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This study examines sociodemographic and lifestyle factors associated with knowledge of calories.

Data were analysed from the Komuniti Sihat Pembina Negara (KOSPEN) 2016. Logistic regressions were used to examine the effects of sociodemographic and lifestyle factors on knowledge of the definition of calories, recommended caloric intake and the effect of calories on body weight.

The results revealed that large proportions of respondents did not know the definition of calories (51.33%), recommended caloric intake (95.50%) and the effect of calories on body weight (64.89%). The proportions of respondents having knowledge of calories varied by income, gender, ethnicity, educational level, marital status, employment status, urbanization of states, smoking status and awareness of body mass index (BMI). Respondents were less likely to have knowledge of calories if they were low-income earners, non-Malays, less-educated, unemployed, smokers and unaware of their BMI.

Sociodemographic and lifestyle factors play an important role in affecting knowledge of calories. Policymakers should make a concerted effort to improve knowledge of calories among adults with different sociodemographic backgrounds and lifestyle profiles.

This study provides several contributions to the literature: (1) The country of interest is Malaysia, where the prevalence of obesity is high and studies related to knowledge of calories are lacking. (2) In addition to knowledge of recommended caloric intake, knowledge of the definition of calories and the effect of calories on body weight factors are considered. (3) Apart from sociodemographic variables, smoking behaviour and awareness of BMI variables are included in the analyses.

The provision of meals has long been regarded as an essential part of treatment of hospitalized patients complementing medical procedures and nursing management. Today, despite changes in the health-care landscape, which focused on improving the quality and efficiency of hospital care, malnutrition among inpatient was still a common worldwide concern.

This was a multi-centre, randomized study conducted in 21 study sites comprising 21 state and specialist government hospitals under the Ministry of Health, Malaysia. The sample size for this study was calculated with purposive sampling method, followed by proportionate sampling to determine the random sample size of each of the study sites. The total sample size required for this study was 2,759 subjects. A validated data collection form was used in the study.

Only 32.2 % and 37.6 % of subjects achieved adequate energy and protein intake, respectively, during their admission to medical ward. The study result showed that the overall mean energy and protein intake was 794.6 ± 487.8 kcal and 35.2 ± 24.3 g, respectively. The estimated energy (p = 0.001) and protein (p = 0.001) intake of all study sites was significantly lower compared to the adequacy value.

The adequacy intake in this study was only carried out in medical wards, thus reproducible result among other wards in different study sites could not be confirmed. Besides, this study assumed that the portion eaten by subjects during lunch and dinner was the same, and therefore, either one was recorded together with breakfast and either lunch or dinner to represent a subject’s daily intake.

This was the first nationwide study to report the adequacy of energy and protein intake of patients receiving therapeutic diets in the government hospital setting in Malaysia.