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VOLUME 1 , ISSUE 1 ( October-December, 2018 ) > List of Articles

Original Article

Lifestyle modification practice in rural community at Kedah in Malaysia: A cross sectional study

N Habib, K Kailash, M Rashid

Keywords : awareness, physical exercise, prevention, rural community, weight management,Lifestyle modification

Citation Information : Habib N, Kailash K, Rashid M. Lifestyle modification practice in rural community at Kedah in Malaysia: A cross sectional study. 2018; 1 (1):19-26.

DOI: 10.5005/jp-journals-10082-01146

License: CC BY-NC 4.0

Published Online: 00-12-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background and Objectives: Lifestyle modification practice which includes weight reduction, salt restriction, physical activity, smoking cessation and consuming healthy food is the foundation of prevention and control of chronic diseases. This non pharmacological approach can be an initial treatment of some non-communicable diseases (NCDs) before the start of a medication or in conjunction to a medication. This study was conducted to establish the knowledge and practice regarding lifestyle modification among a rural community. Material and Methods: This cross-sectional study was conducted by using structured questionnaires among 60 respondents in village ‘Kampung Baru’ in Sungai Petani town at Kedah state in Malaysia from September 1 to October 30, 2017.Simple random sampling was used to select study subjects. Their knowledge and practice regarding lifestyles modification were assessed. Data were analyzed through Statistical Package for Social Sciences (SPSS). Results: The study revealed that the mean ± SD age of respondents was 43.4 ± 19.17 years. Among the respondents 79.9% had good basic knowledge regarding lifestyle modification practices. 96.6% received formal education. Respondents with monthly income of more than 1000 Ringgit (58.3%) were more likely to practice good lifestyle modification practice as compared to those with monthly income of less than 1000 Ringgit. Majority of respondents 38(63.3%) are being involved in physical activity for 30 min per day. The study shows the lower prevalence of overweight (30.2%) and obesity (15.1%) amongst the participants. 83.3% practiced recommended low salt diet, 65% participants are non-smokers and 90% practiced abstinence from alcohol drinking. 56.7% of the respondents were not suffering from any type of illness. Conclusion: In this study majority of the respondents has the positive attitude towards the recommended lifestyle modification practices, while 43.3% respondents are less likely to practice good lifestyle modification. This can be made more effective by sharing the knowledge and attitude, so that a sustainable environment can be created throughout the community.


