본 연구는 놀이프로그램을 통한 6개월간의 채소에 대한 직접적 노출의 영향을 알아보고자 첫째, 직접 노출프로그램 전후의 아동의 채소 섭취량의 변화를 확인하였고 둘째, 노출프로그램이 실제아동의 식사행동에 미치는 영향을 탐색하였다. 이를 위해 총 4개의 어린이집에 재원중인 만 1세에서 4세의 아동 47명을 대상으로 실제 채소에 대한 노출을 6개월 간 진행한 후, 채소 섭취량의변화를 통제집단과 비교하였다. 그 결과, 통제집단에 비해 노출집단에서 노출된 채소에 대한 섭취량이 유의미하게 증가하였다. 또한 채소에 대한 노출이 실제 식사행동에도 영향을 주었는지 확인하기 위해 부모의 24시간 회상법을 통해 아동이 실제 섭취한 음식과 종류를 파악하고 영양소별로분석하였다. 분석 결과, 노출집단에서 채소 섭취와 관련이 있다고 보고되는 비타민 C와 엽산에서유의한 증가가 나타났고 철의 영양소 섭취 적정비도 유의하게 증가하여 채소 섭취와 관련된 영양소 섭취정도가 개선되었음이 확인되었다. 이와 같은 결과와 더불어 한계점 및 추후 제언을 논의하였다.
This study investigates the effects of direct exposure to vegetables on young children’s consumption of vegetables, with actual nutritional recording. A total of 47 young children with ages ranging from 1 to 4 years old participated in this research. Among these, 24 children were assigned to a 6-month direct vegetable exposure program. Children were assessed on their vegetable consumption before and after the exposure program. The results indicate that the exposure increased the consumption of vegetables compared with the control group. It is noteworthy that those who were exposed to vegetables consumed more nutrients, and more specifically, more ascorbic acid(vitamin C) and folic acid, which are both related to vegetable consumption. These findings suggest that a direct exposure program may not only be effective in correcting children's inappropriate eating habits but may also have positive effects on overall nutrient intake. The limitations of this study as well as the directions for future research are discussed.
구언희, 양경미, 서정숙. (2001). 채소기피 아동의 관련요인과 영양소 섭취상태에 관한 연구. 대한지역사회영양학회지, 6(5), 955-955.
김수영, 김희섭. (2008). 연구논문: 요리 활동 교육이 아동의 편식행동에 미치는 영향. 한국식생활문화학회지, 23(5), 556-562.
김혜진, 정경미. (2008). 아동기 섭취문제가 양육 스트레스에 미치는 영향: 발달단계에 따른 행동문제의 매개효과. 한국심리학회지: 임상, 27(4), 843-859.
김혜진, 정경미, 박미정, 최연호. (2008). 섭취문제가 있는 영유아 아동에 대한 부모설문조사. 대한소아소화기영양학회지, 11(2), 179-186
손향남, 박민정, 한지숙. (2009). 당류편식 아동의 식습관 및 식품섭취패턴. 대한영양사협회 학술지, 15(1), 10-21.
오수민, 유예리, 최혜인, 김경원. (2012). 유아 대상 ‘채소와 과일, 유제품의 충분한 섭취’를 위한영양교육실시 및 효과 평가. 대한지역사회영양학회지, 17(5), 517-529.
오유진, 장유경. (2006). 유아의 편식실태 및 편식에 대한 학부모의 태도 조사. 한국영양학회지, 39(2), 184-191.
유옥경, 이양근, 손희숙, 차연수. (2010). 전북지역 과체중 및 비만아동의 영양교육 효과. 한국식품영양과학회지, 39(9), 1286-1294.
이승민. (2011). 한국인의 전곡류 섭취와 인구사회적 요인 및 일부 식행동 특성 간의 연관성: 2007-2008국민건강영양조사 자료를 이용하여. 대한지역사회영양학회지, 16(3), 353-363.
