Perceptions of Medical and Nursing Students on Incorporating Nutrition Into Standard Care Practice: Strengthening Nutrition Education in Healthcare Training

Authors

  • Leh Shii Law Universiti Malaysia Sarawak
  • Whye Lian Cheah
  • Sze Kiat Sim
  • Sabrina Lukas

DOI:

https://doi.org/10.33736/tur.9880.2026

Keywords:

nutrition education, medical and nursing students, non-communicable diseases (NCDs), perception, preventive care

Abstract

Lifestyle modification is a common preventive strategy used by healthcare professionals to manage non-communicable diseases (NCDs), yet the demand for related knowledge in medical education remains insufficiently understood. This study aimed to determine the perceptions of future doctors and nurses regarding the incorporation of nutrition into standard care practices, reflecting their desires for related knowledge. A total of 352 medical (years 1 to 5) and nursing (years 1 to 4) students from the Faculty of Medicine and Health Sciences at the University Malaysia Sarawak (UNIMAS) were recruited. Information regarding demographic characteristics, as well as perceptions of nutrition in routine care and clinical behaviors, was assessed using a self-administered questionnaire circulated online via Google Forms. Results showed that almost all students expressed positive perceptions regarding the incorporation of preventative healthcare, nutrition counseling, and nutritional assessment during routine care. Similarly, respondents perceived performing nutritional counseling and assessments for patients with NCDs as important and acceptable. No significant differences in the mean perception scores of nutrition in routine care and clinical behaviors were found between programs and genders. In conclusion, the findings highlight the need to strengthen nutrition education with scientifically grounded content for future doctors and nurses, especially during their undergraduate studies.

References

Al-Tannir, M. A., Kobrosly, S. Y., Elbakri, N. K., & Abu-Shaheen, A. K. (2017). Prevalence and predictors of physical exercise among nurses. A cross-sectional study. Saudi Medical Journal, 38(2), 209–212. https://doi.org/10.15537/smj.2017.2.15502

Bian, D., Shi, Y., Tang, W., Li, D., Han, K., Shi, C., Li, G., & Zhu, F. (2021). The influencing factors of nutrition and diet health knowledge dissemination using the WeChat official account in health promotion. Frontiers in Public Health, 9, 775729. https://doi.org/10.3389/fpubh.2021.775729

Blunt, S. B., & Kafatos, A. (2019). Clinical nutrition education of doctors and medical students: Solving the Catch 22. Advances in Nutrition (Bethesda, Md.), 10(2), 345–350. https://doi.org/10.1093/advances/nmy082

Boaz, M., Rychani, L., Barami, K., Houri, Z., Yosef, R., Siag, A., Berlovitz, Y., & Leibovitz, E. (2013). Nurses and nutrition: A survey of knowledge and attitudes regarding nutrition assessment and care of hospitalized elderly patients. Journal of Continuing Education in Nursing, 44(8), 357–364. https://doi.org/10.3928/00220124-20130603-89

Borek, A. J., Abraham, C., Greaves, C. J., & Tarrant, M. (2018). Group-based diet and physical activity weight-loss interventions: A systematic review and meta-analysis of randomised controlled trials. Applied Psychology. Health and Well-Being, 10(1), 62–86. https://doi.org/10.1111/aphw.12121

Bruins, M. J., Van Dael, P., & Eggersdorfer, M. (2019). The role of nutrients in reducing the risk for noncommunicable diseases during aging. Nutrients, 11(1), 85. https://doi.org/10.3390/nu11010085

Budreviciute, A., Damiati, S., Sabir, D. K., Onder, K., Schuller-Goetzburg, P., Plakys, G., Katileviciute, A., Khoja, S., & Kodzius, R. (2020). Management and prevention strategies for non-communicable diseases (NCDs) and their risk factors. Frontiers in Public Health, 8, 574111. https://doi.org/10.3389/fpubh.2020.574111

