Recommendation of Serving Size of the Meal Service of Community Child Centers in Korea / 대한지역사회영양학회지

OBJECTIVES: This study was performed to set easily applicable portion sizes by sex and age for children at the Community Child Centers (CCC) in Korea. METHODS: Considering the age and gender specific energy level at Target Patterns for children aged 6-18 years, which were suggested as a part of the 2010 Korean Food Guidance System (KFGS), we set three meal sizes. We reclassified the recommended daily servings of Grains, Meat.fish.eggs.beans and Vegetables group at Target Patterns into three meal sizes, and then calculated the recommended serving per meal. Each proposed amount of food per meal was calculated based on serving size of foods commonly eaten at KFGS, which was then allocated to five meal components; rice, soup, stew, protein and vegetable side-dishes and Kimchi. Each proposed amount of food per meal was applied to 173 menus' recipes from CANpro 3.0 as main ingredient's amounts. We cooked the 173 menus at the medium size and measured their weights after cooking. RESULTS: Each recommended serving per meal was 0.75, 0.9 and 1.2 for Grains; 1.2, 1.6 and 2.4 for Meat.fish.eggs.beans; 2, 2.4 and 2.8 for Vegetables by meal sizes. Among five meal components, the ratio of small and large to medium size was 1/5 less and 1/3 more for rice and 1/3 less and 1/3 more for soup.stew, protein side-dish and Kimchi, respectively. We suggested the same amount for a vegetable side-dish to encourage vegetable intake. Proper portion sizes per meal of medium were rice 190 g, soup.stew 210 g (solid ingredients 60 g), protein side-dish 100 g (meat.eggs.beans) and 70 g (fish), vegetable side-dish 80g and Kimchi 30 g. CONCLUSIONS: Proper portion size per meal suggested in this study may be useful at the CCC where dietitians are not available and the approach could be applicable to the other types of meal services.

One-year outcomes and reasons for dropout in participants of the continuous dental care program of the Community Child Center in Gangnueng city / 대한구강보건학회지

OBJECTIVES: This study aimed to determine the effectiveness of the continuous dental care program of the Community Child Center in Gangneung city by evaluating one-year outcomes and determining the reasons for dropout. METHODS: A total of 180 children in the study group were provided with continuous dental care in 2008. The control group consisted of 131 children whose 2009 dental records from Gangneung-Wonju National University Dental Hospital were retrospectively reviewed. The outcome of dental caries prevention was evaluated by prevalence rates and number of decayed teeth. The evaluation of dental care outcome was based on cost and frequency of dental care. A chi-square test and Mann-Whitney U test were used to assess differences between the study group and the control group. In addition, the dropout rate and the reasons for dropout by the time of dental service supply were investigated for 427 children who participated in this program in 2010. RESULTS: Dental caries prevention results of the study group were better than those of the control group, but significant differences were found only in the dt rates of girls (P<0.001). The average frequency of dental care per child in the study group was lower than that of the control group. The average cost of dental care per child was 56,910 won per boy in the study group, 124,893 won per boy in the control group, 71,657 won per girl in the study group, and 127,296 won per girl in the control group. Significant differences in dental care results were found for both boys and girls (P<0.05). The reasons for dropout were leaving the center, absence, use of another dental clinic, parents' or child's rejection of the program, and disability. CONCLUSIONS: On the basis of these results, we could logically assume that promoting oral health and reducing the cost of dental care might be achieved through the introduction of a continuous dental care program for vulnerable children and adolescents in the community.

Assessment of the Support Program of Foodservice Management for Community Child Centers in Jeollanam-do, Korea / 대한지역사회영양학회지

This study aimed to evaluate the effectiveness of the foodservice management support program focusing on menu management in community child centers. The support program provided reference menus, staff training, and field consulting to 10 community child centers in the Jeollanam-do province for one month, August in 2010. One month menus were developed, based on children's preference for menu items, foodservice personnel's preference for food materials, and availability of local specialty foods, and offered as reference menus. In addition, staff training and field consulting focusing on menu management were conducted before and during the pilot period, respectively. To evaluate the support program, menus, foodservice personnel's knowledge level and perceived performance in foodservice management, and children's level of satisfaction for foodservice were analyzed before and after the support program. As a result of analysis of 222 and 210 menus of before and after the support program, respectively, the number of dishes per meal increased from five to six on average, and the proportion of meals including five food groups, which were grain, meat, vegetable, fruit, and milk and dairy product, rose from 2% to 24%. Foodservice personnel's knowledge level regarding foodservice management increased significantly (p = 0.007), however, their perceived performance in foodservice management did not show any significant changes. Children were more satisfied with 'food' (p = 0.001), 'sanitation' (p = 0.001), and 'environment' (p < 0.008) of foodservice in community child centers after the support program. In conclusion, the foodservice management support program focusing on menu management in this study was effective for improving menu quality of and children's satisfaction with foodservice in community child centers.