scholarly journals ASSOCIATION BETWEEN KNOWLEDGE, ATTITUDE, AND PRACTICE ABOUT DIETARY FIBRE INTAKE AND TYPE 2 DIABETES AMONG RURAL PEOPLE IN TERENGGANU, MALAYSIA

2021 ◽  
Vol 21 (2) ◽  
pp. 338-347
Author(s):  
San San Oo ◽  
Myat Moe Thwe Aung ◽  
CHARAN KISHOR SHETTY ◽  
Mohd Salami Ibrahim ◽  
Nyi Nyi Naing ◽  
...  

Awareness of the dietary fibre intake (DF) and its importance in prevention and management of type 2 diabetes mellitus (T2DM) among rural people is seldom reported in Malaysia. This study aimed to determine the knowledge, attitude, and practice (KAP) of DF intake and their association with type 2 diabetes mellitus (T2DM) among rural people in Terengganu, Malaysia. A community-based cross-sectional study was carried out among the households in Kampung Jati, Kuala Nerus, Terengganu, Malaysia from 29th December 2019 until 20th February 2020. The village has 524 houses, the data was collected from all available and eligible subjects in each household by completed socio-demographic, validated KAP on DF intake questionnaire, as well as a 24-hour dietary recall using a self-administered questionnaire. In our study of 396 respondents, 208 (52.5%) were men. The mean age of participants was 37.85 (15.13). Most of the subjects were Malay 384 (97.0%), employed 207 (52.3%) and 274 (69.2%) attained high level of education (from tertiary school level). However, only 170 (42.9%) had a high family income which was of >RM 3860 per month. Out of 396 respondents, 157 (39.6%) of them had family history of diabetes mellitus. Respondents had moderate knowledge (39.1%), positive attitude (88.1%) and good practice (59.3%) scores towards DF intake. Among the respondents, only 39.1% of total respondents knew the nationally recommended amount of daily fibre intake which is of 20-30 grams per day. With multivariable analysis using multiple logistic regression, the analysis results revealed that age (adjusted OR: 1.11, 95% CI: 1.08, 1.15; p <0.001), having family history of T2DM (adjusted OR: 6.81, 95% CI: 2.75, 16.84; p <0.001) and having total attitude scores (adjusted OR: 0.84, 95% CI: 0.76, 0.93; p <0.001) were found to be adjusted significant associated factors of T2DM among the respondents after controlling confounders. Public health authorities should raise awareness on health benefit of consuming dietary fibre to promote an increase in consumption which can help in prevention and management of chronic diseases among rural population of Malaysia.

2021 ◽  
Vol 9 (E) ◽  
pp. 161-166
Author(s):  
Jilan Fachirah ◽  
Mutiara Indah Sari

Abstract BACKGROUND: Diabetes mellitus (DM) is a condition of increase in blood glucose levels, due to impaired synthesis and/or secretion of insulin. Family history of DM is one of the non-modifiable risk factors for someone to suffering DM. Individual knowledge, attitude, and practice towards DM also affects a person to suffering DM. AIM: This study aims to determine the relationship between family history of type 2 diabetes mellitus (T2DM) and knowledge, attitude, and practice regarding T2DM among medical students at the Universitas Sumatera Utara. METHODS: This study was an online questionnaire-based observational study. It was involved 370 medical students from batches of 2017, 2018, and 2019 at the Universitas Sumatera Utara during the period from April-October 2020. Data was collected using a questionnaire containing questions and statements regarding knowledge, attitude, and practice of respondents towards T2DM. The questionnaire also contains questions about respondents' family history of T2DM. The relationship between family history of T2DM and knowledge, attitude, and practice toward T2DM among medical students in the Universitas Sumatera Utara were analyzed using the Chi Square test, with SPSS version 24. RESULTS: From the 370 Universitas Sumatera Utara medical students were being respondents in this study, it was shown that good and poor knowledge scores toward T2DM were 50.8% and 49.2% respectively. The attitude scores were 53.5% and 46.5% respectively. The practice scores were 47.8% and 52.2% respectively. There were 197 students (53.2%) who have a family history of suffering from T2DM and 173 students (46.8%) did not have. The results of the analysis test between data showed that there was a significant relationship between a family history of T2DM with knowledge of T2DM (p = 0.002, RP = 1.921, 95% CI = 1.270-2.906), attitudes (p = 0.005, RP = 1.815, 95% CI = 1.200-2.745) and practice (p = 0.001, RP = 2.092, 95% CI = 1.380-3.173). CONCLUSION: In this study it is shown that the medical students have good knowledge and attitudes towards T2DM but it’s not in line with practice. A family history of T2DM is a factor that influences behavior, attitude, and practice towards T2DM in medical students at the Universitas Sumatera Utara.  


Diabetologia ◽  
2012 ◽  
Vol 55 (10) ◽  
pp. 2646-2654 ◽  
Author(s):  
G. Hindy ◽  
E. Sonestedt ◽  
U. Ericson ◽  
X.-J. Jing ◽  
Y. Zhou ◽  
...  

2013 ◽  
Vol 17 (8) ◽  
pp. 1858-1864 ◽  
Author(s):  
Luxi Yang ◽  
Le Shu ◽  
Junyi Jiang ◽  
Hua Qiu ◽  
Genming Zhao ◽  
...  

