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Comparison of Nutritional Status and Eating Behavior of Korean and Chinese Children using the Nutrition Quotient (NQ)
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Research Article
Comparison of Nutritional Status and Eating Behavior of Korean and Chinese Children using the Nutrition Quotient (NQ)
Hua Ling, Hokyung Ryuorcid
Korean Journal of Community Nutrition 2017;22(1):22-39.
DOI: https://doi.org/10.5720/kjcn.2017.22.1.22
Published online: February 28, 2017

Department of Food Science and Nutrition, Pusan National University, Busan, Korea.

Corresponding author: Hokyung Ryu. Department of Food Science and Nutrition, Pusan National University, 2, Busandaehak-ro 63beon-gil, Geumjeong-gu, Busan 46241, Korea. Tel: (051) 510-7397, Fax: (051) 583-3648, hokryu@pusan.ac.kr
• Received: February 2, 2017   • Revised: February 27, 2017   • Accepted: February 28, 2017

Copyright © 2017 The Korean Society of Community Nutrition

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.

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  • Objectives
    This study was conducted to investigate the nutritional status and dietary behavior of Korean and Chinese elementary school children using Nutritional Quotient (NQ).
  • Methods
    The survey was conducted by distributing questionnaires to the parents of the child, after selecting four elementary schools located in Pusan city of Korea and three elementary schools located in Luoyang city, Henan Province of China, from Grade 1 to Grade 6 in each school.
  • Results
    The NQ scores of Korean children and Chinese children were 64.99 and 66.57, respectively, which did not show a statistically significant difference. Korean children significantly showed higher diversity score (p<0.001) than Chinese, but Chinese children significantly showed higher moderation (p < 0.001), regularity (p < 0.001) and practice score (p < 0.01) than Korean. NQ grades showed a statistically significant difference. According to food security of the household, NQ scores of the Chinese children of secure household were significantly higher than those of food insecurity household (p < 0.01). In particular, it showed a significant difference in the practice (p < 0.001), moderation (p < 0.05) and regularity score (p < 0.05). Korean children's NQ score showed a significant correlation with the score of following the Dietary Guidelines of parents, but Chinese did not show such a correlation.
  • Conclusions
    There were differences in children's dietary behaviors and parents' impact to children's dietary attitude between Korean and Chinese. NQ developed for Korean could be successfully applied to Chinese.
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Table 1

Democratic characteristics of the children

kjcn-22-22-i001.jpg

1) N (%)

2) Lower grades (1 – 3): 6 – 9 years old, Upper grades (4 – 6): 10 – 12 years old

3) Without children: Food secure 0 – 2, Food insecure without hunger 3 – 5, Food insecure with hunger (moderate) 6 – 8, Food insecure with hunger (severe) 9 – 10. With children: Food secure 0 – 2, Food insecure without hunger 3 – 7, Food insecure with hunger (moderate) 8-12, Food insecure with hunger (severe) 13 – 18.

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

Table 2

Physical status of children

kjcn-22-22-i002.jpg

1) Values are Mean±SD.

2) Korean: Based on growth charts for Korean Children and adolescents (2007), Underweight: BMI percentile < 5, Normal weight: 5 ≤ BMI percentile < 85, Overweight: 85 ≤ BMI percentile < 95, Obesity: BMI percentile ≥ 95. Chinese: Underweight: Screening standard for malnutrition of school-age children and adolescents (WS/T 456-2014). Normal weight, Overweight, Obesity: Body mass index growth curves for Chinese children and adolescents aged 0 to 18 years (H Li,CY Ji, XN Zong, YQ Zhang 2009).

3) N (%)

**: p < 0.01

Table 3

NQ score and NQ grades of children between Korean and Chinese

kjcn-22-22-i003.jpg

1) Factor score = sum of [checklist item score (0 – 100) × rounded item weight within a factor], NQ score = sum of [checklist item score (0 – 100) × item weight within NQ

2) Values are Mean±SD.

