BackgroundTo reduce morbidity and mortality, awareness regarding diabetes and its complications is necessary. This study aimed at assessing the level of knowledge, attitude, and practices (KAP) regarding complications of diabetes mellitus among patients with type 2 diabetes in Dhaka, Bangladesh.MethodsA cross-sectional study was carried out recruiting patients with diabetes from the outpatient department of BIRDEM hospital in Dhaka. Overall, 425 patients with diabetes were enrolled in this study. A pretested questionnaire was filled by the interviewer with face to face interview. Levels of KAP were determined by calculating the scores. Multivarable linear regression was used to determine significant predictors for knowledge, attitude, and practices.ResultsOn average, the level of knowledge, attitude, and practices were 9.2 (out of 14), 7.9 (out of 13), and 16.9 (out of 27), respectively. Age and gender were significant predictors of knowledge and attitude. Females had better level of knowledge and attitude compared to males (βs = 0.55 and 1.24, respectively). Patients with graduate degrees and above compared to illiterates reported significantly greater knowledge and practice (βs = 1.27 and 1.44, respectively), after adjustments for covariates. Educational program was the most important significant predictor of KAP. Higher duration of diabetes (β = 0.07) and positive marital status (β = 1.21) had influenced better practice.ConclusionsLack of knowledge, poor attitude, and inadequate practice were found in this surveyed communinty. Level of education and educational program on diabetes were the most significant contributing factors. The current study suggests the need of structured educational programs on diabetes and its complications on a regular basis to assist patients in living a productive life.

Maintaining proper hygiene during menstruation prevents certain reproductive illnesses. For female athletes, they need to put an extra effort to keep themselves healthy at this time because of their daily strenuous activities. In this study, we assessed the level of knowledge, attitude and practices about menstrual hygiene management among adolescent trainee athletes. A cross-sectional study was carried out among adolescent trainee athletes from BKSP. Samples were chosen conveniently from different sports departments. In total, 143 Female athletes who regularly menstruate were included. A semi-structured questionnaire was used to determine the level of knowledge, attitude and practices and their associated factors. One-way analysis of variance (ANOVA) was used to compare means of outcome variables. The mean ± SD age of our participant was 14.31 ± 1.48. Majority of the participants were scared during their first menstruation (39.9%). Mothers were the main source of information (84.6%). Majority of the participants had poor knowledge (56.6%) and practices (68.5%) while the level of attitude was good (67.1) regarding menstruation. Age-group was associated with knowledge score (p=0.034) regarding menstruation while family income was associated with attitude (p=0.014). Educational level of father was associated with both knowledge (p=0.049) and attitude (p=0.010). Poor level of knowledge and practices were observed among the survey respondents, though the level of attitude was satisfactory. Mothers were the primary source of information regarding menstrual hygiene. It is important to provide menstrual hygiene education to the young athletes from a reliable and formal source. Asian J. Med. Biol. Res. June 2019, 5(2): 126-137

Despite having number of health benefits, yoga also has a proven role in enhancing performance of athletes boosting specific components of fitness. Our aim was to study the effect of yoga on flexibility and balance among shooting trainee athletes at BKSP, Bangladesh. A quasi-experimental study was conducted among shooting trainee athletes. In total 20 athletes took part in this study. In each group we had 10 participants (10 in yoga group and other 10 in non-yoga group). Regular yoga session have been conducted early morning biweekly over a period of six weeks. All the participants were allowed to take part in regular training session, while only yoga group took part in additional yoga session. Measurements of flexibility and balance including Sit and Reach (SR) test and Stork Stand (SR) test were taken immediately before and after the yoga training period. Independent t-test and paired t-test were used to determine the significant effect of yoga within and between the groups before and after yoga training. Sixty percent of our participants were male. Participant's age were between 12-17 years. All of them had normal level of BMI. Significant improvement were observed in the yoga group for flexibility (SR, P=0.017) and balance (SS, P=0.004) during within group comparison. No significant improvement were seen for flexibility and balance in the non-yoga group. Between group comparison (Yoga and Non-yoga) also shows significant enhancement in both flexibility (SR, P=0.018) and balance (SS, P=0.021).Our findings helped us to conclude that regular yoga training may improve the balance and flexibility of shooting athletes even within short period of time (6 weeks), can also improve the athletic performances that demands high flexibility and balance.