AbstractObjectiveDietary fibre has been linked to lower levels of glycosylated haemoglobin A1c (HbA1c) among diabetes patients. The present study aimed to evaluate the long-term effect of dietary fibre on HbA1c levels among Chinese patients with type 2 diabetes mellitus.DesignTwo cross-sectional surveys were conducted in 2006 and 2011, with the second one being a repeat survey on a sub-sample from the initial one. In both surveys, an in-person interview was conducted to collect information on demographic characteristics and lifestyles following a similar protocol. Dietary intake was assessed with a validated FFQ. Anthropometric measures and biochemical assays were performed at the interview.SettingCommunities in Pudong New Area of Shanghai, China.SubjectsChinese patients (n 934) with type 2 diabetes mellitus.ResultsAn inverse association was observed between dietary fibre and glycaemic status indicated by HbA1c level in both surveys, although it was significant only in the first survey. Among 497 patients participating in both surveys, dietary fibre intake at the first survey was inversely associated with uncontrolled glycaemic status at the second survey, with adjusted odds ratios across the tertiles of intake being 1·00, 0·72 (95 % CI 0·43, 1·21) and 0·58 (95 % CI 0·34, 0·99; Ptrend = 0·048). The change in fibre intake was slightly associated with glycaemic status, with each increase in tertile scores of intake linked to a 0·138 % (β = −0·138; 95 % CI −0·002, 0·278) decrease in HbA1c value and a 19 % (OR = 0·81; 95 % CI 0·65, 1·02) reduced risk of uncontrolled glycaemic status at the second survey.ConclusionsDietary fibre may have a long-term beneficial effect on HbA1c level among Chinese diabetes patients.


2021 ◽  
Vol 13 (5) ◽  
pp. 10
Author(s):  
Meeri Urite Tekanene ◽  
Masoud Mohammadnezhad ◽  
Sabiha Khan ◽  
Renita Maharaj

BACKGROUND: Type 2 Diabetes Mellitus (T2DM) kills more than 4.9 million adults yearly, and it is one of the major threats to global public health for low- and middle-income countries that mostly affects the adult population. Kiribati is currently facing the increasing prevalence of morbidity and mortality from T2DM. OBJECTIVE: To find out the level of Knowledge, Attitude and Practice (KAP) towards T2DM among healthy adults in South Tarawa, Kiribati. METHODS: This cross sectional study was conducted on South Tarawa, Kiribati at three randomly selected public health clinics from September 25 to November 20, 2017. Non-diabetic patients from both sexes who aged 18 years and above were selected by a simple random sampling technique to participate in this study. A pretested structured questionnaire was used to collect data and SPSS (version 22) was used for data analysis. Descriptive statistics was used to study the characteristics of the population and level of KAP. RESULTS: 405 person participated in this study. Majority of the participants were in the age range of 18-24 years (30.4%), were females (66.2%) and had ever married (68.6%). The study revealed that the mean knowledge score was 20.47 (&plusmn;3.49) which shows that participants had moderate level of knowledge towards T2DM. The mean score for attitude score was 61.06 (&plusmn;5.48) which shows that participants had high level of attitude towards T2DM. The mean practice score was 4.57 (&plusmn;2.01) which shows that participants had a low level of practice towards T2DM. CONCLUSION: A great emphasis on health education regarding symptoms, risk factors modification and prevention is T2DM are necessary.


2016 ◽  
Author(s):  
John Ajiboye ◽  
Amina Lawal-Bello ◽  
Olaoluwatomi Yusuff ◽  
Funmilayo Owolabi ◽  
Okechukwu Ezekpo ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ramzi Shawahna ◽  
Saed Samaro ◽  
Zaid Ahmad

Abstract Background In Palestine, type 2 diabetes mellitus (T2DM) is a rapidly growing health concern. This study evaluated knowledge, attitude, and practice of patients with T2DM with regard to their disease. The study also investigated association and correlation between knowledge, attitude, and practice with sociodemographic and clinical characteristics of the patients. Predictors of higher knowledge, positive attitude, and good practice were also identified. Methods This cross-sectional study was conducted in primary healthcare facilities frequently visited by patients with T2DM across the West Bank of Palestine in the period of October 2018 to January 2019. An interviewer administered questionnaire was used to determine knowledge, attitude and practice of patients with T2DM with regard to their disease. Results Out of 300 patients invited, 220 (73.3%) patients responded. In this study, the median age was 57.0 years (51.0, 65.0), the median time elapsed since diagnosis with T2DM was 7.0 years (4.0, 14.0), the median fasting blood glucose was 150.0 mg/dL (128.8, 180.0), the median postprandial glucose was 230.0 mg/dL (200.0, 270.0), the median HbA1c was 7.8% (7.0, 8.53), and the median BMI was 28.8 kg/m2 (25.5, 33.1). The median knowledge score was 6.0/13.0 (4.5/13.0, 7.5/13.0), the median attitude score was 3.0/4.0 (2.0/4.0, 4.0/4.0), and the median practice score was 3.0 (1.0/5.0, 4.0/5.0). Having university education was strongly associated with having higher knowledge scores (p-value = 0.001). Additionally, having attended an educational program on diabetes was moderately associated with higher practice scores (p-value = 0.026). Conclusions Findings of this study highlighted the need for appropriately designed interventions to increase knowledge about T2DM among patients with low educational level. Well-designed educational programs might promote healthy practice among patients with T2DM. Future studies are still needed to assess if such interventions could be effective in improving health outcomes and quality of life of patients with T2DM in Palestine.


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