Practice of Skipping Breakfast and Associated Factors among Nursing Officers in A Selected Hospital in Colombo District

Background: Breakfast is the most vital meal of the day, which helps to start metabolism by providing the energy and nutrients required by the body. Skipping breakfast by nursing officers can negatively affect their health and also patient care. Hence, the study aimed to assess the practice of skipping breakfast and its associated factors among nursing officers. Methods: A descriptive cross-sectional study was conducted using a randomly selected sample of 384 nursing officers of the Colombo South Teaching Hospital, Kalubowila. A self-administered questionnaire and validated measuring scales were used to collect data. Data were analyzed using descriptive statistics and Chi-square test using IBM SPSS version 25. Results: Among the nursing officers, 53% were in the normal BMI category, while 36% were reported as overweight or obese and 10% were underweight. Of the participants, 12% (n=47) skips their breakfast as a practice while 48.2% (n=185) skipped sometimes. During the 14 days prior to data collection, 42.7% (n=164) and 40.0% (n=154) of nursing officers had skipped their breakfast 1-3 times and > 4 times, respectively. The main reason for skipping breakfast was lack of time (31%, n=119) (48%, n=174). Age (p=0.042) and marital status (p=0.007) were significantly associated with the practice of skipping breakfast. Conclusion: The study revealed that most nursing officers skip breakfast as a practice. Age and marital status were the significant predictors for skipping breakfast. Appropriate interventions are needed to improve the good practices related to breakfast and extensive assessments are required to evaluate the consequences of skipping breakfast.

Breakfast skipping and cognitive and emotional engagement at school: A cross-sectional population level study

Objective: Research on the consequences of breakfast skipping among students tends to focus on academic outcomes, rather than student wellbeing or engagement at school. This study investigated the association between breakfast skipping and cognitive and emotional aspects of school engagement. Design: Cross-sectional study using data from a population level survey of children and adolescents’ wellbeing and engagement at school. Linear regression with adjustment for confounders was used to estimate the effect of breakfast skipping on school engagement. Setting: Government schools (i.e. public schools) in South Australia. Participants: The participants were students, Grades 4 to 12, who completed the Wellbeing and Engagement Collection in 2019. The analysis sample included 61,825 students. Results: 9.6% of students reported always skipping breakfast, with 35.4% sometimes skipping, and 55.0% never skipping. In the adjusted linear regression models, children and adolescents who always skipped breakfast reported lower levels of cognitive engagement (β = −0.26 (95% CI −0.29, −0.25)), engagement with teachers (β = −0.17 (95% CI −0.18, −0.15)), and school climate (β = −0.17 (95% CI −0.19, −0.15)), compared to those who never skipped breakfast, after controlling for age, gender, health, sleep, sadness and worries, parental education, socioeconomic status, and geographical remoteness. Conclusion: Consistent with our hypothesis, skipping breakfast was associated with lower cognitive and emotional engagement, which could be due to mechanisms such as short-term energy supply and long term health impacts. Therefore, decreasing the prevalence of breakfast skipping could have a positive impact on school engagement.

PENGARUH PENYULUHAN GIZI DENGAN MEDIA VIDEO TERHADAP PENGETAHUAN DAN SIKAP REMAJA TENTANG KONSUMSI SAYUR DAN BUAH DI SMAN 1 PALANGKA RAYA

The age of 10-18 years is the age range of adolescents who are included in the period of being vulnerable to nutrition. Habits at this age are often skipping breakfast, not moving, and snacking a lot. This causes low consumption of vegetables and fruits. This study aims to analyze the effect of providing nutrition counseling using video media on the knowledge and attitudes of adolescents about vegetable and fruit consumption at SMAN 1 Palangka Raya. The design of this study was a quasi-experiment with one group pretest and posttest design with 38 subjects. The results were then analyzed using the Wilcoxon test and McNemar test. The results showed that the characteristics of the subjects were in the age group of 15-17 years with the highest number aged 16 years (68.4%). Most of the subjects were female (55.3%). The results of the statistical test obtained p = 0.000 (p <0.05) stating that there was a significant difference between knowledge before and after counseling. The results of statistical tests using McNemar's test for attitudes obtained a p-value of 0.000 (p <0.05) which indicated that there was a significant difference between attitudes before and after counseling. Based on these results, counseling with video media influences the knowledge and attitudes of adolescents regarding the consumption of vegetables and fruits at SMAN 1 Palangka Raya.

Makanan Sehat untuk Kesehatan Otak

Hard to focus and forgetful are learning problems often experienced by students. About dietary factors, skipping breakfast and eating unhealthy foods may cause the brain to work less optimally. Moreover, high-sodium foods that teenagers prefer can damage brain cells. If the pattern and selection of food in students are not immediately corrected, of course, this can interfere with their learning performance. For this reason, they need to know about the types of food and healthy eating patterns. Asrama Pendidikan Eka Sinta Palangka Raya was chosen to be the location for community service because its residents are students in junior and senior high school levels. Also, this location is not far from the Poltekkes Kemenkes Palangka Raya. Therefore, this institution will bring a real impact on the surrounding environment. This activity was carried out in November 2020, attended by 13 dormitory residents, four dormitory managers, and seven community service executors. In general, the activities run smoothly and bring new insights toward a good diet. Participants’ level of understanding was excellent (81.76%). The manager of Asrama Pendidikan Eka Sinta Palangka Raya wished this activity could be carried out sustainably by adding training materials, so that dormitory residents gain more skills, especially in processing functional food products to increase memory made from vegetable and fruit waste.

Lifestyle behaviors associated with the initiation of renal replacement therapy in Japanese patients with chronic kidney disease: a retrospective cohort study using a claims database linked with specific health checkup results

Background Chronic kidney disease (CKD) is an independent risk factor for progression to an end-stage renal disease requiring dialysis or kidney transplantation. We investigated the association of lifestyle behaviors with the initiation of renal replacement therapy (RRT) among CKD patients using an employment-based health insurance claims database linked with specific health checkup (SHC) data. Methods This retrospective cohort study included 149,620 CKD patients aged 40–74 years who underwent a SHC between April 2008 and March 2016. CKD patients were identified using ICD-10 diagnostic codes and SHC results. We investigated lifestyle behaviors recorded at SHC. Initiation of RRT was defined by medical procedure claims. Lifestyle behaviors related to the initiation of RRT were identified using a Cox proportional hazards regression model with recency-weighted cumulative exposure as a time-dependent covariate. Results During 384,042 patient-years of follow-up by the end of March 2016, 295 dialysis and no kidney transplantation cases were identified. Current smoking (hazard ratio: 1.87, 95% confidence interval, 1.04─3.36), skipping breakfast (4.80, 1.98─11.62), and taking sufficient rest along with sleep (2.09, 1.14─3.85) were associated with the initiation of RRT. Conclusions Among CKD patients, the lifestyle behaviors of smoking, skipping breakfast, and sufficient rest along with sleep were independently associated with the initiation of RRT. Our study strengthens the importance of monitoring lifestyle behaviors to delay the progression of mild CKD to RRT in the Japanese working generation. A substantial portion of subjects had missing data for eGFR and drinking frequency, warranting verification of these results in prospective studies.