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    A Survey on Fast Food Consumption

    Behaviour among University Students

    By:

    Tay Tun Khong (MEM120191)

    Wan Muhamad Amir bin Wan Md Zin

    (MEM120197)

    Nor Sh!a bin"i Sayonor (MEM12012#)

    Nadhirah bin"i Abdu! A$i$ (MEM12011%)

    &n En 'an (MEM120071)

    Muhamad ani bin *u"h Wahab (MEM12009+)

    Su,r-i.or:

    /r o.i *am!a Sha.hia!a /a-id

    /,ar"mn" o Ana"omy3 4a5u!"y o Mdi5in3

    6ni-r.i"i Ma!aya

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    ACKNOWLEDGEEN!

    The members of elective group 21 want to use this opportunitywould like to express our

    gratitude to everyone who have supported us throughout this period of elective project. We are

    thankful for their aspiring guidance, invaluabley and constructive criticism and along with a friendy

    advice during the project work. We are sincerely grateful to them for sharing their truthful and

    illuminating views on a number of issues related to the project.

    We would like to express our deepest appreciation to r. !osie "amela #hashikala avid for

    her unrelenting guidance and moral support throughout carrying out the project, $ she was willing to

    supervise us in this elective, meet with us several times to discuss about the progress of our project

    and direct us into successfully completing our report.

    %urthermore, we are very thankful to "rof. r Wong &i "ing and 'iss Tong Wen Ting for their

    guidance and support in executing this research study.

    &astly, thank you to all the members of our team for their co(operation, teamwork spirit,

    tolerance and perseverance in completing this research study.

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    !ABLE OF CON!EN!S

    No. Contents "ages

    1 )bjective 1

    2 *ntroduction 1(2

    + 'aterials and 'ethods +(

    !esults -(2

    - iscussions and conclusions 21(22

    / !eferences 2+

    OB#EC!$%E

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    The purpose of this project was to examine the cross(sectional associations between fast food

    consumption with variables such as nutrient intake, food choices, body weight as well as personal,

    behavioral and environmental variables, in a community(based sample of university students.

    $N!&ODUC!$ON

    !apid development coupled with globali0ation has resulted in the emergence of fast food culture. %ast

    food is has gainedingpopularity due to a couple of reasons. because p"eople these days are working

    longer hours, on shifts, or schooling extended hours. They have less time to cook and fast foods are

    uick, easy to get and while some have more money to spend, others find it as a way of sociali0ing

    with friends. The clever marketing strategy by fast food restaurant chains has also contributed to their

    rapid expansion. Today, many of the biggest merican fast food brands such as 3%4, 'conald5s and

    #ubway are available all over the world. %or instance, 'conald6s is located in 12/ countries on /

    continents and operates over +1, restaurants worldwide 7884 World service9.

    While some fast food restaurant chains5 effort to reinvent them to be more :healthy;, nevertheless, fast

    food is still regarded as the driving force behind the epidemic of diet(related health conditions. %ast

    food, which is associated with high sugar, high fat and high sodium content, has been shown to

    increase caloric intake, promote weight gain, and elevate the risk for diabetes 7"oti et al, 21+9.*n our

    country, fast food has become a prominent feature in the diet of both children and adults. s a result,

    the freuency of obesity has risen at an alarming rate in all ages and ethnic groups. Today, 'alaysia is

    ranked sixth in the sia("acific region for obesity and tops the list in #outh(

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    The subject of our interest is the students of Dniversity of 'alaya. 'ost of the students in Dniversity of

    'alaya stay in the residential colleges located in the campus. The residential colleges do not provide

    any facilities to cook, thus,students opt to eat outside. %ast food is a very renowned choice among

    university students as it offers variation in terms of menus as well as provides foods with affordable

    prices. 'oreover, fast food restaurants have brilliant marketing strategies such as providing 2 hours

    services and fast delivery to their customers. The hectic life of university students together with the

    availability and affordability of fast food makes it a popular choice among students.

    'ost dietary intake of college students does not meet daily reuirements for most of the food

    groups11AAA . The 1>>- Eational 4ollege =ealth !isk 8ehaviour #urvey found that ?@ of college

    students did not eat the recommended amounts of fruits and vegetables per day and 22@ had eaten +

    or higher more fat foods daily12AA . Eutrition professionals are concerned of about these behaviours due

    to dietary knowledge$ as belief and behavior practiced during college may last topass on into

    adulthood and influence future their health statusin the future.

