목 적: 본 연구는 ROC curve를 분석하여 나안시력과 자동굴절검사의 민감도/특이도에 따른 최상의 절단점(Optimal cutoff point)을 산출하고, 자동굴절검사가 선별검사(Screening)로 타당한지 알아보고자 한다. 방 법: 초등학생 293명을 대상으로 나안시력, 자동굴절검사, 자각적 굴절검사를 실시하여, 나안시력 0.5를 기준으로 자각적 굴절검사에 대한 최상의 절단점을 산출하고 이를 황금기준(GoldStandard)으로 가정한 후 이 절단점 및 인접한 값을 기준으로 정상/추가검사의뢰를 분류하였고, 나안시력과 자동굴절검사 결과에 대해 ROC curve를 이용하여 민감도/특이도가 가장 높은 최상의 절단점을 산출하였다. 또한 곡선아래면적(Area Under the Curve)을 이용하여 자각적 굴절검사의 분류 결과와 차이가 있는지 확인하여 자동굴절검사가 선별검사로서 타당한지 알아보았다. 결 과: ROC Curve를 이용하여 나안시력 0.5를 기준으로 한 자각적 굴절검사의 최상의 절단점은 -0.63D로 나타났다. 자각적 굴절검사 -0.75D를 황금기준으로 가정할 때 절단점은 나안시력은 0.5, 자동굴절검사는 -1.00D로 나타났으며, 두 검사법을 비교한 결과 나안시력과 자동굴절검사의 곡선아래면적은 통계적으로 차이가 없었다. 결 론: 어린이의 시각 선별검사를 위해 나안시력과 함께 자동굴절검사를 활용할 수 있을 것으로 생각된다.

This study was conducted to examine the relationship between dietary habits and time spent watching TV and using internet, in elementary school children. The data were collected by a questionnaire survey of 712 elementary school children, within Gwangju and Jeonnam area. The SPSS 12.0/win program was used to analyze the 523 samples. Amount of TV-watching time was found to be related to the dietary habit score in the subjects. The children who watch TV “less than 1 hour/day” on weekdays had a better dietary habit score than those who watch TV “more than 1 hour” (p<0.0001). The children who watch TV “less than 2 hours/day” on weekends had a better dietary habit than the children who watch TV “more than 2 hours/day” (p<0.0001). The internet usage was also related to the dietary habit score in these children: those who use internet “less than 1 hour/day” on weekdays had a better dietary habit score than the children who use internet “more than 2 hours/day” (p<0.0001). The children who use internet “less than 2 hours/day” on weekends had a better dietary habit score than the children who use internet “more than 2 hours/day” (p<0.0001). These results indicate that the children tend to have a better diet when their TV and internet time is limited and thus healthy dietary behavior is negatively associated with a sedentary pattern of activity in elementary school children.

목적: 초등학생의 수평사위 검사를 실시하여 연령증가에 따른 상관성을 분석하였다. 방법: 경남 소재 초등학교 4곳의 166명을 대상으로 나안시력과 굴절검사 및 안위검사를 실시하여 비교 분석하였다. 결과: 연령별 원거리 사위 분포는 전체 대상자 중 외사위 92명(55.4%), 내사위 39명(23.5%), 정위 35명(21.1%)이었다(f=32.259, p=0.000). 외사위와 내사위 및 정위의 연령별 분포는 각각 8세는 14명(41.2%), 11명(32.4%), 9명(26.5%)(f=13.857, p=0.000), 9세는 21명(55.3%), 8명(21.1%), 9명(23.7%)(f=16.955, p=0.000), 12세는 36명(62.1%), 13명(22.4%), 9명(1.7%)(f=8.924 p=0.000), 13세는 21명(58.3%), 7명 (19.4%), 8명(22.2%)(f=8.371, p=0.001)으로 나타났다. 연령별 근거리 사위 분포는 전체 대상자 중 외사위 107명(64.5%), 내사위 38명(22.9%), 정위 21명(12.7%) 이었다(f=33.138, p=0.000). 외사위와 내사위 및 정위의 연령별 분포는 각각 8세는 21명(61.8%), 9명 (26.5%), 4명(11.76%), 9세는 24명(63.2%), 8명(21.1%), 6명(15.8%), 12세는 36명(62.1%), 17명(29.3%), 5명 (8.6%), 13세는 26명(72.2%), 4명(11.1%), 6명(16.7%)으로 나타났다. 연령증가에 따른 상관성에서는 원거리에서는 8세와 9세간에는 r=0.303, p=0.081, 9세와 12세간에는 r=0.217, p=0.190, 12세와 13세간에는 r=-0.304, p=0.0844로 유의성이 없었으며, 근거리에서는 8세와 9세간에는 r=0.710, p

