Assessing Nutritional Knowledge, Attitudes and Practices and Body Mass Index of Adolescent Residents of Orphanage Institutions in Selangor and Malacca
DOI:
https://doi.org/10.3923/pjn.2017.406.411Keywords:
Attitude and practice, body mass index, malnutrition, nutrition knowledge, orphansAbstract
Background and Objective: Orphaned children face an increased risk of being malnourished. This study was aimed to explore knowledge and attitudes towards nutrition as well as nutritional practices and Body Mass Index (BMI) of adolescent residents of orphanages. Methodology: Five orphanage institutions in Selangor and Malacca were chosen for this study and 85 adolescents aged 13-18 years old were enrolled. Questionnaires concerning nutritional knowledge were administered in face-to-face interviews to prevent bias and to ensure questionnaire completion. Results: The results showed that out of the 85 subjects, 80% were orphans and 20% non-orphans. The majority of respondents were of normal weight (61.2%), while 2.4 and 4.7% were thin and severely thin, respectively. Meanwhile, 16.5% of subjects were overweight and 15.3% were obese. Fewer than 20% of respondents (14/85) were scored as having a good level of nutritional knowledge score but more than half had nutrition attitude and practice scores within the good range. Although no significant correlation was found between nutrition knowledge and attitude (rp = -0.043, p = 0.694) or knowledge and practice (rp = -0.222, p = 0.148), there was significant correlation between nutrition attitude and practice (rp=0.295, p = 0.006). Conclusion: Less than half of the total respondents obtained a good score for nutritional knowledge but the majority of the participants scored at the good level for attitude and practice. Although most respondents scored at the good level for nutritional practice, this outcome was not reflective of the situation as a whole, particularly given the poor scores for exercise and breakfast practices.
References
Unicef, 2015. Orphans. http://www.unicef.org/media/media_45279.html.
Unicef, 2013. Africas orphaned generations. http://www.unicef.org/sowc06/pdfs/africas_orphans.pdf.
WHO., 2007. Community-based management of severe acute malnutrition. Severe Acute Malnutrition Contributes to 1 Million Deaths Every Year, World Health Organization, http://www.who.int/nutrition/topics/statement_commbased_malnutrition/en/.
Aboud, F., M. Samuel, A. Hadera and A. Addus, 1991. Intellectual, social and nutritional status of children in an Ethiopian orphanage. Soc. Sci. Med., 33: 1275-1280.
Yendork, J.S. and N.Z. Somhlaba, 2014. Stress, coping and quality of life: An exploratory study of the psychological well-being of Ghanaian orphans placed in orphanages. Children Youth Serv. Rev., 4: 28-37.
Thompson, J.L., M.M. Manore and L.A. Vaughan, 2008. The Science of Nutrition. Pearson Education, San Francisco.
O'Dea, J.A. and R. Wilson, 2006. Socio-cognitive and nutritional factors associated with body mass index in children and adolescents: Possibilities for childhood obesity prevention. Health Educ. Res., 21: 796-805.
Panpanich, R., B. Brabin, A. Gonani and S. Graham, 1999. Are orphans at increased risk of malnutrition in Malawi? Ann. Trop. Paediatr., 19: 279-285.
Sadik, A., 2010. Orphanage children in Ghana: Are their dietary needs met? Pak. J. Nutr., 9: 844-852.
Vaida, N., 2013. Nutritional status of children living in orphanages in district Budgam, J&K. Int. J. Humanities Soc. Sci. Invention, 2: 36-41.
Watts, H., S. Gregson, S. Saito, B. Lopman, M. Beasley and R. Monasch, 2007. Poorer health and nutritional outcomes in orphans and vulnerable young children not explained by greater exposure to extreme poverty in Zimbabwe. Trop. Med. Int. Health, 12: 584-593.
He, Z. and C. Ji, 2007. Nutritional status, psychological well-being and the quality of life of AIDS orphans in rural Henan Province, China. Trop. Med. Int. Health, 12: 1180-1190.
Pirouznia, M., 2001. The association between nutrition knowledge and eating behavior in male and female adolescents in the US. Int. J. Food Sci. Nutr., 52: 127-132.
O'Dea, J.A. and S. Abraham, 2001. Knowledge, beliefs, attitudes and behaviors related to weight control, eating disorders and body image in Australian trainee home economics and physical education teachers. Soc. Nutr. Educ., 33: 332-340.
