Dietary Knowledge Research Articles

EFFECTIVENESS OF A LINE APPLICATION TOGETHER WITH TELEPHONE-BASED CONSULTATION AND EDUCATION PROGRAM ON THE DIETARY KNOWLEDGE AND BEHAVIOR AMONG CAREGIVERS OF END-STAGE RENAL DISEASE PATIENTS ON HEMODIALYSIS

This study aimed to evaluate the effectiveness of a Line application-based consultation and education program combined with tele-counseling on improving nutritional knowledge and dietary behavior among 68 Caregivers of Caregivers of ESRD patients on hemodialysis in Chiang Mai Province, Thailand. Participants were purposively sampled and assigned to either a control group (n=34) or an intervention group (n=34) using a matched-pair technique. The intervention group underwent an 8-week educational program through the Line application and tele-counseling, while the control group received no intervention. Results demonstrated a significant improvement in both dietary knowledge and behavior scores in the intervention group compared to the control group (p < 0.05). Specifically, the post-test average scores for dietary knowledge in the experimental group increased from 14.76 (SD = 2.72) to 17.97 (SD = 1.59), while the control group's average scores were 14.85 (SD = 2.87). For dietary behavior, the post-test average scores in the experimental group improved from 1.21 (SD = 0.32) to 1.90 (SD = 0.48), compared to 1.29 (SD = 0.29) in the control group. The findings suggest that using the Line application, a popular communication platform in Thailand, in conjunction with tele-counseling can effectively enhance the nutritional knowledge and dietary behavior of Caregivers of ESRD patients. Healthcare professionals should consider implementing such interventions to improve the overall nutritional status and well-being of Caregivers of ESRD patients on hemodialysis.

Self-care knowledge in patients with intestinal stomas in a selected hospital in the south of Viet Nam: A descriptive cross-sectional study.

Intestinal stomas are surgical interventions that have an impact on both physical and psychological health, necessitating patient self-care. Insufficient knowledge regarding peristomal skin care, prevention, and treatment of potential problems can lead to an increase in stoma-related complications. This study aimed to assess patients' knowledge of self-care for intestinal stomas and examine the relationship between background information and self-care knowledge. A descriptive cross-sectional study was conducted from December 2021 to December 2022 at the Can Tho University of Medicine and Pharmacy Hospital in Vietnam, involving 74 participants with intestinal stomas. A questionnaire consisting of 24 closed-ended questions was used to evaluate participants' knowledge of self-care for intestinal stomas. Descriptive statistics, Chi-square, and Fisher's exact tests were employed for data analysis. The findings revealed that 54.1% of participants had good knowledge of general self-care for intestinal stomas. The distribution of good knowledge among participants was as follows: basic knowledge (66.2%), self-care practice (56.8%), recognizing and managing complications (31.1%), and dietary knowledge (64.8%). Significant relationships were observed between participants' self-care knowledge and their education level (p = 0.002), marital status (p = 0.017), nurses' education (p = 0.021), and hospitalization (p = 0.001). The proportion of participants with good knowledge of self-care for intestinal stomas was relatively low, and it was associated with individuals' education level, marital status, nurses' education, and hospitalization. This study highlights the need for ongoing development of educational programs on self-care for intestinal stomas. These programs should be tailored to address the specific needs of each patient and aim to improve their self-care knowledge in a meaningful and sustainable manner. By investing in patient education, healthcare professionals, particularly nurses, can assist individuals with intestinal stomas in achieving better outcomes and preventing potential complications.

The Effects of a Tailored Dietary Education Program for Older Adult Patients on Hemodialysis: A Preliminary Study.

