• Norimah Said Centre for Nursing Studies, Faculty Health Sciences, Universiti Teknologi MARA (UiTM, MALAYSIA
  • Norazmir Md Nor Centre of Nutrition and Dietetics, Faculty Health Sciences, Universiti Teknologi MARA (UiTM), MALAYSIA
  • Siti Khuzaimah Ahmad Sharoni Centre for Nursing Studies, Faculty Health Sciences, Universiti Teknologi MARA (UiTM, MALAYSIA
  • Siti Sabariah Buhari Centre of Nutrition and Dietetics, Faculty Health Sciences, Universiti Teknologi MARA (UiTM), MALAYSIA
  • Nurul Fadly Habidin Faculty of Management and Economic, Universiti Pendidikan Sultan Idris, MALAYSIA
Keywords: module, health education, nutrition knowledge, habits, physical activity, sedentary lifestyle, school children


The prevalence of overweight and obesity among school children are increasing in developing countries, including Malaysia. The aim of this study was carried out the need assessment and to determine the nutritional knowledge, attitude, and physical activity among primary school children for the purpose of health education module development on childhood weight management among primary school children. This study was employed cross-sectional design with a probability of 202 school children aged ten years old. The result shows that majority of primary school children choose food that high in carbohydrate, sodium, and saturated fat. Thus, reflect to the lack of nutrition knowledge. Meanwhile, for the lowest choices were sugar intake and low-fat dairy product. The highest mean for nutritional attitude is primary school children chose to drink 100% fruit juice (mean=81 ± 0.97), and the lowest mean was eating wheat bread (mean=2.25 ± 1.16). The highest mean for sedentary activity was watching the television show during weekdays (mean 4.02 ± 1.17). The result shows the children need education on the nutritional fact in their food like carbohydrate, sodium and saturated fat, physical activity, and information to avoid a sedentary lifestyle.


1. Ministry of Health, Malaysian Health at a Glance, 2020, Ministry of Health. National Institute of Health 2019;65.

2. Ministry of Health Malaysia, National Coordinating Committee on Food and Nutrition. Malaysian Dietary Guidelines for Children and Adolescents. Putrajaya: Technical Working Group on Nutritional Guidelines 2013.

3. National Health and Morbidity Survey 2015 (NHMS, 2015). National Health and Morbidity Survey 2015 (NHMS 2015). Vol. II: Non-Communicable Diseases, Risk Factors & Other Health Problems. Ministry of health 2015 (Vol. II).
4. Kigaru M, Loechl C, Moleah T, Macharia-Mutie W, Ndungu W. Nutrition knowledge, attitude and practices among urban primary school children in Nairobi City, Kenya: A KAP study. BMC Nutrition 2015; 1(1).

5. McKenzie F, Neigher B, Thackeray R. Planning, Implementing, and evaluating health promotion programs:A primer (5th ed.).San Francisco: Benjamin Cummings 2009.

6. Sukamolson, Suphat. (2010). Fundamentals of quantitative research.www.researchgate.net/scientific-contributions/2047032506_Suphat_Sukamolson (Accessed 2 Mei 2019)

7. Kelder, Steven, Hoelscher, Deanna, Barroso, Cristina, Walker, Joey, Cribb, Peter, Hu, Shaohua. (2005). The CATCH Kids Club: A pilot after-school study for improving elementary students' nutrition and physical activity. Public health nutrition 2005;8:133-40.

8. Taber, Keith. The Use of Cronbach’s Alpha When Developing and Reporting Research Instruments in Science Education. Research in Science Education 2017; 1:24.

9. O’Halloran A, Grimes A, Lacy E, Campbell J, Nowson, C.A. Dietary Intake and Sources of Potassium and the Relationship to Dietary Sodium in a Sample of Australian Pre-School Children. Nutrients 2016;8: 496

10. Grimes C, Riddell L, Campbell J, Beckford K, Baxter R, He J, Nowson A. Dietary intake and sources of sodium and potassium among Australian schoolchildren: results from the cross-sectional Salt and Other Nutrients in Children (SONIC) study. BMJ Open 2017; 7(10): e016639

11. Gharib N, Rasheed P. Energy and macronutrient intake and dietary pattern among school children in Bahrain: a cross-sectional study. Nutrition Journal 2011; 10(1): 62.

