KNOWLEDGE, ATTITUDE AND CONSUMPTION LEVEL OF CAROTENE RICH FOODS AMONG STUDENTS IN ABIA STATE POLYTECHNIC AND MICHAEL OKPARA UNIVERSITY OF AGRICULTURE, UMUDIKE ABIA STATE

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ABSTRACT

This study aimed at investigating the knowledge, attitude and consumption level of carotene rich foods among students in Abia state polytechnic and Michael Opkara University of Agriculture, Umudike. It was a cross-sectional survey comprising of four hundred (229 males and 171females) undergraduate students of Abia poly and MOUAU. A structured and validated questionnaire was used to collect information on personal data, knowledge and attitude of carotene rich food, consumption levels of carotene rich foods and their dietary patterns. The names of the departments in the six different faculties were written on pieces of papers and the papers were folded. Two (2) individuals were asked to randomly pick one paper each without replacement from each faculty. The departments picked were the ones used in this research work and IBM Statistical Package for Social Sciences (SPSS) version 26.0 was used to analyze the data. The results shows that, more than half (54.5%) of the respondents had moderate nutrition knowledge, 7.8% had poor nutrition knowledge while 37.8% of the respondents had good nutrition knowledge. More than one-third (36.3%) of the respondent had poor knowledge of carotene rich foods, 38.5% had moderate knowledge of carotene rich foods while 25.3% had good knowledge of carotene rich foods. The respondents’ attitudes to carotene rich foods consumption revealed that 38.5% of the respondents agreed that scraping off the back of carrot is better than eating it with the back, 42.8% agreed that peeling off the back of cucumber is more nutritional than eating it with the back, 43.0% agreed that bleaching red oil while making stew is more nutritional, 41.8% agreed that bleaching pumpkin leaf is not nutritional, 37.5% agreed that fruits and vegetables can’t serve as a meal, 48.3% agreed that cooked tomatoes is better than fresh tomatoes, 44.5% agreed that cooked cabbage is better than fresh cabbage, 46.5% agreed that using turmeric as colourant is better than artificial colour, 40.3% agreed that eating too much carotene rich foods like pawpaw, vegetables etc can cause stomach disorder, 55.5% agreed that carotene rich foods are red in colour and 48.0% agreed that carotene rich foods contains water soluble vitamin.  The respondents had average consumption of fruits and vegetables to be 1-2 times daily. Consumption of vegetables was seen to be higher compared to fruits intake. Fruits and vegetables consumption is a critical route to long life and good health. Although the consumption of fruit and vegetable is strongly associated with lower risk of cardiovascular diseases, hypertension, diabetes, gastrointestinal diseases and obesity, consumption levels among students of Abia state polytechnic and MOUAU are notably lower than the recommended amount of 400g per day, a quantity approximately equivalent to 5 servings per day. Thus, there is the need to identify acceptable ways in which carotene rich foods consumption will be increased among students in Abia state poly and MOUAU.







TABLE OF CONTENTS


COVER PAGE                                                                                                           i

DEDICATION                                                                                                            ii

ACKNOWLEDGEMENT                                                                                          iii

CERTIFICATION                                                                                                      iv

TABLE OF CONTENT                                                                                             v

ABSTRACT                                                                                                               vii


CHAPTER ONE

1.0       INTRODUCTION

1.1       Background of study                                                                                       1

1.2       Statement of the Problem                                                                               4

1.3       Objective of the Study                                                                                    5

1.3.1    General Objective                                                                                           5

1.3.2    Specific Objectives                                                                                         5

1.4       Significance of the study                                                                                6


CHAPTER TWO

2.0       LITERATURE REVIEW                                                                           

2.1       Carotene rich foods                                                                                         7

2.1.1    Classifications of carotene rich foods                                                             10

2.2       Carotene and health                                                                                        13

2.2.1    Carotene rich foods and cancer                                                                      14

2.2.2    Carotene rich foods and obesity                                                                     17

2.2.3    Carotene rich foods and disease and infections                                             19

2.2.4    Carotene rich foods and skin                                                                          26       

2.2.5    Carotene rich foods and eyes                                                                          28

2.2.6    Carotene rich foods and cognitive function                                                   29

2.3       Risk factors of carotene rich foods                                                                 31

2.4       Nutritional factors of carotene rich foods                                                       32

2.4.1    Foods high in carotene                                                                                   37

2.4.2    Selections of foods high in carotene                                                              38

2.5       Factors that affect the knowledge, attitude and consumption level of

carotene rich foods                                                                                         38

2.5.1    Lack of information                                                                                        38

2.5.2    Family or peer group influence                                                                      39

2.5.3    Availability and accessibility                                                                         40

2.5.4    Cultural belief and practices                                                                           41

2.5.5    Individual taste, hunger and cost of food                                                       41

2.6       Importance of nutrition education                                                                  42


CHAPTER THREE

3.0       MATERIALS AND METHODS                                                                 46

3.1       Study Design                                                                                                  46

