 2007;39:186-96. https://doi.org/10.1016/j.jneb.2007.01.010
  31. Kim HY, Kwon S, Lee JS, Choi YS, Chung HR, Kwak TK, Park J, Kang MH. Development of a nutrition quotient (NQ) equation modeling for children and the evaluation of its construct validity. Korean J Nutr 2012;45:390-9. https://doi.org/10.4163/kjn.2012.45.4.390
  32. Kim JH, Jung YH. Evaluation of food behavior and nutritional status of preschool children in Nowon-gu of Seoul by using nutrition quotient (NQ). Korean J Community Nutr 2014;19:1-11. https://doi.org/10.5720/kjcn.2014.19.1.1
  33. Lobstein T, Jackson-Leach R, Moodie ML, Hall KD, Gortmaker SL, Swinburn BA, James WP, Wang Y, McPherson K. Child and adolescent obesity: part of a bigger picture. Lancet 2015;385:2510-20. https://doi.org/10.1016/S0140-6736(14)61746-3

Cited by

  1. Erratum: Child health promotion program in South Korea in collaboration with US National Aeronautics and Space Administration: Improvement in dietary and nutrition knowledge of young children vol.11, pp.1, 2017, https://doi.org/10.4162/nrp.2017.11.1.76
  2. Development of NQ-A, Nutrition Quotient for Korean Adolescents, to assess dietary quality and food behavior vol.50, pp.2, 2017, https://doi.org/10.4163/jnh.2017.50.2.142
  3. Development of Nutrition Quotient for Korean adults: item selection and validation of factor structure vol.51, pp.4, 2018, https://doi.org/10.4163/jnh.2018.51.4.340
  4. A kindergarten-based child health promotion program: the Adapted National Aeronautics and Space Administration (NASA) Mission X for improving physical fitness in South Korea pp.1757-9767, 2018, https://doi.org/10.1177/1757975918760517
  5. Hypertension in Children: Role of Obesity, Simple Carbohydrates, and Uric Acid vol.6, pp.2296-2565, 2018, https://doi.org/10.3389/fpubh.2018.00129
  6. Effectiveness of Teacher-Led Nutritional Lessons in Altering Dietary Habits and Nutritional Status in Preschool Children: Adoption of a NASA Mission X-Based Program vol.11, pp.7, 2016, https://doi.org/10.3390/nu11071590
  7. 강원지역 일부 대학생의 식행동실태 및 식생활교육 효과에 관한 연구 vol.34, pp.6, 2016, https://doi.org/10.7318/kjfc/2019.34.6.683
  8. 대구·경북지역 성인의 건강관리를 위한 식생활 안전관리 인식과 역량 vol.25, pp.2, 2016, https://doi.org/10.5720/kjcn.2020.25.2.112
  9. Experiences and Lessons Learned from COVID-19 Pandemic Management in South Korea and the V4 Countries vol.6, pp.4, 2021, https://doi.org/10.3390/tropicalmed6040201