    =ence, Tthe purpose of this project was to examine the cross(sectional associations between fast food

    consumption with variables such as nutrient intake, food choices, and body weight as well as personal,

    behavioral and environmental variables, in a community(based sample of university students. better

    understanding of the nutritional, behavioral and psychosocial factors among adolescents and its

    association with the freuency of consumption at fast food restaurants could help identify whether this

    widespread sociocultural phenomenon is of concern, with respect to young adults5 nutrition, and could

    provide useful descriptive information for potential interventions.

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    A!E&$ALS AND E!'ODS

    Su()e*ts

    Thise study was conducted among the students of DniversitiDniversity 'alaya which consists

    consisted of 1+C students, age ranged from 1C to 2+ years old., They were recruited from various

    faculties from Fuly to ugust 21. The respondents consistedof -/ males and C1 females. There

    were C1 'alays, + 4hinese, / *ndians, - 3ada0andusun and 1 8ajau. 74heck the numbersGGG9

    +uestionnaire deve,opment

    The +(page, 2- uestions uestionnaire consisted of + pages with 2- uestionswas developed.

    The uestionnaire assessed a variety of personal, behavioral, environmental and consumption

    behaviour factors associated with dietary intake.

    "ersona, varia(,es-

    The uestions asked were related to are were self(perception on being overweight 7yes or no9$ self(

    description on whether they are currently trying to lose weightHon a diet 7yes or no9$ the extent of going

    for any medical check(up in the past 12 months 7yes or no9$ the students reportsedon their overall

    health self(description 7poor, fair, good or excellent9$ the extent to which they were concerned about

    their health 7not at all concerned, slightly concerned, fairly concerned or very concerned9.

    Behavioura, varia(,es-

    %reuency of students exercise wasisassessed per week 7 days per week, 1(2 days per week or

    more than + days per week9 $ whether students are engaged in any kind of sports 7 yes or no, if yes,

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    specify9 $ number of hours per week spent for televisionHvideo gamesHcomputerHtablet and readingH

    studyingHdoing homework.

    Consumption (ehavior varia(,es-

    %reuency of eating fast food is was assessed in a week 7never, 1(2 times or more than + times9 $

    type of meal usually ordered at a fast food restaurant 7combo meals, a la carte or others9 $ food

    choices 7burger, fried chicken, pi00a, sandwich, ice(cream, %rench fries or others9 $ drink choices

    7mineral water, carbonated soda, carbonated diet soda, ice lemon tea, fruit juice, yogurt drink,

    chocolate drink, milk shake, no drink or others9 $ preferred meal time preferred to eat fast food

    7breakfast, lunch, dinner, or snack in(between meals9 $ reasons for choosing to eat fast food 7 taste,

    cost, variety, convenience, nutritional value, addiction, place to sociali0e, stress and anxiety or

    others9 $ opinion on fast food healthiness 7 yes or no9 $ awareness of nutritional values and the

    ingredient contents of fast food meals 7yes or no 9 $ monitor on nutrient intake from consumption of fast

    food 7 yes or no 9 $ awareness on association of fast food consumption with obesity and non(

    communicable diseases 7 yes or no 9.

    Environmenta, varia(,es-

    "arenting style was examined 7authoritarian, permissive, uninvolved or neutral9. !espondents

    provided self(reported anthropometric measurements. 8ody mass indices 78'*s9 were calculated as

    the weight in kilograms divided by the suare of height in meters. 1The 8'*s of the subjects were

    compared with the federals standards for 8'* categori0ation 11Iless than 1C.- J underweight, 1C.-(

    22.>Jnormal, 2+. to 2?.Joverweight and 2?.- and greater Jobese.

    Statisti*a, ana,yses

    ll analyses were conducted using *8' #"## #tatistic 22. %ast %ood 4onsumption %reuency in the

    past week 7%%4%9 was examined in relation to demographic, personal, behavioral and fast food

    consumption variables. *n a statistical model, %%4% was used as a +(levels indepedent variables.

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    4orrelation of categorical variables are found using 4hi(suare test, correlation of normal variable are

    found using one way E)K and correlation of ordianal and interval variables are found using

    3ruskal(Wallis test. )nly result with pL.- were regarded as statisticalylly significant.