Chepulis, L. M., & Mearns, G. J. (2015). Evaluation of the nutritional knowledge of undergraduate nursing students. Journal of Nursing Education, 54(9), S103–S106. https://doi.org/10.3928/01484834-20150814-19

Chkhaidze, I., Maglakelidze, N., Maglakelidze, T., & Khaltaev, N. (2013). Prevalence of and factors influencing smoking among medical and non-medical students in Tbilisi, Georgia. Jornal Brasileiro de Pneumologia: Publicacao Oficial da Sociedade Brasileira de Pneumologia e Tisilogia, 39(5), 579–584. https://doi.org/10.1590/S1806-37132013000500008

Ní Chonaill, D., Deane Huggins, M., McHugh, C. M., & Keaver, L. (2022). Nutrition knowledge related to chronic disease of Irish medical and nursing students. International Journal of Health Promotion and Education, 1–13. https://doi.org/10.1080/14635240.2022.2041066

Cooper, C. B., Neufeld, E. V., Dolezal, B. A., & Martin, J. L. (2018). Sleep deprivation and obesity in adults: a brief narrative review. BMJ Open Sport & Exercise Medicine, 4(1), e000392. https://doi.org/10.1136/bmjsem-2018-000392

Crowley, J., Ball, L., & Hiddink, G. J. (2019). Nutrition in medical education: A systematic review. The Lancet Planetary Health, 3(9), e379–e389. https://doi.org/10.1016/s2542-5196(19)30171-8

Dawood, O. T., Hassali, M. A., Saleem, F., Ibrahim, I. R., Abdulameer, A. H., & Jasim, H. H. (2017). Assessment of health seeking behaviour and self-medication among general public in the state of Penang, Malaysia. Pharmacy Practice, 15(3), 991. https://doi.org/10.18549/PharmPract.2017.03.991

Derose, K. P., Felician, M., Han, B., Palar, K., Ramírez, B., Farías, H., & Martínez, H. (2015). A pre-post pilot study of peer nutritional counseling and food insecurity and nutritional outcomes among antiretroviral therapy patients in Honduras. BMC Nutrition, 1, 21. https://doi.org/10.1186/s40795-015-0017-7

Dolatkhah, N., Aghamohammadi, D., Farshbaf-Khalili, A., Hajifaraji, M., Hashemian, M., & Esmaeili, S. (2019). Nutrition knowledge and attitude in medical students of Tabriz University of Medical Sciences in 2017-2018. BMC Research Notes, 12(1), 757. https://doi.org/10.1186/s13104-019-4788-9

Erzurum Alim, N., Karakaya, R. E., & Turk Fidan, O. P. (2021). Dietary supplement use and knowledge among students from a health science faculty in a Turkish University. Food Research, 5(5), 116–123. https://doi.org/10.26656/fr.2017.5(5).760

Fejza, A., Maraj, F., & Fejza, H. (2018). Smoking habits among medical students: a survey at the University of Prishtina Faculty of Medicine. International Journal of Medical Students, 6(1), 18–20. https://doi.org/10.5195/ijms.2018.40

Fernández-García, D., Ordás, B., Fernández-Peña, R., Bárcena-Calvo, C., Ordoñez, C., Amo-Setién, F. J., Gómez-Salgado, J., & Martínez-Isasi, S. (2020). Smoking in nursing students: A prevalence multicenter study. Medicine, 99(14), e19414. https://doi.org/10.1097/MD.0000000000019414

Ford, N. D., Patel, S. A., & Narayan, K. M. (2017). Obesity in low- and middle-income countries: burden, drivers, and emerging challenges. Annual Review of Public Health, 38, 145–164. https://doi.org/10.1146/annurev-publhealth-031816-044604

Frank, E., Breyan, J., & Elon, L. (2000). Physician disclosure of healthy personal behaviors improves credibility and ability to motivate. Archives of Family Medicine, 9(3), 287–290. https://doi.org/10.1001/archfami.9.3.287

