ABSTRACT
The study was undertaken to determine nutrition knowledge and lifestyle among adult traders in Ogbete market in Enugu north local government area (LGA), Enugu state. Data for this report was obtained from a cross-sectional survey of 217 traders. Purposive sampling method was used. A structured questionnaire was used to elicit information on socioeconomic characteristics, lifestyle factors, nutrition knowledge and dietary pattern. Data obtained from the study were subjected to statistical analysis, using statistical package for social sciences (SPSS) version 20.0. The results of the different variables collected revealed that some (27.2%) traders were within the ages of 20-25 years. Highest educational qualification attained by most (55.8%) was secondary school and 19.8% earned less than N 10,000 monthly. About 47.5% had good nutrition knowledge of major sources of protein, vitamins/minerals, energy and diets that provide adequate amount of nutrient. About 83.9% consumed alcoholic beverage such as beer (33.5%), 44.7% preferred coca cola products. Similarly, 44.7% were currently smoking one to two cigarettes (68%) and more than two packets (32), for 3 years and above (60.8%). All the traders engaged themselves in one form of exercise or the other such as brisk walk (39.2%), 1-2 times a week (39.6). Food habit profile of the respondent shows that breakfast was the only skipped meal (22.1%). About 36.4% took soft drinks in the market and 31.3% took vegetables. Pearson correlation shows that marital status negatively determine their alcoholic beverage intake (x2=-0.202;p=0.006), cigarette intake (x2=-0.254;p=0.012) and nutrition knowledge (x2=-0.142;p=0.036). Also, educational background significantly affected their alcoholic intake (x2=-0.146; p=0.048) smoking habit (x2=-0.269; p=0.008) and nutrition knowledge (x2=-0.306; p=0.000). Monthly income significantly affect their carbonated drink intake (x2=-0.321;p=0.000)and nutrition knowledge (x2=-0.207;p=0.002). The study underscores the need for educational campaigns regarding healthier lifestyles and dietary habit among the traders.
TABLE OF CONTENTS
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TITLE
PAGE
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i
|
|
CERTIFICATION
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ii
|
|
DEDICATION
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iii
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|
ACKNOWLEDGEMENT
|
iv
|
|
TABLE OF CONTENTS
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v
|
|
LIST OF TABLES
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vii
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LIST OF FIGURES
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viii
|
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ABSTRACT
|
ix
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CHAPTER 1: INTRODUCTION
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1.1
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Background
of the study
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1
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1.2
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Statement of the problem
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3
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1.3
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Objective
of the study
|
5
|
1.3.1
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General
objectives of the study
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5
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1.3.2
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Specific
objectives of the study
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6
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1.4
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Significance
of the study
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6
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|
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CHAPTER
2: LITERATURE REVIEW
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2.1
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Nutrition
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7
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2.2
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Nutrition knowledge and food choices
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13
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2.3
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Nutrition attitude
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16
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2.4
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Dietary practices
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17
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2.5
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Urbanization and dietary habits
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18
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2.6
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Eating practices
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21
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2.6.1
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Usual food intake
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21
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2.6.2
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Frequency of food consumption
|
22
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2.6.3
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Energy and nutrients intake
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22
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2.7
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The
market
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23
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|
|
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CHAPTER 3: MATERIALS AND METHODS
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3.1
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Study design
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25
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3.2
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Area of study
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25
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3.3
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Population of
study
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26
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3.4
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Sampling
techniques
|
26
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3.4.1
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Sample
size determination
|
26
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3.4.2
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Sampling
