• Journal of Nutrition and Health
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• 제41권8호
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• pp.797-808
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• 2008

본 연구는 울산지역 중학생을 대상으로 식습관과 간식섭취 실태, 생활습관 등을 조사하여 중학생들의 식생활과 관련된 문제점을 파악하고, 올바른 식습관 형성을 위한 영양 교육의 기초자료로 제공하고자 실시하였으며 그 결과는 다음과 같다.조사대상자의 성별은 남학생 144명 (48.0%), 여학생 156명 (52.0%)이었고, 평균신장은 남학생 162.3 cm, 여학생 159.8 cm이고, 평균체중은 남학생 54.1 kg, 여학생 49.0kg으로 나타났다. 조사대상자의 한 달 평균 용돈은 59.0%가 1${\sim}$3만원 미만으로 가장 많았고, 본인의 건강상태는 건강한 편이다가 55.7%로 가장 많았다. 일상적인 식생활에서 하루 2번의 식사는 47.0%가 규칙적으로 한다고 하였으며, 결식끼니는 아침, 저녁, 점심의 순으로 나타났고 28.7%가 아침 식사를 일주일에 1${\sim}$2회 결식한다고 하였다. 아침 결식의 이유로는 늦게 일어나서가 54.3%로 가장 많았고, 편식여부에서는 조금 한다가 75.0%로 가장 많았고, 편식의 이유로는 맛이 없어서가 60.7%로 가장 높았다. 간식섭취 빈도는 하루 2회 이상 (11.0%)에서부터 주 3회 정도 (38.0%)까지 다양하였으며, 간식섭취 이유는 배가 고파서 (50.3%), 맛이 있어서 (22.7%), 습관적으로 (9.3%)의 순 이었다. 간식 선택의 기준은 맛 (77.7%), 영양 (9.0%),양 (6.3%)의 순이었다. 간식섭취 시간은 67.0%가 방과 후와 학원수업을 마친 후가 많았다. 자주 섭취하는 간식의 종류로는 과일류, 우유 및 유제품, 과자 및 스낵류의 순으로 나타났다. 성별에 따른 차이에서는 남학생이 감자튀김을 더 많이 섭취하였고 여학생은 과일류와 과자 및 초콜릿, 커피를 더 많이 섭취하였다. 간식을 구매할 때 여학생이 남학생보다 유의적으로 가격에 영향을 더 받아서 멀더라도 할인점을 찾았으며, 조사대상자의 24.7%는 영양표시를 전혀 확인하지 않는 것으로 나타났다. 일상적인 식습관을 나타내는 식습관 점수는 남학생 49.27 ${\pm}$ 7.53점, 여학생 48.54 ${\pm}$ 7.81점으로 남학생이 조금 더 높은 경향을 보였다. 하루에 세끼 모두 식사를 한다 (4.31 ${\pm}$ 1.03점)와 아침식사를 규칙적으로 한다 (4.17 ${\pm}$ 1.11점)의 항목에서는 남학생이 여학생보다 유의적으로 더 높은 점수를 보였고, 가공식품을 자주 먹지 않는다 (3.03 ${\pm}$ .075점)와 자극적인 음식을 먹지 않는다 (2.99 ${\pm}$ 0.80점)의 항목에서는 여학생이 유의적으로 점수가 높았다. 간식섭취에 영향을 미치는 요인으로는 한 달 용돈이 많을수록 유의적으로 간식섭취빈도가 높았고, 식습관 점수는 낮았다. 식습관에 영향을 미치는 요인으로는 1일 PC 이용시간과 TV시청시간으로 PC 이용시간과 TV 시청시간이 많을수록 식습관 점수가 낮게 나타났다. 섭취하는 간식의 종류에 영향을 미치는 요인으로는 BMI가 높을수록 과일류의 섭취빈도가 유의적으로 낮았고, 식습관 점수와 과일류, 우유 및 유제품, 집에서 조리한 음식은 양의 상관성을 보였다. 반면 탄산음료, 감자튀김 및 햄버거 등은 식습관 점수와 음의 상관성을 보여 식습관 점수가 낮을수록 섭취빈도가 높게 나타났다. 결론적으로 중학생들이 간식을 섭취하는 주된 이유로는 배가 고파서와 맛이 있어서이었고 선택기준으로는 맛과 양이 중요하게 나타났다. 성장발육이 왕성한 시기에 정규식사에서 부족한 영양을 보충하기위해서는 간식의 섭취가 중요하므로 간식을 선택할 때 보다 더 영양적인 측면을 고려해야 하겠고 스스로 올바른 식생활을 영위하려는 생활태도와 영양에 대한 바른 인식이 필요하다고 하겠다. 따라서 이들의 현명한 식품구매 능력을 키워주고 올바른 식습관 형성을 위해 학교와 가정에서는 체계적인 영양교육을 실시하여 할 것으로 생각된다.

