The Development and Evaluation of a Nutrition Education Program including Sensory and Cooking Activity to Promote Vegetable Intake among School Aged Children

Hyun-ho Lee; Moon-kyung Shin; Hyunkyung Kim; Saebyeol Kwon; Se-young Oh; Hyojin An

doi:10.15384/kjhp.2019.19.1.49

Korean J Health Promot > Volume 19(1); 2019 > Article

Lee, Shin, Kim, Kwon, Oh, and An: The Development and Evaluation of a Nutrition Education Program including Sensory and Cooking Activity to Promote Vegetable Intake among School Aged Children

Original Article

Korean Journal of Health Promotion 2019;19(1):49-58.

Published online: March 31, 2019

DOI: https://doi.org/10.15384/kjhp.2019.19.1.49

The Development and Evaluation of a Nutrition Education Program including Sensory and Cooking Activity to Promote Vegetable Intake among School Aged Children

Hyun-ho Lee, Moon-kyung Shin, Hyunkyung Kim, Saebyeol Kwon, Se-young Oh, Hyojin An

Department of Food and Nutrition, Kyunghee University, Seoul, Korea.

Corresponding author:Hyojin An, PhD. Department of Food and Nutrition, Kyunghee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea.
Tel: +82-2-961-0602, Fax: +82-2-959-0649, ddottori@naver.com

Received March 25, 2019 Revised March 29, 2019 Accepted March 29, 2019

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

ABSTRACT

Background

The aim of the study is the development of nutrition education program for promoting vegetable intakes of school aged children.

Methods

After a pilot study and consultations of experts, a program (composed of five lessons) that was emphasized the sensory and cooking activities based on the social cognitive theory was developed. Specially, we focused on enhance expectation, self-efficacy, and behavioral performance through the intervention. For a outcome evaluation survey tool was developed, too. The lessons once-a-week (total five lessons) and survey (pre and pro) were conducted to 20 school aged children.

Results

The distribution of children was 11.5 years (mean age), boys (25%), girls (75%). Compared to pre-survey, the result of post-survey was higher scores for self-efficacy and two items out of ten items in food neophobia category. And one items out of six items (unfamiliar vegetables), three items out of ten items (familiar vegetables) showed positive result in food neophilia category significantly (P<0.1).

Conclusions

The education duration was short(5 weeks) but we could observe visible changes on self-efficacy, behavior performances for cooking and intention to intake vegetables non-preferred ones previously. Continuous applying and supplementing this nutrition education program may promote intake of vegetables among children.

Keywords: Nutrition education, Cooking activity, Sensory activity, Social cognitive theory, Vegetable intake, Child

REFERENCES

1. Lee YS, Lim HS, Ahn HS, Chang NS. Nutrition throughout the life cycle. 2rd ed. Seoul: Kyomunsa; 2005. p. 219-220.

2. Lee YJ, Lee MJ, Lee SM. Nutrition Education. 1st ed. Seoul: Shinkwang; 2013. p. 5-6.

3. Park BK, Cho MS. Taste education reduces food neophobia and increases willingness to try novel foods in school children. Nutr Res Pract 2016;10(2):221-228.

4. Korea Health Industry Development Institute. National Food & Nutrition Statistics I: Based on 2017 Korea National Health and Nutrition Examination Survey. Cheongju: Health & Nutrition Survey, Health Technology Administration Complex; 2018.

5. Korea Health Industry Development Institute. National Food & Nutrition Statistics I: Based on 2016 Korea National Health and Nutrition Examination Survey. Cheongju: Health & Nutrition Survey, Health Technology Administration Complex; 2017.

6. Korea Health Industry Development Institute. National Food & Nutrition Statistics 2013: Based on 2013 Korea National Health and Nutrition Examination Survey. Cheongju: Health & Nutrition Survey, Health Technology Administration Complex; 2013.

7. Johnson F, Wardle J, Griffith I. The adolescent food habits checklist: reliability and validity of a measure of healthy eating behavior in adolescents. Eur J Clin Nutr 2002;56(7):644-649.

8. American Dietetic Association. Dietitians of Canada. Position of the American dietetic association and Dietitians of Canada: vegetarian diets. J Am Diet Assoc 2003;103(6):748-765.

9. The Korean Nutrition Society. Dietary Reference Intakes for Koreans 2015. Seoul: The Editorial Department of the Korean Nutrition Society; 2015. p. 964-966.

10. Vereecken C, Pedersen TP, Ojala K, Krolner R, Dzielska A, Ahluwalia N, et al. Fruit and vegetable consumption trends among adolescents from 2002 to 2010 in 33 countries. Eur J Public Health 2015;25:Suppl 2. 16-19.

