Articles
| Open Access |
https://doi.org/10.55640/ijms-06-05-02
Knowledge, Attitude and Practice of Weight Management among Mothers of Primary School Children in the United Kingdom
Oludolapo Dada , MScPH, Department of Interdisciplinary Research and Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Kennedy Oberhiri Obohwemu , PhD, Department of Interdisciplinary Research and Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Celestine Emeka Ekwuluo , MPH, Family Health International, Ukraine; and PENKUP Research Institute, Birmingham, United Kingdom; Department of Multidisciplinary Studies & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Gordon Mabengban Yakpir , PhD, Faculty of Health, Wellbeing & Social Care, Oxford Brookes University, GBS Partnership, Birmingham Campus, United Kingdom; and PENKUP Research Institute, Birmingham, United Kingdom. Chika Oguguo , PhD, Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Kenneth Oshiokhayamhe Iyevhobu , MPH, Department of Medical Laboratory Science, Faculty of Applied Health Science, Edo State University, Iyamho, Edo State, Nigeria; Department of Medical Microbiology, Faculty of Medical Laboratory Science, Ambrose Alli University, Ekpoma, Edo State, Nigeria; and Department of Interdisciplinary Research and Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Andrew Adogbeji Najomoh , MRCS (Glasg), Ahad Al Masaraha General Hospital, Jizan, Kingdom of Saudi Arabia; and Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom Bewaji Aderinsola Oluwatoyin , PhD, Department of Health, Wellbeing & Social Care, Global Banking School, Oxford Brookes University Partnership, Manchester, United Kingdom Christabel A. Ovesuor , FWACP, Department of Internal Medicine, Federal Medical Center, Asaba; and Department of Interdisciplinary Studies and Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Eddy Eidenehi Esezobor , PhD, Department of Management Studies, Universidad Católica San Antonio de Murcia (UCAM), Murcia, Spain; and PENKUP Research Institute, Birmingham, United Kingdom. Nera Perpetual Kadiri-Eneh , PhD, FWACP , School of Public Health, University of Port Harcourt, Rivers State, Nigeria; and Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Tochukwu Patrick Ugwueze , MWACP, Department of Family Medicine, University College Hospital, Ibadan, Oyo State, Nigeria; and Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Jerry Soni , MPH, United Nations World Food Programme, Damascus, Syria; and Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Okuma Oke Deborah , MA, Department of Human Resource Management, Teeside University, Middlesbrough, United Kingdom; and Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Patrick Femi Iramofu Dania , MPH, Department of Health and Social Care, Scholars School System, Manchester Campus, United Kingdom; and Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom Yvonne Ilolo , MBBS, Utmost Care Hospital, Lakowe, Lagos, Nigeria; and Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Adeola Margret Adejuwon , MBChB, Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Morrison Okwudilichukwu Eze , MBBS, Cygnet Healthcare, Woking, United Kingdom; and Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom. Orevaoghene Precious Edewor , MBBS, Department of Anaesthetics, Hull Royal Infirmary, HUTH, United Kingdom; and Department of Interdisciplinary Research & Statistics, PENKUP Research Institute, Birmingham, United Kingdom.Abstract
Background: Obesity among women of reproductive age remains a major public health concern in the United Kingdom, with long-term implications for maternal and child health. Research has largely focused on pregnancy and the early postpartum period, leaving limited understanding of weight management behaviours among mothers of primary school children. This paper addresses this gap by examining knowledge, attitude and practice (KAP) of weight management within this population.
Methods: A cross-sectional quantitative design was employed using data from 267 mothers residing in Sunderland. A structured questionnaire assessed knowledge, attitude and practice of weight management alongside socio-demographic characteristics. Scores were standardised and categorised using a 70% threshold. Descriptive statistics were used to summarise distributions, while Pearson’s correlation analysis examined relationships between KAP components.
Results: The findings reveal a marked divergence across the three domains. A high proportion of participants (88%) demonstrated good knowledge, with a mean score of 79.71. In contrast, only 43% exhibited a positive attitude, while just 4.2% reported good practice. Correlation analysis showed a weak but significant association between knowledge and attitude (r = 0.21, p < 0.05) and between attitude and practice (r = 0.18, p < 0.05). No significant relationship was observed between knowledge and practice (r = 0.05, p > 0.05).