    &ESUL!S

    "ersona, %aria(,es

    M 8'*

    M #elf(perception of over(weight

    M ttempt to lose weight

    M 'edical check(up

    M 4oncern of own health

    M "erceived =ealth

    M "arenting style

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    .- B$

    #tate what the N E O axis stands for.

    NIEumber of #tudentsA OI Eumber of times fast

    food consumed. *nsert for all the

    graphs.

    *mprove Praph title. , "J.-1

    %or ease of understanding, the !respondents5 8'* is thenwas regrouped into categoriesI

    underweight, average, pre(obese and obese. 4hi(suared test was then conducted. There is no

    significant relationship between fast food consumption freuency and 8'* group. RS72, EJ1+?9J+.1>,

    pJ.?>

    Why was 2 stats doneA ny diffA

    %or those who never eat ate fast food, - persons are underweight, persons are average, - persons

    are pre(obese and 1 person is obese. 7!eally found those who never ateAAA9%or those with fast food

    4lassification 8'* 7kgHmS9

    Dnderweight L1C.-

    Eormal range 1C.- U 22.>

    )verweight V2+

    "re()bese 2+. U 2?.

    )bese * 2?.- U +.>

    )bese ** +-. U +>.>

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    consumption freuency 1(2 times, 1C persons are underweight, +C persons are average, 2C persons

    are pre(obese and - persons are obese. %or those with fast food consumption freuency more or

    eual to + times, C persons are underweight, 1/ persons are average , ? persons are pre(obese and 2

    persons are obese.

    /- Se,01per*eption o0 over2eight

    "erceive not perceived

    N axisA O axisA Eumber of times respondent perceived themselves as over(weight.

    chi(suare test was performed and no relationship was found between fast food consumption

    freuency and self(perception of over(weight. RS 72, EJ1+?9 J.>, pJ.>/

    %or those who never eat fast food, 2/.?@ perceived themselves as over(weight while the other ?+.+@

    do not perceived themselves as over(weight, %or those with fast food consumption freuency 1(2

    times, 2?@ perceived themselves as over(weight while the other ?+@ do not perceived themselves as

    over(weight. %or those with fast food consumption freuency more or eual to + times, 2.2@

    perceived them as over(weight while the other ?-.C@ do not perceived themselves as over(weight.

    "ls have the stats lecturer see the way you have presented your stat analysis report. * am not very

    familiar here.

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    3- &espondents4 attempt to ,ose 2eight

    chi(suare test was performed and no relationship was found between fast food consumption

    freuency and the attempt to lose weight. RS 72, EJ1+?9 J./12, pJ.?

    %or those who never eat ate fast food, @ are currently in on diet while /@ are not in on the diet.

    %or those with fast food consumption freuency of 1(2 times, +?@ are currently in on diet while /+@

    are not in on diet. %or those with fast food consumption freuencyof more or eual to + times, +.+@

    is currently in on diet while />.?@ are not in on diet.

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    5- &espondents4 Attendan*e to edi*a, Che*61up

    id not do

    chi(suare test was performed and no relationship was found between fast food consumption

    freuency and medical checkup. RS72, EJ1+?9J+.+?, pJ.1> * don5t think you want to find about

    Brelationship between fast food consumption freuency and medical checkup5. #houldn5t it be whether

    they go for medical check up independentlyA Nou can just report your finding below without reporting

    the relationshipA

    %or those who never eat ate fast food, 2/.? @ undergo any medical check(up in the past 12 months,

    ?+.+@ do not undergo any medical check(up. %or those with fast food consumption freuency 1(2

    times, >. @ undergo any medical check(up in the past 12 months, while the other -./ @ don5t. %or

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    those with fast food consumption freuency more or eual to + times, -.- @ undergo any medical

    check(up in the past 12 months while the other -.- @ do not.

    7- "er*eived 'ea,th S*ore

    O axis

    3ruskal(Wallis = test showed that there was nostatistically significant difference in perceived health

    score between groups of fast food consumption freuency, R2729 J 2.1,pJ .+

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    %or those who never eat ate fast food, @noneof the respondents perceived that they are in poor

    health, 2@felt that they have a in fair health, /.?@felt that they arein good health and ++.+@ in felt

    excellent healthwise. %or those with consumed fast food consumption at a freuencyof1(2 times, @

    of the respondents perceived that they are in poor health, 1?@ in fair health, /-@ in good health, 1C@

    in excellent. %or those with fast food consumption freuency of more or eual to + times, +@ of the

    respondents perceived that they are in poor health, 21@ in fair health, /@in good health and 12@ in

    excellent health.