• 정신신체의학
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• 제18권1호
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• pp.19-29
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• 2010

연구목적 : 본 연구를 통해 양극성 장애 I형 혹은 II형 진단 기준에는 부합하지 않지만, (경)조증적 성향 혹은 기분 불안정성 등의 양극성 경향(bipolar tendency, bipolarity)을 가진 사람에게서, 주관적으로 지각하는 스트레스 수준, 스트레스 취약성을 반영하는 것으로 알려진 A형 행동 유형(Type A Behavior Pattern, TABP), 그리고 건강하지 못한 생활습관의 위험이 증가되어 있는지 확인하고자 한다. 방 법 : 정신과적 병력이 없는 30세 이상의 1987명의 연구 대상군이 분석에 포함되었다. 이들 중에서 기분장애설문지 (Mood Disorder Questionnaire, MDQ)의 (경)조증적 증상 경험에 대한 13개 항목 중에서 7개 항목에 "예"라고 응답한 사람들을 양극성 경향군으로 분류하였다. 양극성 경향군과 비양극성 경향군 사이에서 지각된 스트레스 척도(Perceived stress scale, PSS), TABP를 반영하는 A/B 생활 습관 설문(A/B Lifestyle ques-tionnaire) 점수와, 음주, 흡연, 불규칙적인 식사, 운동 부족 등의 생활 습관 변인을 비교하였다. 결 과 : 양극성 경향군(329명, 16.6%)은 비양극성 경향군에 비해 TABP를 반영하는 A/B 생활 습관 설문의 총 점수가 유의미하게 높았으며(125.4점 vs. 115.9점, p<0.001), TABP로 판정(총 점수 135점 이상)된 비율도 양극성 경향군에서 유의미하게 높은 것으로 관찰되었다(41.3% vs. 30.1%, p<0.001). 주관적으로 지각하는 스트레스 수준의 비교에서도, 양극성 경향군이 비양극성 경향군에 비해 유의미하게 높았다(18.5 vs. 16.5, p<0.001). 생활습관의 비교에서 '불규칙적인 식사'(20.1% vs. 14.3%, p=0.002), '주 4회 이상 음주'(29.8% vs. 16.5%, p<0.001), '현재 흡연'(41.9% vs. 23.0%, p<0.001), '주 2회 이하 운동'(63.2% vs. 55.1%, p=0.007) 이라고 응답한 사람의 비율이 양극성 경향군에서 유의미하게 높았다. 결 론 : 양극성 경향을 가진 경우는 스트레스에 취약한 행동 양상이 높게 관찰되고, 주관적으로 지각하는 스트레스 수준도 높고 흡연, 음주, 불규칙한 식사와 운동 부족과 같은 건강하지 못한 생활 습관을 가지고 있을 위험도 높은 것으로 확인되었다. 이러한 위험 요소들은 비만, 대사증후군, 당뇨, 그리고 심혈관계 질환의 발병 위험을 높일 수 있으므로, 양극성 경향을 가진 사람들은 스트레스 관리 및 건강한 생활 습관을 유지하기 위한 보다 적극적인 노력이 필요하다.

• 한국치위생학회지
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• 제11권6호
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• pp.833-841
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• 2011

Objectives : The purpose of this study was investigation of quality and quantity of nutritional intake related oral health status among Korean elders. Methods : The nutrient intake and the dietary quality was evaluated on the basis of the Dietary Reference Intakes For Koreans(KDRIs). Chi-square test for Complex Samples was used to determine the relationship between oral health and inadequate nutrient intake in Korean elders. The complex samples general linear model was used to test difference of average value difference of nutrient intake percentage compared to dietary reference intake(DRI), energy intake rate from three major nutrients, average mean adequacy ratio(MAR) and index of nutritional quality(INQ) related oral health status. Age, sex and total energy intake was compensated for this analysis. PASW 18 was used for statistical analysis. Results : We could found the difference of the nutrient intake and the dietary quality related oral health status among Korean elders. Especially, Nutrient intake percentage and component ratio of protein among energy intake rate from three major nutrient was lower as oral health status became worse. The percentage of subjects with nutritional intakes under showed highest level in worst oral health status. As oral health status became worse, average mean adequacy ratio(MAR) was lower and the number of nutrient of which index of nutritional quality(INQ) was under 1 was more. Conclusions : From the result above, this study clearly shows the level of oral health affecting the inequalities of eating and the food for the people. And the various propose of oral health policies is needed for vulnerable groups who needs solution to solve the problem of inequality of food distribution where intensive distribution of nutrition problem occurred. Sufficient, safe, and a variety of healthy food intake is a fundamental right of our people. And also, to apply this policy in reality, institutional arrangements and organizations, and specific performing system will be needed.