3) Highest (100~80.9), High (73.8~80.8), Medium (56.5~73.7), Low (47.6~56.4), Lowest (0~47.5)

4) N (%)

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

Table 4

NQ score and NQ grades of Chinese children by food security

kjcn-22-22-i004.jpg

1) Without children: Food secure 0 – 2, Food insecure without hunger 3 – 5, Food insecure with hunger (moderate) 6 – 8, Food insecure with hunger (severe) 9 – 10. With children: Food secure 0 – 2, Food insecure without hunger 3 – 7, Food insecure with hunger (moderate) 8 – 12, Food insecure with hunger (severe) 13 – 18.

2) Values are Mean±SD.

3) Best (100~80.9), Excellence (73.8~80.8), Ordinary (56.5~73.7), Imperfectly (47.6~56.4), Bad (0~47.5)

4) N (%)

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

Table 5

Comparison of checklist items for balance factor

kjcn-22-22-i005.jpg

1) N (%)

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

Table 6

Comparison of checklist items for diversity factor

kjcn-22-22-i006.jpg

1) N (%)

***: p < 0.001

Table 7

Comparison of checklist items for moderation factor

kjcn-22-22-i007.jpg

1) N (%)

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

Table 8

Comparison of checklist items for regularity factor

kjcn-22-22-i008.jpg

1) N (%), ***: p < 0.001

Table 9

Comparison of checklist items for practice factor

kjcn-22-22-i009.jpg

1) N (%), *: p < 0.05, **: p < 0.01, ***: p < 0.001

Table 10

Relationship of children's NQ score with parent's practicing score of Dietary Guidelines

kjcn-22-22-i010.jpg

Partial correlation coefficients

Adjusted for nationality, gender, grade, father's educational level, mather's educational level, food secure

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

Figure & Data

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      Nutrients.2023; 15(8): 1940.     CrossRef

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    Comparison of Nutritional Status and Eating Behavior of Korean and Chinese Children using the Nutrition Quotient (NQ)
    Comparison of Nutritional Status and Eating Behavior of Korean and Chinese Children using the Nutrition Quotient (NQ)

    Democratic characteristics of the children

    1) N (%)

    2) Lower grades (1 – 3): 6 – 9 years old, Upper grades (4 – 6): 10 – 12 years old

    3) Without children: Food secure 0 – 2, Food insecure without hunger 3 – 5, Food insecure with hunger (moderate) 6 – 8, Food insecure with hunger (severe) 9 – 10. With children: Food secure 0 – 2, Food insecure without hunger 3 – 7, Food insecure with hunger (moderate) 8-12, Food insecure with hunger (severe) 13 – 18.

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

    Physical status of children

    1) Values are Mean±SD.

    2) Korean: Based on growth charts for Korean Children and adolescents (2007), Underweight: BMI percentile < 5, Normal weight: 5 ≤ BMI percentile < 85, Overweight: 85 ≤ BMI percentile < 95, Obesity: BMI percentile ≥ 95. Chinese: Underweight: Screening standard for malnutrition of school-age children and adolescents (WS/T 456-2014). Normal weight, Overweight, Obesity: Body mass index growth curves for Chinese children and adolescents aged 0 to 18 years (H Li,CY Ji, XN Zong, YQ Zhang 2009).

    3) N (%)

    **: p < 0.01

    NQ score and NQ grades of children between Korean and Chinese

    1) Factor score = sum of [checklist item score (0 – 100) × rounded item weight within a factor], NQ score = sum of [checklist item score (0 – 100) × item weight within NQ

    2) Values are Mean±SD.

    3) Highest (100~80.9), High (73.8~80.8), Medium (56.5~73.7), Low (47.6~56.4), Lowest (0~47.5)

    4) N (%)

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

    NQ score and NQ grades of Chinese children by food security

    1) Without children: Food secure 0 – 2, Food insecure without hunger 3 – 5, Food insecure with hunger (moderate) 6 – 8, Food insecure with hunger (severe) 9 – 10. With children: Food secure 0 – 2, Food insecure without hunger 3 – 7, Food insecure with hunger (moderate) 8 – 12, Food insecure with hunger (severe) 13 – 18.