The purpose of this study was to investigate the effect of cooking activities on the unbalanced dietary food habits of elementary school students and develop the effective cooking activity program for the improvement of unbalanced dietary behaviors as well as the food intake and menu acceptance. The subjects of this study were 256 elementary school students. The cooking activity group and control group were consisted of 128 students of 3rd & 5th grader each. Both cooking activity and the control group took the same 1-hour nutritional theory based class for 10 sessions. Only Cooking activity (CA) group took additional 10 sessions of 1-hour cooking class. Programs for cooking activity were developed and 10 cooking activity sessions were taken place for 4 months. The questionnairs were used to evaluate the effect of the cooking activities over the intake of food group, unbalanced dietary behavior, eating attitudes, menu acceptance before and after the completion of all the cooking activities. Cooking activities affect the unbalanced dietary behaviors and the intake of food groups. Fish, cereals, milk products, fruits, potatoes, vegetables were more eaten by CA group than control group. Eating attitudes and unbalanced dietary behaviors of CA group are also improved significantly than control group. From these results, it was concluded that cooking activities had the positive effect on the improvement of unbalanced dietary food habits over vegetables, cereals, fish, milk product and fruits as well as the unbalanced dietary behaviors of the elementary school children.

In this study, the relationships among obesity, food behavior, and personality traits were studied in male and female elementary school children. The obesity rates were calculated via the measured heights and weights of the subjects. Food behavior was surveyed via a questionnaire. Personality traits were evaluated using an authorized personality test. The obesity rates in the child subjects in this study were 34.1%in the male children, and 28.7% in the female children, and the rates of underweight were 18.2% in the males and 28.7% in the females. The percentage of obese children was slightly higher in the male population than in the female population. With regard to food behavior, the females evidenced significantly higher points than the males, particularly on the items designated 'slow eating' and 'stop eating upon satiety'. Among the personality traits assessed herein, which included emotional stability, general activity, sociability, masculinity, responsibility, reflectiveness, and superiority, the females evidenced significantly higher sociability scores than the males. The personality traits did not appear to be significantly associated with the obesity rate. However, the obese children scored lowest on all personality traits among the three groups. In terms of the relationship between food behavior and personality traits, children with high stability, sociability, responsibility, and superiority also had significantly higher food behavior scores. These results imply that the maintenance of good food behavior may enhance stability, sociability, responsibility, and superiority in children.

This study was carried out to find out differences about meal conditions and food preference between non-obese and obese elementary school children. Ten children(non-obese 5 and obese 5) from each of the nationwide 192 schools were surveyed by self-developed questionnaire. Total of 1,767 questionnaires(815 from non-obese and 952 from obese children) were collected and data were analyzed using SPSS 12.0 program. The results of the comparative analysis were summarized as follows. There was not significantly different in height between non-obese group(151.0±12.5cm) and obese group(151.2±12.3cm). But BMI was significant difference between non-obese group(18.0±2.2cm) and obese group(27.3±3.2cm). Economical status was not significantly different between 2 groups. But educational level of parents and mother’ job were significant differences between 2 groups. Only 2/3 of the subjects reported to have breakfast at regular basas, regularity of having breakfast was not significantly different between 2 groups. Also regularity of having lunch during vacation was not significantly different between 2 groups. But Reasons of skipping breakfast and lunch were significantly different between 2 groups. Regularity of having dinner, reasons of skipping dinner, intake amount in dinner, and frequency of having snacks were significantly different between 2 groups. But the time required for lunch and dinner were under 20 minutes of 60-80% of the subjects, and were not significantly different between 2 groups. Non-obese group have liked fast foods, fruits & juices, sweets, and cakes & cookies than obese group. Obese group have liked meat & meat products and ramyeon, but they have not eaten those foods frequently because of anxiety about being more fatty. These findings suggested that nutrition education programs include different strategy according to obesity and obese prevention program is needed for non-obese school children.

