1.Nutrition Knowledge Among Malaysian Elderly
Norimah A. Karim ; Nik Shanita Safii ; Safiah Mohd Yusof ; Norazliana Mohd Noor ; Zawiah Ahmad ; Tee E Siong
Malaysian Journal of Health Sciences 2008;6(2):43-54
This paper reports the nutrition knowledge of Malaysian elderly, as part of a nationwide study to evaluate the status of nutrition knowledge, attitude and
practice (KAP) of food and nutrition among various communities in Malaysia.
A total of 906 elderly, age ranging between 60 to 96 years old, with mean age 67.4 ± 6.7 years representing all states in Malaysia participated in the study.
An interview administered questionnaire was used to assess the nutrition knowledge and to collect demographic data of the elderly. Subjects were in the 60-65 years (51%) and more than 65 years (49%) age category. There were
46% Malays, 32% Chinese, 6% Indians while the remaining 16% comprised of other minority groups in Malaysia such as Iban, Kadazan, Melanau, Orang Asli and others. More than half of the elderly (54%) had no formal education,
36% completed primary schooling and only 9% finished secondary education. Overall 73% elderly were categorized as having poor nutrition knowledge,
18% moderate and only 9% good. The minority groups had the highest percentage of poor nutrition knowledge (91%) while the Chinese had the highest percentage of good nutrition knowledge (11%). More female (78%) than male (67%) had poor nutrition knowledge, in contrast to more male
(10%) than female (8%) with good nutrition knowledge. Chi square test showed that there was a significant correlation between educational status
and nutrition knowledge. This was reflected in the results which showed that 81% elderly with no formal education were categorized in the poor nutrition
knowledge group. Majority of the elderly did not know about foods to be consumed most (88%), or to be eaten least (87%). Only a quarter to a third of
the elderly responded correctly to questions on nutrient function and content.
The question on foods with high salt was well responded by the elderly (65%). It is quite discouraging to show that a majority of Malaysian elderly had poor nutrition knowledge. This study indicated that appropriate nutrition education interventions need to be implemented to improve the shortcomings of nutrition knowledge among the Malaysian elderly.
2.Effectiveness of a Nutrition Education Intervention for Primary School Children: the Healthy Kids Programme, Malaysia
Chin Yit Siew ; Tee E Siong ; Zawiah Hashim ; Rasyedah Ahmad Raqi ; Norimah A Karim
Malaysian Journal of Medicine and Health Sciences 2020;16(Supp 6, Aug):1-10
Introduction: This paper discussed the effectiveness of “Healthy Kids Programme (HKP)”, specifically in improving
the body weight status as well as knowledge, attitude and practice (KAP) of the children. Methods: In this longitudinal intervention study, a total of 12 primary schools in Klang Valley were randomly selected and divided into
intervention and control groups. There were 386 standard three children participated at baseline. All children in the
intervention group participated in the HKP that was conducted by nutritionists. The evaluations included the pre- and
post-Immediate Impact survey (IIS) (every topic), and changes in nutrition KAP survey and anthropometric assessment of the children at the beginning and end of every year for three years. Results: School children in intervention
group reported with an increased in the IIS score for each topic and achieved a significantly higher mean nutrition
knowledge score than those in the control group over time. There were no significant differences in mean attitude
and practice scores between two groups after the intervention. Children in the intervention group had lower rates of
overweight and obesity (pre-test: 27.3%; post-test: 32.5%) than their counterpart (pre-test: 26.6%; post-test: 44.0%).
Conclusions: The HKP is effective in improving nutrition knowledge of the children. A lower rate of overweight and
obesity was observed in intervention group than control group. This approach will contribute towards inculcating
healthy eating and active lifestyle habits among Malaysian children that bring about long-term health benefits.