3.2       Study Area                                                                                                      46

3.3       Population of the Study                                                                                  46

3.4       Sampling and sampling techniques                                                                47

3.4.1    Sample size                                                                                                     47

3.4.2    Sampling procedure                                                                                        48

3.5       Sample Selection                                                                                            48

3.6       Preliminary activities                                                                                     49

3.6.1    Preliminary visits                                                                                            49

3.6.2    Questionnaire design and pretest                                                                    49

3.7       Data Collection                                                                                               50

3.6.1    Questionnaire                                                                                                 50

3.8       Data Analysis                                                                                                  50

3.9       Statistical Analysis                                                                                         50

 

 

CHAPTER FOUR

4.0       RESULTS

4.1       Socio Economic Characteristics of the Respondents                                     51

4.2       Nutritional knowledge of the Respondents                                                    51

4.3a     Attitude of the Respondents towards carotene rich foods                              56

4.3b     Attitude of the Respondents towards carotene rich foods                              58

4.4a     Frequency of food consumption of the Respondents                                     59

4.4b     Frequency of food consumption of the Respondents                                     61

4.5a     Carotene food frequency of the respondents                                                  62

4.5b     Carotene food frequency of the respondents                                                  64

4.5c    Carotene food frequency of the respondents                                                   66

4.5d      Carotene food frequency of the respondents                                                 68

4.5e     Carotene food frequency of the respondents                                                  70


CHAPTER FIVE

5.0       DISCUSSION, CONCLUSION AND RECOMMENDATION

5.1       Conclusion                                                                                                      78

5.2       Recommendations                                                                                          79

References

Appendix I

Appendix II

Appendix III

Appendix IV





 

LIST OF TABLES

Table 4.1: Socio-economic characteristics of the respondents

Table 4.2: Nutritional knowledge of the Respondents

Table 4.3: Attitude of the Respondents towards carotene rich foods

Table 4.4a: Food frequency consumption pattern of the respondent

Table 4.4b: Food frequency consumption pattern of the respondent

Table 4.5a: Carotene food frequency of the respondents

Table 4.5b: Carotene food frequency of the respondents

Table 4.5c: Carotene food frequency of the respondents

Table 4.5d: Carotene food frequency of the respondents

Table 4.5e: Carotene food frequency of the respondents

4.6       Relationships between nutritional knowledge and attitude on the consumption of carotene rich foods

 


 


 



 

CHAPTER ONE 

INTRODUCTION

1.1       Background of study

Carotenoids are lipophilic pigments synthesized by plants, fungi, algae, and bacteria (Johnson, 2012). In plants, carotenoids contribute to the photosynthetic system and protect them against photo-damage, in addition to helping in the production of phyto-hormones. As pigments, they are responsible for the red, orange, pink, and yellow colors of the leaves of plants, fruits, vegetables, and some birds, insects, fish, and crustaceans (Saini, 2015). More than 750 types of carotenoids have been identified in nature, but only about 100 are present in detectable amounts within the human diet (Saini, 2015). Between 30 and 40 carotenoids have been found in human blood samples and the six most abundant carotenoids consist of more than 95% of the carotenoids found in blood plasma: lycopene, lutein, α-carotene, β-cryptoxanthin, β-carotene, and zeaxanthin (Eggersdorfer, 2018).

In recent decades, carotenoids (lycopene, β-carotene, lutein, zeaxanthin, and β-cryptoxanthin) have aroused great interest in the field of human nutrition, as they act as biological antioxidants, contributing to the defense of the organism against reactive oxygen species (ROS) and play a protective role in conditions, such as diabetes and cardiovascular diseases, impacting cellular signaling pathways and influencing the expression of certain genes, and inhibiting specific enzymes involved in the development of certain forms of cancer (Sharoni, 2012). Dietary carotenoids are mainly accumulated in the liver, where they are transferred to be transported by the different lipoproteins for their release into the blood circulation and thus to be deposited and stored in different organs and tissues, such as the kidneys, adipose tissue, adrenal glands, testes, skin, and the prostate (Bonet, 2016).

The carotenoids present in the skin can protect against the damaging effects of radiation and neutralize the attacks of free radicals, particularly reactive oxygen species (ROS)(Meinke, 2010). In addition, the concentrations of these carotenoids in the skin can increase withtheir dietary supplementation and decrease in people with oxidative stress, such as smokers. Similarly, carotenoids in plasma and skin decrease with exposure to UV rays (Evans, 2010). The accumulation of these antioxidants, as well as of their metabolites in the liver, can exert a positive effect on the hepatocyte metabolism, regulating the cellular oxidative state in certain liver pathologies. Non-alcoholic fatty liver disease (NAFLD) is currently considered one of the most frequent chronic liver diseases in the world and represents a serious and growing clinical problem in developed and developing countries (Mikolasevic, 2016).