Conclusion: The findings demonstrate a clear knowledge–behaviour gap, with high levels of awareness failing to translate into effective weight management practices. Attitude plays a partial mediating role but does not fully bridge this gap. These results highlight the need for interventions that extend beyond information provision to address behavioural and contextual factors influencing engagement. Supporting sustained behaviour change among mothers remains essential for improving maternal health outcomes and reducing the long-term burden of obesity.
Keywords
Knowledge, attitude and practice, weight management, mothers, health behaviour, obesity, public health, behaviour change
References
Armitage, C. J., Keyworth, C., Gartland, N., Coleman, A., Fishwick, D., Johnson, S., & Van Tongeren, M. (2024). Utility of the capabilities, opportunities, motivations model for understanding changes in behavior. Journal of Public Health, 46(1), 185-193.
Carbone, E. T., & Zoellner, J. M. (2012). Nutrition and health literacy: A systematic review to inform nutrition research and practice. Journal of the Academy of Nutrition and Dietetics, 112(2), 254–265. https://doi.org/10.1016/j.jada.2011.08.042
Chen, J. A., Fearey, E., & Smith, R. E. (2017). “That which is measured improves”: A theoretical and empirical review of self-monitoring in self-management and adaptive behavior change. Journal of Behavior Therapy and Mental Health, 1(4), 19-38.
Compernolle, S., DeSmet, A., Poppe, L., Crombez, G., De Bourdeaudhuij, I., Cardon, G., ... & Van Dyck, D. (2019). Effectiveness of interventions using self-monitoring to reduce sedentary behavior in adults: a systematic review and meta-analysis. International Journal of Behavioral Nutrition and Physical Activity, 16(1), 63.
Endres, L. K., Straub, H., McKinney, C., Plunkett, B., Minkovitz, C. S., Schetter, C. D., Ramey, S., Wang, C., Hobel, C., & Raju, T. N. K. (2015). Postpartum weight retention risk factors and relationship to obesity at 1 year. Obstetrics & Gynecology, 125(1), 144–152. https://doi.org/10.1097/AOG.0000000000000565
Faries, M. D., & Dudgeon, W. C. (2019). The intention–behavior gap. Lifestyle Medicine, Third Edition, 241-252.
Godfrey, K. M., Reynolds, R. M., Prescott, S. L., Nyirenda, M., Jaddoe, V. W. V., Eriksson, J. G., & Broekman, B. F. P. (2017). Influence of maternal obesity on the long-term health of offspring. The Lancet Diabetes & Endocrinology, 5(1), 53–64. https://doi.org/10.1016/S2213-8587(16)30107-3
Harrison, C. L., Teede, H., Khan, N., Lim, S., Chauhan, A., Drakeley, S., ... & Boyle, J. (2021). Weight management across preconception, pregnancy, and postpartum: A systematic review and quality appraisal of international clinical practice guidelines. Obesity Reviews, 22(10), e13310.
Heydari, M., Pashaeypoor, S., & Negarandeh, R. (2025). The association between weight control behaviors and health literacy among adolescents: a cross-sectional study. BMC Public Health, 25(1), 3956.
Kumar, V. U., Nikhil, K., KT, M. F., Shetty, R., Pandey, K., Kumar, A., ... & Murti, K. (2026). Development and Psychometric Validation of Nu-KAP Questionnaire: Integrating IRT and Multigroup Factor Analysis in a Multidimensional Tool for the Assessment of Knowledge, Attitudes, and Practices of Arsenic. Biological Trace Element Research, 204(3), 1579-1590.
Kupcewicz, E., Szypulska, A., & Doboszyńska, A. (2019). Positive orientation as a predictor of health behavior during chronic diseases. International journal of environmental research and public health, 16(18), 3408.
Kwasnicka, D., Dombrowski, S. U., White, M., & Sniehotta, F. (2016). Theoretical explanations for maintenance of behaviour change. Health Psychology Review, 10(3), 277–296. https://doi.org/10.1080/17437199.2016.1151372
Lennon, M., Douglas, O., & Scott, M. (2019). Responsive environments: An outline of a method for determining context sensitive planning interventions to enhance health and wellbeing. Land Use Policy, 80, 68-78.
