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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Influences on calcium intake levels in premenopausal and postmenopausal women in the Australian Capital Territory

Onyango, Lilian Awuor, n/a January 1996 (has links)
Evidence has accumulated for a link between the adequacy of lifetime calcium intake, and osteoporosis. Osteoporosis increases in prevalence with age and is of concern as it results in irreversible and debilitating effects. The result has been an increased recognition of the need to survey the consumption patterns of foods that contribute to calcium intake levels in Australia, the focus being milk and milk products.. A better understanding of calcium intake in women and the factors influencing it across the lifespan is of increasing importance as the longevity of Australian women continues to increase. Without preventive measures the costs incurred in managing osteoporosis will continue to escalate. An understanding of women's food behaviour is important if calcium intake levels in women are to effectively increase. A self administered questionnaire assessed the calcium intake levels and food sources in 158 premenopausal and 142 postmenopausal women. It also assessed significant differences in calcium intake levels and the relative contributions of food sources to this intake. The questionnaire comprised a semiquantitative food frequency questionnaire and closed end questions. The closed ended questions measured psychosocial factors, stage of dietary change, levels of physical activity and demographic factors. These factors formed the basis of an investigation into factors best associated with the levels of adequacy of intake. The results suggest no significant difference in calcium intake (milligrams per day) in the two groups of women. There was a significant difference in the relative levels of adequacy of the estimated calcium intake levels. Milk and milk products contributed up to 84% of the daily calcium intake with 72.2 and 84.7% as the respective contributions in premenopausal and postmenopausal women. Fortified milk types have a relatively higher calcium content than unfortified types. A higher consumption of fortified milk noted in the postmenopausal women could explain the higher though not significant mean intake values post-menopausally. Several of the enabling factors but none of the predisposing factors were noted to influence intake of fortified milk. Taste generally influenced intake of fortified milk in the whole sample of 300 women whereas perceived costs and health concerns were an issue with the premenopausal women only. Other enabling factors such as the perceptions of the adequacy of the present diet, and the feeling that there was too much nutrition information that was in itself confusing influenced the intake of fortified milk in postmenopausal but not premenopausal women.The influence of change related factors was also noted. The importance ratings for nutrient issues influenced the intake of fortified milk intake in the whole sample. Food preference was the only enabling factor found to influence the adequacy of calcium intake in the both the premenopausal and postmenopausal women. Change related factors, were also noted to influence the adequacy of calcium intake in the premenopausal and postmenopausal women and these included; the stage of change for adopting a high calcium diet, the importance ratings for; increasing intake of milk and milk products and the perceived adequacy of this intake. The other suggested determinants of the adequacy of intake varied between the two groups of women. These inc1uded;enabling factors; perceived cost of milk and milk products, milk allergies, social support, availability of milk at home on a daily basis and the frequency of meal preparation in the premenopausal group. Change related factors on the other hand determined the postmenopausal intake and these included importance ratings for eating low fat foods, perceived adequacy of fruit and vegetable intake, and importance rating for an increased dietary calcium intake. The enabling factors; preferences, social support and perceived adequacy of milk and milk products' intake were the best predictors of the adequacy of premenopausal calcium intake whereas the change related factors; the importance rating for a high calcium diet and the reluctance to change a diet considered to be enjoyable best predicted the adequacy post-menopause. Knowledge is a predisposing factor for behaviour change. The results show that knowledge on the importance of a high calcium intake exists in the sample population. This knowledge is however not being effectively translated into food behaviour. This highlights the need for Nutrition education programs that stress the importance of food behaviours. These programs should aim at increasing women's calcium intake levels and destroying the few existing misconceptions regarding milk and milk product consumption. The factors identified as determinants of intake in the premenopausal and postmenopausal women are the basis of these education programs.

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