Knowledge, attitude and practice towards salt intake and health among non-academic staff of Universiti Kebangsaan Malaysia: A pilot study
PDF
HTML

Keywords

Attitude
health
knowledge
practice
salt intake

How to Cite

Ismail, M., Regu, T., Jimponey, M. J., Michael, V., Mohamed, F. N., Hussin, R., & Mat Ludin, A. F. (2021). Knowledge, attitude and practice towards salt intake and health among non-academic staff of Universiti Kebangsaan Malaysia: A pilot study. Life Sciences, Medicine and Biomedicine, 5(1). https://doi.org/10.28916/lsmb.5.1.2021.75

Abstract

Background: Over the years, global salt intake has increased and has resulted in the escalation of cardiovascular diseases and hypertension. The lack of knowledge, as well as poor attitude and practice, are the main reasons that have led to high salt intake. Therefore, this study aims to evaluate the knowledge, attitude and practice (KAP) towards salt intake and health among non-academic staff of the Faculty of Health Sciences (FSK), Universiti Kebangsaan Malaysia (UKM). Methodology: This cross-sectional study was conducted among the non-academic staff of the Faculty of Health Sciences (FSK), Universiti Kebangsaan Malaysia (UKM). The respondents were recruited using stratified random sampling technique with an informed consent. A validated questionnaire to test the knowledge, attitude and practice (KAP) towards salt intake and health by the Ministry of Health Malaysia was converted into a Google form and the link was emailed to 118 participants. A total of 33 responses were obtained for evaluation. The significant values were set as P < 0.05. Results: It was observed that female participants had better attitudes towards salt intake and health compared to males (p = 0.044). Also, individuals with higher education levels had better attitudes towards salt intake and health, compared to those with lower education levels (p=0.009). However, knowledge and practice of salt intake and health bore no significant results when considering gender, education level and age. Discussion and Conclusion: Overall, this study has identified sociodemographic characteristics as contributing factors towards individuals’ attitude on salt intake and health. This may provide a crucial foundation in the development of cost-effective healthcare programs to widen knowledge, create awareness and promote a healthy lifestyle by reducing salt intake and further reduce the prevalence of non-communicable diseases.

https://doi.org/10.28916/lsmb.5.1.2021.75
PDF
HTML

References

Allison, S. J. (2018). High salt intake as a driver of obesity. Nature Reviews Nephrology, 14(5), 285-285.

https://doi.org/10.1038/nrneph.2018.23

Brown, I. J., Tzoulaki, I., Candeias, V., & Elliott, P. (2009). Salt intakes around the world: implications for public health. International Journal of Epidemiology, 38(3), 791-813.

https://doi.org/10.1093/ije/dyp139

Chourdakis, M., Tzellos, T., Papazisis, G., Toulis, K., & Kouvelas, D. (2010). Eating habits, health attitudes and obesity indices among medical students in northern Greece. Appetite, 55(3), 722-725.

https://doi.org/10.1016/j.appet.2010.08.013

Department of Statistics Malaysia. (2020). Statistics on causes of death, Malaysia, 2020. Retrieved 28 November 2020 from https://www.dosm.gov.my/v1/index.php?r=column/cthemeByCat&cat=401&bul_id=QTU5T0dKQ1g4MHYxd3ZpMzhEMzdRdz09&menu_id=L0pheU43NWJwRWVSZklWdzQ4TlhUUT0

Dickson-Spillmann, M., & Siegrist, M. (2011). Consumers' knowledge of healthy diets and its correlation with dietary behaviour. J Hum Nutr Diet, 24(1), 54-60.

https://doi.org/10.1111/j.1365-277X.2010.01124.x

Groth, M. V., Fagt, S., & Brøndsted, L. (2001). Social determinants of dietary habits in Denmark. Eur J Clin Nutr, 55(11), 959-966.

https://doi.org/10.1038/sj.ejcn.1601251

Hearty, A. P., McCarthy, S. N., Kearney, J. M., & Gibney, M. J. (2007). Relationship between attitudes towards healthy eating and dietary behaviour, lifestyle and demographic factors in a representative sample of Irish adults. Appetite, 48(1), 1-11.

https://doi.org/10.1016/j.appet.2006.03.329

Hendrie, G. A., Coveney, J., & Cox, D. (2008). Exploring nutrition knowledge and the demographic variation in knowledge levels in an Australian community sample. Public Health Nutr, 11(12), 1365-1371.

https://doi.org/10.1017/S1368980008003042

Hjartåker, A., & Lund, E. (1998). Relationship between dietary habits, age, lifestyle, and socio-economic status among adult Norwegian women. The Norwegian Women and Cancer Study. Eur J Clin Nutr, 52(8), 565-572.

https://doi.org/10.1038/sj.ejcn.1600608

Institute for Public Health. (2014). National Health and Morbidity Survey 2014 : Malaysian Adult Nutrition Survey (MANS) Vol. II : Survey Findings National Health Institute, Ministry of Health. Retrieved 27 November 2020 from http://iku.moh.gov.my/images/IKU/Document/REPORT/NHMS2014-MANS-VOLUME-2-SurveyFindings.pdf

Institute for Public Health. (2016). Determination of dietary sodium intake among the Ministry of Health staff 2015 (MySalt 2015). Ministry of Health. Retrieved 25 November 2020 from http://iku.moh.gov.my/images/IKU/Document/REPORT/MySalt2016/MySaltReport.pdf

Institute for Public Health. (2020). National Health and Morbidity Survey (NHMS) 2019: Non-communicable diseases, healthcare demand, and health literacy-Key Findings. National Health Institut, Ministry of Health. Retrieved 17 February 2020 from http://iptk.moh.gov.my/images/technical_report/2020/4_Infographic_Booklet_NHMS_2019_-_English.pdf

