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Abstract It seems unthinkable that the more prosperous our society becomes, the more problematic our dietary habits turn. Through the nutrition education instructed by school to the students, there must be obvious improvement in the physical conditions of the citizens. The purposes of this study were to understand the elementary school students nutrition knowledge, attitudes, dietary behavior and relevant factors. The questionnaire was adopted for the research. The sum of 18 public schools was involved in the trial project; the total of 994 fifth and sixth grade students participated in this study, and the number of 970 valid questionnaires was retrieved to assess their nutrition knowledge, attitudes and behavior. The results of the study are as follows: 1. The students nutrition attitudes are not bad, but their nutrition knowledge and dietary behavior are not as good as expected. 2. Different grades, genders, ages, backgrounds, figures consciousness, schoolwork consciousness and dietary types show significant differences in the students nutrition knowledge. 3. Different grades, genders, ages, schoolwork consciousness, dietary types and the amount of pocket money make obvious differences in students nutrition attitudes. 4. Different grades, genders, ages, schoolwork consciousness and the amount of pocket money show significant differences in students nutrition behavior. 5. There was an obvious positive correlation among nutrition knowledge, III

nutrition attitudes and nutrition behavior. (p < 0.001) 6. Some variables such as " grades ", " dietary type ", " schoolwork consciousness "," gender ", " figures consciousness ", " backgrounds " influence students nutrition knowledge the most. 7. Some variables such as " nutrition knowledge ", " grades ", " gender "," the amount of pocket money ", " schoolwork consciousness ", " the lunch supplied by the school " and " if the schools sell snacks or not " influence students nutrition attitudes the most. 8. Some variables such as " nutrition attitudes ", " gender ", " grades ", " the number of all siblings ", " schoolwork consciousness " and " the amount of pocket money " influence students dietary behavior the most. To sum up, the nutrition education for the elementary school students is not popularized and initiated enough. The relevant organizations ought to pay more attention to the implementation of school nutrition education and offer regular curriculum training to enhance teachers specialized knowledge on nutrition education. As this study shows, plenty of factors influence pupils nutrition knowledge, attitude and dietary behavior. But still, these factors could not provide good prediction or explanation for students nutrition knowledge, attitude and dietary behavior. This suggests that other vital factors should be investigated and discussed. This could be the indication for the future research. Keywords: elementary school, fifth and sixth grade students, nutrition education, nutrition knowledge, nutrition attitudes, dietary behavior IV

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111 85 618 224257-270 80 16232 83 91 80 I 1663-84 77 10536-47 83 84 92 87 1993-1996 83-1094 83

112 86 89SPSS for Windows 90 64 82 87 92 81 84 () ( NSC-82-0111-S-040-005) 90 () 381-31 85 87

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Ammerman, A.Mcgaghie, W.C., Siscovick, D.S., Maxwell, K., Cogburn, W.E., & Simpson, R.J.(1989).Medical students' knowledge, attitude, and behavior concerning diet and heart disease. American Journal of Preventive Medicine, 5, 271-278. Brillhart, P. C. (1990).The Relationshap between Nutrition Infoemation Sourcesnutrition knowledge and nutrition attitude of adolescents(m.s. dissertation, Eastern Michigan University). Dissertation Abstract Internation, 29-02. Beavers, I., Kelly, M., & Flenner, J. (1982). Nutrition Knowledge, attitudes and food purchasing practices of parents. Home Economics Research Journal, 11(2), 134-142. Byrd-Bredbenner, C., O' Connell, L. H., & Shannon, B.(1982).Junior high home economics curriculumits effect on students' knowledge, attitude, and behavior. Home Economics Research Journal, 11, 123-133. Byrd-Bredbenner, C.,Shear, T. (1982). Nutrition Knowledge, attitude, dietary behavior and Commitment to nutrition education of nutrition educators. Home Economics Research Journal, 11(2), 167-174. Byrd-Bredbenner, C., Shannon, B., Hsu, L., & Smith, D. B. (1988). A nutrition education curriculum for senior high home economics students: Its effect on student knowledge, Attitude, and Behavior. Journal of Nutrition Education, 20(6), 341-346. Brecher, S. J., Bender, M. M., Wilkening, V. L., McCabe, N. M., &Anderson, E. M. (2000). Status of nutrition labeling, health claims, and nutrient content claims for processes foods: 1997 food label and package survey. Journal of the American Dietetic Association, 100(9), 1057-1062. 114