• 대한지역사회영양학회지
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• 제17권5호
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• pp.664-675
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• 2012

This study was conducted to investigate the cross-sectional associations between dietary factors and the risk of metabolic syndrome (MetS) in 12,755 subjects (males 5,146, females 7,609) aged 19 years or above using data from the 4th (2007-2009) Korea National Health and Nutrition Examination Survey (KNHANES). The prevalence of MetS in Korean adults was 23.6% (males 26.1%, females 20.9%) with the criteria for modified National Cholesterol Education Program Adult Treatment Panel III. While males had a higher prevalence of abdominal obesity, hyperglycemia, hypertriglyceridemia, and high blood pressure than females, the prevalence of low HDL-cholesterol level was higher in females than in males. Among dietary guidelines, the response of 'yes' for asking practice of 'avoiding salty foods', and 'eating moderately and increasing physical activity for healthy weight' were significantly associated with the decreased risk of MetS in both males and in females. Especially, the risk of MetS was significantly lower in the subjects that responded the practice of all items of Korean Dietary Guidelines. Significantly negative associations with MetS were also found in the responding for practice of 'limiting consumption of alcoholic beverages' in males, and taking dietary supplements in females. Skipping breakfast was positively associated with the risk of MetS. In conclusion, dietary behaviors such as having breakfast, practice of dietary guidelines, and food consumption in moderation could modify the prevalence of MetS, and our findings could be useful for establishing guidelines for preventing MetS.

• Asian-Australasian Journal of Animal Sciences
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• 제21권8호
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• pp.1214-1219
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• 2008

This study was conducted to evaluate the effect of supplementing tuna oil to diets of growing-finishing pigs (barrows and gilts) on backfat characteristics when slaughtered at different weights. Four hundred and eighty crossbred (Large White$\times$Landrace$\times$Duroc) pigs averaging 30 kg were allotted to 12 treatment combinations (40 pigs/treatment combination) in a completely randomized design with a $2{\times}2{\times}3$ factorial arrangement of treatments. The treatments were: dietary tuna oil supplementation (0 and 2%); sex (barrows and gilts); and slaughter weight (90, 100 and 110 kg). As pigs reached their slaughter weight, they were randomly selected (8 pigs/treatment combination; 96 pigs in total) and slaughtered. Backfat colour, hardness and fatty acid profile were assessed. There were significant (p<0.05) differences in colour (L* and a* values) among treatments. Backfat of the control group was harder than on the tuna oil (p<0.001) and that of barrows was harder than of gilts (p<0.05). In addition, the thiobarbituric acid reactive substances (TBARS) values of fat from the tuna oil group stored for 3 days were higher (p<0.001) than the control group. The TBARS values of gilts tended to be higher than those of barrows and increased with increasing slaughter weight in the tuna oil group. The cholesterol and triglyceride levels were not affected by diet and sex but the triglyceride level increased with increasing slaughter weight (p<0.01). The tuna oil group had higher polyunsaturated fatty acid (PUFA) content, ratio of PUFA: saturated fatty acid (SFA) and total n-3 fatty acids but lower monounsaturated fatty acids content and n-6:n-3 fatty acids than the control group (p<0.01). Gilts had higher PUFA and n-6 fatty acids in backfat than barrows (p<0.05). The backfat from both 90 and 100 kg slaughter-weight groups had a lower ratio of n6:n3 fatty acid than the 110 kg slaughter-weight group (p<0.05). However, this was more pronounced in the tuna oil group. The PUFA: SFA was also increased while the n-6:n-3 ratio tended to reach the recommended levels for healthy eating in human beings of <5. However, due to oxidative susceptibility, barrows should not be slaughtered at more than 100 kg for the meat to be acceptable to consumers.