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  1. Proestakis A, Sorrentino EP, Brown HE, Sluijs EM, Mani A, Caldeira S et al. Network interventions for changing physical activity behaviour in preadolescents. Nature Human Behaviour, 2018; 2: 778-87.
  2. Aral S, Walker D. Identifying influential and susceptible members of social networks. Science. 20; 337:337-41.
  3. Ghaffari M, Sharifirad G, Malekmakan E, Hassanzadeh A. Effect of educational intervention on physical activity-related knowledge, attitude and behavior of among first-grade students of male high schools. J Educ Health Promot. 2013;2:4
  4. Verma P, Manushi S, Ratan KS. Assessment of extent of lifestyle modification among diagnosed patients of hypertension attending tertiary care hospital. Int J Med Health Sci. 2015; 4:196–201.
  5. Viera AJ, Lingley K, Esserman D. Effects of labeling patients as prehypertensive. J Am Board Fam Med. 2010; 23:571–83.
  6. Kelishadi R. Preventive pediatric cardiology. ARYA J. 2006; 1: 157–8
  7. U.S. Department of Health and Human Services: Office of the assistant secretary for planning and evaluation. June 20. Physical activity fundamental to preventing disease. 2002. Available from: http://aspe.hhs.gov/health/reports/Physicalactivity (accessed on 12 August 2018)
  8. Rajaie M, Mostajeran M. Evaluating physical status of students in faculty of health and medicine. Research plan with the code 73069. Isfahan: Isfahan University of Medical Sciences; 2004
  9. Ziaee V, Fallah J, Rezaee M, Biat A. The relationship between body mass index and physical fitness in 513 medical students. Tehran Univ Med J. 2007; 65:79-84.
  10. World Health Organization. Burden: mortality, morbidity and risk factors. In: Ala A, editor. Global status report on noncommunicable diseases 2010. Geneva: World Health Organization; 2010. p. 9–31.
  11. Global action plan for the prevention and control of noncommunicable diseases 2013-2020. Geneva: World Health Organization; 2013.
  12. Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the global burden of disease study 2013. Lancet. 2014; 384:766–81.
  13. Tesfaye F, Nawi NG, Van Minh H, Byass P, Berhane Y, Bonita R, et al. Association between body mass index and blood pressure across three populations in Africa and Asia. J Hum Hypertens. 2007; 21:28–37.
  14. World Health Organization. Obesity and Overweight. Available from: http://www.who.int/news-room/fact-sheets/detail/obesity-andoverweight. (Accessed on on 7 August 2018)
  15. World Health Organization. Global health observatory Data, Prevelance of insufficient physical activity. Available from: http://www.who.int/gho/ncd/risk_factors/physical_activity_text/en/. (Accessed on 7 August 2018).
  16. Maleki M, Oraei S. Cardiovascular diseases. Chapter 1, Atherosclerosis. In: Azizi F, Hatami H, Janghorbani M, editors. Epidemiology and control of prevalent diseases in Iran. 2nd ed. Tehran: Khosravi; 2003. p. 18–9.
  17. World Health Organization. The WHO STEP wise approach to surveillance of noncommunicable diseases (STEPS) Geneva: World Health Organization; 2003.
  18. Ambigapathy R, Ambigapathy S, Ling HM. A knowledge, attitude and practice (KAP) study of diabetes mellitus among patients attending Klinik Kesihatan Seri Manjung. NCD Malaysia. 2003; 2:6–16.
  19. Malathy R, Narmadha M, Ramesh S, Alvin JM, Dinesh BN. Effect of a diabetes counseling programme on knowledge, attitude and practice among diabetic patients in Erode district of South India. J Young Pharm. 2011; 3:65–72.
  20. Buda ES, Hanfore LK, Fite RO, Buda AS. Lifestyle modification practice and associated factors among diagnosed hypertensive patients in selected hospitals, South Ethiopia. Clin Hypertens. 2017; 4: 23-6.
  21. Ike SO, Aniebue PN, Aniebue UU. Knowledge, perceptions and practices of lifestyle- modification measures among adult hypertensives in Nigeria. Trans R Soc Trop Med. 2010; 104:55–60.
  22. Okonta HI, Ikombele JB, Ogunbanjo GA. Knowledge, attitude and practice regarding lifestyle modification in type 2 diabetic patients. Afr J Prim Health Care Fam Med. 2014; 6:E1-6.
  23. Erasmus R, Blanco E, Okesina AB, Gqweta Z, Matsha T. Assessment of glycemic control in stable type 2 black South African diabetics attending a peri-urban clinic. Postgrad Med J. 1999; 75:603–6.
  24. Thomas A. Wadden, PhD, Victoria L. Webb, BA, Caroline H. Moran, BA, and Brooke A. Bailer, PhD. New Developments in Diet, Physical Activity, and Behavior Therapy. Lifestyle Modification for Obesity. 2012; 125: 1157–170.
  25. Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007; 39: 1423–34.
  26. Blair SN, Leermakers EA. Exercise and weight management. In: Wadden TA, Stunkard AJ, editors. Handbook of Obesity Treatment. New York, NY: Guilford Press; 2002. p. 283–300.
  27. Mora S, Cook N, Buring JE, Ridker PM, Lee IM. Physical activity and reduced risk of cardiovascular events: potential mediating mechanisms. Circulation. 2007; 116:2110–8.
  28. Whelton SP, Chin A, Xin X, He J. Effect of aerobic exercise on blood pressure: a meta- analysis of randomized, controlled trials. Ann Intern Med. 2002; 136:493–503.
  29. Kraus WE, Houmard JA, Duscha BD, Knetzger KJ, Wharton MB, McCartney JS et al. Effects of the amount and intensity of exercise on plasma lipoproteins. N Engl J Med. 2002; 347:1483–92.
  30. Ross R, Dagnone D, Jones PJ, Smith H, Paddags A, Hudson R et al. Reduction in obesity and related comorbid conditions after dietinduced weight loss or exercise-induced weight loss in men. Ann Intern Med. 2000; 133:92–103.
  31. Ross R, Janssen I, Dawson J, Kungl A, Kuk J, Wong S et al. Exerciseinduced reduction in obesity and insulin resistance in women: randomized controlled trial. Obes Res. 2004; 12:789–98.
  32. Hayes C, Kriska A. Role of physical activity in diabetes management and prevention. J Am Diet Assoc. 2008; 108:S19–S23.
  33. Kay SJ, Fiatarone Singh MA. The influence of physical activity on abdominal fat: a systematic review of the literature. Obes Rev. 2006; 7:183–200.
  34. Mourier A, Gautier J, DeKerviler E, Bigard AX, Vilette J, Garnier J et al. Mobilization of visceral adipose tissue related to the improvement in insulin sensitivity in response to physical training in NIDDM. Diabetes Care. 1997; 20:385–91.
  35. Sigal RJ, Kenny GP, Wasserman DH, Castaneda-Sceppa C, White RD. Physical activity/exercise and type 2 diabetes: a consensus statement from the American Diabetes Association. Diabetes Care. 2006; 29:1433–8.
  36. Tesema S, Disasa B, Kebamo S, Kadi E. Knowledge, attitude and practice regarding lifestyle modification of hypertensive patients at Jimma University specialized hospital, Ethiopia. Prim Health Care. 2016; 6:218–21.
  37. Warren-Findlow J, Seymour RB. Prevalence rates of hypertension self-care activities among African Americans. J Natl Med Assoc. 2011; 103:503–12.
  38. Elbur AI. Level of adherence to lifestyle changes and medications among male hypertensive patients in two hospitals in Taif; Kingdom of Saudi Arabia. Int J Pharm Pharm Sci. 2015; 7:168–72.
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