This study aimed to investigate the overall effects of a tailored dietary education program for older adult patients on hemodialysis (HD) based on self-efficacy theory, dietary knowledge and habits, nutritional intake, and biochemical parameters. A nonequivalent control group pre-test-post-test design was conducted for 8 weeks. The experimental and control groups received a weekly nutritional program and standard nursing care with an additional educational session, respectively. A clinical survey was conducted before and after the intervention. After the intervention, self-efficacy, dietary knowledge, and dietary habits were higher in the experimental group than in the control group. Moreover, carbohydrate, phosphorus, and sodium intake significantly decreased post-intervention in the experimental group but not in the control group. The dietary education program for older HD patients showed positive effects on boosting their self-efficacy, increasing dietary knowledge, improving dietary habits, and decreasing carbohydrate, calcium, phosphorus, and sodium intake.

Impact of the Integrative Oncology Scholars Program on Oncology Providers' Key Knowledge of Dietary Supplements and Antioxidants for Providing Evidence-based Oncology Care.

Dietary supplements are commonly used among cancer survivors. Oncology providers rarely receive training about dietary supplements. We evaluated whether e-learning modules could improve oncology providers' dietary supplement knowledge. Oncology providers participated in the National Cancer Institute funded Integrative Oncology Scholars (IOS) program. We used posttest readiness assurance tests (RAT) to measure knowledge acquisition from modules. One cohort completed a pre and posttest RAT to assess change in knowledge. Multivariate linear regression models adjusted for gender, race, profession, and years in practice were used to determine if these characteristics were associated with posttest RAT performance and change in pre to posttest RAT scores. Scholars (N = 101) included 86% (N = 87) females; age 44 ± 10years; 72% (N = 73) Non-Hispanic White; years in practice mean range 11-15 ± 10. There were 37 physicians, 11 physician assistants, 23 nurses, 21 social workers, 2 psychologists, 4 pharmacists, and 2 physical therapists. The posttest dietary supplement and antioxidant RAT scores for all Scholars were 67 ± 18% and 71 ± 14%. In adjusted models there were no significant associations between dietary supplement and antioxidant posttest RAT scores with Scholar characteristics. Change in RAT scores for dietary supplement and antioxidants were 25% ± 23 and 26% ± 27 (P < 0.0001). In adjusted models, there were no significant predictors of change in dietary supplement RATs. For antioxidant RATs, profession was associated with change in scores (P = 0.021). Improvement in Scholar's test scores demonstrate the IOS program can significantly increase oncology providers' knowledge of dietary supplements and antioxidants.

Factors associated with dietary behaviour change support in patients: A qualitative study among community nurses.

To explore which factors, influencing dietary behaviour change support among patients by Dutch community nurses (CNs; nurses), are key focal points in training programmes. Nurses have an important role in counselling patients towards healthier dietary behaviour to prevent or delay long-term complications from chronic lifestyle-related diseases. Most nurses do not incorporate dietary behaviour change support in their routines to the fullest potential. A qualitative descriptive study. Data were collected in the Netherlands in 2018-2019 via semi-structured face-to-face interviews with 18 nurses. Interview guide themes were informed by the COM-B model, using validated descriptions in Dutch. Data were recorded, transcribed and analysed using inductive thematic analysis. Factors that affected dietary behaviour change support were linked to (1) the nurse (role identity, dietary knowledge and competences such as methodical approach, behaviour change techniques and communication techniques), (2) nurse-patient encounter (building a relationship with a patient, supporting patient autonomy and tailoring the approach) and (3) cooperation and organizational context. It is of utmost importance to pay attention to nurses' role identity regarding dietary behaviour change support, as this underlies professional behaviour. This should be accompanied by improving competences on dietary behaviour change support. Focus on competences regarding the application of behaviour change technique is crucial. Furthermore, having a relationship of trust with a patient was important for discussing sensitive topics such as diet. The promotion of a healthy diet provides opportunities to contribute to patient autonomy and self-management. Well-fitted training offers for (senior) nurses will lead to improved professional practice of nurses, leading to healthier dietary behaviour of patients. A nurse provided feedback on the interview guide.

Urban-rural disparity in body mass index: is dietary knowledge a mechanism? Evidence from the China Health and Nutrition Survey 2004-2015.