    #ometimes you can report as Bnumber of respondent5 instead of @ all the time.

    8- Con*ern o0 O2n 'ea,th

    re you concernedaboutofyour own healthA

    Fast Food Fre9uen*y :a,ay;

    Eever 1(2 times V + times

    'ean !ank 78-

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    %or those who never eat ate fast food, C@ of the respondents felt that their parents were

    neutalparenting style are neutral, ?@ are described their parents as uninvolved, and 1+@ are

    permissive. %or those with fast food consumption freuency 1(2 times, >@of theirparentings style are

    authoritarian, />@are neutral, @are uninvolved, and1C@ are permissive. %or those with fast food

    consumption freuency of morethanor eual to + times, >@ of the parenting style are authoritarian,

    -C@are neutral, >@ are uninvolved and 2@are permissive.

    Behavioura, %aria(,es

    M

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    .-E>er*ise Fre9uen*y in one 2ee6

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    O axis I Eumber of days respondent exercised

    chi(suare test was performed and no relationship was found between fast food consumption

    freuency and the number of days exercise freuencywas carried out. RS7, EJ1+?9J1.>, pJ.>

    %or those who never eat ate fast food, ++.+@ does did not exercise at all in a week, -+.+@ do did

    exercise 1(2 days per week, while the other 1+.+@ exercisedmore than + days per week. %or those

    with fast food consumption freuency of 1(2 times, +>@ does did not exercise at all in a week, 2@ do

    did exercise 1(2 days per week, while the other 1>@ exercisedmore than + days per week. %or those

    with fast food consumption freuency of more or eual to + times, ++@ does did not exercise at all in a

    week, C@ do did exercise 1(2 times per week, while the other 1C@ exercisedmore than + days per

    week.

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    /- Engagement in sports

    O axisA N axisA

    chi(suare test was performed and no relationship was found between fast food consumption

    freuency and involvement in sport. RS72, EJ1+?9J1./, pJ.

    %or those who never eat ate fast food, -+@ of the respondents do were not engaged in any sports,

    while the other ?@ are were engaged in any somekind of sports. %or those who consumed withfast

    food consumption freuencyfor about1(2 timesper week, ?@ of them weredo not engaged in any

    kind of sports, while the other +@ are engaged in anydid some sportsactivity. %or those with who

    consumed fast food consumption freuency more than or eual to + times, ?@ do did not engaged

    with in any sports, while the other +@ are were engaged in any sports.

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    3- Usage o0 e,e*troni* gadget :te,evision? *omputer? ta(,ets;

    Fast Food Fre9uen*y :a,ay;

    Eever 1(2 times V + times

    'ean 7hours

    per weekA

    "er dayA9

    +1. .@-/. 35-3=

    )ne way E)KI

    mong 'alay races 7if only one race, then can mention in the 'X' itself9 , there is significant

    difference for three groups of different fast food consumption freuency at p L .- level Q% 72, ?>9

    J.->, pJ.1+Y * don5t understand.

    "ost(hoc comparison using Turkey =# Test indicated that the mean score for the group who that

    ateeatfast food for 1(2 times Q'J1C.C1, #J 1-./?1Y was significantly different than when compared

    to the group who which ateeatfast food for more than + times Q'J+.+, #J +.?/CY. =owever,

    mean score of group who that never eat ate fast food Q'J+1., #J 1>.?+Y was nothas no

    significantly differentce from withthe other 2 groups.

    5- !ime spent on Studying

    Fast Food Fre9uen*y :a,e;

    Eever 1(2 times V + times

    'ean 7hours9 ?.2- ./-= 3=-5/

    )ne way E)KI

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    mong male, there is significant difference was found present among the respondents from the +

    groups in terms of the time spent on studying , for three groups of different fast food consumption

    freuency at p L .- level Q% 72, -+9 J-./?, pJ.1Y.

    "ost(hoc comparison using Turkey =# Test indicated that the mean score for the group who that eat

    ate fast food for 1(2 times Q'J12.>, #J C.2--Y was significantly different than from the group who

    that eat ate fast food for more than + times Q'J+.2, #J ++.2?1Y. =owever,the mean score of for

    the group who which never eat ate fast food Q'J?.2-, #J +.+Y has had no significant difference

    when compared with the other 2 groups.