11. World Health Organization (WHO). Healthy diet [Internet]. Geneva: WHO; 2018;Accessed Dec 12, 2018]. Available from: https://www.who.int/nutrition/publications/nutrientrequirements/healthydiet_factsheet/en/

12. Liquori T, Koch PD, Contento IR, Castle J. The cookshop program: outcome evaluation of a nutrition education program linking lunchroom food experiences with classroom cooking experiences. J Nutr Educ 1998;30(5):302-313.

13. Reverdy C, Chesnel F, Schlich P, Köster E, Lange C. Effect of sensory education on willingness to taste novel food in children. Appetite 2008;51(1):156-165.

14. Mustonen S, Rantanen R, Tuorila H. Effect of sensory education on school children's food perception: a 2-year follow-up study. Food Qual Prefer 2009;20(3):230-240.

15. Mustonen S, Tuorila H. Sensory education decreases food neophobia score and encourages trying unfamiliar foods in 8–12-year-old children. Food Qual Prefer 2010;21(4):353-360.

16. Hoppu U, Prinz M, Ojansivu P, Laaksonen O, Sandell MA. Impact of sensory-based food education in kindergarten on willingness to eat vegetables and berries. Food Nutr Res 2015;59:28795.

17. Shin HS. Montessori: Theory and practice for individualized education. Paju: Yangseowon; 2007.

18. Woo T, Lee KH. Development of a sensory education textbook and teaching guidebook for preference improvement toward traditional Korean foods in schoolchildren. Korean J Nutr 2011;44(4):303-311.

19. McAfee O. Cooking and eating with children: A way to learn. Washington: Association for Children Education International; 1974.

20. Korea Food Education Network. Master Plan for Food Education (15-19). Seoul: Korea Food Education Network; 2014.

21. Kim JM. The effect of cooking activities on the unbalanced diet of young children [dissertation]. Seoul: Ewha Women's University; 2003;Korean.

22. Kim YH. Evaluation of ‘Veggiecation’ program to promote vegetable intake of children: applying the theory of planned behavior [dissertation]. Cheongju: Chungbuk National University; 2015;Korean.

23. Kratt P, Reynolds K, Shewchuk R. The role of availability as a moderator of family fruit and vegetable consumption. Health Educ Behav 2000;27(4):471-482.

24. Heath P, Houston-Price C, Kennedy OB. Increasing food familiarity without the tears. A role for visual exposure. Appetite 2011;57(3):832-838.

25. Bandura A. Health promotion by social cognitive means. Health Educ Behav 2004;31(2):143-164.

26. Contento IR. Nutrition education: Linking research, theory, and practice. 2nd ed. Massachusetts: Jones and Bartlett Publishers; 2011.

27. Kim HJ. Development and evaluation of nutrition education program for prevention of unbalanced diet of elementary school students [dissertation]. Daegu: Kyungpook National University; 2007;Korean.

28. Choo JH, Chung KM. Effect of direct and indirect visual exposure to increase Toddlers' vegetable eating. Korean J Health Psychol 2013;18(4):687-708.

29. Lee SJ, Jung KM. Effect of an exposure program to vegetables to increase young children's vegetable consumption. Korean J Health Psychol 2015;20(2):425-444.

30. Lynn F, Mercedes S. Get your family eating right-A 30-day plan for teaching your kids healthy eating habits for life. 1st ed. Beverly: Fair Winds Press; 2013.

31. Cho HS, Kim MH, Choi MK. A study on vegetable intakes and dietary habits of middle school students in chungnam. Korean J Community Nutr 2010;15(4):525-535.

32. Lee MH. Study on increasing vegetable intake changing by cooking methods for school student at the school food service [dissertation]. Yongin: Dankook University; 2011;Korean.

33. Kim EH. Studies on preference and consumption frequency of vegetables for school meals in higher-graders at elementary Schools in Incheon [dissertation]. Incheon: Inha University; 2014. Korean.

34. Kim HY, Kwon S, Lee JS, Choi YS, Chung HR, Kwak TK, et al. Development of a Nutrition Quotient (NQ) equation modeling for children and the evaluation of its construct validity. Korean J Nutr 2012;45(4):390-399.

35. Park JH. Vegetable intake status of elementary school students in Gwangju area [dissertation]. Seoul: Kyung Hee University; 2014;Korean.

36. Choi JY. Intake of vegetables of elementary school students in urban and rural Areas [dissertation]. Daegu: Keimyung University; 2011;Korean.