The co-existence of undernutrition and overweight/obesity has been recognised as a severe challenge in China, with substantial urban-rural disparity. We evaluated short- and long-term associations of urban-rural locality on body mass index (BMI) in Chinese adults overall and stratified by sex, focusing on whether dietary knowledge plays a mediating role. We used cross-sectional and longitudinal study designs with structural equation modelling based on the 2004 (T1) and 2015 (T2) waves of the China Health and Nutrition Survey. We adjusted the models for covariates and performed sensitivity analyses. We cross-sectionally analysed 8932 (53.1% women) and 11 216 adults (54.3% women) at T1 and T2, respectively, and longitudinally investigated 4073 adults (55.6% women) in both T1 and T2. The estimated average dietary knowledge and mean BMI increased from T1 to T2. At each time point, we found significant indications of direct (e.g. urban-rural locality to BMI, urban-rural locality to dietary knowledge, and dietary knowledge to BMI) and indirect associations (e.g. urban-rural locality to dietary knowledge to BMI) overall and for men and women (except that urban-rural locality to BMI) separately. The long-term association between urban-rural locality and BMI attenuated over time and was not mediated by dietary knowledge change alone. Nevertheless, dietary knowledge interacted with BMI, which acted as a pathway from urban-rural locality to BMI in the long term. Urban-rural disparity in BMI persists in Chinese adults and is mediated by dietary knowledge. Policy and educational efforts to improve dietary knowledge among rural people may reduce China's urban-rural disparity in BMI.

The Relationship between Knowledge, Dietary Supplementation, and Sleep Quality in Young Adults after the COVID-19 Pandemic.

Sleep is one of the most important factors affecting the quality of life. More than 50% of Polish adults have sleeping disorders, and young adults are the ones particularly vulnerable to this. This is why the analysis of the predictors of sleep quality, such as sleep hygiene knowledge and dietary knowledge, in young adults is a very important topic, especially after the COVID-19 pandemic, which may have affected sleeping habits. 402 young adults (mean age 28.12 ± 6.08 years old) were enrolled in the study during the COVID-19 pandemic. Sleep quality was assessed with the Pittsburgh Sleep Quality Questionnaire, while dietary knowledge and sleep hygiene knowledge were assessed with dedicated questionnaires. The participants were also asked about the use of specific dietary supplements. The analysis showed that sleep hygiene knowledge was significantly associated with sleep length (R = -0.17, p = 0.003) and overall sleep quality (R = -0.17, p = 0.005), while dietary knowledge significantly correlated with time to fall asleep (R = -0.12, p = 0.026). The regression analysis revealed that sleep hygiene knowledge was a significant negative predictor of sleep quality impairment (β = -0.13, p = 0.028). Significant results were also obtained for the use of supplements (β = -0.20; p = 0.001) and the use of medications (β = -0.32, p = 0.001), which were negative predictors of sleep quality impairment. This study showed that increased sleep hygiene knowledge promoted improved sleep length and overall sleep quality. In addition, dietary knowledge significantly correlated with time to fall asleep. On the other hand, decreased sleep quality was observed in participants who used medications or dietary supplements.

Development of a questionnaire on nutritional knowledge for the obese hospitalized patient: the NUTRIKOB questionnaire.

Different approaches, involving different areas and figures, are useful for the rehabilitation of obese subjects through a multidisciplinary hospital path. A focal point of rehabilitation is represented by education on healthy eating by increasing the dietary knowledge patients. Few tools investigating food knowledge are available in Italy: therefore, the need has emerged to develop easy-to-use tools for clinical practice that allow to detect food knowledge to set up a more targeted food re-education. The following work aimed at building and validating a questionnaire capable of investigating the dietary knowledge of the population affected by obesity. A pool of experts carried out a review of the literature, gathering all the information necessary to select and construct the best set of questions and the format of the final project of the questionnaire. During statistical analysis the validity, reproducibility and stability of the questionnaire were investigate in a sample of 450 subjects with obesity. Early analysis disclosed that 5 questions of the original questionnaire had no discriminating power. The successive validation phases were successful, confirming good content validity, stability and reproducibility over time. The questionnaire has all the characteristics to be considered a valid tool for investigating dietary knowledge in the obese population. The psychometric tests confirmed a good internal consistency of the structure, a validity of the content, a good reproducibility and stability over time.