Kant, A. K., & Graubard, B. I. (2007). Secular trends in the association of socio-economic position with self-reported dietary attributes and biomarkers in the US population: National Health and Nutrition Examination Survey (NHANES) 1971-1975 to NHANES 1999-2002. Public Health Nutr, 10(2), 158-167.

https://doi.org/10.1017/S1368980007246749

Krejcie, R. V., & Morgan, D. W. (1970). Determining Sample Size for Research Activities. Educational and Psychological Measurement, 30(3), 607-610.

https://doi.org/10.1177/001316447003000308

Leganger, A., & Kraft, P. (2003). Control Constructs: Do They Mediate the Relation between Educational Attainment and Health Behaviour? Journal of Health Psychology, 8(3), 361-372.

https://doi.org/10.1177/13591053030083006

Li, T., Qin, Y., Lou, P., Chang, G., Chen, P., Qiao, C., Zhang, P., & Zhang, N. (2015). Salt Intake and Knowledge of Salt Intake in a Chinese Population: A Cross-sectional Study. Intern Med, 5(2), 186.

Mahat, D., Md Isa, Z., Mohd Tamil, A., Mahmood, M. I., Othman, F., & Ambak, R. (2017). The Association of Knowledge, Attitude and Practice with 24 Hours Urinary Sodium Excretion among Malay Healthcare Staff in Malaysia. International Journal of Public Health Research 7(2), 860-870.

Marakis, G., Tsigarida, E., Mila, S., & Panagiotakos, D. B. (2014). Knowledge, attitudes and behaviour of Greek adults towards salt consumption: a Hellenic Food Authority project. Public Health Nutr, 17(8), 1877-1893.

https://doi.org/10.1017/S1368980013002255

MOH. (2017). Recommended Nutrient Intake for Malaysia: A Report of the Technical Working Group on Nutritional Guidelines. Ministry of Health Malaysia. Retrieved 27 November 2020 from

http://nutrition.moh.gov.my/wp-content/uploads/2017/05/FA-Buku-RNI.pdf

Mozaffarian, D., Fahimi, S., Singh, G. M., Micha, R., Khatibzadeh, S., Engell, R. E., Lim, S., Danaei, G., Ezzati, M., & Powles, J. (2014). Global Sodium Consumption and Death from Cardiovascular Causes. New England Journal of Medicine, 371(7), 624-634.

https://doi.org/10.1056/NEJMoa1304127

Naing, C., Yeoh, P. N., Wai, V. N., Win, N. N., Kuan, L. P., & Aung, K. (2016). Hypertension in Malaysia: An Analysis of Trends From the National Surveys 1996 to 2011. Medicine (Baltimore), 95(2), e2417.

https://doi.org/10.1097/MD.0000000000002417

Nasreddine, L., Akl, C., Al-Shaar, L., Almedawar, M. M., & Isma'eel, H. (2014). Consumer knowledge, attitudes and salt-related behavior in the Middle-East: the case of Lebanon. Nutrients, 6(11), 5079-5102.

https://doi.org/10.3390/nu6115079

National Renal Registry. (2014). 22nd Report of the Malaysian Dialysis and Transplant Registry 2014. Malaysian Society of Nephrology. Retrieved 26 November 2020 from https://www.msn.org.my/msn/Doc/PublicDoc_PB/Publication/mdtr22nd/22nd_MDTR_2014.pdf

Parmenter, K., Waller, J., & Wardle, J. (2000). Demographic variation in nutrition knowledge in England. Health education research, 15(2), 163-174.

https://doi.org/10.1093/her/15.2.163

Rashidah, A., Yeo, P., Noor Ani, A., Muhammad Fadhli, M., Tahir, A., Feisul Idzwan, M., Ahmad Ali, Z., Suhaila, A., Azli, B., Viola, M., Ruhaya, S., & Madihah, M. (2014). Sodium intake among normotensive health staff assessed by 24-hour urinary excretion: A cross-sectional study. Mal J Nutr, 20(3), 317-326.

Sarmugam, R., Worsley, A., & Wang, W. (2013). An examination of the mediating role of salt knowledge and beliefs on the relationship between socio-demographic factors and discretionary salt use: a cross-sectional study. International Journal of Behavioral Nutrition and Physical Activity, 10(1), 25.

https://doi.org/10.1186/1479-5868-10-25

Tirodimos, I., Georgouvia, I., Savvala, T. N., Karanika, E., & Noukari, D. (2009). Healthy lifestyle habits among Greek university students: differences by sex and faculty of study. East Mediterr Health J, 15(3), 722-728.

https://doi.org/10.26719/2009.15.3.722

Tsugane, S. (2005). Salt, salted food intake, and risk of gastric cancer: Epidemiologic evidence. Cancer Science, 96(1), 1-6.

https://doi.org/10.1111/j.1349-7006.2005.00006.x

Wardle, J., & Steptoe, A. (2003). Socioeconomic differences in attitudes and beliefs about healthy lifestyles. Journal of epidemiology and community health, 57(6), 440-443.

https://doi.org/10.1136/jech.57.6.440

Webster, J. L., Li, N., Dunford, E. K., Nowson, C. A., & Neal, B. C. (2010). Consumer awareness and self-reported behaviours related to salt consumption in Australia. Asia Pac J Clin Nutr, 19(4), 550-554.

WHO. (2010). Regional Consultation on Strategies to Reduce Salt Intake. World Health Organization Regional Office for the Western Pacific. Retrieved 26 November 2020 from https://iris.wpro.who.int/bitstream/handle/10665.1/10631/RS_2010_GE_26_SIN_eng.pdf

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2021 Array