A relationship between knowledge, attitude, and practice about balanced nutrition guidelines and metabolic syndrome among central obese teachers in makassar

Abstract

Metabolic Syndrome prevalence increase included in the Asia Pacific. This study aimed to assess a relationship between knowledge, attitude, and practices about balanced nutrition guidelines and metabolic syndrome (Mets) in high school teacher with central obese. This was a cross-sectional study conducted in twelve high schools in Makassar city. Subjects were 129 teachers (28 men and 101 women) diagnosed with central obese. Knowledge, attitude, and practice (KAP) assessed by a validated questionnaire. Mets was defined by measuring blood glucose, blood pressure, HDL, triglycerides, and waist circumference. Those fulfilled three parameters or above were stated as Mets group, and others were stated as Risk group. KAP was categorized according to score and divided into low (Q1), moderate (Q2), and high (Q3). Chi-square test was used to assess the relationship. Subjects were mostly women (78, 3%), Buginese ethnic (66, 7%), and married (96, 1%). KAP was distributed evenly to three categories for each variable. The relationship between Knowledge and Mets was borderline significant (p=0.093). There were not significantly different between attitude and Mets (p=0.406). However, there were significantly different between practice and Mets (p=0.016). These adequate knowledge and practice were higher in Mets group compared to Risk group. This study also showed some practices of balanced nutrition guidelines were very low whereas adequate consumption of vegetables and fruits (0.8%), adequate consumption of protein (25.6%), less consume a variety of staple foods (6.2%), less consumption of sweet, salty and fatty foods (2, 3%), reading labels on food packaging (32, 8%), and perform adequate physical activity and maintain a normal weight (28, 2%). We conclude that the teacher in Mets group showed better knowledge and practice of balanced nutrition guidelines compared to Risk group.

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