Associations between nutrition knowledge and obesity-related attitudes and physical activity among young adults from Kenya, South Africa, and the United Kingdom

Objective: This study’s aim was to test associations between nutrition knowledge and obesity-related attitudes and physical activity (PA) among 3000 18–35-year-old men and women from Kenya, South Africa (SA), and the United Kingdom (UK). Methods: A cross-sectional online survey was conducted in April 2022. To estimate nutrition knowledge, dietary recommendation knowledge score was computed using the standard General Nutrition Knowledge questionnaire. Obesity-related attitudes were from the British Social Attitudes Survey. Self-reported days of vigorous and moderate PAs and walking were used. Ordinal logistic regression was employed to test all associations, while adjusting for age group, gender and a household asset score. Using simple mediation, testing was also done to ascertain whether obesity-related attitudes mediated associations between nutrition knowledge and PA. Results: Consistently, better nutrition knowledge was associated with disagreeing that ‘There is no reason to worry about obesity’ (ORs ≥ 1.09), but lower odds of being against ‘Providing free weight management courses’ and ‘Creating/improving cycle paths and pavements to encourage PA’ (ORs ≤ 0.90). Better nutrition knowledge was also associated with higher vigorous PA in SA (OR = 1.09), and moderate PA (OR = 1.04) and walking (OR = 1.12) in the UK. In the combined sample, associations of nutrition knowledge with vigorous PA were fully mediated by believing that ‘Obesity results from not exercising enough’ (11.1% mediated). Likewise, associations of nutrition knowledge with moderate PA were fully mediated by attitude towards ‘Creating or improving cycle paths and pavements to encourage PA’ in the UK (38.9% mediated). Conclusions: Nutrition knowledge is associated with obesity-related attitudes and PA among young adults, but some relationships are country-specific. Interventions based on findings from high-income countries should be evaluated before being implemented in low-resource settings.

Eating habits and nutritional knowledge among amateur ultrarunners.

Many studies concerning the diet of physically active people refer to individuals who run; however, the importance of nutrition in professional and amateur sports plays a different role. This study aimed to evaluate the nutritional behavior and knowledge of amateur ultrarunners. This study involved a group of 308 respondents (89 women and 219 men) aged 18 -65. It investigated the influence of the level of knowledge about nutrition, gender, education, and smoking on dietary food habits and eating frequency. The KomPAN questionnaire was used to determine the dietary habits, diet quality, lifestyle, and nutrition knowledge of ultramarathon runners. The nutrition knowledge influenced the eating habits and frequency of specific meals expressed as the Healthy Diet Index-10 (HDI-10) and Unhealthy Diet Index-14 (UDI-14). In women with sufficient knowledge about nutrition, lower HDI-10 scores were observed compared to those with a good level of knowledge, while men did not show a similar relationship. However, the effect of smoking on the frequency of food intake in men was noted. Interestingly, male smokers had a lower UDI-14 score than non-smokers. Depending on the level of knowledge, female and male ultrarunners more often or less frequently used selected food products. In turn, no effect of education on the frequency of consumption of specific foods was observed. Such different results are most likely caused by the specificity of the study group, which consisted of amateur runners. Additionally, the study looked at general eating habits, not those employed when preparing for marathons. In the future, more respondents should be surveyed, also taking into account nutrition during training.

