G-560 Development and Validation of a Nutrition Knowledge, Attitudes, and Practices Survey for Adults With Chronic Kidney Disease

Perceived knowledge among patients cared for by nephrologists about chronic kidney disease and end-stage renal disease therapies

The purpose of this research was to investigate the influence of socio-demographic data on nutritional knowledge, attitude and practices among people living with HIV (PLWHIV) in Enugu State of Nigeria. A standardized questionnaire was designed to collect information on the socio-demographic characteristics, nutritional knowledge, attitude and practice of PLWHIV who attended the HAART centre at the Ntasi Obi Ndi No N’afufu Specialist Centre. Results showed that the respondents scored 65.6% on nutritional knowledge, 13.7% on nutritional attitude, and 54.9% on nutritional practices. The Bivariate analysis showed significant positive correlations between nutritional knowledge and attitude; nutritional knowledge and practices; and nutritional attitude and practices. Monthly income was seen as a common predictor for nutritional knowledge, attitude and practice; hence local foods should be included in their food chart for affordability and accessibility.

A Decade After the KDOQI CKD Guidelines: Impact on the United States and Global Public Policy

A Timely Change in CKD Delivery: Promoting Patient Education

Objective: A study was undertaken to explore the differences in nutrition knowledge, attitudes, beliefs and practices and their correlations among adults in both urban and rural communities in the Free State province of South Africa. Design: This study forms part of the cross-sectional Assuring Health for All in the Free-State (AHA-FS) study. Setting: The AHA-FS study is conducted in urban and rural parts of the Free State province of South Africa. The rural and urban stages of the study were conducted in 2007 and 2009, respectively. Subjects: The sample included 846 adult household members, aged between 25 and 65 years, from both rural and urban areas of the Free State province. Outcome measures: Nutrition knowledge, attitudes, beliefs and practices were measured. Results: The sample included predominantly females (78.2%). Rural adults had significantly better nutrition knowledge (p < 0.001), positive attitudes (p < 0.001) and positive beliefs (p < 0.001) and their nutrition knowledge and attitudes (r = 0.27, p < 0.001), nutrition knowledge and beliefs (r = 0.16, p < 0.001), and nutrition attitudes and beliefs (r = 0.38, p < 0.001) were significantly correlated with each other. However, nutrition knowledge, attitudes and beliefs were not correlated with nutrition practices among our sample in either the urban or rural setting. Conclusion and implication: The results of the current study confirm that relevant and culturally acceptable nutrition education interventions for translating nutrition-related knowledge, attitudes and beliefs into practices are required.

Chronic kidney disease (CKD) is a global public health problem. All health care professionals need to be knowledgeable and competent in nutrition as it applies to health promotion, prevention and treatment of acute and chronic diseases. Nutrition intervention is an important component in optimizing diet among CKD patients. However, there is limited information on the nutrition knowledge on management of CKD among healthcare workers in Dar es Salaam Tanzania. This study assessed nutrition knowledge, attitudes and current practices of healthcare workers in management of patients with CKD in selected hospitals. This cross sectional study was conducted amongst 133 healthcare workers in renal units in selected hospitals from December 2011 to March 2012. Hospitals were purposively selected based on the availability of renal care services in the facility. Nutrition knowledge and practices were assessed using a standardized questionnaire. Knowledge levels were categorised as > 61 % “adequate”41–60 % “moderate” and 1–40 % “low”. Attitudes were measured using a 5 Likert scale. Descriptive statistics were used to summarize data. Chi-square was used to test the relationship between categorical variables. A p -value of < 0.05 was considered statistically significant. The mean nutrition knowledge score among health care workers was 9.8 (SD 3.12). There was a significant difference in the nutrition knowledge among carders (p ≤ 0.001). Medical specialists had a higher mean score (13.75) compared to medical doctors and nurses with mean scores 12.05 and 9.51 respectively. Other cadres had lower mean score of 8.65. Likert scale showed that 94 % had positive attitudes on the role of nutrition in preventing and treating diseases. Most of respondents (92 %) did not use any nutrition guidelines. Nutrition management were discussed occasionally during ward rounds. There were significant relationship between age group (χ 2 = 16.69; p = 0.01), work experience (χ 2 = 18.61; p < 0.01) and nutrition knowledge of participants. Nutrition knowledge among study participants was poor; though their attitude was positive they failed to practice due to poor knowledge. Inadequate nutrition training in medical school, lack of resources and motivation were identified as factors that influence nutrition management of CKD in the study area. Recommendations from the study include: review of medical curriculum to incorporate clinical nutrition topics, continuous nutrition education programs for in-services, improving working conditions and hiring clinical nutritionists in each hospital department would improve nutrition management of CKD patients in hospitals.

