Warning: mkdir(): Permission denied in /home/virtual/lib/view_data.php on line 81

Warning: fopen(upload/ip_log/ip_log_2024-09.txt): failed to open stream: No such file or directory in /home/virtual/lib/view_data.php on line 83

Warning: fwrite() expects parameter 1 to be resource, boolean given in /home/virtual/lib/view_data.php on line 84
Study on the Eating Habits and Practicability of Guidelines for Reducing Sodium Intake according to the Stage of Change in Housewives

Study on the Eating Habits and Practicability of Guidelines for Reducing Sodium Intake according to the Stage of Change in Housewives

Article information

Korean J Community Nutr. 2012;17(6):724-736
Publication date (electronic) : 2012 December 31
doi : https://doi.org/10.5720/kjcn.2012.17.6.724
Department of Food Science & Nutrition, The Catholic University of Korea, Bucheon, Korea.
1Department of Food and Nutrition, Shingu College, Songnam, Korea.
2Department of Food and Nutrition, Baewha Women's University, Seoul, Korea.
3Department of Food and Nutrition, Keimyung University, Taegu, Korea.
4Department of Nutrition Policy, Food & Drug Administration, Chungbuk, Korea.
Corresponding author: Hye-Kyeong Kim, Department of Food Science & Nutrition, The Catholic University of Korea, 43-1 Yeokgok 2-dong, Wonmi-gu, Bucheon, Gyeonggi-do 420-743, Korea. Tel: (02) 2164-4314, Fax: (02) 2164-4314, hkyeong@catholic.ac.kr
Received 2012 November 14; Revised 2012 December 23; Accepted 2012 December 23.

Abstract

This study was intended to investigate the sodium-related perception, dietary behavior, and practicability of methods for reducing sodium intake(RSI) according to the stage of change in consumers. The survey was conducted to 770 housewives, among them 553 subjects who answered the key questions for the stage of change were categorized into ''aintenance (M)' stage (maintaining reduced salt intake for more than 6 months; n = 287, 51.90%), 'Action (A)' stage (maintaining reduced salt intake for less than 6 months; n=139, 25.14%), and 'Pre-Action (P)'stage (not starting reduced salt intake; n = 127, 22.97%). The subjects in M and A were significantly older than those in P (p < 0.01). The scores of desirable dietary habit and dietary balance were the highest in M followed by A and P. When eating out, the subjects in P considered 'price' more and 'healthiness of food' less than those in M and A did. Among the guidelines for RSI, 'Avoid Processed Foods', 'Eat enough vegetables and fruits' and 'Add little amount of dipping sauce for fried food' were selected as the three easiest items to perform. With regard to the sodium-related perception, the subjects in M considered eating-out food to be more salty than homemade dishes, read nutrition labels more, avoided table salt or dipping sauce for fried food more, and had 'own low-sodium recipe' than those in P (p < 0.001). It is suggested that practicability of actions for RSI and the stage of change should be considered to develop effective personalized education program and nutrition guidance.

Notes

This research was supported by grants from Korea Food and Drug Administration fund (11162Sobiyeon165)