Hall, A., V. Tuffrey, T. Kassa, T. Demissie, T. Degefie and S. Lee, 2010. Case-control analysis of the health and nutrition of orphan schoolchildren in Ethiopia. Trop. Med. Int. Health, 15: 287-295.
Aggarwal, A., P. Monsivais, A.J. Cook and A. Drewnowski, 2013. Positive attitude toward healthy eating predicts higher diet quality at all cost levels of supermarkets. J. Acad. Nutr. Dietetics, 114: 266-272.
Sichert-Hellert, W., L. Beghin, S.D. Henauw, E. Grammatikaki and L. Hallstrom et al., 2011. Nutritional knowledge in European adolescents: Results from the Helena (healthy lifestyle in europe by nutrition in adolescence) study. Public Health Nutr., 14: 2083-2091.
Jatau, A.A., 2014. Effect of nutrition education programme on food-related-knowledge and attitudes of literate women in Pankshin Community, Nigeria. Int. Lett. Soc. Humanistic Sci., 8: 18-27.
Koch, S., T.M. Waliczek and J.M. Zajicek, 2006. The effect of a summer garden program on the nutritional knowledge, attitudes and behaviors of children. HortTechnology, 16: 620-625.
Chee, Y.F., W.K.Y. Roseline and S.B. Sabariah, 2008. Weight status and dietary intake among female children and adolescents aged 6-17 years in a welfare home, Kuala Lumpur. Malaysian J. Nutr., 14: 79-89.
Serene, T.E., S. Shamarina and N.M.T. Mohd, 2011. Familial and socio-environmental predictors of overweight and obesity among primary school children in Selangor and Kuala Lumpur. Malaysian J. Nutr., 17: 151-162.
O'Brien, G. and M. Davies, 2007. Nutrition knowledge and body mass index. Health Educ. Res., 22: 571-575.
Thakur, N. and F. D'Amico, 1999. Relationship of nutrition knowledge and obesity in adolescence. Fam. Med., 31: 122-127.
Shah, P., A. Misra, N. Gupta, D.K. Hazra and R. Gupta et al., 2010. Improvement in nutrition-related knowledge and behaviour of urban Asian Indian school children: Findings from the medical education for children/Adolescents for realistic prevention of obesity and diabetes and for healthy aGeing' (MARG) intervention study. Br. J. Nutr., 104: 427-436.
Martens, M.K., P. van Assema and J. Brug, 2004. Why do adolescents eat what they eat? Personal and social environmental predictors of fruit, snack and breakfast consumption among 12-14-year-old Dutch students. Public Health Nutr., 8: 1258-1265.
Lake, A.A., A.J. Rugg-Gunn, R.M. Hyland, C.E. Wood, J.C. Mathers and A.J. Adamson, 2004. Longitudinal dietary change from adolescence to adulthood: Perceptions, attributions and evidence. Appetite, 42: 255-263.
Rampersaud, G.C., M.A. Pereira, B.L. Girard, J. Adams and J.D. Metzl, 2005. Breakfast habits, nutritional status, body weight and academic performance in children and adolescents. J. Am. Diet. Assoc., 105: 743-760.
Hoyland, A., L. Dye and C.L. Lawton, 2009. A systematic review of the effect of breakfast on the cognitive performance of children and adolescents. Nutr. Res. Rev., 22: 220-243.
Kapantais, E., E. Chala, D. Kaklamanou, L. Lanaras, M. Kaklamanou and T. Tzotzas, 2011. Breakfast skipping and its relation to BMI and health-compromising behaviours among Greek adolescents. Public Health Nutr., 14: 101-108.
Poh, B.K., T.B.L. Kathryn, S.N. Wong and E.S. Tee, 2012. Nutritional status, dietary intake patterns and nutrition knowledge of children aged 5-6 years attending kindergartens in the klang valley, Malaysia. Malaysian J. Nutr., 18: 231-242.
Hearty, A.P., S.N. McCarthy, J.M. Kearney and M.J. Gibney, 2007. Relationship between attitudes towards healthy eating and dietary behaviour, lifestyle and demographic factors in a representative sample of Irish adults. Appetite, 48: 1-11.
Ruzita, A.T., H.C. Koo and B.K. Poh, 2015. Assessment of knowledge, attitude and practice towards whole grains among children aged 10 and 11 years in Kuala Lumpur, Malaysia. Int. J. Food Sci., 4: 171-177.
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