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Knowledge, Beliefs, Dietary, and Lifestyle Practices Related to Bone Health among Middle-Aged and Elderly Chinese in Klang Valley, Malaysia

Author

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  • Chin Yi Chan

    (Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia)

  • Shaanthana Subramaniam

    (Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia)

  • Kok-Yong Chin

    (Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia)

  • Soelaiman Ima-Nirwana

    (Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia)

  • Norliza Muhammad

    (Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia)

  • Ahmad Fairus

    (Department of Anatomy, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia)

  • Abdul Manap Mohd Rizal

    (Department of Community Health, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia)

  • Pei Yuan Ng

    (Faculty of Pharmacy, Universiti Kebangsaan Malaysia Kuala Lumpur Campus, Jalan Raja Muda Abdul Aziz, Kuala Lumpur 50300, Malaysia)

  • Jamil Nor Aini

    (Faculty of Health Science, Universiti Kebangsaan Malaysia Kuala Lumpur Campus, Jalan Raja Muda Abdul Aziz, Kuala Lumpur 50300, Malaysia)

  • Noorazah Abd Aziz

    (Department of Family Medicine, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia)

  • Norazlina Mohamed

    (Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia)

Abstract

Osteoporosis is a growing health problem in Asian countries with a rapidly expanding aging population. Adequate knowledge and positive health beliefs regarding osteoporosis will encourage individuals to adopt measures to protect bone health. This study aimed to investigate the association between knowledge, beliefs, and practices regarding osteoporosis and bone health among Malaysians Chinese aged 40 years and above. A cross-sectional study was conducted among 367 Malaysians Chinese (182 men, 185 women) aged ≥ 40 years in Klang Valley, Malaysia. They completed a questionnaire on knowledge, beliefs, and practices of osteoporosis and underwent bone mineral density scan using a dual-energy X-ray absorptiometry device. The subjects showed moderate knowledge and high level of health beliefs regarding osteoporosis, but poor osteoprotective practices. Osteoporosis knowledge and beliefs were significantly different based on subjects’ demographic characteristics (p < 0.05). Additionally, osteoporosis knowledge was correlated positively with beliefs, coffee or tea intake ( p < 0.05) but not with other lifestyle practices. Osteoporosis health beliefs was associated positively with physical activity, dairy and calcium intake ( p < 0.05). However, bone health was not associated with knowledge, beliefs and practices regarding osteoporosis ( p > 0.05). The present findings highlight the need of formulating osteoporosis prevention program targeting Malaysians Chinese, especially men, to improve their knowledge, health beliefs, and practice.

Suggested Citation

  • Chin Yi Chan & Shaanthana Subramaniam & Kok-Yong Chin & Soelaiman Ima-Nirwana & Norliza Muhammad & Ahmad Fairus & Abdul Manap Mohd Rizal & Pei Yuan Ng & Jamil Nor Aini & Noorazah Abd Aziz & Norazlina , 2019. "Knowledge, Beliefs, Dietary, and Lifestyle Practices Related to Bone Health among Middle-Aged and Elderly Chinese in Klang Valley, Malaysia," IJERPH, MDPI, vol. 16(10), pages 1-20, May.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:10:p:1787-:d:232833
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    References listed on IDEAS

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    1. Kok-Yong Chin & Nie Yen Low & Wan Ilma Dewiputri & Soelaiman Ima-Nirwanaa, 2017. "Factors Associated with Bone Health in Malaysian Middle-Aged and Elderly Women Assessed via Quantitative Ultrasound," IJERPH, MDPI, vol. 14(7), pages 1-13, July.
    2. Boniface, Bonaventure & Umberger, Wendy J., 2012. "Factors influencing Malaysian consumers’ consumption of dairy products," 2012 Conference (56th), February 7-10, 2012, Fremantle, Australia 124243, Australian Agricultural and Resource Economics Society.
    3. Li Shean Toh & Pauline Siew Mei Lai & David Bin-Chia Wu & Kok Thong Wong & Bee Yean Low & Claire Anderson, 2015. "The Development and Validation of the Osteoporosis Prevention and Awareness Tool (OPAAT) in Malaysia," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-19, May.
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    Cited by:

    1. Chin Yi Chan & Shaanthana Subramaniam & Kok-Yong Chin & Soelaiman Ima-Nirwana & Norliza Muhammad & Ahmad Fairus & Pei Yuen Ng & Jamil Nor Aini & Noorazah Abd Aziz & Norazlina Mohamed, 2022. "Effect of a Screening and Education Programme on Knowledge, Beliefs, and Practices Regarding Osteoporosis among Malaysians," IJERPH, MDPI, vol. 19(10), pages 1-16, May.
    2. Shaanthana Subramaniam & Chin-Yi Chan & Ima-Nirwana Soelaiman & Norazlina Mohamed & Norliza Muhammad & Fairus Ahmad & Pei-Yuen Ng & Nor Aini Jamil & Noorazah Abd Aziz & Kok-Yong Chin, 2020. "Development of Osteoporosis Screening Algorithm for Population Aged 50 Years and above in Klang Valley, Malaysia," IJERPH, MDPI, vol. 17(7), pages 1-12, April.
    3. Chin Yi Chan & Shaanthana Subramaniam & Kok-Yong Chin & Soelaiman Ima-Nirwana & Norliza Muhammad & Ahmad Fairus & Pei Yuen Ng & Nor Aini Jamil & Noorazah Abd Aziz & Norazlina Mohamed, 2019. "Levels of Knowledge, Beliefs, and Practices Regarding Osteoporosis and the Associations with Bone Mineral Density among Populations More Than 40 Years Old in Malaysia," IJERPH, MDPI, vol. 16(21), pages 1-22, October.
    4. Chin Yi Chan & Shaanthana Subramaniam & Norazlina Mohamed & Soelaiman Ima-Nirwana & Norliza Muhammad & Ahmad Fairus & Pei Yuen Ng & Nor Aini Jamil & Noorazah Abd Aziz & Kok-Yong Chin, 2020. "Determinants of Bone Health Status in a Multi-Ethnic Population in Klang Valley, Malaysia," IJERPH, MDPI, vol. 17(2), pages 1-16, January.

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