Frank, E., Segura, C., Shen, H., & Oberg, E. (2010). Predictors of Canadian physicians' prevention counseling practices. Canadian Journal of Public Health = Revue Canadienne de Sante Publique, 101(5), 390–395. https://doi.org/10.1007/BF03404859

Gomathi, K. G., Shehnaz, S. I., & Khan, N. (2014). Is More Nutrition education needed in the undergraduate medical curriculum?: Perceptions of graduates from a medical university in the United Arab Emirates. Sultan Qaboos University Medical Journal, 14(4), e551–e555. https://pmc.ncbi.nlm.nih.gov/articles/PMC4205069/

Ilić, M., Grujičić, M., Novaković, B., Vrkatić, A., & Lozanov-Crvenković, Z. (2022). Cigarette smoking among medical students from the Western Balkan. International Journal of Environmental Research and Public Health, 19(5), 3055. https://doi.org/10.3390/ijerph19053055

Institute of Public Health (IPH). (2020). National Health and Morbidity Survey (NHMS) 2019: Non-communicable diseases, health care demand, and health literacy – Key findings. Ministry of Health Malaysia https://iptk.moh.gov.my/images/technical_report/2020/4_Infographic_Booklet_NHMS_2019_-_English.pdf.

Iqbal, M. S., Bahari, M. B., Iqbal, M. Z., Iqbal, M. W., & Nasir, S. (2015). Evaluation of knowledge, attitudes, and practices of healthcare providers towards nutrition support in Pakistan. Value in Health, 18(3), A98–A99. https://doi.org/10.1016/j.jval.2015.03.577

Kadam, I., Neupane, S., Wei, J., Fullington, L. A., Li, T., An, R., Zhao, L., Ellithorpe, A., Jiang, X., & Wang, L. (2021). A systematic review of diet quality index and obesity among Chinese adults. Nutrients, 13(10), 3555. https://doi.org/10.3390/nu13103555

Karim, S. A., Ibrahim, B., Tangiisuran, B., & Davies, J. G. (2015). What do healthcare providers know about nutrition support? A survey of the knowledge, attitudes, and practice of pharmacists and doctors toward nutrition support in Malaysia. JPEN. Journal of Parenteral and Enteral Nutrition, 39(4), 482–488. https://doi.org/10.1177/0148607114525209

Khorshtd, L., Ergin, E., & Zaybak, A. (2020). The factors that affect the exercise behaviors of nursing students. International Journal of Caring Sciences, 13, 2–1270. https://internationaljournalofcaringsciences.org/docs/51_1_ergin_original_13_2.pdf

Kinlen, D., Cody, D., & O'Shea, D. (2018). Complications of obesity. QJM : monthly journal of the Association of Physicians, 111(7), 437–443. https://doi.org/10.1093/qjmed/hcx152

Laing, B. B., & Crowley, J. (2021). Is undergraduate nursing education sufficient for patient's nutrition care in today's pandemics? Assessing the nutrition knowledge of nursing students: An integrative review. Nurse Education in Practice, 54, 103137. https://doi.org/10.1016/j.nepr.2021.103137

Macaninch, E., Buckner, L., Amin, P., Broadley, I., Crocombe, D., Herath, D., Jaffee, A., Carter, H., Golubic, R., Rajput-Ray, M., Martyn, K., & Ray, S. (2020). Time for nutrition in medical education. BMJ Nutrition, Prevention & Health, 3(1), 40–48. https://doi.org/10.1136/bmjnph-2019-000049

Maharjan, K., & Chaudhary, D. (2021). The role of nutrition counseling in controlling the non-communicable diseases among Nepali women. Prithvi Academic Journal, 4, 121–132. https://doi.org/10.3126/paj.v4i0.37053

Mancin, S., Sguanci, M., Cattani, D., Soekeland, F., Axiak, G., Mazzoleni, B., De Marinis, M. G., & Piredda, M. (2023). Nutritional knowledge of nursing students: A systematic literature review. Nurse Education Today, 126, 105826. https://doi.org/10.1016/j.nedt.2023.105826

