Figure 1: County representation of participants in the web-based nutrition education study, Alabama 2020.
Figure 2: Participants’ support for strategies to fight obesity in Alabama Black-Belt counties.

 

Frequency (%)

Question

True

False

Overweight and obesity are reaching epidemic levels

100

-

Overweight and obesity are due to excessive calorie consumption

100

-

Moderate exercise 5 or more times a week can lead to substantial weight loss

89.7

10.3

Low carbohydrate diets and weight loss pills are the fastest way to lose weight

33.3

66.7

Understanding what and why you eat is a major factor for implementing weight control

100

-

Snacking before bedtime is a good weight management strategy

7.9

92.1

It is easier to lose weight when overweight than when morbidly obese

53.8

46.2

Are you aware of the increase in type two diabetes among obese children and adolescents?

92.3

7.7

Do you feel that overweight and obesity are potential health problems

100

-

The CDC estimates that about 6 in 10 Americans are overweight or obese. Would you say that your observation of society reflects this?

92.3

7.7

Table 1: Participants' Responses to the KAP Survey Questionnaire (n=96)

Statement

Chi Square (x2) values

Education level

Age category

Income level

I would like to learn more about obesity

0.15

0.04*

0.86

I know more than an average person about overweight and obesity

0.5

0.01*

0.97

I have an excellent knowledge of overweight and obesity

0.15

0.05*

0.15

I know a lot about overweight and obesity, but it is not a concern to me

0.33

0.36

0.91

*Values were significantly differently at p<0.05.
Table 2: Crosstabulation of Participants’ Response to KAP Questions and their Social Demographic Characteristics (n=96).

Question

Chi Square (X2) values

Age category

Education level

Income level

Role played to fight obesity:

 

 

 

Government

0.76

0.54

0.17

Employers

0.66

0.61

0.17

Schools

0.62

0.63

0.04*

Healthcare providers

0.16

0.79

0.78

Support for obesity prevention policies:

 

 

 

Barn unhealthy snacks from school vending machines

0.24

0.67

0.82

Limit tv adds of unhealthy foods

0.20

0.27

0.79

Provide healthier school lunches

0.44

0.37

0.23

More physical activity in school curriculum

0.15

0.40

0.04*

Increase parents’ nutrition education

0.02*

0.37

0.06

Table 3: Cross Tabulation of Participants’ Opinions and their Sociodemographic Characteristics (n=96) s

 

Question

Baseline

Poststudy

Pa

 

Mean knowledge scores

51.1±20.8

79.8±10.4

<0.001

1

Nutrient that provides the most calories per gram.

25 (54.3)

37 (80.4)

<0.05

2

Proteins are found in both plant and animal foods.

10 (21.7)

35 (76.1)

<0.001

3

What foods contain the highest amount of saturated fat per gram?

20 (43.5)

34 (73.9)

<0.05

4

Fruits and vegetables should make up one fourth of your plate.

18 (39.1)

32 (69.6)

<0.05

5

Which of these foods provides complete proteins?

25 (54.3)

39 (84.8)

<0.04

6

Which of the following is a screening tool for overweight and obesity?

19 (41.3)

39 (84.8)

<0.001

7

Which of these methods can be used to determine the body mass index?

23 (50.0)

37 (80.4)

<0.05

8

Which of the following is a medical complication of obesity?

23 (50.0)

40 (87.0)

<0.01

9

Store brand foods contain more sodium per serving than name brands?

24 (52.2)

32 (69.6)

 <0.05

10

Which of these is a way of saving more money at the store during shopping?

25 (54.3)

38 (82.6)

<0.04

11

Which type of milk contains the least amount of fat per gram?

21 (45.7)

34 (73.9)

<0.05

12

Canned fruits may contain as much nutrients as fresh fruits.

15 (32.6)

37 (80.4)

<0.001

13

In-season produce is usually cheaper than out-of-season produce.

38 (82.6)

40 (87.0)

<0.61

14

What is the main reason peanut butter should be eaten with bread?

18 (39.1)

40 (87.0)

<0.001

15

Which vitamin is required for good night vision?

38 (82.6)

44 (95.6)

<0.61

16

If an apple is equal to one fruit serving, how many servings will half an apple have?

12 (26.1)

32 (69.6)

<0.02

17

Which body mass index is considered normal?

33 (71.7)

41 (89.1)

<0.06

18

Which of the following foods will lead to a quick spike in blood glucose when eaten?

41 (89.1)

44 (95.6)

<0.66

19

Which of the following groups of people requires more protein?

28 (60.9)

40 (87.0)

<0.04

Table 4: Participants' Response to Nutrition Education Questions (n=46)

Characteristic

Baseline

Post-study

P-value

Weight (kg)

94.3±27.9

92.8±25.8

0.27

Waist circumference (cm)

103.09±18.5

99.0±19.0

0.01

Hip circumference (cm)

112.9±18.7

109.7±19.8

0.02

BMI (kg/m2)

33.3±9.2

32.7±8.7

0.24

Systolic BP (mmHg)

124.7±17.4

124.9±18.2

0.92

Diastolic BP (mmHg)

75.8±9.0

76.3±9.2

0.69

p<0.05
Table 5: Anthropometry and Blood Pressure Values of Participants (n=46).