Medical Nutrition Therapy for Patients with Non–Dialysis-Dependent Chronic Kidney Disease: Barriers and Solutions

Objective To investigate nutritional knowledge, attitude, and practice (K-A-P) of medical staff in the nerve-related departments in Hebei province, with the aim of determining a basis for the effective education of nutrition. Methods A multicenter, observational study was utilized to conduct a questionnaire survey. 642 medical staff in nerve-related departments from 15 hospitals in 11 prefecture level cities was surveyed from September 2016 to March 2017 in Hebei Province. Results were statistically analyzed. Results The overall scores of nutrition knowledge, attitude, and practice were 34.88±22.90, 69.14±16.75 and 42.86±18.22, respectively. There were positive correlations between nutrition knowledge and attitude (r=0.150, P<0.001), knowledge and practice (r=0.152, P<0.001), and attitude and practice (r=0.432, P<0.001). The nutrition knowledge score of male medical staff was higher than that of female (t=3.546, P<0.01) however, there was no significant difference between males and females in nutrition attitude and practice scores (t=0.685, P=0.494; t=1.649, P=0.091). In addition, the nutrition knowledge scores of physicians and medical technicians were significantly higher than that of nurses (F=46.89, P<0.01) while the nutrition practice scores of physicians were significantly higher than both medical technicians and nurses (F=7.85, P<0.01). It was also found that nutrition attitude scores of senior and secondary medical staff were higher than junior medical staff (F=5.116, P=0.002) and nutrition practice scores of senior and secondary senior medical staff were higher than that of junior medical staff (F=4.074, P=0.007). Furthermore, it was found that nutrition knoledge scores of undergraduate, master and doctoral degree staff were higher than that of junior college staff (F=15.617, P<0.001) and nutrition attitude score of undergraduate and master degree staff were significantly higher than that of junior college staff (F=4.11, P=0.003). It was also found that the nutrition knowledge scores of medical staff with less than 5 years of work experience were significantly higher than those with more than 5 years of work experience (F=3.312, P=0.02). However, the scores of nutrition attitude of medical staff with more than 15 years of work experience were significantly higher than those with less than 15 years of work experience (F=6.356, P<0.001) and the scores of nutrition practice of medical staff with 10-15 years of work experience were higher than that of less than 5 years and 5-10 years of work experience(F=2.959, P=0.032). It was also identified that the top three ways to obtain nutrition knowledge were learning at work (68.85%), learning at university (68.69%) and reading books and journals (57.79%). Conclusion The medical staff of nerve-related departments in Hebei province has positive attitudes towards nutrition treatments. However, their mastery of nutritional knowledge and practice could and should be improved further. Therefore, it is necessary to strengthen the nutrition education for medical staff of the nerve profession. Key words: Nerve; Medical staff; Nutrition; Knowledge; Attitude; Practice

This study explores the relationship between family characteristics and the nutritional KAP (knowledge, attitudes, and practices) of students, as well as the correlation between students' nutritional KAP and their nutritional status. Conducted as a cross-sectional study between September 2022 and January 2023, the research involved 146 primary school students aged 8-12 years and their parents from eight primary schools in Bogor City. The collected data included anthropometric measurements, nutritional KAP assessments, and socio-economic characteristics of the students' families. Most participants exhibited normal nutritional status, sufficient knowledge, good attitudes, and sufficient practice. A significant correlation was found between the mother’s education level and both students' nutritional knowledge (p = 0.027, r = 0.183) and attitudes (p = 0.008, r = 0.220). Additionally, a significant negative association was observed between family size and students’ nutritional practices (p = 0.036, r = -0.174), while parental attitudes showed a significant relationship with students’ nutritional attitudes (p = 0.016, r = 0.199). Among family-related factors, the mother’s education level was the only variable significantly linked to students' nutritional knowledge and attitudes. However, no significant correlation was found between students' nutritional KAP and their overall nutritional status.

