高雄市鳳山區某國小四至六級學童病態飲食行為傾向的相關因子及其與營養攝取量之探討

The study of eating disorders tendency related factors and nutrition intake in grade four to six elementary school students in Fongshan district of Kaohsuing

謝京樺(Ching-Hua Hsieh)

指導教授 ： 翁玉青

中山醫學大學/健康管理學院/營養學研究所/碩士(2012年)

摘要

本研究以高雄市鳳山區某國小四至六年級學童為研究對象，主要目的在探討學童病態飲食行為傾向的相關因子，再比較具病態飲食行為傾向的高危險及低危險群，實際營養素攝取是否有差異。以不記名自填式問卷為研究工具，問卷內容包含四個部分：A.基本資料及體型滿意度；B.兒童飲食態度測驗 (ChEAT-26)；C.內外控信念量表；D.三天飲食記錄，結果發現：53.4%的學童體型正常；分別有39.9%的男童及17.8%女童體型為稍胖或非常胖；43.7%的學童希望自己能再瘦一點。學童之ChEAT-26平均分數為 9.06±6.86分。7.6%的學童為病態飲食行為傾向高危險群(ChEAT-26≧20，EAT(+))，男童及女童分別為 4.1%及 11.2%。學童之ChEAT-26 得分與內外控信念量表得分呈現顯著正相關。EAT(+)學童其熱量、蛋白質、碳水化合物、維生素B2、維生素B6、鋅、鎂、磷的攝取低於EAT(-)學童；本研究建議宜從國小階段開始加強學童營養教育，培養正確的體型意識。

關鍵字

病態飲食行為 ； 飲食態度測驗 ； 內外控信念學童

並列摘要

This study was to recognize the eating disorders tendency and the related factors in grade four to six elementary school students in Fongshan district of Kaohsiung. In addition, the differences nutrient intakes were compared in children with EAT(＋) and EAT(－). The anonymous self-report questionnaire with four sections was used, including: A. Demographics and body satisfaction; B. Children’s Eating Attitude Test-26, ChEAT-26; C. Nowicki-Strickland Locus of Control Scale; D. 3 days dietary records. As a result, we found that: There were 53.4% children with standard body shapes, and 39.9% boys and 17.8% girls were over-weight or obese. Moreover, 43.7% children wanted to be thinner. The mean of ChEAT-26 was 9.06±6.86, and 7.6% children were at high risk of eating disorders tendency (ChEAT-26≧20, EAT(+)) including 4.1% boys and 11.2% girls. Scores of ChEAT-26, Nowicki-Strickland Locus of Control Scale were positively correlated. Energy, protrin, carbohydrate, Vitamine B2, Vitamin B6, Zinc, Magnesium, Phosphorous intakes were significant lower in EAT(+) than EAT(-). We suggest the the proper eating behaviors and correct body image should be cultivated from elementary school children.

並列關鍵字

eating disorders ； ChEAT-26 ； locus of control ； elementary school students

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