12. Battram D, Piché L, Beynon C, Kurtz J, He M. Sugar-sweetened beverages: children's perceptions, factors of influence, and suggestions for reducing intake. Journal of nutrition education and behavior 2016 ; 48(1), 27-34. www.sciencedirect.com/science/article/abs/pii/S1499404615006582. (Accessed 15 Jun 2019).

13. N Said, N Nor, SKA Sharoni. A Preliminary Study of the Evaluation on the Dietary Pattern among obese school children, Indian Journal of Public Health Research & Development 2019;10(4):1416-1421. ISSN: 0976-0245.

14. Kherkheulidze M, Kavlashvili N, Kandelaki E, Manjavidze T. Evaluation of nutritional knowledge of second-grade school children and assessment of their dietary intake. Georgian Med News 2012;212:58–64.

15. Kamar M, Evans C. Whole Grain intake Correlates in Young Adults. J Epidemiol Community Health 2013; 67(Suppl 1): A54-A54

16. Bradlee M, Singer R, Qureshi M, Moore L. Food group intake and central obesity among children and adolescents in the Third National Health and Nutrition Examination Survey (NHANES III). Public health nutrition 2010;13(6), 797-805. doi.org/10.1017/S1368980009991546

17. Scharf J, Demmer T, DeBoer D. Longitudinal evaluation of milk type consumed and weight status in preschoolers. Archives of disease in childhood 2013;98(5): 335-340.

18. Nutrition Division . National Plan of Action for Nutrition of Malaysia III 2016-2025. Putrajaya, Malaysia. National Coordinating Committee on Food and Nutrition (NCCFN) 2016.

19. Khor L, Shariff M, Sariman S, Huang M, Mohamad M, Chan Y, Yusof B. (2015). Milk drinking patterns among Malaysian urban children of different household income status. J. Nutr. Health Sci 2015; 2: 105

20. US Department of Health and Human Services, US Department of Agriculture. 2015–2020 Dietary Guidelines for Americans. 8th ed. www.health.gov/dietaryguidelines/2015/guidelines/ (Accessed 12 Jun 2019

21. Al-Ghamdi, S. H. The association between watching television and obesity in children of school-age in Saudi Arabia. Journal of family & community medicine 2013; 2: 83.

22. Hare-Bruun H, Nielsen M, Kristensen L, Møller C, Togo P, Heitmann L. Television viewing, food preferences, and food habits among children: a prospective epidemiological study. BMC Public Health 2011;11(1): 311.

23. Krejcie V, Morgan,W. Determining Sample Size for Research Activities. Educational and Psychological Measurement 1970;30: 607-610

24. Alam, P. Nutritional status and eating practices among children aged 4-6 years old in selected urban and rural kindergarten in Selangor, Malaysia. Asian J. Clin. Nutr 2012; 4: 116-131.

25. Fung C, Kuhle S, Lu C, Purcell M, Schwartz M, Storey K, Veugelers P.From" best practice" to" next practise": the effectiveness of school-based health promotion in improving healthy eating and physical activity and preventing childhood obesity. International Journal of Behavioral Nutrition and Physical Activity 2012; 9(1): 27.

26. Grosso G, Mistretta A, Turconi G, Cena H, Roggi C, Galvano F. Nutrition knowledge and other determinants of food intake and lifestyle habits in children and young adolescents living in a rural area of Sicily, South Italy. Public health nutrition 2013; 16(10): 1827-1836.

27. Wethington H, Pan L, Sherry B.The association of screen time, a television in the bedroom, and obesity among school‐aged youth: 2007 National Survey of Children's Health. Journal of School Health 2013; 83(8): 573-581.

28. World Health Organization. Report of the Commission on Ending Childhood Obesity: implementation plan: executive summary (No. WHO/NMH/PND/ECHO/17.1). World Health Organization 2017.
How to Cite
Norimah Said, Norazmir Md Nor, Siti Khuzaimah Ahmad Sharoni, Siti Sabariah Buhari, & Nurul Fadly Habidin. (2020). WEIGHT MANAGEMENT: NEED ASSESSMENT FOR HEALTH EDUCATIONAL MODULE DEVELOPMENT AMONG PRIMARY SCHOOL CHILDREN. Malaysian Journal of Public Health Medicine, 20(Special1), 318-324. https://doi.org/10.37268/mjphm/vol.20/no.Special1/art.737