This study was performed to investigate the preference and perception on fruits especially, focusing on apples and pears served in elementary school lunch programs. The subjects of this study were 1,106 students (504 female and 595 male students)from seven elementary schools in Seoul. The survey was conducted by using self-administered questionnaire from July 10 to July 20, 2006. Based on the frequency analysis results, 45% of respondents ate fruits every day and 42% had fruits 2-3 times per week. Approximately, 53% of respondents indicated their usual time to eat fruits was after dinner and secondly 27% had fruits between lunch and dinner. Majority of respondents chose a watermelon as the most preferred fruits and the first chosen among nine fruits (apple, pear, madarin, strawberry, cherry tomato, watermelon, grape, melon, and peach). Cherry tomato was found as the least preferred fruits by 30% of students, however cherry tomato was most frequently offered fruits in elementary school lunch menu. About 50% students were satisfied with the served fruits in their school lunch program. In addition, most students said that they would have fruits more frequently in their lunch menu. However, one fifth of students addressed that they were not satisfied with the fruits in school lunch program because of kinds of fruits, freshness of fruits, taste of fruits, and quantity of fruits. Almost 71% of students preferred apples. Seventy three percents of students preferred eating apples without peel and 78% of students ate apples as slices of apples. In addition, 61% of students indicated their preference of apple salads. Many students responded they did not eat apples and pears frequently since they do not have a chance to eat them. The implications to increase the chance to eat fruits and promote elementary children's fruits consumption were discussed.

목적 : 상자와 나무토막 검사는 손의 기능, 즉 조작능력을 평가하는 방법으로 보다 객관적이고 일상생활에서 많이 쓰는 손의 기능을 검사할 수 있는 가장 기본적이고 간단한 검사방법이다. 따라서 본 연구는 서울의 초등학생을 대상으로 일반적인 특성(성, 연령, 우세한 손)과 신체적인 특성(앉은키, 몸무게)에 따른 상자와 나무토막 검사의 정상아동 표준치를 제시하여서, 아동 치료에 기초가 되는 자료를 제공하고자 하였다.연구방법 : 연구 대상자는 서울에 위치한 한 초등학교에 다니는 남학생 85명(45.2%), 여학생 103명(54.8%)으로 전체 188명이였다. 자료는 8세에서 13세까지 6집단으로 나누고, 평균, 표준편차, 백분위 점수로 나타내었다.결과 : 상자와 나무토막 검사에서 평균값은 성별, 연령, 우세손에 따라 계산되었다(남자: 80.15, 여자: 75.68). 성별에 따라 점수를 비교했을 때, 남자 학생들의 점수가 왼손, 오른손 손 검사에서 모두 높은 점수를 얻었다(p<0.05).결론 : 본

The purpose of this study was to survey the concern for health, nutrition knowledge, and nutritional attitude of the elementary school children's mothers, to investigate the correlations among them, and to estimate their effects on the growth of their children. The questionnaire was answered by 780 mothers in the Busan area. The concerns over health and nutritional attitude were above average in all items. The perception and accuracy with respect to nutrition knowledge were 90.3% and 77.0%, respectively, and the mean score of the nutrition knowledge was 17.5 on a basis of twenty-five. This indicates that the subjects had a comparatively deep concern for health and good knowledge of nutrition, and professed a relatively desirable attitude. These results indicate a desirable dietary attitude for children as well as parents. The correlation coefficients between nutrition knowledge and a concern for health, and between nutrition knowledge and nutritional attitude were very low. This suggests that the subjects' knowledge of nutrition does not develop into practice. The correlation coefficient was high (r=.610) between the concern for health and the nutritional attitude. In conclusion, the nutrition education program for mothers should be developed to add good practice to knowledge, thus increasing the concern for health, correcting their faulty knowledge of nutrition, teaching the good nutrition, and taking a practical attitude toward the use of their present nutritional knowledge.