주정현, 정경미. (2013). 경험논문: 직접적, 간접적 시각적 노출이 유아기 건강한 채소 섭취량에 미치는 효과. 한국심리학회지: 건강, 18(4), 687-708.
Ahern, S. M., Caton, S. J., Blundell, P., & Hetherington, M. M. (2014). The root of the problem: Increasing root vegetable intake in preschool children by repeated exposure and flavour flavour learning. Appetite, 80, 154-160.
Birch, L. L., & Marlin, D. W. (1982). I don't like it; I never tried it: Effects of exposure on two-year-old children's food preferences. Appetite, 3(4), 353-360.
Birch, L. L., McPhee, L., Shoba, B. C., Pirok, E., & Steinberg, L. (1987). What kind of exposure reduces children's food neophobia? Looking vs. tasting. Appetite, 9(3), 171-178.
Carolus, R. (1975). Calcium relationships in vegetable nutrition and quality. Communications in Soil Science & Plant Analysis, 6(3), 285-298.
Carruth, B. R., & Skinner, J. D. (2000). Revisiting the picky eater phenomenon: Neophobic behaviors of young children. Journal of the American College of Nutrition, 19(6), 771-780.
Carruth, B. R., Ziegler, P. J., Gordon, A., & Barr, S. I. (2004). Prevalence of picky eaters among infants and toddlers and their caregivers’decisions about offering a new food. Journal of the American Dietetic Association, 104, 57-64.
Chambless, D. L., & Ollendick, T. H. (2001). Empirically supported psychological interventions:Controversies and evidence. Annual review of psychology, 52(1), 685-716.
Cooke, L. J., Wardle, J., Gibson, E. L., Sapochnik, M., Sheiham, A., & Lawson, M. (2004). Demographic, familial and trait predictors of fruit and vegetable consumption by pre-school children. Public health nutrition, 7(02), 295-302.
Curtis, L. A. (2012). Unit costs of health and social care 2012. Personal Social Services Research Unit. Canterbury: PSSRU
de Droog, S. M., Buijzen, M., & Valkenburg, P. M. (2014). Enhancing children’s vegetable consumption using vegetable-promoting picture books. The impact of interactive shared reading and character–product congruence. Appetite, 73, 73-80.
Dovey, T. M., Staples, P. A., Gibson, E. L., & Halford, J. C. (2008). Food neophobia and ‘picky/fussy’eating in children: A review. Appetite, 50(2), 181-193.
Ekstein, S., Laniado, D., & Glick, B. (2010). Does picky eating affect weight-for-length measurements in young children?. Clinical Pediatrics, 49(3), 217-220.
Eldridge, A. L., Smith-Warner, S. A., Lytle, L. A., & Murray, D. M. (1998). Comparison of 3 methods for counting fruits and vegetables for fourth-grade students in the Minnesota 5 A Day Power Plus Program. Journal of the American Dietetic Association, 98(7), 777-782.
Gilbert, P. A., & Khokhar, S. (2008). Changing dietary habits of ethnic groups in Europe and implications for health. Nutrition reviews, 66(4), 203-215.
González, C. A., Pera, G., Agudo, A., Bueno‐de‐Mesquita, H. B., Ceroti, M., Boeing, H., ..., & Riboli, E. (2006). Fruit and vegetable intake and the risk of stomach and oesophagus adenocarcinoma in the European Prospective Investigation into Cancer and Nutrition (EPIC–EURGAST). International journal of cancer, 118(10), 2559-2566.
Havermans, R. C., & Jansen, A. (2007). Increasing children's liking of vegetables through flavour–flavour learning. Appetite, 48(2), 259-262.
Heath, P., Houston-Price, C., & Kennedy, O. B. (2011). Increasing food familiarity without the tears. A role for visual exposure? Appetite, 57(3), 832-838.
Heath, P., Houston-Price, C., & Kennedy, O. B. (2014). Let's look at leeks! Picture books increase toddlers' willingness to look at, taste and consume unfamiliar vegetables. Frontiers in Psychology, 5, 191.