procedure
|
27
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3.5
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Preliminary activities
|
27
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3.5.1
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Validation of questionnaire
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27
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3.5.2
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Pre-testing
|
28
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3.5.3
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Recruitment
and training of research assistants
|
28
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3.6
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Data collection
|
28
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3.6.1
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Questionnaire
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29
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3.7
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Statistical analysis
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|
|
|
|
|
CHAPTER
4: RESULTS AND DISCUSSION
|
30
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4.1:
|
Socioeconomic status of the adult
traders
|
30
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4.2:
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Nutrition knowledge of the adult traders
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32
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4.3:
|
Lifestyle factors of the adult traders
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34
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4.4:
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Dietary
habit of the adult traders
|
41
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4.5:
|
Association
of socio-economic status on nutritional knowledge
and lifestyle factors of the traders
|
48
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|
|
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CHAPTER
5: CONCLUSION AND RECOMMENDATIONS
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5.1
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Conclusion
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50
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5.2
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Recommendations
|
50
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|
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REFERENCES
|
52
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APPENDIX
|
|
LIST OF TABLES
Table
2.1
|
Food
preference by age group
|
21
|
Table
4.1
|
Socioeconomic
status of adult traders
|
31
|
Table
4.2a
|
Nutrition
knowledge of the adult traders
|
33
|
Table4.2b
|
Nutrition
knowledge score
|
34
|
Table
4.3a
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Lifestyle
factors of the adult traders
|
35
|
Table
4.3b
|
Lifestyle
factors of the adult traders continued
|
38
|
Table
4.3c
|
Lifestyle
factors of the adult traders continued
|
40
|
Table
4.4a
|
Distribution
of the traders according to their dietary habits
|
43
|
Table
4.4b
|
Distribution
of the traders according to their dietary habits continued
|
45
|
Table
4.4c
|
Distribution
of the traders according to their dietary habits continued
|
47
|
Table
4.5
|
Association
of socioeconomic status on nutritional knowledge and lifestyle
|
49
|
LIST OF FIGURES
Fig
2.1
|
Shepherds
conceptual model of factors associated with food choice
|
20
|
Fig
2.2
|
Map
of Enugu showing Enugu North L.G.A
|
25
|
CHAPTER 1
INTRODUCTION
1.1 BACKGROUND OF THE STUDY
Nutrition as the science of food and its relationship
to health has been recognized in recent years as the cornerstone of
socioeconomic development (Parks, 2009). Adequate nutrition is important for a
variety of reasons, including optimal cardiovascular function, muscle strength,
respiratory ventilation, protection from infection, wound healing and
psychological well-being (Martin, 2006). Adequate nutrition entails a diet that
contains the constituents (carbohydrate, fats, proteins, water, vitamins and
minerals) that are required for body building, energy supply, body defense and
regulatory functions in quantities commensurate with the body need (Awosanet
al., 2013).
Knowledge
may be defined as factual and interpretative information that leads to
understanding or that is useful in making decisions or informed actions
(Worsley, 2002). The effect of
inadequate knowledge, attitudes, and practice regarding nutrition and lifestyle
has not been much emphasized in many studies.
Nutrition knowledge is knowledge of nutrients and
nutrition (Worsley, 2002).
Lifestyle
can denote the interests, opinions, behaviours, and behavioural orientations of
an individual, group, or culture (Lynn
and Angeline, 2011).
A lifestyle typically reflects an individual's
attitudes, way of life, values, or world view.
Therefore, a lifestyle is a means of forging a sense of self and to create cultural symbols that resonate with personal identity.
Not all aspects of a lifestyle are voluntary. Surrounding social and technical
systems can constrain the lifestyle choices available to the individual and the
symbols she/he is able to project to others and the self (Spaargaren and VanVliet, 2000).
The market as a meeting place for distributors of
goods (and even producers of some goods especially food items produced by small
scale farmers) and consumers, represents the soul of every community (Awosan
et al., 2014). The market place as an occupational environment can
predispose individuals to obesity, mainly due to the sedentary nature and
enhanced access to food (Ukegbuet al.,
2015). Markets therefore provide a forum for reaching a large adult population
with information on nutrition and therefore understanding the nutrition
behaviour and lifestyle of traders may provide the foundation for an effective
campaign against poor or inadequate nutrition knowledge (Tobin et al., 2015).
Most
traders spend more time away from their homes thus; influence from friends,
media and environment further affect their dietary practices and lifestyle.
Poor dietary practices are major contributors to the development of chronic
non-communicable diseases (Schmidt et al.,
2011; WHO/FAO, 2003). There is growing evidence suggesting that people from
developing countries are increasingly making unhealthy food choices especially
due to lack of knowledge and wrong perception towards healthy foods (Mirmiranet al., 2007). This is mainly because
presently the concept of ‘food’ has changed from a means of nourishment to a
marker of lifestyle and a source of pleasure as portrayed by media (Dehghanet al., 2005). A large proportion of
televised food advertisements are of highly processed foods/convenient foods
with high caloric content, large amounts of fat and sugar, and with little or
no micronutrient content (Juan, 2006).