A Study to Assess the Nutritional Knowledge, Attitude, and Practices about Prevention of Osteoporosis among Menopausal Women

Context: Osteoporosis (fragile bones) affects millions of people and is referred to as “the health hazard” due to the serious illnesses, fatalities, adverse impacts on quality of life, and significant expenditures to both the patient and society. Only cardiovascular disorders are ranked higher by the World Health Organization as a worldwide health-care issue than osteoporosis. Aims: To assess menopausal women’s dietary knowledge, attitudes, and practices for osteoporosis prevention. Setting and Design: This study was conducted at Vantamuri Primary Health Center (PHC) and Rukmini Nagar Urban Health Center (UHC) in Belagavi with a cross-sectional design. Methodology: One hundred postmenopausal women who visited the Vantamuri PHC and Rukmini Nagar UHC in Belagavi participated in this study. A cross-sectional design with purposive sampling and a questionnaire were used to acquire the data. SPSS software was used to analyze the data. To ascertain the relationship between knowledge, attitude, and a few broad facts, a descriptive analysis was performed. Results: It indicates that 45% of the participants had moderate knowledge about osteoporosis. 86% of women showed a positive attitude toward osteoporosis. The study revealed that 85% of the participants had limited physical activity. The majority of participants were not consumed calcium and Vitamin D supplements. Conclusion: The majority of postmenopausal women who attended the respective PHC Belagavi, according to the study, have a moderate understanding of osteoporosis. Both the illness and the best ways to avoid osteoporosis are unknown to many women.

Dietary Intake and Nutritional Knowledge: Study in Haemodialysis Patients with Hypertension and Diabetes Mellitus in RUSD Dr. Saiful Anwar Malang

Hypertension and Diabetes Mellitus are the most common causes of Metabolic Syndrome, one of which leads to Chronic Kidney Disease (CKD). Risk factors associated with this condition are diet and nutritional knowledge. This study aims to determine differences in nutritional intake and nutritional knowledge in patients with kidney disease on hemodialysis who have comorbid hypertension and/or diabetes mellitus and/or both. The number of respondents in this cross-sectional study was 27 outpatients undergoing hemodialysis at RSUD Dr. Saiful Anwar Malang, taken by consecutive sampling which met the inclusion criteria. The variables studied were dietarily obtained from the SQ-FFQ and nutritional knowledge was obtained from interviews using a questionnaire form containing questions related to diet, food consumed, restricted foods, and foods to avoid. The results showed that 17 hemodialysis patients suffered from hypertension and 10 patients with hypertension and diabetes mellitus. There was no difference in dietary intake between the hypertension group and hypertension and the diabetes mellitus group (p&gt;0.05), the results of the analysis of nutritional knowledge also showed no difference between the two groups (p&gt;0.05). This study concluded that hemodialysis patients who experienced hypertension and hypertension with Diabetes Mellitus did not show differences in dietary intake and nutritional knowledge.

The influence of nutrition literacy, self-care self-efficacy and social support on the dietary practices of breast cancer patients undergoing chemotherapy: A multicentre study.

Breast cancer patients undergoing chemotherapy experience adverse reactions, which lead to poor nutritional status. The objective of this study was to explore the dietary practice of Chinese breast cancer patients undergoing chemotherapy and to analyse the influence of nutrition literacy, self-care self-efficacy and perceived social support on dietary practice. A total of 295 participants from three hospitals in China were enrolled. The Dietary Nutritional Knowledge, Attitude and Practice Questionnaire; Nutrition Literacy Measurement Scale for Chinese Adults; Strategies Used by People to Promote Health and Perceived Social Support Scale were administered. Multiple linear regressions were used to identify influencing factors. The dietary practice of patients were generally satisfactory. Nutrition literacy (r=0.460, p<0.001), self-care self-efficacy (r=0.513, p<0.001) and perceived social support (r=0.703, p<0.001) were positively correlated with dietary practice. The main factors influencing participants' dietary practice were nutrition literacy, self-care self-efficacy, perceived social support, living environment, cancer stage, body mass index, chemotherapy cycle and average monthly household income (all p<0.05). The model explained 59.0% of the variance in dietary practice. Health professionals should emphasize breast cancer patients' dietary practice throughout the entire chemotherapy course, and dietary interventions should be designed by oncology nurses based on patients' nutrition literacy, self-care self-efficacy and perceived social support. Female patients who have a higher body mass index and income, live in rural areas, have a lower education level, have stage I cancer and have undergone numerous chemotherapy cycles are the focus population of intervention.