• 대한지역사회영양학회지
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• 제25권3호
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• pp.189-203
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• 2020

Objectives: This study was performed to identify the current barriers of obesity management for children using Community Child Care Centers and their caregivers (parents and teachers working in the Centers). Further, this study explored the possibility of utilizing a mobile phone application for tailored obesity prevention and management programs to overcome the current difficulties associated with children's obesity management. Methods: The qualitative data were collected through in-depth interviews with 20 obese and overweight children or children who wanted to participate in this study using Community Child Care Centers, 12 teachers working at the Centers, and a focus group interview with five parents of children using the Centers. Data were analyzed with a thematic approach categorizing themes and sub-themes based on the transcripts. Results: The current barriers of obesity management of obese and overweight children using Community Child Care Centers were lack of self-directed motivation regarding obesity management (chronic obesity-induced lifestyles and reduced self-confidence due to stigma) and lack of support from households and Community Child Care Centers (latchkey child, inconsistency in dietary guidance between the Center and household, repetitive pressure to eat, and absence of regular nutrition education). Mobile phone applications may have potential to overcome the current barriers by providing handy and interesting obesity management based on visual media (real-time tracking of lifestyles using behavior records and social support using gamification), environmental support (supplementation of parental care and network-based education between the Community Child Care Center and household), and individualized intervention (encouragement of tailored and gradual changes in eating habits and tailored goal setting). It is predicted that the real-time mobile phone program will provide information for improving nutritional knowledge and behavioral skills as well as lead to sustainable children's coping strategies regarding obesity management. In addition, it is expected that environmental factors may be improved by network-based education between the Community Child Care Centers and households using the characteristics of mobile phones, which are free from space and time constraints. Conclusions: The tailored education program for children using Community Child Care Centers based on mobile phones may prevent and reduce childhood obesity by overcoming the current barriers of obesity management for children, providing environmental and individualized support to promote healthy lifestyles and quality of life in the future.

• 대한지역사회영양학회지
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• 제4권2호
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• pp.207-218
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• 1999

The increased number of elderly in Korea presents great challenges for community nutrition programs. Strategies to enhance elderly nutrition are needed, as well as dietary advice that are reality-based and tailored to the need of the elderly. The purpose of this study was to evaluate the overall effectiveness of an elderly nutrition improvement program(ENIP), by assessing changes in nutrition knowledge, attitudes, and behavior after program completion. ENIP was conducted in Suwon for 4 months in 1998 at 5 centers for the elderly. The program provided individual nutrition counseling and brief biweekly group education sessions. To stimulate participation and motivation, the elderly in two centers were served free milk packs(200ml) three time a week during the program(milk＋education group), and the elderly in 3 other centers were served yoghurt on the program day(education group). Altogether, 102 subjects finished the program(milk＋education group 67 ; education group 35). Data about nutrition knowledge, dietary attitudes, diet records(24 hour recall) and dietary habit was collected before(baseline) and after the program(follow-up). The Drop-out rate for the milk＋education group(2.9%) was significantly lower than that for the education group(30.0%)(p<.001). The Nutrition Knowledge fo females milk＋education group increased significantly after the program, but no significant differences were observed in other groups. Over 60% of all the elderly showed positive responses to the healthy eating attitudes. Energy, protein, vitamin A, riboflavin, Calcium and Potassium intakes improved in the male milk＋education group. The Vitamin C intake improved in the male education group. Energy and vitamin A intakes improved in the female milk＋education group and energy, vitamin A, thiamin, riboflavin, niacin, Ca nad P in the female education group. A stepwise multiple regression analysis was performed to examine the effects of food intake changes on overall nutrient quality. For all elderly, the fish intake explained 12.6% of the variance, followed by candy intake and vegetable intake(model $R^2$=19.6%). Dietary habits such as meal time regularity and salty food reduction were markedly improved in both groups. Sixty-one percent of the milk＋education subjects stated their participation was voluntary and active, while 51% of education subjects did. Sixty four percent of the subjects stated their interest on diet increased remarkably through program participation. Considering the results, it is conjectured that ENIP had a great impact on nutrient intake, dietary attitudes and habits. Milk supplement showed no direct effects on elderly nutrition improvement, but it encouraged the program by reducing drop-out rates and inducing voluntary participation. Therefore milk supplement could enhance the community nutrition education program. Moreover it is strongly suggested that the ENIP be expanded to other communities.

• 한국보건간호학회지
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• 제11권1호
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• pp.66-81
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• 1997

This study examined the experience of health education and assessed the needs for health education in the students attending a university located in Inchon. The primary subjects were 749. who were selected from each college by using systematic random sampling. Of these students. 457 subjects responded to the self-reported questionnaire. revealing the response rate of $61.01\%$. As for the analysis of the data. percentages. chi-square test. and correlation and regression analyses were adopted. The experience rate of health education was 39.02% and the rate was higher in women than in men. The students experienced the education about smoking and first-aid most frequently. whereas they experienced stress management much less frequently. Stress management was given the highest priority among the subjects of health education which they proposed to need. Physical health states of the students were better than their mental health states. The women tended to eat meals irregularly compared to men. Those students living not with their family nor with their relatives were more likely to eat meals twice a day compared to those who live at their homes. Those who recognized the need for health education showed the willingness to join health education to be given. The willingness was, also observed in those who had better self-evaluated mental health. regardless of the recognition of the need for health education. These findings revealed both objective and subjective needs for educating management of mental health. Education on healthy eating habit should be given particularly to woman students and those who do not live with family nor with relatives. When educating for the management of mental health. there should be strategies to facilitate the participation of the students who do not have good mental health.