This study was carried out to survey dietary intakes of 739 elementary students, 4-6grades, in Won-Ju area, in 1998, to enhance the effect of school foodservice. The results were as follows : 1. Most investigated students had nuclear family with one brother or one sister. 2. The average height of boys and girls was 141.0±7.7cm and 141.4±8.0cm, and the average weight of them was 35.7±8.5kg and 36.1±8.5kg, respectively. There was no significant difference between boys and girls. 3. The rates of obesity were 12.2% in urban, 7.4% in rural and 0% in remote rural area by Rohrer index and 22.9% in urban 13.9% in rural and 0% in remote rural area by the rate based on standard weight. 4. All nutrients intake of investigated students were sufficient according to recommended dietary allowances. All nutrients intake of boys were higher than those of girls. Calcium intake of children with well educated mother was higher than that of children with poorly educated mother. Children in remote rural area had lower carbohydrate, calory and calcium intake than those in other areas. 5. Students without breakfast had lower protein and iron intake and higher calory from snack than those with breakfast. 6. Students who thought themselves to be obesity had low intake of carbohydrate, total calory and calory from snack and students with regular exercise had high intake of protein, iron, calcium and calory from snack. 7. Students with unbalanced diet, snack intake in large quantities and irregular meal had lower protein, fat, iron and calcium intake and higher calory from snack than other students. As a result, Students without breakfast often had lower all nutrients except calory from snack than other students, significantly. Problems of nutrients intake of elementary students in Won-Ju area were high rate of obesity, high intake of protein, unbalanced nutrients intake of students without meal or students with excessive eating and limited calcium intake of students with poorly educated mother. It is important to confirm desirable food habits for balanced nutrients intake in all areas and to increase calcium intake of students in remote rural area.

The present study was performed to investigate the prevalence rate of idiopathic scoliosis and to determine the effect of exercise training on scoliotic angle in elementary school children. In this study, two out of five elementary schools in Seosan city were chosen by random sampling. Seven hundred sixty four students (from four grade to the sixth grade student) were selected in two schools. Screening tests were conducted to find idiopathic scoliosis. Among the 764 individuals, 139 subjects who showed positive sign in physical examination took whole spine radiography. Thirty six subjects who had a curve of 10 or greater and consented to participate in the exercise program were selected for the exercise program. The exercise program was performed four times a week for 5 months. The results of this study were as follows: 1) One hundred thirty nine subjects showed positive sign in the scoliosis screening test. 2) The overall prevalence of curve of greater in X-ray finding was 8.15%. The prevalencies of curve of greater in male and female were 7.1% and 9.2%, respectively. 3) Scoliosis curves were observed at thoracic area (48.4%), at thoracolumbar area (27.4%) and at lumbar area(24.4%). 4) Right side curve was 59.7%, and left side curve was 40.3%. 5) After the 5 month exercise program for scoliosis, the Cobb's angle was significantly decreased. 6) There was no significant difference of Cobb's angle change respect to sex, grades, and scoliosis curve site. Results shown here indicates that an early detection and early exercise for scoliosis can result in decreased the Cobb's angle in elementary school children.

The aim of this study is to survey the eating habits and nutritional knowledge of children in Pusan, with a view to uncovering problems and their underlying causes and cultivating desirable dietary habit and nutrition for children. Three hundred and fifty six elementary school students were asked questions about their eating habits and nutritional knowledge as well as general information about their personal characteristics. The results showed: 1. Only 53.5% of the subjects had breakfast every day. Seventy-six percent of the subjects had dinner every day. Only 40% of the children took meals and talked with family at both breakfast and dinner. Thus there was little opportunity for dietary guidance by parents. 2. About half of the subjects answered that their appetite decreased after eating snack foods between meals. A third of the subjects liked the baked goods as snacks. Because of their high sugar and fat content, they can damage children's health, resulting in child diabetes and tooth decay. For this reason, careful education is necessary to allow children to be able to select snack foods that are appropriate in kind and quantity. 3. About 85% of the subjects had an unbalanced diet. Therefore systematic nutrition education at school is necessary to instill in children the value of balanced diet. 4. Children preferred rice to other cereals as a staple food. They disliked kimchi, seasoned and blanched foods and salads as subsidiary foods. It is therefore necessary to teach children systematically the nutritional advantage of cereals and vegetables and to heighten their awareness of Korean food culture. 5. Children had a low level of nutritional knowledge. The knowledge of specific nutrients was lower than that of foods. In conclusion, systematical educational programs need to be developed at elementary school. These should include information about achieving a balanced diet, good eating habit, meal management and Korean dietary culture. Nutritional education at home must be emphasized.