"ADHERENCE TO THE MEDITERRANEAN DIET IN MEDICAL STUDENTS".

The protective effect of the Mediterranean Diet (MeDi) is undisputed. However, adherence to MeDi has decreased in recent years, particularly in young people. The aim of this study was to evaluate adherence to MeDi in medical students and to assess the influence of knowledge acquisition as well as other factors on dietary compliance. A cross-sectional study was conducted on medical students. The data were obtained through anonymous surveys that collected demographic characteristics, medical history, alcohol and tobacco consumption, physical activity and adherence to MeDi - using 14-point Mediterranean Diet Adherence Score (MEDAS)-. Adherence to MeDi and related factors were evaluated by univariate and multivariable analysis. Medical students from the first to the sixth year of the 2018-2019 academic year. The study was conducted at the university of Las Palmas de Gran Canaria. Of 589 respondents (73% women) mean aged 22 years (range 18 to 39), 58.9% showed good adherence to MeDi. Adherence was significantly associated with age (p=0.017) but not with sex or the presence of comorbidities. Independently, adherence to MeDi was higher in last academic courses (OR=2.1; 95% CI=1.3-3.2; p=0.001), in those who consumed alcohol more frequently (OR=1.5; 95% CI=1.0-2.1; p=0.039) and in those who practiced more exercise (OR=1.5; 95% CI=1.2-1.9; p<0.001). Half of all medical students did not have a good adherence to MeDi. Adherence was higher at older age, in higher academic years and related to greater physical activity. It would be convenient to quantify dietary knowledge as well as implement nutritional educational programs, favoring a healthy lifestyle.

“I am not really into the government telling me what I need to eat”: exploring dietary beliefs, knowledge, and practices among ethnically diverse communities in England

BackgroundCommunities with diverse ethnicity in high-income countries are disproportionately affected by poor diet-related health outcomes. In England, the United Kingdom’s government’s healthy eating dietary resources are not well accepted and are underutilised among this population. Thus, this study explored perceptions, beliefs, knowledge, and practices around dietary intake among communities with African and South Asian ethnicity residing in Medway, England.MethodsThis qualitative study generated data from 18 adults aged 18 and above using a semi-structured interview guide. These participants were sampled using purposive and convenience sampling strategies. All the interviews were conducted in English over the telephone, and responses were thematically analysed.ResultsSix overarching themes were generated from the interview transcripts: eating patterns, social and cultural factors, food preferences and routines, accessibility and availability, health and healthy eating, and perceptions about the United Kingdom government’s healthy eating resources.ConclusionThe results of this study indicate that strategies to improve access to healthy foods are required to improve healthy dietary practices among the study population. Such strategies could help address this group’s structural and individual barriers to healthy dietary practices. In addition, developing a culturally responsive eating guide could also enhance the acceptability and utilisation of such resources among communities with ethnic diversity in England.

Intervention Compliance of Diet and Fluids to Interdialytic Weight Gain in Patients with Chronic Kidney Disease Undergoing Hemodialysis: A Systematic Review