Mehrabani, S., Mohammadifard, N., Mehrabani, S., Sadeghi, M., Sajjadi, F., Maghroun, M., Maracy, M. R., & Safavi, S. M. (2016). The effect of nutrition consultation on dietary diversity score of cardiac patients referred to Cardiac Rehabilitation Research Center Isfahan Cardiovascular Research Institute during 2008-2013. International Journal of Preventive Medicine, 7, 121. https://doi.org/10.4103/2008-7802.193464

Mogre, V., Aryee, P. A., Stevens, F. C. J., & Scherpbier, A. J. J. A. (2017). Future doctors’ nutrition-related knowledge, attitudes and self-efficacy regarding nutrition care in the general practice setting: A cross-sectional survey. Medical Science Educator, 27(3), 481–488. https://doi.org/10.1007/s40670-017-0413-5

Mohd Noh, S. N., Jawahir, S., Tan, Y. R., Ab Rahim, I., & Tan, E. H. (2022). The health-seeking behavior among Malaysian adults in urban and rural areas who reported sickness: Findings from the National Health and Morbidity Survey (NHMS) 2019. International Journal of Environmental Research and Public Health, 19(6), 3193. https://doi.org/10.3390/ijerph19063193

Naim, Z., Anwar, K., Rahman, A., & Zuliani, N. (2016). Physical inactivity among medical and non-medical students: A cross sectional study. International Journal of Public Health and Clinical Sciences, 3(5), 48–58. https://publichealthmy.org/ejournal/ojs2/index.php/ijphcs/article/view/347

Ng, M., Fleming, T., Robinson, M., Thomson, B., Graetz, N., Margono, C., Mullany, E. C., Biryukov, S., Abbafati, C., Abera, S. F., Abraham, J. P., Abu-Rmeileh, N. M., Achoki, T., AlBuhairan, F. S., Alemu, Z. A., Alfonso, R., Ali, M. K., Ali, R., Guzman, N. A., Ammar, W., Gakidou, E. (2014). Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet (London, England), 384(9945), 766–781. https://doi.org/10.1016/S0140-6736(14)60460-8

Pingak, M. S., & Miller, C. L. (2019). Smoking perceptions and practice among nursing students in Kabupaten Kupang, Indonesia. Asian Pacific Journal of Cancer Prevention, 20(6), 1709–1716. https://doi.org/10.31557/APJCP.2019.20.6.1709

Provenzano, S., Santangelo, O. E., Grigis, D., Giordano, D., & Firenze, A. (2019). Smoking behaviour among nursing students: attitudes toward smoking cessation. Journal of Preventive Medicine and Hygiene, 60(3), E203–E210. https://doi.org/10.15167/2421-4248/jpmh2019.60.3.1049

Quaidoo, E. Y., Ohemeng, A., & Amankwah-Poku, M. (2018). Sources of nutrition information and level of nutrition knowledge among young adults in the Accra Metropolis. BMC Public Health, 18(1), 1323. https://doi.org/10.1186/s12889-018-6159-1

Rao, C. R., Darshan, B., Das, N., Rajan, V., Bhogun, M., & Gupta, A. (2012). Practice of physical activity among future doctors: A cross sectional analysis. International Journal of Preventive Medicine, 3(5), 365–369. https://pmc.ncbi.nlm.nih.gov/articles/PMC3372079/

Raosoft Inc. (2004). Sample size calculation. Accessed on May 5, 2025. http://www.raosoft.com/samplesize.html.