Lu, Y., Jiang, Y., Tian, L., & Ke, X. (2025). Health literacy relates to self-regulation of eating behavior through physical activity and self-efficacy pathways. Scientific Reports.
Makama, M., Skouteris, H., Moran, L. J., & Lim, S. (2021). Reducing postpartum weight retention: A review of the implementation challenges of postpartum lifestyle interventions. Journal of Clinical Medicine, 10(9), 1891. https://doi.org/10.3390/jcm10091891
Mallah, N., Rodriguez-Cano, R., Figueiras, A., & Takkouche, B. (2020). Design, reliability and construct validity of a Knowledge, Attitude and Practice questionnaire on personal use of antibiotics in Spain. Scientific reports, 10(1), 20668.
Michie, S., Richardson, M., Johnston, M., Abraham, C., Francis, J., Hardeman, W., Eccles, M. P., Cane, J., & Wood, C. E. (2013). The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques. Annals of Behavioral Medicine, 46(1), 81–95. https://doi.org/10.1007/s12160-013-9486-6
Michie, S., van Stralen, M. M., & West, R. (2011). The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implementation Science, 6(1), 42. https://doi.org/10.1186/1748-5908-6-42
Office for Health Improvement & Disparities (2023). Obesity Profile: short statistical commentary May 2023. GOV.UK. Available at: https://www.gov.uk/government/statistics/obesity-profile-update-may-2023/obesity-profile-short-statistical-commentary-may-2023, [Accessed: 27 December 2025]
Office for Health Improvement and Disparities. (2023). Adult obesity profile in England. https://www.gov.uk
Rhodes, R. E., & Brennan, C. (2026). Closing the gap between physical activity intentions and sustained behavior: an overview of evidence. Exercise, Sport, and Movement, 4(1), e00059.
Sheeran, P., & Webb, T. L. (2016). The intention–behavior gap. Social and Personality Psychology Compass, 10(9), 503–518. https://doi.org/10.1111/spc3.12265
van der Pligt, P., Olander, E. K., Ball, K., Crawford, D., Hesketh, K. D., Teychenne, M., & Campbell, K. (2016). Maternal dietary intake and physical activity habits during the postpartum period. BMC Pregnancy and Childbirth, 16, 27. https://doi.org/10.1186/s12884-016-0812-4
van der Pligt, P., Olander, E. K., Ball, K., Crawford, D., Hesketh, K. D., Teychenne, M., & Campbell, K. (2016). Maternal dietary intake and physical activity habits during the postpartum period. BMC Pregnancy and Childbirth, 16, 27. https://doi.org/10.1186/s12884-016-0812-4
Van Uytsel, H., Ameye, L., Devlieger, R., Bijlholt, M., Jacquemyn, Y., Catry, V., ... & Bogaerts, A. (2022). Mental health after childbirth and the impact on postpartum weight retention and body composition. Data from the INTER‐ACT randomized controlled trial. Clinical Obesity, 12(6), e12550.
Willmott, T. J., Pang, B., & Rundle-Thiele, S. (2021). Capability, opportunity, and motivation: an across contexts empirical examination of the COM-B model. BMC Public Health, 21(1), 1014.
World Health Organization (2025). Obesity. World Health Organization. Available at: https://www.who.int/health-topics/obesity#tab=tab_1, [Accessed: 27 December 2025]
Article Statistics
Downloads
Copyright License
Copyright (c) 2026 Oludolapo Dada, Morrison Okwudilichukwu Eze, Adeola Margret Adejuwon, Yvonne Ilolo, Patrick Femi Iramofu Dania, Okuma Oke Deborah, Jerry Soni, Tochukwu Patrick Ugwueze, Nera Perpetual Kadiri-Eneh, Eddy Eidenehi Esezobor, Christabel A. Ovesuor, Bewaji Aderinsola Oluwatoyin, Andrew Adogbeji Najomoh, Kenneth Oshiokhayamhe Iyevhobu, Chika Oguguo, Gordon Mabengban Yakpir, Celestine Emeka Ekwuluo, Kennedy Oberhiri Obohwemu, Orevaoghene Precious Edewor

This work is licensed under a Creative Commons Attribution 4.0 International License.