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Associations between nutrition knowledge and obesity-related attitudes and physical activity among young adults from Kenya, South Africa, and the United Kingdom.
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- Author(s): Dlamini, Siphiwe N; Mtintsilana, Asanda; Mapanga, Witness; Craig, Ashleigh; Norris, Shane A
- Source:
South African Journal of Clinical Nutrition; Apr2024, Vol. 37 Issue 1, p9-22, 14p- Subject Terms:
HEALTH literacy; CROSS-sectional method; SELF-evaluation; WEIGHT loss; RESEARCH funding; WORRY; ATTITUDES toward illness; QUESTIONNAIRES; LOGISTIC regression analysis; DESCRIPTIVE statistics; WALKING; ODDS ratio; ATTITUDES toward obesity; RESEARCH; HEALTH promotion; PHYSICAL activity; NUTRITION; ADULTS - Source:
- Additional Information
- Subject Terms:
- Abstract: This study's aim was to test associations between nutrition knowledge and obesity-related attitudes and physical activity (PA) among 3000 18–35-year-old men and women from Kenya, South Africa (SA), and the United Kingdom (UK). A cross-sectional online survey was conducted in April 2022. To estimate nutrition knowledge, dietary recommendation knowledge score was computed using the standard General Nutrition Knowledge questionnaire. Obesity-related attitudes were from the British Social Attitudes Survey. Self-reported days of vigorous and moderate PAs and walking were used. Ordinal logistic regression was employed to test all associations, while adjusting for age group, gender and a household asset score. Using simple mediation, testing was also done to ascertain whether obesity-related attitudes mediated associations between nutrition knowledge and PA. Consistently, better nutrition knowledge was associated with disagreeing that 'There is no reason to worry about obesity' (ORs ≥ 1.09), but lower odds of being against 'Providing free weight management courses' and 'Creating/improving cycle paths and pavements to encourage PA' (ORs ≤ 0.90). Better nutrition knowledge was also associated with higher vigorous PA in SA (OR = 1.09), and moderate PA (OR = 1.04) and walking (OR = 1.12) in the UK. In the combined sample, associations of nutrition knowledge with vigorous PA were fully mediated by believing that 'Obesity results from not exercising enough' (11.1% mediated). Likewise, associations of nutrition knowledge with moderate PA were fully mediated by attitude towards 'Creating or improving cycle paths and pavements to encourage PA' in the UK (38.9% mediated). Nutrition knowledge is associated with obesity-related attitudes and PA among young adults, but some relationships are country-specific. Interventions based on findings from high-income countries should be evaluated before being implemented in low-resource settings. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of South African Journal of Clinical Nutrition is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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