    2) Values are Mean±SD.

    3) Best (100~80.9), Excellence (73.8~80.8), Ordinary (56.5~73.7), Imperfectly (47.6~56.4), Bad (0~47.5)

    4) N (%)

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

    Comparison of checklist items for balance factor

    1) N (%)

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

    Comparison of checklist items for diversity factor

    1) N (%)

    ***: p < 0.001

    Comparison of checklist items for moderation factor

    1) N (%)

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

    Comparison of checklist items for regularity factor

    1) N (%), ***: p < 0.001

    Comparison of checklist items for practice factor

    1) N (%), *: p < 0.05, **: p < 0.01, ***: p < 0.001

    Relationship of children's NQ score with parent's practicing score of Dietary Guidelines

    Partial correlation coefficients

    Adjusted for nationality, gender, grade, father's educational level, mather's educational level, food secure

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

    Table 1 Democratic characteristics of the children

    1) N (%)

    2) Lower grades (1 – 3): 6 – 9 years old, Upper grades (4 – 6): 10 – 12 years old

    3) Without children: Food secure 0 – 2, Food insecure without hunger 3 – 5, Food insecure with hunger (moderate) 6 – 8, Food insecure with hunger (severe) 9 – 10. With children: Food secure 0 – 2, Food insecure without hunger 3 – 7, Food insecure with hunger (moderate) 8-12, Food insecure with hunger (severe) 13 – 18.

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

    Table 2 Physical status of children

    1) Values are Mean±SD.

    2) Korean: Based on growth charts for Korean Children and adolescents (2007), Underweight: BMI percentile < 5, Normal weight: 5 ≤ BMI percentile < 85, Overweight: 85 ≤ BMI percentile < 95, Obesity: BMI percentile ≥ 95. Chinese: Underweight: Screening standard for malnutrition of school-age children and adolescents (WS/T 456-2014). Normal weight, Overweight, Obesity: Body mass index growth curves for Chinese children and adolescents aged 0 to 18 years (H Li,CY Ji, XN Zong, YQ Zhang 2009).

    3) N (%)

    **: p < 0.01

    Table 3 NQ score and NQ grades of children between Korean and Chinese

    1) Factor score = sum of [checklist item score (0 – 100) × rounded item weight within a factor], NQ score = sum of [checklist item score (0 – 100) × item weight within NQ

    2) Values are Mean±SD.

    3) Highest (100~80.9), High (73.8~80.8), Medium (56.5~73.7), Low (47.6~56.4), Lowest (0~47.5)

    4) N (%)

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

    Table 4 NQ score and NQ grades of Chinese children by food security

    1) Without children: Food secure 0 – 2, Food insecure without hunger 3 – 5, Food insecure with hunger (moderate) 6 – 8, Food insecure with hunger (severe) 9 – 10. With children: Food secure 0 – 2, Food insecure without hunger 3 – 7, Food insecure with hunger (moderate) 8 – 12, Food insecure with hunger (severe) 13 – 18.

    2) Values are Mean±SD.

    3) Best (100~80.9), Excellence (73.8~80.8), Ordinary (56.5~73.7), Imperfectly (47.6~56.4), Bad (0~47.5)

    4) N (%)

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

    Table 5 Comparison of checklist items for balance factor

    1) N (%)

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

    Table 6 Comparison of checklist items for diversity factor

    1) N (%)

    ***: p < 0.001

    Table 7 Comparison of checklist items for moderation factor

    1) N (%)

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

    Table 8 Comparison of checklist items for regularity factor

    1) N (%), ***: p < 0.001

    Table 9 Comparison of checklist items for practice factor

    1) N (%), *: p < 0.05, **: p < 0.01, ***: p < 0.001

    Table 10 Relationship of children's NQ score with parent's practicing score of Dietary Guidelines

    Partial correlation coefficients

    Adjusted for nationality, gender, grade, father's educational level, mather's educational level, food secure

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


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