Fruits and vegetables are the main sources of carotenoids in the human diet, providing 80–90% of these compounds in developed countries and 82% in developing countries (Khachik, 2017). Since carotenoids cannot be synthesized in the human body, they are used as biomarkers to reflect the intake of fruits and vegetables, establishing a direct relationship between the consumption of vegetables and the concentration of carotenoids in blood (Carlsen, 2011).Carotenoids are found in almost all foods of plant origin, but Britton and Khachik(2019) establisheda classification of dietary sources according to their carotenoid content, establishing sources with a lowcontent (0–0.1 mg/100 g fresh product), moderate (0.1–0.5 mg/100 g fresh product), high (0.5–2 mg/100g fresh product), and very high content (>2 mg/100 g fresh product).

β-carotene is the main carotenoid present in the human diet. It is found mainly in yellow–orange and dark green fruits and vegetables, such as carrots, squash, spinach, papaya, mango, apricots, and orange flesh sweet potatoes(Rodriguez-Amaya, 2018). Lycopene is a carotenoid that lacks provitamin A activity and is responsible forred to pink colors in fruits and vegetables, such as tomatoes, red grapefruit, watermelon, apricots, pinkguava, and papaya (Latief, 2018). Tomatoes and tomato-based products are the most common sources oflycopene in the human diet.

Lutein is a non-provitamin A carotenoid that belongs to the family of xanthophylls oroxycarotenoids. It is distributed in a wide variety of vegetables, such as kale, spinach, and winter squash, and fruits such as mango, papaya, peaches, plums, and oranges (Perry, 2009). Commercially, lutein is extracted from the flowers of the tagetes (Tageteserecta L.), which contains 0.1–0.2% ofcarotenoids, of which 80 are diesters of lutein (González-Barrio, 2018). β-Cryptoxanthin, a xanthophyll with pro-vitaminA activity and one of the lesser-known carotenoids, is usually present in pumpkins, peppers, carrot ,oranges, peaches, tangerines, and in tropical fruits such as papaya (Krinsky, 2015). It has been observed that undergraduates are more inclined towards taking empty calorie foods with little consideration for healthy foods, especially  fruits and vegetables.This has the tendency of pre-disposing them to obesity, dental caries, scurvy, night blindness, hemorrhagic disease or bleeding disorder, anemia, osteoporosis, goiter and other non-communicable diseases in later years. Therefore this study aimed at assessing the knowledge and attitude towards consumption of carotene rich foods among students.


1.2       Statement of the Problem

Undergraduates are faced with a plethora of food choices that challenge their ability to consume a healthful diet (Ehrens, 2009).

Prevalence of obesity is increasing worldwide, it is faster in developing countries due to declining levels of physical activity as well as nutrition transition characterized by a trend towards consumption of a diet high in fat, sugar and refined foods and low in fibre (Ogden et al., 2014). Current evidence revealed a clear transition of increasing proportions of overweight/obesity in undergraduate in Sub-Saharan Africa, and a similar, but less prominent trend towards increasing proportions of obesity over time(Muthuriet al., 2014). This transition to higher proportions of overweight/obesity is similar to observed trends in developed countries.

There is an increasing rate of cancers and cancer related illnesses, infections and disease, eyesight related problems, skin infection and poor cognitive development which are traceable to poor intake of carotene rich foods, hence the need for this research.

Also, there is paucity of research on carotene rich foods consumption levels among undergraduates in Nigeria.


1.3       Objective of the Study

1.3.1    General Objective

The general objective of this study was to investigate the knowledge and attitude towards consumption of carotene rich foods among students in Abia Poly and MOUAU.


1.3.2    Specific Objectives

The specific objectives of this study were:

1. To assess the knowledge level of undergraduate on the health benefitsof consumption of carotene rich foods.

2. To determine the attitudes of undergraduate towards consumption of carotene rich foods.

3. To deduce the frequency of consumption of carotene rich foods of undergraduates.

4. To identify the reasons for consumption of carotene rich foods among undergraduates.


1.4       Significance of the study

Data obtained from this research work will be beneficial in the following ways:

1. It will provide information on the knowledge and attitude of undergraduates in Abia Poly and MOUAU towards the consumption of carotene rich foods.

2. It will provide information on the consumption level of carotene rich foods among undergraduates in Abia Poly and MOUAU.

3. It will guide nutritionist in conducting nutrition education programmes.

4. It will serve as a guide in making policy towards improving the nutritional health of undergraduates.

 

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