Shamsudin, Juliana
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Dietary Knowledge, Attitudes, Practices and their Association with Demographic Factors in Type 2 Diabetes Patients Mohamad Fadzli, Nur Zarith Sufia; Shamsudin, Juliana
Jurnal Gizi dan Pangan Vol. 20 No. 2 (2025)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2025.20.2.121-130

Abstract

The study aimed to assess dietary Knowledge, Attitude, And Practice (KAP) among Type 2 Diabetes Mellitus patients at Hospital Pakar USM (HPUSM), and their associations with demographic characteristics. The study used a cross-sectional design with a convenience sampling method, and the analysis included responses from 118 participants. Their dietary KAP and demographic characteristics were assessed using an adapted and translated questionnaire based on the ADA Diabetes Self-Management Assessment Research Tool (D-SMART) and the University of Michigan Diabetes Research and Training Centre’s KAP questionnaire. The questionnaire was translated and pilot-tested among 10% of the study population to ensure clarity and understanding. Minor adjustments were made based on participant feedback. The mean age of the 118 participants was 58.0±13.3 years, with 40.7% men and 59.3% women. The vast majority of participants possessed favourable attitudes (91.5%), good dietary knowledge (84.7%), and good practice (72.9%). Specifically, the mean scores for dietary knowledge, attitude, and practice were 41.8±9.39, 5.4±1.06, and 5.3±1.6, respectively. Bivariate analyses indicated significant associations between education level and knowledge (p=0.007) and attitude (p=0.009) but not practice (p=0.942). Multivariate Analysis of Variance (MANOVA) demonstrated a significant multivariate association between education level and the combined KAP scores, Pillai’s Trace=0.182, p=0.001. The remaining demographic variables were not significantly associated with the combined KAP scores in the multivariate model (p>0.05).The results of the study indicate that, despite the fact that the majority of participants had favourable dietary knowledge, attitudes, and practices, education level significantly influenced knowledge and attitude scores. This underscores the importance of providing ongoing and targeted dietary education, particularly for individuals with lower educational attainment, to facilitate more effective dietary management among those with Type 2 Diabetes Mellitus (T2DM).
Nutritional Assessment among Type 2 Diabetes Mellitus Patient in Southeast Asian Countries: A Scoping Review Arifin, Noorul Aysha; Shamsudin, Juliana; Abdul Manaf, Marina; Rasudin, Syahmina; Mohd Yusoff, Siti Suhaila
Jurnal Gizi dan Pangan Vol. 19 No. 1 (2024)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2024.19.1.11-20

Abstract

This scoping review aims to determine the available nutritional assessments for people with Type 2 Diabetes Mellitus (T2DM) in Southeast Asian countries. The methodology used for this research was based on the PRISMA-ScR standards. An extensive electronic search was carried out for papers published between 2012 and 2022 that pertained to studies conducted in Southeast Asian countries and were written in English. The eligibility criteria for this review were T2DM patients aged 20 years and older. The search was carried out using PubMed, Science Direct, Scopus, and Google Scholar databases. Hence, out of 5,445, fourteen articles met the eligibility requirements of the analysis. According to the findings, twelve studies used anthropometry measurements and biochemical tests, followed by eight studies using clinical assessments and four studies using dietary assessments. The research utilized various nutritional assessment methods such as weight, height, Body Mass Index (BMI), waist and hip circumference, body fat percentage, Fasting Blood Glucose (FBG), Glycated Hemoglobin (HbA1c), lipid profiles, Blood Pressure (BP), 3-day and 24-hour dietary recall. This review examined how the available nutritional assessments for T2DM are frequently carried out in Southeast Asian countries. The review discovered that weight, height, BMI, waist and hip circumference, FBG, HbA1c, BP, and 3-day dietary recall are the most commonly reported nutritional assessment methods.
Self-Esteem, Body Mass Index Status and Risk of Eating Disorders among Health Sciences Students Mohd Azman , Aida Nasrin; Shamsudin, Juliana; Mohd Nor, Zafirah
Jurnal Gizi dan Pangan Vol. 19 No. 3 (2024)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2024.19.3.137-146

Abstract

This study aimed to ascertain the association between eating disorder risk, Body Mass Index (BMI), and self-esteem level among Universiti Sains Malaysia (USM) undergraduate health sciences students at Health Campus, Kubang Kerian, Kelantan, Malaysia. The self-esteem level and eating disorder risk of 166 USM health sciences students were evaluated in this cross-sectional study using the Rosenberg's Self Esteem Score and the Eating Attitude Test 26 (EAT-26) questionnaire, respectively. Based on their self-reported height and weight, the BMI was computed. The Fisher Exact Test and Chi-Square were used to determine the associations between the self-esteem level and BMI and the risk of eating disorders, respectively. Out of the 166 students, the majority (65.1%) had self-esteem levels within the normal range, while 57.8% had normal BMI. In the meantime, it was found that 19.9% had a high chance of getting an eating disorder. This study demonstrated a substantial association (p=0.012) between self-esteem and BMI status as well as between eating disorder risk and self-esteem (p=0.002). Self-esteem has a major impact on the psychological factors influencing BMI and contributing to the development of eating disorders. Additionally, future research should consider incorporating factors like body perception and body dissatisfaction. Additional research was required to validate the existing findings.