scholarly journals Knowledge, Attitude and Practices (KAP) of Sugar Sweetened Beverages (SSBs) Amongst Adolescents in Malaysian Secondary Schools: A cross-Sectional Study

2020 ◽  
Author(s):  
NUR ISLAMI MOHD FAHMI TENG ◽  
Norsham Juliana Nordin ◽  
Nur Liyana Izlin Mohamad Rodi ◽  
Nur Zulaikha Semaon

Abstract Background: This study aims to examine the level of knowledge, attitude and practices (KAP) of adolescents towards sugar-sweetened beverages (SSB) together with the associated factors that determines their KAP. Methods: This is a cross-sectional study. Data was collected using self-administered questionnaires that consisted of sociodemographic, the KAP for the SSB questionnaire, and the BEVQ questionnaire. The respondents’ height, weight, waist circumference and body fat percentage were measured. This study involved 439 adolescents (with a 97.6% response rate), aged between 13 to 17 years old, in public secondary schools in Selangor, Malaysia. Results: The results reveal that 35% of the adolescents were overweight, 26% had a high waist circumference, and 45% had a high body fat percentage. Caffeinated drinks and full cream milk were the most frequently consumed SSBs. The KAP score revealed a high attitude (88.4%), a moderate knowledge (51.8%) and a low practice (40.5%). Those with a higher body fat percentage showed significantly higher attitude scores (p<0.05). Low household income groups (adjusted OR=0.51; 95% CI=0.26-0.99), females (adjusted OR=0.41, 95% CI=0.27-0.62), adolescents aged 16-17 years old (adjusted OR=0.44, 95% CI=0.22-0.85), and urban areas (adjusted OR=1.78, 95% CI=1.16-2.72) demonstrated a significant (p<0.05) positive determinant towards the KAP score. Conclusion: This study revealed that high awareness of negative health outcomes associated with SSBs among adolescents was not in accord with the level of their lifestyle choices. Future interventions must consider this critical situation so that any knowledge being transferred to the adolescents can be translated into their own practices.

Nutrients ◽  
2020 ◽  
Vol 12 (12) ◽  
pp. 3617
Author(s):  
Nur Islami Mohd Fahmi Teng ◽  
Norsham Juliana ◽  
Nur Liyana Izlin ◽  
Nur Zulaikha Semaon

This study aims to examine the level of knowledge, attitude and practices (KAP) of adolescents towards sugar-sweetened beverages (SSB), together with the associated factors that determine their KAP. Data were collected using self-administered questionnaires that consisted of sociodemographic, the KAP for the SSB questionnaire, and the Beverage Intake Questionnaire (BEVQ). The respondents’ heights, weights, waist circumferences and body fat percentages were measured. This study involved 439 adolescents aged between 13 and 17 years old, in public secondary schools in Selangor, Malaysia. The results reveal that 35% of the adolescents were overweight, 26% had a high waist circumference, and 45% had a high body fat percentage. Caffeinated drinks and full cream milk were the most frequently consumed SSBs. The KAP score revealed a good attitude (88.4%), a moderate knowledge (51.8%) and a poor practice (40.5%). Those with a higher body fat percentage showed significantly good attitude scores (p < 0.05). Low household income groups, females, adolescents aged 16–17 years old and being from an urban area demonstrated a significant (p < 0.05) positive determinant towards the KAP score. In conclusion, high awareness of negative health outcomes associated with SSBs among adolescents was not in accordance with the level of their lifestyle choices.


2020 ◽  
Vol 9 (12) ◽  
pp. 3873
Author(s):  
José Ignacio Martínez-Montoro ◽  
María Molina-Vega ◽  
Maite Asenjo-Plaza ◽  
María Concepción García-Ruiz ◽  
Enrique Varea-Marineto ◽  
...  

Obesity is associated with decreased circulating testosterone levels, the main male sex hormone. However, there are a number of different male sex hormones whose dynamics remain poorly understood regarding this pathology. In this regard, 17 hydroxyprogesterone (17-OH progesterone), as an important precursor of testosterone synthetized in testes and adrenal glands, could play an essential role in testosterone deficiency in male obesity. Moreover, similarly to testosterone, 17-OH progesterone could be closely associated with visceral fat distribution and metabolic dysfunction. Thus, the aim of this study was to assess serum 17-OH progesterone levels in non-diabetic obese young men and to evaluate their relationship with clinical, analytical, and anthropometric parameters. We conducted a cross-sectional study including 266 non-diabetic men with obesity (BMI ≥ 30 kg/m2) aged 18–49 years; 17-OH progesterone and total testosterone (TT) were determined by high-performance liquid chromatography mass spectrometry. 17-OH progesterone levels were significantly lower in tertile 3 of body fat percentage in comparison with tertile 1 (0.74 ng/mL vs. 0.94 ng/mL, p < 0.01; Bonferroni correction) and in comparison with tertile 2 (0.74 ng/mL vs. 0.89 ng/mL, p = 0.02; Bonferroni correction). 17-OH progesterone levels correlated negatively with weight, BMI, waist circumference, insulin, homeostatic model assessment of insulin resistance (HOMA-IR), and visceral fat, and positively with TT, free testosterone (FT), luteinizing hormone, and fat-free mass percentage. Multivariate linear-regression analysis showed that body fat percentage and HOMA-IR were inversely associated with 17-OH progesterone levels, while FT and ACTH were positively linked to circulating 17-OH progesterone levels. In conclusion, in a population of non-diabetic obese young men, 17-OH progesterone levels were inversely associated with adiposity. Body fat percentage and insulin resistance were negatively related to 17-OH progesterone levels, whereas FT and ACTH levels were positively associated with 17-OH progesterone levels.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Tatsuya Ishige ◽  
Hiroshi Odaguchi ◽  
Toshihiko Hanawa