Therefore,
to be able to overcome the emerging health issues and related health risks,
traders have to be empowered to make the right food choices by providing them
with nutrition knowledge and changing their attitudes towards healthy eating
and lifestyle.
1.2 STATEMENT OF THE PROBLEM
Nutrition
is an important issue in many disciplines, but the nutrition knowledge,
attitudes and lifestyle of traders have not been elucidated in many
studies.Poor nutrition knowledge and dietary practices are major contributors
to the development of chronic non-communicable diseases (Schmidt,
2011;WHO/FAO, 2003). Most chronic diseases in
adulthood originate from poor knowledge of nutrition and dietary practices
which are mainly formed during childhood (Flynn et al., 2006; Abdollahiet al.,
2008; Hwenda, 2013).The market place as an occupational environment can
predispose individuals to obesity, mainly due to the sedentary nature and
enhanced access to food (Ukegbuet al.,
2015). Traders represent an important productive sector of the economy. Markets
provide a forum for reaching a large adult population with information on
nutrition and therefore understanding the nutrition behaviour and lifestyle of
traders may provide the foundation for an effective campaign against poor or
inadequate nutrition knowledge (Tobin et
al., 2015).
Poor
nutrition knowledge and lifestyle is one of the underlying factors that
contribute to health problems as nutrition has been shown to play an important
role in adopting optimal nutrition practices. Nutrition knowledge can be seen as a
key prevention strategy for most health challenges like overweight and obesity
(Grafova, 2006).
Furthermore knowledge, attitudes and
practices of traders are important determinants of the occurrence or outcome of
health crisis. The status and explanatory role of
nutrition knowledge is uncertain in public health nutrition. Much of the
uncertainty about this area has been generated by conceptual confusion about
the nature of knowledge and behaviours, nutrition knowledge and food behaviours
in particular (Triches and Giugliani, 2005).
A study by Ulasiet
al. (2011) reported a high prevalence of hypertension (42.0%) in a market
population in Enugu, Nigeria. Another study by Odugbemiet al. (2012) also reported high prevalence of hypertension
(34.8%), physical inactivity (92.0%), cigarette smoking by males (17.5%),
obesity (12.3%) and overweight (39.9%) among traders in Lagos. However,
previous studies among traders in Nigeria, majorly examined lifestyle and
prevalence of non-communicable diseases (NCDs) or their risk factors. There is
a dearth of literature on their nutrition knowledge and lifestyle and its
correlation (if any), even though they are prone to consuming the high energy
dense foods that they sell to people.
There
is growing evidence that suggests that people from developing countries are
increasingly making unhealthy food choices especially due to lack of knowledge
and wrong perception towards healthy foods (Triches and Giugliani, 2005). In
addition, traders in urban centers such as Enugu have easy access to numerous
fast food outlets, restaurants and supermarkets, and they are left to make
decisions on what to eat. Therefore, to be able to overcome the emerging issue
of poor nutrition and related health risks, traders have to be empowered to
make the right food choices by providing them with nutrition knowledge and
changing their attitudes towards healthy eating.
1.3 OBJECTIVE
OF THE STUDY
1.3.1 General
Objectives of the Study
This
study will assess nutrition knowledge and lifestyle among adult traders in
Ogbete market in Enugu North Local Government Area (LGA), Enugu State.
1.3.2 Specific
Objectives of the Study
The specific objectives are to:
1. Determine
the socio-economic status of adult traders in Ogbete market in Enugu North
Local Government Area (LGA), Enugu State.
2. Evaluate
the nutrition knowledge of adult traders in Ogbete market in Enugu North Local
Government Area (LGA), Enugu State.
3. Assess
their life style factors
4. Determine
the association of socio-economic status on nutrition knowledge and lifestyle
factors.
1.4 SIGNIFICANCE
OF THE STUDY
The results from this study will contribute a great
deal in creating awareness among adult traders about the risk factors and long
term effect of poor nutrition and life style. The findings of the study will
encourage a healthy lifestyle, good nutrition for adult traders in the country.
It will be useful in creating awareness on the risk of diseases that affects
adult traders in Ogbete market in Enugu State. The ministry of health and other
health practitioners (dietitians, nutritionists and doctors) will harness the
findings from this study in the fight against the major killer diseases such as
diabetes, cardiovascular diseases, etc. It will also be beneficial to the
government as a health policy formulation tool. They will be able to come up
with an appropriate nutrition policy.
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