Houston-Price, C., Butler, L., & Shiba, P. (2009). Visual exposure impacts on toddlers’ willingness to taste fruits and vegetables. Appetite, 53(3), 450-453.
Kedesdy, J. H., & Budd, K. S. (1998). Childhood feeding disorders: Biobehavioral assessment and intervention. Baltimore: Paul H Brookes Publishing.
Kratt, P., Reynolds, K., & Shewchuk, R. (2000). The role of availability as a moderator of family fruit and vegetable consumption. Health Education &Behavior, 27(4), 471-482.
Lakkakula, A., Geaghan, J., Zanovec, M., Pierce, S., & Tuuri, G. (2010). Repeated taste exposure increases liking for vegetables by low-income elementary school children. Appetite, 55(2), 226-231.
Lederman, S. A., Akabas, S. R., Moore, B. J., Bentley, M. E., Devaney, B., Gillman, M. W., ..., &Wardle, J. (2004). Summary of the presentations at the Conference on Preventing Childhood Obesity, December 8, 2003. Pediatrics, 114(Supplement 3), 1146-1173
Ledford, J. R., & Gast, D. L. (2006). Feeding Problems in Children With Autism Spectrum Disorders A Review. Focus on Autism and Other Developmental Disabilities, 21(3), 153-166.
Marotz, L. (2014). Health, safety, and nutrition for the young child. Michigan. Cengage Learning.
Meyerbröker, K., & Emmelkamp, P. M. (2010). Virtual reality exposure therapy in anxiety disorders: a systematic review of process‐and‐outcome studies. Depression and anxiety, 27(10), 933-944.
Morris, J. L., & Zidenberg-Cherr, S. (2002). Garden-enhanced nutrition curriculum improves fourth-grade school children's knowledge of nutrition and preferences for some vegetables. Journal of the American Dietetic Association, 102(1), 91-93.
Ong, C., Phuah, K. Y., Salazar, E., & How, C. H. (2014). PILL Series. Managing the'picky eater'dilemma. Singapore Medical Journal, 55(4), 184-190.
Piazza, C. C., Fisher, W. W., Brown, K. A., Shore, B. A., Patel, M. R., Katz, R. M.,& Blakely‐Smith, A. (2003). Functional analysis of inappropriate mealtime behaviors. Journal of applied behavior analysis, 36(2), 187-204.
Pliner, P., & Salvy, S. (2006). Food neophobia in humans. Frontiers in Nutritional Science, 3, 75.
Reverdy, C. (2008). Effet d'une éducation sensorielle sur les préférences et les comportements alimentaires d'enfants en classe de cours moyen (CM) (Doctoral dissertation, Université de Bourgogne).
Savage, J. S., Fisher, J. O., & Birch, L. L. (2007). Parental influence on eating behavior: conception to adolescence. The Journal of Law, Medicine &Ethics, 35(1), 22-34.
Tu, V. P. (2010). 'Pour moi, le goût du soja n'est pas une barrière à la consommation. Et pour vous?': Effet de la culture sur les croyances, attitudes et préférence vis-à-vis des produits àbase de soja (Doctoral dissertation, Université de Bourgogne).
Wardle, J., & Cooke, L. (2008). Genetic and environmental determinants of children's food preferences. British Journal of Nutrition, 99(S1), S15-S21.
Wardle, J., Cooke, L. J., Gibson, E. L., Sapochnik, M., Sheiham, A., & Lawson, M. (2003). Increasing children's acceptance of vegetables; A randomized trial of parent-led exposure. Appetite, 40(2), 155-162.
Wardle, J., Herrera, M. L., Cooke, L., & Gibson, E. L. (2003). Modifying children's food preferences:The effects of exposure and reward on acceptance of an unfamiliar vegetable. European Journal of Clinical Nutrition, 57(2), 341-348.