Associations between nutrition knowledge and obesity-related attitudes and physical activity among young adults from Kenya, South Africa, and the United Kingdom

dc.contributor.authorNorris, Shane A.
dc.contributor.authorDlamini, Siphiwe N.
dc.contributor.authorMtintsilana, Asanda
dc.contributor.authorMapanga, Witness
dc.contributor.authorCraig, Ashleigh
dc.date.accessioned2024-08-28T08:54:23Z
dc.date.available2024-08-28T08:54:23Z
dc.date.issued2024
dc.description.abstractThis study’s aim was to test associations between nutrition knowledge and obesity-related attitudes and physical activity (PA) among 3000 18–35-year-old men and women from Kenya, South Africa (SA), and the United Kingdom (UK).Methods: A cross-sectional online survey was conducted in April 2022. To estimate nutrition knowledge, dietary recommendation knowledge score was computed using the standard General Nutrition Knowledge questionnaire. Obesity-related attitudes were from the British Social Attitudes Survey. Self-reported days of vigorous and moderate PAs and walking were used. Ordinal logistic regression was employed to test all associations, while adjusting for age group, gender and a household asset score. Using simple mediation, testing was also done to ascertain whether obesity-related attitudes mediated associations between nutrition knowledge and PA. Results: Consistently, better nutrition knowledge was associated with disagreeing that ‘There is no reason to worry about obesity’ (ORs ≥ 1.09), but lower odds of being against ‘Providing free weight management courses’ and ‘Creating/improving cycle paths and pavements to encourage PA’ (ORs ≤ 0.90). Better nutrition knowledge was also associated with higher vigorous PA in SA (OR = 1.09), and moderate PA (OR = 1.04) and walking (OR = 1.12) in the UK. In the combined sample, associations of nutrition knowledge with vigorous PA were fully mediated by believing that ‘Obesity results from not exercising enough’ (11.1% mediated). Likewise, associations of nutrition knowledge with moderate PA were fully mediated by attitude towards ‘Creating or improving cycle paths and pavements to encourage PA’ in the UK (38.9% mediated).Conclusions: Nutrition knowledge is associated with obesity-related attitudes and PA among young adults, but some relationships are country-specific. Interventions based on findings from high-income countries should be evaluated before being implemented in low-resource settings.
dc.description.sponsorshipNational Research Foundation (NRF).
dc.description.submitterPM2024
dc.facultyFaculty of Health Sciences
dc.identifier.citationSiphiwe N Dlamini, Asanda Mtintsilana, Witness Mapanga, Ashleigh Craig & Shane A Norris (2024) Associations between nutrition knowledge and obesity-related attitudes and physical activity among young adults from Kenya, South Africa, and the United Kingdom, South African Journal of Clinical Nutrition, 37:1, 9-22, DOI: 10.1080/16070658.2023.2198844
dc.identifier.issn1607-0658 (print)
dc.identifier.issn2221-1268 (online)
dc.identifier.other10.1080/16070658.2023.2198844
dc.identifier.urihttps://hdl.handle.net/10539/40360
dc.journal.titleSouth African Journal of Clinical Nutrition
dc.language.isoen
dc.orcid.id0000-0001-7124-3788
dc.publisherNational Inquiry Services Centre (NISC) & Taylor and Francis Group
dc.rights© 2023 The Author(s). Co-published by NISC Pty (Ltd) and Informa UK Limited, trading as Taylor & Francis Group.
dc.schoolSchool of Clinical Medicine
dc.subjectNutrition knowledge
dc.subjectObesity attitudes
dc.subjectPhysical activity
dc.subjectMulti-country
dc.subjectYoung adults
dc.subjectSouth Africa
dc.subjectKenya
dc.subjectUnited Kingdom
dc.subject.otherSDG-3: Good health and well-being
dc.titleAssociations between nutrition knowledge and obesity-related attitudes and physical activity among young adults from Kenya, South Africa, and the United Kingdom
dc.typeArticle
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