ABSTRACT&#x0D; Background: Increased fluid as manifested by weight gain in patients with chronic kidney failure hemodialysis programs have a risk impact on fluid accumulation, cardiovascular disorders, hypertension, cognitive impairment, increased hospital stay and death. The low adherence to the diet program is one of the factors causing the interdialyst weight gain value to increase.&#x0D; Objective: To find out the interdialyst weight gain intervention that has been carried out in previous research to improve diet adherence in chronic kidney failure patients with a hemodialysis program.&#x0D; Method :This study studied literature using the PRISMA method, search techniques using PICO from the PuBmed database, Google Scolar, ProQuest, Science Direc, SAGE journals with the keywords chronic kidney failure, hemodialysis, interdialyst weight gain, diet adherence with established inclusion and inclusion criteria. Assess and analyze the quality of the methodology in each study using The Joanna Briggs Institute (JBI) Critical Appraisal Checklist for quasi-experimental.&#x0D; Results: Of the 10 articles reviewed, the journal quality analysis uses analysis from The Joanna Briggs Institute (JBI) according to the criteria of at least 50% meeting the critical appraisal criteria which are then included in the data synthesis. Those 10 articles in the last screening achieved scores higher than 50%. It was found that the interdialyst weight gain intervention proved to be influential in increasing the diet adherence of chronic kidney failure patients with the hemodialysis program. The form of this intervention is fluid management calendar IDWG calculator,smartphone-based health education and reminders.&#x0D; Conclusion: the value of interdialyst weight gain is influenced by dietary adherence in chronic kidney failure patients. Family support is expected to play an active role in dietary compliance, knowledge level, activity control and thirst can be managed properly so that the interdialyst weight gain remains within normal limits.&#x0D; &#x0D; &#x0D;

Dietary knowledge assessment among the patients with type 2 diabetes in Madinah: A cross-sectional study

Background: There is a huge burden of nutrition-related non-communicable diseases, and diabetes is one of the leading chronic nutrition-related diseases affecting more than 500 million people globally. Collecting information regarding the awareness of dietary and nutrition knowledge among diabetic patients is the first step to developing a disease prevention program. Thus, this study primarily aims at assessing the dietary awareness of diabetes patients attending the diabetic centre in Madinah governorate, Saudi Arabia. Methods: The study was started in November 2020 and ended in October 2021. The study participants (315) were type 2 diabetes mellitus (T2DM) patients attending a diabetic centre in Madinah, Saudi Arabia. A self-prepared dietary knowledge questionnaire (DKQ) was used in this research. The variables include balanced diet, food type, food choice, carbohydrate, protein, and fat. Knowledge score was, and the total score was leveled/categorized into ‘good’, ‘average’, and ‘poor’. Data were analyzed by SPSS v.26. Results: The study results identified the current knowledge of T2DM patients about different dietary items. The knowledge score of 62.2% of participants showed an average level of dietary knowledge, which is statistically significant. When we separately evaluated their understanding of different dietary components, we found that T2DM patients had poor knowledge of carbohydrates (30.15%), fat, food choices (47.7%), and type (34.6%). However, they had acceptable knowledge of proteins (56.5%). Conclusion: Our participants exhibited acceptable knowledge about proteins but poorer knowledge of other food groups. A healthy, well-balanced diet is essential for excellent glycaemic control. It is recommended to educate and arrange a health education program regarding dietary knowledge, specially designed for diabetic patients so that patients can opt for a healthier lifestyle.

Effect Of Health Education Model BASNEF On Knowledge And Compliance With Hypertension Diet In Elderly With Hypertension

Hypertension is a disease that mostly affects the elderly, this is due to unhealthy lifestyle changes, easy fast food, and excessive salt and fat consumption. Poor knowledge and adherence to the hypertension diet make the elderly not follow the hypertension diet properly. This study aimed to analyze the effect of the BASNEF model of health education on dietary knowledge and adherence in elderly people with hypertension. This study used Quasi-experimental one group pre-test and post-test design. The study population was elderly with hypertension taken by purposive sampling method, a total of 40 people with the criteria of being able to read, carry out activities independently, and live with family. The instrument used to measure variables is a questionnaire and data were analyzed using the Wilcoxon test. The average value obtained for knowledge of the hypertension diet increased by 14.78 and adherence to the hypertension diet also experienced an increase in the average value of 44.53. The results of the Wilcoxon test showed that there was an effect of the BASNEF model of health education on knowledge and adherence to the hypertension diet in elderly people with hypertension which was significant with p&lt;0.05. The BASNEF method of health education can be an alternative to increasing knowledge and adherence to hypertension among elderly people in the community.