BackgroundProper nutrition is vital in promoting community health, yet insufficient knowledge and improper dietary practices can lead to deficiencies and diseases. Professional athletes depend on optimal nutrition for their performance and recovery, but a lack of understanding can impede their potential. The nutritional status of athletes impacts their overall health and sports performance. Inadequate sports nutrition knowledge may result in suboptimal practices, reducing strength, power, endurance, and immunity. Additionally, disordered attitudes can lead to dietary imbalances and an increased risk of injury. This study, conducted in Qazvin, Iran, examined athletes’ nutritional knowledge, attitudes, and practices. By addressing these factors, there is potential to enhance dietary behaviors and ultimately improve athletes’ performance.MethodsThe study employed a descriptive-analytical, cross-sectional design to investigate the nutritional knowledge, attitude, and practice (KAP) of professional athletes in Qazvin, Iran. A total of 320 purposefully selected professional athletes (68.13% male, 31.87% female) from various sports fields participated in the research. The data collection tool consisted of demographic questions and a KAP questionnaire, including 27 nutritional knowledge questions, 16 nutritional attitude questions, and 14 nutritional performance questions. The quota sampling method was used to estimate sample sizes. Data analysis was carried out by SPSS v.26 using one sample t-test, one-way ANOVA, and Pearson’s correlation coefficient test.ResultsThe results showed that nutritional knowledge (the mean value was 79.594 ± 7.015 - the optimal knowledge level = 84) and attitude (the mean value was 23.347 ± 5.300 - the optimal attitude level = 26) for athletes are low, but their nutritional practice (the mean value was 21.788 ± 3.450 - the optimal performance level = 24) was moderate. Also, professional athletes’ nutritional knowledge, attitude, and practice were lower than normal (p < 0.05). Significant positive correlations were among knowledge, attitude, and practice (p < 0.05). However, there were no significant differences in nutritional knowledge, attitude, and practice among the subjects of different age groups, genders, and sports types (p > 0.05).ConclusionThis study showed that the nutritional knowledge, attitude, and practice of professional Iranian athletes in Qazvin province were low; therefore, the implementation of more theoretical and applied nutrition education, such as using knowledge assessment tools and interventions, irrespective of their age, sport’s field, and gender, is compelling.

Definition and Classification of CKD: The Debate Should Be About Patient Prognosis—A Position Statement From KDOQI and KDIGO

Objective To explore the status quo of knowledge, attitude, and practice (KAP) of orthopedic nurses and its influencing factors, and to analyze the relationship among knowledge, attitude and behavior, so as to provide reference for effectively improving the nutritional nursing level of orthopedic nurses. Methods A self-designed questionnaire of nutritional KAP was used to investigate orthopedics nurses from the 6 Class Ⅲ Grade A hospitals in Wuhan from March to May 2016. SPSS 23.0 was used to analyze the status of nutritional KAP and their respective influencing factors. A Structural Equation Model (SEM) was constructed to explore causal relationship among nutritional KAP by Bootstrap in AMOS 23.0, especially to verify the direct and indirect effects among KAP. Results The key factors influencing nutritional knowledge were professional learning frequency, excellent nurse, personnel status, and professional title (R2=0.798, P<0.001) . The key factors influencing nutritional attitude were professional learning frequency, primary nurse, highest education, and monthly income (R2=0.118, P<0.001) . The key factors influencing nutritional practice were professional learning frequency, excellent nurse, and primary nurse (R2=0.213, P<0.001) . The direct effect of nutritional knowledge toward nutritional practice was 0.240, indirect effect was 0.173, and total effect was 0.414, which meant that nutritional attitude had partial mediation effect. The direct effect of nutritional attitude toward nutritional practice was 0.702, and the indirect effect was 0. Conclusions Nutrition knowledge of orthopedic nurses is insufficient, nutritional attitude needs to be strengthened and nutritional behavior needs to be improved. Improving nutritional knowledge level is the key to improving nutritional KAP level of orthopedic nurses. According to the key factors affecting nutritional knowledge, formulating programs can effectively improve the level of nutritional knowledge, and then strengthen the level of nutritional attitude and behavior, and improve the overall level of nutritional nursing of orthopedic nurses. Key words: Hospital, orthopedics; Nutrition; Knowledge, attitude and practice; Structural equation model; Mediator effect

Nomenclature for kidney function and disease: Executive summary and glossary from a Kidney Disease: Improving Global Outcomes (KDIGO) consensus conference

Too Many for Too Few: Finding Appropriate Nephrology Referrals for Patients With CKD That Optimize Outcomes

Precision Nutrition and Personalized Diet Plan for Kidney Health and Kidney Disease Management