References

1. Ahn Y, Kim KW. Beliefs regarding vegetable consumption, self-efficacy and eating behaviors according to the stages of change in vegetable consumption among college students. Korean J Community Nutr 2012. 17(1)1–13.
2. Anliker J, Damron D. Using the stage of change model in a 5 day guidebook for WIC. J Nutr Educ 1999. 31(31)175–176.
3. Brug J, Hospers HJ, Kok G. Differences in psychosocial factors and fat consumption between stages of change for fat reduction. Psychol Health 1997. 12719–727.
4. Chobanian AV, Bakris GL, Black HR. The seventh report of the joint national committe on prevention, detection, evaluation and treatment of high blood pressure: the JNC 7 report. JAMA 2003. 2892560–2572.
5. Cho MK. Development of education materials for lowing sodium intake and analysis of educational effects for elementary students 2008. ChangWon National University; 73–180. MS thesis.
6. Contendo IR, Balch GI, Bronner YL, Lytle LA, Maloney SK, Olson CM, Swadener SS. The effectiveness of nutrition education and implications for nutrition education policy, programs, and research: a review of research. J Nutr Educ 1995. 27(6)277–422.
7. Cohen HW, Hailpern SM, Fang J, Alderman MH. Sodium intake and mortality in the NHANES II follow-up study. Am J Med 2006. 119(3)275.e7–275.e14.
8. Houston MC. Sodium and hypertensions. Arch Intern Med 1986. 146179–185.
9. Kim HJ. Development of sodium usage behavior questionnaire and a case-control study on dietary factors related to hypertension in Koreans 2006. Seoul National University; 72–77. Doctoral thesis.
10. Korea Food and Drug Administration. Korea Health Industry Development Institute. The office of National Assembly Sook-Mee Son, The Symposium of reducing sodium intake 2010.
11. Korea Food and Drug Administration. Nutrition education material 2012. cited 2012 August 1. Available from http://www.foodnara.go.kr/Na_down/res/contents/edudatalist.mk?na_ed_type=4.
12. Lee Y, Park HN. The effectiveness of Na education program in elementary school, -Six month follow-up study-. Korean J Community Nutr 2010. 15(5)603–613.
13. Ministry of Health and Welfare. Korea Health Industry Development Institute. The third Korea National Health Nutrition Examination Survey (KNHANES III), 2005 -Nutrition Survey (I, II) 2006.
14. Ministry of Health & Welfare. Korea Centers for Disease Control & prevention. 2010 National Health Statics. Korea National Health and Nutrition Examination Survey (KNHANES IV-3) 2011.
15. Mori K, Suzuki H, Wang DH, Takaki J, Takigawa T, Ogino K. Relationship of psychological factors with physical activity stage of change in prime-and middle-aged Japanese. Acta Med Okayama 2009. 63(2)97–104.
16. Miura K, Nakagawa H. Can dietary changes reduce blood pressure in the long term. Curr Opin Nephrol Hypertens 2005. 14253–257.
17. National Heart, Lung, and Blood Institute. Your guide to lowering your blood pressure with DASH 2006. [cited 2012 August 1].
18. Oh SY, Cho MR, Kim JO, Cho YY. Comparison of nutritional status and beliefs on health behavior regarding stages of change in dietary fat reduction among Korean men and women. Korean J Nutr 2001. 34(2)222–229.
19. O'Shaughnessy KM. Role of diet in hypertension management. Curr Hypertens Rep 2006. 8(4)292–297.
20. Park YS, Son SM, Lim WJ, Kim SB, Chung YS. Comparison of dietary behaviors related to sodium intake by gender and age. Korean J Community Nutr 2008. 13(1)1–12.
21. Park YS, Lee CW, Suh CS, Lee BK, Lee HS. Nutrition education and counseling 2010. Paju: Kyomunsa; 17–31.
22. Sim E, Kim JS, Ji JS, Sohn SM, Hwang TY, Chung JA, Chung EJ. The effects of a nutrition and body shape education program as part of health promoting projects in an elementary school. Korean J Nutr 2010. 43(4)382–394.
23. Son SM, Kim MJ. The effect of nutrition education program for various chronic disease in elderly visiting public health center. Korean J Community Nutr 2001. 6(4)668–677.
24. Son SM, Huh GY, Lee HS. Development and evaluation of validity of Dish Frequency Questionnaire (DFQ) and short DFQ using Na Index for estimation of habitual sodium intake. Korean J Community Nutr 2005. 10(5)677–692.
25. Son SM, Lee KH, Kim KW, Lee YK. Nutrition education and counseling practice 2007a. Seoul: Life Science Publishing Co.; 26–29.
26. Son SM, Park YS, Lim WJ, Kim SB, Jeong YS. Development and evaluation of validity of short Dish Frequency Questionnaire (DFQ) for estimation of habitual sodium intake for Korean adults. Korean J Community Nutr 2007b. 12(6)838–853.
27. Suh Y, Chung Y. Comparison of mineral and vitamin intakes according to the stage of change in fruit and vegetable intake for elementary school students in Chungnam province. Korean J Nutr 2008. 41(7)658–666.
28. Taylor T, Serrano E, Anderson J, Kendall P. Knowledge, skills and behavior improvements on peer educators and low-income hispanic participants after a stage of change-based bilingual nutrition education program. J Community Health 2000. 25(3)241–262.
29. Yim KS. The effects of a nutrition education program for hypertensive female elderly at the public health center. Korean J Community Nutr 2008. 13(5)640–652.
30. Yon M, Lee Y, Kim D, Lee J, Koh E, Nam E, Shin H, Kang BW, Kim JW, Heo S, Cho HY, Kim CI. Major sources of sodium intake of the Korean population at prepared dish level -Based on the KNHANES 2008 & 2009-. Korean J Community Nutr 2011. 16(4)473–487.

Article information Continued

Table 1

The distribution of subjects' stage of change for reducing sodium intake

Table 1

1) N (%)

Table 2

General characteristics according to the stage of change for reducing sodium intake

Table 2

1) Mean ± SD: Mean values are significantly different among the groups by DUNCAN's multiple range test

2) N (%)

M = Maintenance stage, A = Action stage, P = Pre-Action stage

**: p < 0.01

Table 3

General eating-habits according to the stage of change for reducing sodium intake

Table 3

1) Mean ± SD: Mean values are significantly different among the groups by DUNCAN's multiple range test Score range = 0 - 3, Higher score means they have better dietary habits

M = Maintenance stage, A = Action stage, P = Pre-Action stage

**: p < 0.01, ***: p < 0.001

Table 4

Eating-out characteristics according to the stage of change for reducing sodium intake

Table 4

1) N (%)

2) Including bowl of rice served with toppings, food with soy sauce or other seasonings

3) Such as Ramen, noodles, and topokki

M = Maintenance stage, A = Action stage, P = Pre-Action stage

*: p < 0.05 by χ2-test among the group of stage of change

Table 5

Dish consumption frequency according to the stage of change for reducing sodium intake

Table 5

1) Mean ± SD

2) Rank within each group

3) Except bibimguksu, noodles mixed with vegetables and red pepper sauce

4) A kind of noodle dish made by cutting noodles from wheat-flour dough that has been rolled evenly thin.

5) Cooked with salty sauce and white radish or vegetables

6) Mean values are significantly different among the groups by DUNCAN's multiple range test

M = Maintenance stage, A = Action stage, P = Pre-Action stage

*: p < 0.05

Table 6

Practicability of guidelines for reducing sodium intake according to the stage of change for reducing sodium intake

Table 6

1) Mean ± SD: Mean values are significantly different among the groups by DUNCAN's multiple range test

2) Rank within each group

M = Maintenance stage, A = Action stage, P = Pre-Action stage

*: p < 0.05, **: p < 0.01, ***: p < 0.001

Table 7

Perceptions related to sodium intake according to the stage of change for reducing sodium intake

Table 7

1) N (%)

**: p < 0.01, ***: p < 0.001 by χ2-test among the group of stage of change

M = Maintenance stage, A = Action stage, P = Pre-Action stage

Table 8

The subjects' needs for education methods

Table 8

1) N (%)

M = Maintenance stage, A = Action stage, P = Pre-Action stage