Reber, E., Gomes, F., Vasiloglou, M. F., Schuetz, P., & Stanga, Z. (2019). Nutritional risk screening and assessment. Journal of Clinical Medicine, 8(7), 1065. https://doi.org/10.3390/jcm8071065

Rodríguez-Muñoz, P. M., Carmona-Torres, J. M., & Rodríguez-Borrego, M. A. (2020). Influence of tobacco, alcohol consumption, eating habits and physical activity in nursing students. Revista Latino-Americana de Enfermagem, 28, e3230. https://doi.org/10.1590/1518-8345.3198.3230

Safaei, M., Sundararajan, E. A., Driss, M., Boulila, W., & Shapi’i, A. (2021). A systematic literature review on obesity: Understanding the causes & consequences of obesity and reviewing various machine learning approaches used to predict obesity. Computers in Biology and Medicine, 136(104754). https://doi.org/10.1016/j.compbiomed.2021.104754

Schoendorfer, N., Gannaway, D., Jukic, K., Ulep, R., & Schafer, J. (2017). Future doctors' perceptions about incorporating nutrition into standard care practice. Journal of the American College of Nutrition, 36(7), 565–571. https://doi.org/10.1080/07315724.2017.1333928

Siopis, G., Colagiuri, S., & Allman-Farinelli, M. (2020). Efficacy of nutrition counseling by a dietitian in improving clinical outcomes for people with Type 2 Diabetes Mellitus: A systematic review and meta-analysis of RCTs. Current Developments in Nutrition, 4(Suppl 2), 281. https://doi.org/10.1093/cdn/nzaa043_132

Stanek, K., Powell, C., & Betts, N. (1991). Nutritional knowledge of nurses in long-term health care facilities. Journal of Nutrition for the Elderly, 10(3), 35–48. https://doi.org/10.1300/J052v10n03_03

Thaker V. V. (2017). Genetic and epigenetic causes of obesity. Adolescent Medicine: State of the Art Reviews, 28(2), 379–405. https://pmc.ncbi.nlm.nih.gov/articles/PMC6226269/

Trandafir, L. M., & Temneanu, O. R. (2016). Pre and post-natal risk and determination of factors for child obesity. Journal of Medicine and Life, 9(4), 386–391. https://pmc.ncbi.nlm.nih.gov/articles/PMC5141399/

Vasiloglou, M. F., Fletcher, J., & Poulia, K. A. (2019). Challenges and perspectives in nutritional counselling and nursing: A narrative review. Journal of Clinical Medicine, 8(9), 1489. https://doi.org/10.3390/jcm8091489

Wattanapisit, A., Fungthongcharoen, K., Saengow, U., & Vijitpongjinda, S. (2016). Physical activity among medical students in Southern Thailand: A mixed methods study. BMJ Open, 6(9), e013479. https://doi.org/10.1136/bmjopen-2016-013479

World Health Organization (WHO). (2024a). Obesity and Overweight. Accessed May 5, 2025. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.

World Health Organization (WHO). (2024b). Noncommunicable diseases. Access May 5, 2025. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases#:~:text=Risk%20factors,-Modifiable%20behavioural%20risk&text=Modifiable%20behaviours%2C%20such%20as%20tobacco,increase%20the%20risk%20of%20NCDs.

Żukiewicz-Sobczak, W., Wróblewska, P., Zwoliński, J., Chmielewska-Badora, J., Adamczuk, P., Krasowska, E., Zagórski, J., Oniszczuk, A., Piątek, J., & Silny, W. (2014). Obesity and poverty paradox in developed countries. Annals of Agricultural and Environmental Medicine, 21(3), 590–594. https://doi.org/10.5604/12321966.1120608

Žeželj, S. P., Tomljanović, A., Jovanović, G. K., Krešić, G., Peloza, O. C., Dragaš-Zubalj, N., & Prokurica, I. P. (2018). Prevalence, knowledge and attitudes concerning dietary supplements among a student population in Croatia. International Journal of Environmental Research and Public Health, 15(6), 1058. https://doi.org/10.3390/ijerph15061058

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Published

2026-06-30

How to Cite

Law, L. S., Cheah, W. L., Sim, S. K., & Lukas, S. (2026). Perceptions of Medical and Nursing Students on Incorporating Nutrition Into Standard Care Practice: Strengthening Nutrition Education in Healthcare Training. Trends in Undergraduate Research, 9(1), i1–15. https://doi.org/10.33736/tur.9880.2026

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Medicine and Health Sciences