Korean J Pediatr Gastroenterol Nutr.  2008 Mar;11(1):42-55.

Development of a Nutrition Questionnaire and Guidelines for the Korea National Health Screening Program for Infants and Children

Affiliations
  • 1Department of Pediatrics, Inje University Ilsan Paik Hospital, Goyang, Korea. jsmoon@ilsanpaik.ac.kr
  • 2Department of Pediatrics, College of Medicine, Chungnam National University, Daejeon, Korea.
  • 3Department of Pediatrics, Bundang Jesaeng Hospital, Seongnam, Korea.
  • 4Department of Pediatrics, College of Medicine, Yeungnam University, Daegu, Korea.
  • 5Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea.
  • 6Department of Pediatrics, Presbyterian Medical Center, Jeonju, Korea.
  • 7Department of Pediatrics, College of Medicine, Ewha Womans University, Seoul, Korea.
  • 8Department of Pediatrics, NHIC Ilsan Hospital, Seongnam, Korea.
  • 9Department of Pediatrics, Guro Hospital, Korea University College of Medicine, Korea.
  • 10Division of Chronic Disease Surveillance, Korea Centers for Disease Control and Prevention, Korea.
  • 11Health Promotion Team, Ministry of Health and Welfare, Seoul, Korea.

Abstract

PURPOSE: A new health policy, referred to as the National Health Screening Program for Infants and Children, was launched in November 2007 by the Ministry of Health and Welfare and National Health Insurance Corporation in Korea. We have developed a nutrition-counseling program that was incorporated into this project.
METHODS
We reviewed the nutritional guidelines published by The Korean Pediatric Society and internationally well-known screening programs such as Bright Future in the United States. We also reviewed the recent Korean national surveys on nutritional issues, including the Korea National Health and Nutrition Examination Survey (KNHANES) and the 2005 National Survey of Physical Body and Blood Pressure in Children and Adolescents. The development of questions, pamphlets, computer programs, and manuals for doctors was carried out after several meetings of researchers and governmental officers.
RESULTS
We summarized the key nutritional issues according to age, including breastfeeding in infants, healthier complementary feeding, and prevention of iron deficiency anemia, establishment of healthier diets, as well as dietary prevention of overweight children with an emphasis on physical exercise. We have constructed a new Korean nutrition questionnaire and an anticipatory guidance program based on the primary care schedule of visits at 4, 9, 18, 30, and 60 months of age. Five to eight questions were asked at each visit and age-matched pamphlets for parents and guidelines for doctors were provided.
CONCLUSION
We developed a nutrition-counseling program based on recent scientific evidence for Korean infants and children. Further research on this national program for screening the nutritional problems in detail and setting the therapeutic approaches may help identify areas of success as well as those that need further attention.

Keyword

Health policy; Nutrition; Infant; Children; Counseling; Questionnaire; Breastfeeding; Obesity

MeSH Terms

Adolescent
Anemia, Iron-Deficiency
Appointments and Schedules
Blood Pressure
Breast Feeding
Child
Counseling
Diet
Exercise
Health Policy
Humans
Infant
Infant Nutritional Physiological Phenomena
Korea
Mass Screening
National Health Programs
Nutrition Surveys
Obesity
Overweight
Pamphlets
Parents
Primary Health Care
Surveys and Questionnaires
Software
United States
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