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

doi:10.3390/ijerph16101787

. 2019 May 20;16(10):1787.

doi: 10.3390/ijerph16101787.

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

Affiliations

¹ Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia. chanchinyi94@gmail.com.
² Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia. shaanthana_bks@hotmail.com.
³ Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia. chinkokyong@ppukm.ukm.edu.my.
⁴ Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia. imasoel@ppukm.ukm.edu.my.
⁵ Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia. norliza_ssp@ppukm.ukm.edu.my.
⁶ Department of Anatomy, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia. apai.kie@gmail.com.
⁷ Department of Community Health, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia. mrizal@ppukm.ukm.edu.my.
⁸ Faculty of Pharmacy, Universiti Kebangsaan Malaysia Kuala Lumpur Campus, Jalan Raja Muda Abdul Aziz, Kuala Lumpur 50300, Malaysia. pyng@ukm.edu.my.
⁹ Faculty of Health Science, Universiti Kebangsaan Malaysia Kuala Lumpur Campus, Jalan Raja Muda Abdul Aziz, Kuala Lumpur 50300, Malaysia. ainijamil@ukm.edu.my.
¹⁰ Department of Family Medicine, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia. azah@ppukm.ukm.edu.my.
¹¹ Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia. azlina@ppukm.ukm.edu.my.

PMID: 31137586
PMCID: PMC6572024
DOI: 10.3390/ijerph16101787

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

Chin Yi Chan et al. Int J Environ Res Public Health. 2019.

. 2019 May 20;16(10):1787.

doi: 10.3390/ijerph16101787.

Authors

Affiliations

¹ Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia. chanchinyi94@gmail.com.
² Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia. shaanthana_bks@hotmail.com.
³ Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia. chinkokyong@ppukm.ukm.edu.my.
⁴ Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia. imasoel@ppukm.ukm.edu.my.
⁵ Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia. norliza_ssp@ppukm.ukm.edu.my.
⁶ Department of Anatomy, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia. apai.kie@gmail.com.
⁷ Department of Community Health, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia. mrizal@ppukm.ukm.edu.my.
⁸ Faculty of Pharmacy, Universiti Kebangsaan Malaysia Kuala Lumpur Campus, Jalan Raja Muda Abdul Aziz, Kuala Lumpur 50300, Malaysia. pyng@ukm.edu.my.
⁹ Faculty of Health Science, Universiti Kebangsaan Malaysia Kuala Lumpur Campus, Jalan Raja Muda Abdul Aziz, Kuala Lumpur 50300, Malaysia. ainijamil@ukm.edu.my.
¹⁰ Department of Family Medicine, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia. azah@ppukm.ukm.edu.my.
¹¹ Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia. azlina@ppukm.ukm.edu.my.

PMID: 31137586
PMCID: PMC6572024
DOI: 10.3390/ijerph16101787

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.

Keywords: attitude; behaviors; bone density; diet; dual-energy X-ray absorptiometry; knowledge; perception.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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References

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[1] Johnell O., Kanis J.A. An Estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos. Int. 2006;17:1726–1733. doi: 10.1007/s00198-006-0172-4. - DOI - PubMed

[2] Johnell O., Kanis J.A. An Estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos. Int. 2006;17:1726–1733. doi: 10.1007/s00198-006-0172-4. - DOI - PubMed

[3] Van Staa T.P., Dennison E.M., Leufkens H.G., Cooper C. Epidemiology of fractures in England and Wales. Bone. 2001;29:517–522. - PubMed

[4] Van Staa T.P., Dennison E.M., Leufkens H.G., Cooper C. Epidemiology of fractures in England and Wales. Bone. 2001;29:517–522. - PubMed

[5] Mithal A., Bansal B., Kyer C.S., Ebeling P. The Asia-pacific regional audit-epidemiology, costs, and burden of osteoporosis in India 2013: A report of international osteoporosis foundation. Indian J. Endocrinol. Metab. 2014;18:449. doi: 10.4103/2230-8210.137485. - DOI - PMC - PubMed

[6] Mithal A., Bansal B., Kyer C.S., Ebeling P. The Asia-pacific regional audit-epidemiology, costs, and burden of osteoporosis in India 2013: A report of international osteoporosis foundation. Indian J. Endocrinol. Metab. 2014;18:449. doi: 10.4103/2230-8210.137485. - DOI - PMC - PubMed

[7] Lau E.M. The Epidemiology of Osteoporosis in Asia. IBMS BoneKEy. 2009;6:190–193. doi: 10.1138/20090378. - DOI

[8] Lau E.M. The Epidemiology of Osteoporosis in Asia. IBMS BoneKEy. 2009;6:190–193. doi: 10.1138/20090378. - DOI

[9] Cheung C.-L., Ang S.B., Chadha M., Chow E.S.-L., Chung Y.-S., Hew F.L., Jaisamrarn U., Ng H., Takeuchi Y., Wu C.-H., et al. An updated hip fracture projection in asia: The asian federation of osteoporosis societies study. Osteoporos. Sarcopenia. 2018;4:16–21. doi: 10.1016/j.afos.2018.03.003. - DOI - PMC - PubMed

[10] Cheung C.-L., Ang S.B., Chadha M., Chow E.S.-L., Chung Y.-S., Hew F.L., Jaisamrarn U., Ng H., Takeuchi Y., Wu C.-H., et al. An updated hip fracture projection in asia: The asian federation of osteoporosis societies study. Osteoporos. Sarcopenia. 2018;4:16–21. doi: 10.1016/j.afos.2018.03.003. - DOI - PMC - PubMed

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

Affiliations

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

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Affiliations

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