Douglas,P.D. and Douglas,J.G.(1984). Nutrition knowledge and food practices of high school athletes. Journal of the American Dietetic Association, 84(10), 1198-120. Derrickson, J., Maeda, I., Sonomura, S., & Braun, K.(1995). Nutrition knowledge and behavioral assessment of participants of Aid for Families with Dependent Children: Telephone vs mail data collection method. Journal of the American Dietetic Association, 95(10), 1154. Foley, C. S.,Vaden, A. G., Newell, G. K., & Dayton, A. D.(1983). Establishing the need for nutrition education elementary students nutrition knowledge, attitudes and practices. Journal of the American Dietetic Association, 83(5), 564-568. Graves, K., Shannon, B., Sims, L., & Johnson, S.(1982).Nutrition knowledge and attitudes of elementary school students after receiving nutrition education. Journal of the American Dietetic Association, 81, 422-427. Halverson, Lillian & Smith (1987). Relationships among nutrition knowledge, attitudes and behavior of middle school children. (M.S. thesis,ohio State University), Dissertation Abstracts Intemation. Johnson, D.(1985). A meta-analysis and synthesis of nutrition education research. Journal of Nutrition Education, 17, s11-s19. Kate,P.(2002). Changes in nutrition knowledge and dietary behaviour. Health Education, 102(1), 23-29. Lisa, H., Gladys,B., & Sylvia,L.(1997). Influence of selected environmental and personal factors on dietary behavior for chronic disease prevention: A review of the literature. Journal of Nutrition Education, 29(6), 306-312. McCullum, C., & Achterberg, C. L. (1997). Food shopping and label use behavior among high school-aged adolescents. Adolescence, 32(125), 181-197. 115

McArthur, L., Chamberlain, V., & Howard, A. B. (2001). Behaviors, attitudes, and knowledge of low-income consumers regarding nutrition labels. Journal of Health Care for the Poor and Underserved, 12(4), 415-428. Marietta, A. B., Welshimer, K. J., & Anderson, S. L. (1999). Knowledge, attitudes, and behaviors of college students regarding the 1990 Nutrition Labeling Education Act food labels. Journal of the American Dietetic Association, 99(4), 445-449. Oslon, C. M., Kelly, G. L.(1989).The challenge of implementing theory-based intervention research in nutrition education. Journal of Nutrition Education, 21(6), 280-284. Riggs, R. S.(1984).Factor related to the health knowledge and health behavior of disadvantaged black younth. The Journal of School Health, 54, 431-434. Reid, D. J., Conrad, S. A., & Hendricks, S. M. (1996). Tracking nutrition trends, 1989-1994: An update on Candians attitudes, knowledge and reported actions. Candian Journal of Public Health, 87(2), 113-118. Schwartz, N. E. (1975). Nutritional knowledge, attitude and practices of high school grades. Journal of the American Dietetic Association, 66, 28-31. Schwartz, N.E. (1976). Nutrition Knowledge, attitudes, and practices of caadian public health nurses. Journal of the American Dietetic Association, 8, 28-31. Sims, L.S.(1978). Dietary status of Lactating women. II. Relation of nutrition knowledge and attitude to nutrition intakes. Journal of the American Dietetic Association, 73, 147-153. Scrimshaw, N.S.(1996). Nutrition and Health from womb to tomb. Nutrition Today, 31(2), 55-67. Shannon, B., & Chen,A.D.(1988). A three-year school-based nutrition education study. Journal of Nutrition Education, 20(3), 114-124. 116

Smith, S.F., James, M.A. (1980). School lunch as a nutrition educatian resource for fourth graders. Journal of Nutrition Education, 12(2), 46-49. Stansfield, P., Fox, H. (1977). Grocers' nutrition Knowledge and attitudes. Journal of Nutrition Education, 9, 69-71. Stephen, G., Sapp, H.J.(1997). Reliability and validity of nutrition knowledge and diet-health awareness tests developed from the 1989-1991 Diet and Health Knowledge Surveys. Journal of Nutrition Education, 29(2), 63-72. Shannon,B.,Hendricks, M., Rollons, P., & Schwartz, R.M(1987). A comprehensive evaluation of a worksite-nutrition and weight-control program. Journal of Nutrition Education, 19(3), 109-116. Shene-Pin Hu, Mei-Yiao Wu, Jen-Fang Liu1997Nutrition knowledge, attitude and practice among primary care physicians in Taiwan. Journal of the American College of Nutrition. 16(5), 439-442. Skinner, J. D. & Woodburn, M. J. (1983). Nutrition-related characteristics of high school teachers and student performance. Journal of Nutrition Education, 15(3), 99-104. 117

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