• 대한지역사회영양학회지
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• 제1권2호
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• pp.161-177
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• 1996

This study attempts to propose a priority of national nutrition targets and strategies for health promotion by the year 2000 in Korea, as a part of the task set for national health promotion objectives and strategies. Among all of the important health issues raised, ten were chosen, nutrition was one priority area. In the first part, the current status of the nutrition-related health problems and risk factors are reviewed, in conjunction with the newly arisen health phenomena, such as changes in prevalence of lifestyle disease and causes of death, changes of food consumption patterns in our country. In the second section this study suggests six feasible national nutrition targets, eight implementing strategies and current major tasks on the basis of the assessment of present status and in consideration of the other health promotion goals and strategies, with reference to that of other developed countries. The main targets and strategies are suggested as follows ; Firstly, the national nutrition monitoring and surveillance system should be established for identifying the nutritional problems for our people, and current National Nutrition Survey is a strong need for improvement to a more comprehensive and reliable one. Secondly, effective administrative mechanism should be operation at national level for the development of nutrition policy. Ministry of Health and Welfare (MOHW) as well as local health department must be remarkably renewed and strengthened the nutrition section. And it is recommended that MOHW organize and operate “The Council of Nutrition”, in which all government authorities related with foodstuffs and nutrition would incorporated. The Council of Nutrition would act as an adjustor as well as a coordinator in nutrition related policy-making. Thirdly, healthy eating pattern will be supported by activities of introducing a nutrition labeling for providing consumers with the necessary information and skills for food selection. Fourthly, nutrition education, and nutrition intervention programs will be carried out in various settings such as health centers, schools, and clinical fields and workplace. Fifthly, the current dietary guidelines shall be continuously improved in detail, and publicly circulated to particular levels of people by age group and by health condition. And finally, researches and epidemiological studies particularly in regard to diet for development of chronic diseases are needed for more investigation and up-to-date national health and nutrition data should be collected with the support and cooperation from the various medical professional teams . (Korean J Community Nutrition 1(2) : 161-177, 1996)

• 대한지역사회영양학회지
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• 제21권1호
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• pp.25-36
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• 2016

Objectives: The purpose of this study was to investigate effects of nutrition education providing school lunch by personalized daily needed food exchange units using Food Exchange System for adolescent athletes. Methods: The subjects were 60 sports high school students (educated group, 30 vs. noneducated group 30). Nutrition education was provided for 4 weeks (40 min/lesson/week). In addition, personalized school lunch was served for 4 weeks, nutrition education period. The personalized lunch were provided Food Exchange Units according to personalized daily needed energy. The lessons were '5 Major nutrients, functions and foods', 'My daily needed energy and food exchange units by Food Exchange System', 'My meal plan by food exchange units according to my daily needed energy' and 'Smart choice of healthy snacks and eating outs'. After nutrition education, we examined the differences in anthropometric characteristics, nutrition knowledge, dietary attitude and dietary intake between the educated and the non-educated group. Results: We observed improvements in lean body mass in the educated group. With regard to nutrition knowledge, there were improvements in 'Functions of vitamins', 'Functions of minerals', 'Foods of fat', 'Foods of vitamin', and 'Foods of mineral' in the educated group. In relation to dietary attitude, there were improvements in 'Taking a meal with family and friend', 'Taking a meal at ease', 'Taking a meal with kimchi and vegetables', 'Taking a meal with three kinds of side dishes', 'Priority of choosing snacks' and 'Type of snacks' in the educated group. With regard to dietary intakes according to Dietary Reference Intakes for Koreans, there were improvements in intakes levels of fiber, vitamin A, vitamin C, folate, calcium, iron and zinc. The index of nutrition quality, as indicated by nutrition adequacy ratio also improved in the educated group. Conclusions: These results showed that a nutrition education program providing education lessons and personalized school lunch by food exchange units according to daily needed energy showed positive changes in nutrition knowledge, dietary attitude and dietary intake of adolescent athletes. Nutrition education program providing personalized school lunch by Food Exchange Units may improve dietary behaviors and dietary intakes of adolescents.