Shofuku-fujin is an abnormal physical finding in Kampo medical practice. It is assumed to be often found in the elderly and contributes to the selection of Kampo formulas used mainly in elderly patients. However, few objective reports about Shofuku-fujin have been published to date. The aim of this study was to clarify the clinical features of patients showing Shofuku-fujin by using bioelectrical impedance analysis (BIA) and to objectively assess the potential clinical implications of these findings. We conducted a cross-sectional study of 1330 patients who visited our institute to undergo a medical examination by using data collected from September 2010 to March 2016. We extracted data on patient sex and age, anthropometric data, and body composition data that could potentially affect the appearance of Shofuku-fujin. Logistic regression analyses were performed by sex to analyze the various factors related to the appearance of Shofuku-fujin. Of the 1330 patients, the data of 386 men and 942 women were used for analysis. Multivariate logistic regression analysis showed that Shofuku-fujin was associated with older age (odds ratio (OR), 1.07; 95% confidence interval (CI), 1.05–1.10; p  < 0.001), lower skeletal muscle mass index (SMI) (OR, 0.60; 95% CI, 0.43–0.85; p  = 0.004), and lower body fat percentage (OR, 0.89; 95% CI, 0.85–0.93; p  < 0.001) in men and older age (OR, 1.06; 95% CI, 1.04–1.07, p  < 0.001) and lower body fat percentage (OR, 0.94; 95% CI, 0.92–0.96; p  < 0.001) in women. On the basis of these results, the factors causing the appearance of Shofuku-fujin were aging, decreased muscle mass, and decreased body fat in men and aging and decreased body fat in women. Our results demonstrated that it may be better to consider a loss of muscle mass when examining a male patient with Shofuku-fujin.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Worapaka Manosroi ◽  
Pichitchai Atthakomol

Abstract Background Excess aldosterone has been shown to be associated with obesity; however, there is currently a lack of data regarding the relationship between percentage of body fat and primary aldosteronism (PA), particularly pertaining to Asian populations. Furthermore, essential hypertension may mimic the condition of PA and there needs to be differentiation between the two. This study aimed to assess the association between percentage of body fat and PA. Methods A cross-sectional study was conducted in the outpatient department of the Endocrine and Metabolism Unit of the tertiary care medical center in Thailand. Data was obtained from 79 patients who had been screened for PA due to hypertension in young-onset, hypokalemia, adrenal incidentaloma or resistance hypertension. Essential hypertension was defined as patients who had high blood pressure and were negative for PA screening. Body fat percentage was assessed by bioelectrical impedance analysis. The relationship between percentage of body fat and a diagnosis of PA was assessed using logistic regression analysis, including adjustment for confounding factors. Results The participants were divided into a PA group (n = 41) and an essential hypertension group (n = 38). After controlling for confounding variables (age, sex, body mass index, cholesterol and insulin resistance status), the odds ratio of having PA in males with a percentage of body fat > 25% and females with percentage > 30% was 1.82 (95%CI = 1.79–1.86, p < 0.001). Conclusion A higher percentage of body fat is associated with an increased risk of PA. Further studies need to be conducted to confirm the relationship between body fat percentage and PA.


2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Ruth B. Quiliche Castañeda ◽  
Josué Turpo-Chaparro ◽  
Jesús Hanco Torres ◽  
Jacksaint Saintila ◽  
Percy G. Ruiz Mamani

The university represents a critical space for students in terms of prevalence of malnutrition. The objective of this study was to determine the body mass index (BMI), body fat percentage (% BF), waist circumference (WC), and anemia in university students. A cross-sectional study was carried out in 2,285 university students from Lima, Peru. The sample was selected by nonprobability convenience sampling. Anthropometric data and hemoglobin levels were measured. The Chi-square test was used. The analysis of the associated factors was done using binary logistic regression. A significance level of 5% was considered. There were no significant differences between men and women in BMI ( p > 0.05 ). The men presented significantly high and very high levels of % BF ( p < 0.001 ). The proportion of women who presented anemia and high and very high WC was significantly higher compared to men ( p < 0.001 ). Being older than 27 years (ORB = 2.07; 95% CI = 1.19–3.6), being male (ORB = 2.68; 95% CI = 2.02–3.55), studying at the engineering faculty (ORB = 1.39; 95% CI = 1.09–1.79), having excess body fat (ORB = 8.17; 95% CI = 6.13–10.87), and having an elevated WC (ORB = 35.51; 95% CI = 25.06–50.33) significantly predicted overweight/obesity. The findings of this study suggest that college students, especially males and those who are not enrolled in health sciences colleges, should be a priority in healthy lifestyle interventions, particularly nutritional education programs, to reduce the prevalence of overweight and obesity.


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