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Open AccessArticle

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

1
Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia
2
Department of Anatomy, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia
3
Department of Community Health, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia
4
Faculty of Pharmacy, Universiti Kebangsaan Malaysia Kuala Lumpur Campus, Jalan Raja Muda Abdul Aziz, Kuala Lumpur 50300, Malaysia
5
Faculty of Health Science, Universiti Kebangsaan Malaysia Kuala Lumpur Campus, Jalan Raja Muda Abdul Aziz, Kuala Lumpur 50300, Malaysia
6
Department of Family Medicine, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(10), 1787; https://doi.org/10.3390/ijerph16101787
Received: 4 April 2019 / Revised: 14 May 2019 / Accepted: 18 May 2019 / Published: 20 May 2019
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. View Full-Text
Keywords: knowledge; attitude; perception; behaviors; diet; bone density; dual-energy X-ray absorptiometry knowledge; attitude; perception; behaviors; diet; bone density; dual-energy X-ray absorptiometry
MDPI and ACS Style

Chan, C.Y.; Subramaniam, S.; Chin, K.-Y.; Ima-Nirwana, S.; Muhammad, N.; Fairus, A.; Mohd Rizal, A.M.; Ng, P.Y.; Nor Aini, J.; Aziz, N.A.; Mohamed, N. Knowledge, Beliefs, Dietary, and Lifestyle Practices Related to Bone Health among Middle-Aged and Elderly Chinese in Klang Valley, Malaysia. Int. J. Environ. Res. Public Health 2019, 16, 1787.

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