PMID- 29985946
OWN - NLM
STAT- MEDLINE
DCOM- 20190108
LR  - 20230926
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 13
IP  - 7
DP  - 2018
TI  - Knowledge, attitude and practice on diet and physical activity among mothers with 
      young children in the Jhaukhel-Duwakot Health Demographic Surveillance Site, 
      Nepal.
PG  - e0200329
LID - 10.1371/journal.pone.0200329 [doi]
LID - e0200329
AB  - The prevalence of cardiovascular diseases is increasing in low and middle-income 
      countries; Nepal's population shows a high prevalence of behavioral risk factors. 
      Our cross-sectional study in the Jhaukhel-Duwakot Health Demographic Surveillance 
      Site (JD-HDSS), located near the capital Kathmandu, explored knowledge, attitude, 
      and practice (KAP) of mothers with young children regarding diet and physical 
      activity and mothers' perception of their children's attitude and behavior toward 
      the same issues. The purpose of our study was to assess needs of the mothers 
      concerning cardiovascular health in general and more specifically regarding diet 
      and physical activity, and to establish a baseline for future intervention in the 
      community by comparing two villages of JD-HDSS. In August-November 2014, nine 
      trained enumerators interviewed all mothers of children aged 1-7 years (N = 962). 
      We scored responses on dietary and physical activity KAP, then categorized the 
      scores based on the percentage obtained out of the maximum possible scores into 
      "poor," "fair," and "good." More highly educated mothers scored higher for KAP 
      (all p<0.001); the children's behavior score reflected their mother's education 
      level (p = 0.007). Most respondents were unfamiliar with the concept of healthy 
      and unhealthy food. Overall, 57% of respondents in JD-HDSS had "good" knowledge, 
      44.6% had "good" attitude, and most (90%) had "poor" practice. We observed no 
      significant differences between the villages regarding mothers' knowledge and 
      attitude or children's behavior. Practice score of mothers in Jhaukhel was higher 
      than those in Duwakot regarding diet and physical activity (p<0.001). Mothers' 
      perceived barriers for improving lifestyle were high cost of healthy food, taste 
      preference of other family members, and lack of knowledge regarding healthy food. 
      Barriers for physical activity were lack of leisure time, absence of parks and 
      playgrounds, busy caring for children and old people, feeling lazy, and 
      embarrassed to be physically active in front of others. Our findings suggest that 
      a health education intervention promoting a healthy lifestyle for mothers and 
      children might improve KAP and also improve cardiovascular health. To address 
      mothers' gap between knowledge and practice, a future intervention should 
      consider perceived barriers.
FAU - Oli, Natalia
AU  - Oli N
AUID- ORCID: 0000-0002-1176-196X
AD  - Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, 
      Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
AD  - Department of Community Medicine, Kathmandu Medical College, Kathmandu, Nepal.
FAU - Vaidya, Abhinav
AU  - Vaidya A
AD  - Department of Community Medicine, Kathmandu Medical College, Kathmandu, Nepal.
FAU - Pahkala, Katja
AU  - Pahkala K
AD  - Paavo Nurmi Centre, Department of Health and Physical Activity, University of 
      Turku, Turku, Finland.
AD  - Research Centre of Applied and Preventive Cardiovascular Medicine, University of 
      Turku, Turku, Finland.
FAU - Eiben, Gabriele
AU  - Eiben G
AD  - Department of Public Health and Community Medicine, University of Gothenburg, 
      Gothenburg, Sweden.
AD  - Department of Biomedicine and Public Health, School of Health and Education, 
      University of Skovde, Skovde, Sweden.
FAU - Krettek, Alexandra
AU  - Krettek A
AD  - Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, 
      Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
AD  - Department of Biomedicine and Public Health, School of Health and Education, 
      University of Skovde, Skovde, Sweden.
AD  - Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic 
      University of Norway, Tromso, Norway.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20180709
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - Adult
MH  - Cardiovascular Diseases/prevention & control
MH  - *Diet
MH  - *Exercise
MH  - Female
MH  - Health Behavior
MH  - Health Education
MH  - *Health Knowledge, Attitudes, Practice
MH  - Health Surveys
MH  - Humans
MH  - Middle Aged
MH  - *Mothers
MH  - Nepal
MH  - Risk Factors
MH  - Socioeconomic Factors
MH  - Young Adult
PMC - PMC6037384
COIS- The authors have declared that no competing interests exist.
EDAT- 2018/07/10 06:00
MHDA- 2019/01/09 06:00
PMCR- 2018/07/09
CRDT- 2018/07/10 06:00
PHST- 2017/04/10 00:00 [received]
PHST- 2018/06/25 00:00 [accepted]
PHST- 2018/07/10 06:00 [entrez]
PHST- 2018/07/10 06:00 [pubmed]
PHST- 2019/01/09 06:00 [medline]
PHST- 2018/07/09 00:00 [pmc-release]
AID - PONE-D-17-13950 [pii]
AID - 10.1371/journal.pone.0200329 [doi]
PST - epublish
SO  - PLoS One. 2018 Jul 9;13(7):e0200329. doi: 10.1371/journal.pone.0200329. 
      eCollection 2018.