Prevalence of dietary supplement use and knowledge, attitudes, practice (KAP) and associated factors in student population: A cross-sectional study

Dietary supplements (DSs) intake has been increasing worldwide despite no consensus evidence for the efficacy and safety of disease prevention, control, or treatment in nutrient-replete populations. This study aimed to determine the prevalence of DSs use, knowledge, attitude, and practice (KAP) and associated factors among university students in Jordan. A national cross-sectional study was carried over across universities in Jordan. Participants completed a valid and reliable online questionnaire (Cronbach's alpha = 0.802 and correlation coefficients between 0.72 and 0.26). Univariate analyses were used to determine the relationship between variables. Multivariable regression was carried out to identify significant factors contributing DSs usage. A total of 448 university students completed the study (73.7% females). More than half of the students used DSs (60.9%), with single-nutrient ingredient supplements being the most commonly used type. The primary motivators were maintaining health and most students reported no side effects associated with consumption. The results revealed poor knowledge, a negative attitude towards DSs usage among all participants, even non-users, and high-risk practices among the DSs users. Normal weight and overweight individuals were more likely to use DSs (OR:2.88, 95%CI:1.61–5.16, OR:1.95, 95%CI:1.01–3.79, respectively). Low and medium-family income categories were more likely to use DSs than those in the high-income category (OR: 0.04, 95%CI: 0.02–0.07, OR: 0.06, 95CI:0.03–0.11, respectively). Undergraduate students were more likely to use DSs than postgraduate students (OR:5.56, 95%CI:3.19–9.69). In this study, a high prevalence of DSs use was highlighted. The results suggest that nutrition education is required to improve awareness of DSs and to promote safe practices.

The effect of nutritional and lifestyle education intervention program on nutrition knowledge, diet quality, lifestyle, and nutritional status of Croatian school children

IntroductionNutrition education during adolescence has proven effective in increasing knowledge, attitudes, and practices in the diet. The Mediterranean diet has proven health benefits and is proposed as a model of a sustainable diet that is beneficial for health and the environment. Its promotion with the educational program can have a significant effect on improvements in nutrition knowledge, diet quality, and nutritive status of adolescents for their healthy adulthood.ObjectiveThis study aimed to investigate the effect of the educational program on the nutrition knowledge, diet quality, lifestyle, and nutritional status of school children from the littoral part of Croatia.MethodsAn education-based intervention study was carried out on 2,709 schoolchildren aged 10–12 years (educated/control group: 2617/92). The questionnaire about sociodemographic, anthropometric, dietary, physical activity, screen time, sleep habits, and nutrition knowledge was assessed at the baseline and after a 6- to 9-month follow-up for the medium-term effect of education. Nutrition knowledge was provided after 3 weeks for the short-term education effect assessment.ResultsEducated schoolchildren achieved a significant increase in nutrition knowledge (+75.5%), expressed as a short-term effect of the education and maintained at the 6- to 9-month follow-up (+66.8%, p &amp;lt; 0.001). Follow-up of children significantly improved their nutritional status (underweight −56.6%, normal weight 24.8%, overweight −22.1%, and obesity −57.5%) and physical activity engagement (+13.2%). The proportion of children with a diet highly adhering to the Mediterranean diet significantly doubled (+105.0). Those children with the highest nutrition knowledge at the follow-up significantly improved their nutritional status (+218.9%), participated in organized sports (+204.7%), and had a diet that highly adhered to the MD (+291.8%).ConclusionA significantly good medium-term effect of education-based nutrition and lifestyle intervention program on nutrition knowledge, diet quality, lifestyle, and nutritional status of schoolchildren aged 10–12 years was shown. The educational program promoted a Mediterranean diet and lifestyle as a healthy and sustainable way of living, important for children's future health and wellbeing. New research-based approaches are needed for making children more aware and capable of handling the complexity of sustainable living.