Background: Psychosocial research in humanitarian settings has been historically dominated by a focus on distress and disorder. As such, there is a need to establish the validity of instruments for a broad range of psychosocial outcomes, particularly among highly affected and under-represented populations. The current study describes the adaptation and testing of multiple psychosocial instruments among displaced Rohingya mothers in Bangladesh.  Methods: We used baseline data from 600 mothers of malnourished children aged 2 and under enrolled in an intervention study in Cox’s Bazar, Bangladesh. Instruments assessed distress (International Depression Symptom Scale [IDSS] and Kessler-6 [K-6]); functional impairment (World Health Organization Disability Assessment Schedule [WHODAS]); subjective wellbeing (global Satisfaction With Life [SWL] and Personal Wellbeing Index [PWI];  and, coping (Brief COPE and locally developed coping items). Instruments were piloted and refined, then used for data collection by Bangladeshi-Rohingya interviewer pairs. We conducted exploratory factor analysis, evaluated internal consistency, examined construct validity through correlation with other scales, and used regression models to explore demographic factors associated with psychosocial health.  Results: Both the WHODAS and coping items fit 2-factor models; other scales were unidimensional. Cronbach’s alphas ranged from .76 to .90 for the refined scales. With the exception of coping, scale correlations supported construct validity; separate measures of the same construct were highly correlated, distress and impairment were moderately correlated, and both were inversely correlated with wellbeing. Correlates of poorer psychosocial health included relative socioeconomic disadvantage, current pregnancy, and being unmarried.   Conclusions: Most of the standard psychosocial assessment tools performed adequately, but they did not appear to fully capture local experiences and included items of little local relevance. Findings highlight the need for further mixed methods research to develop a rich battery of instruments with cross-cultural validity, particularly for positive outcomes such as coping which was particularly challenging to assess.

Background Nutrition is an important predictor of an athlete’s performance. It is more important for particularly those athletes who are in the growing stage (adolescents). This study aimed to assess their current level of knowledge, attitude, and practices (KAP) of nutrition and to predict potential factor impact on the level of these KAP. Methods A cross-sectional study was conducted among adolescent trainee athletes selected conveniently from 11 sports departments (e.g. cricket, football, hockey etc.) of Bangladesh Krira Shikkha Protishtan (BKSP). A semi-structured interviewer-administered questionnaire was used for data collection. Anthropometric measurements (e.g. height, weight, BMI, BF %) were taken using appropriate methods. The data were analyzed using R (v3.6.1) and Python Jupyter Notebook. Descriptive statistics, t-test, analysis of variance (ANOVA) and logistic regression were used to determine the relationship between dependent and independent variables. Results A total number of 260 participants were enrolled in this study. Among them, 86% were male. Their mean age was 15.50 ± 1.83 ranging from 12–19 years. More than half of the participants had good nutrition knowledge (n = 149, 57.3%). Fifty-six percent participants had negative attitude (n = 146) and 42.3% (n = 110) had poor level of practices regarding nutrition. Age (p = 0.007), gender (p = 0.004) and duration of sports training (p = 0.004) of participants were significantly associated with knowledge, while only age and BMI were significantly associated with practices. Athletes with less body fat were more likely to have good nutrition practice behavior (AOR 0.895; 95% CI 0.83, 0.96; p < 0.05) and nutrition knowledge was positively associated with nutrition practice (AOR 2.335; 95% CI 1.405, 3.88; p = 0.001). Conclusion Insufficient knowledge, negative attitude, and poor practices were observed among many of our participants. Previous nutrition training was found as potential factor of good nutrition knowledge and practice. It is necessary to provide appropriate nutrition information to the adolescent athletes through proper educational intervention on a regular basis.