Lim Hyunjung, Kim JiEun, Wang Youfa, Min Jungwon, Carvajal Nubia A, Lloyd Charles W
Department of Medical Nutrition, Research Institute of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University, Yongin 17104, Korea.
Systems-oriented Global Childhood Obesity Intervention Program, Department of Epidemiology and Environmental Health, University at Buffalo, The State University of New York, 816 Kimball Tower, Buffalo, NY 14214-8001, USA.
Nutr Res Pract. 2016 Oct;10(5):555-562. doi: 10.4162/nrp.2016.10.5.555. Epub 2016 Aug 2.
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.
At baseline, 16.4% (boy: 15.4%; girl: 19.2%) of subjects were overweight or obese (based on BMI≥85%tile). Fat consumption significantly decreased in normal BMI children (48.6 ± 16.8 g at baseline to 41.9 ± 18.1 g after intervention, < 0.05); total NQ score significantly increased from 66.4 to 67.9 ( < 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, < 0.001).
The 6-week South Korean NASA MX project is feasible and shows favorable changes in eating behaviors and nutritional knowledge among young children.
背景/目的：儿童肥胖已成为全球性的流行病。制定有效且可持续的项目以从小培养健康行为非常重要。本研究通过改编美国国家航空航天局（NASA）的“X任务”（MX）计划，开发并测试了一项旨在促进韩国幼儿健康饮食和体育活动的干预项目。
对象/方法：干预项目包括4周的健身活动和2周的营养教育。104名受试者完成了儿童营养认知测试（NAT）的前后调查。询问了家长其孩子的特征以及两份24小时饮食记录、基线时的营养商数（NQ）和6周后的随访情况。使用韩国体重指数（BMI）百分位数评估儿童的体重状况。
在基线时，16.4%（男孩：15.4%；女孩：19.2%）的受试者超重或肥胖（基于BMI≥第85百分位数）。正常BMI儿童的脂肪摄入量显著降低（基线时为48.6±16.8克，干预后为41.9±18.1克，<0.05）；总NQ得分从66.4显著提高到67.9（<0.05）；正常BMI儿童（基线时为74.3，项目后为81.9）、体重不足儿童（从71.0到77.0）和超重儿童（基线时为77.1，干预后为88.2）的总NAT得分均显著提高（<0.001）。
为期6周的韩国NASA MX项目是可行的，并且在幼儿的饮食行为和营养知识方面显示出良好的变化。