    7- !ime Spent on Sedentary A*tivities

    Fast Food Fre9uen*y :a,e;

    Eever 1(2 times V + times

    'ean 7hours9 +.2- 3/-

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    Fast Food Consumption Behaviour

    M Type of %ood )rdered

    M Type of 8everages )rdered

    M !eason to

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    .- What do you usua,,y order at the 0ast 0ood restaurant :ou may se,e*t more than one o0 the

    0o,,o2ing;

    N axisI Type of foodA O axisI Eumber of respondentsA

    8urger >- 2?@

    %ried 4hicken ?> 2+@

    "i00a / 1+@

    #andwich 1C -@

    *ce 4ream - 1+@

    %rench %ries // 1>@

    )ther @

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    The most common type of food ordered at a fast food restaurant is was burger 7/

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    The most common type of drink ordered at a fast food restaurant is was carbonated drink 7/79, iced

    lemon tea 7//9, mineral water 7.79, fruit juice 7.79, yogurt drink 79, chocolate drink 7 +2@

    inner C -@

    #nacks in(between meals 1C 12@

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    )ur study shows that tThe most common time respondents patronisedhavingfast food restaurantsis

    during dinner with 775;, 3/during lunch, ./consumed as snacks in(between meals while the

    other 3during breakfast.

    5- &easons 0or *hoosing to eat 0ast 0ood- :ou may se,e*t more than one 0rom the 0o,,o2ing;

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    8ased on the graph, we can see that the most common reasons for choosing fast food is was because

    of the taste with7A9/@, . Twenty(four percent/5said that felt that it is was convenientceto eat

    fast food, while .5choose based on the variety of the fast food offered and, ./said thatfound it

    is a place where they can sociali0e with other people ? - Seven per*ent ?@

    Kariety +C 1@

    4onvenience /C 2@

    Eutritional value 1@

    ddiction 1/ /@

    "lace to sociali0e ++ 12@

    #tress and nxiety 2 ?@

    )ther + 1@

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    7- !ype o0 mea, ordered

    chi(suare test was performed and no relationship was found between fast food consumption

    freuency and type of meal ordered. RS72, EJ1+?9J.>?, pJ./2

    8ased on the survey, 11 respondents 7C@9 preferredto order combo meals, while 2C respondents

    72@9 preferredto order a la carte. The reason that may influence the respondents to order combo

    meals most could probably be due to the fact thatbecause of theprice offeredfor combo meals are

    usually much cheaper compared to a la carte.

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    8- "er*eption on 0ast 0ood 2hether it is hea,thy or not-

    'odify your pie chart

    chi(suare test was performed and no relationship was found between fast food consumption

    freuency and the opinion on the whetherhealthiness of fast foodwas healthy. RS72, EJ1+?9J+.?C,

    pJ.1/.

    pproximately >2@ of the respondents think thought that fast food is was healthy while C@ of the

    respondents think thougth that fast food is was unhealthy.

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    @- onitoring o0 nutritiona, status in 0ast 0ood

    Fast Food Fre9uen*y

    Eever 1(2 times V + times

    Eo @ .C@ -C.+@

    Nes 1.@ ->.2@ 1.?@

    There is a significant relationship between fast food consumption freuency and monitoring of

    nutritional status of fast food RS 72, EJ1+?9 J1./-, pJ.1

    !espondents who have had a lower freuency of fast food consumption , had awill have higher

    tendency to monitor whether the nutrients intake is was appropriate to the daily reuirement.

    %or those who never eat ate fast food, .== doa,, o0 themmonitored the nutritional status in fast

    food. %or those with fast food consumption freuencyof1(2 times, only 7monitoredthe nutritional

    status in fast food while the other 5.do did not monitor the nutritional status. %or those with fast food

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    consumption freuency of more than or euals to + times, 5/o0 the respondents monitored the

    nutritional status in fast food while the other 7@do did not monitor the nutritional status.

    D$SCUSS$ONS AND CONCLUS$ONS

    "ersonal Kariables

    There is a strong association between fast food consumption freuency and self(concern about health

    among 'alay 7A9races. The Pgroup who which never consumed fast food,are more concerned of

    their health 7'!J -/.?-9 compared to the group who that ateeat fast food 1(2 times per week

    7'!J+?.-9. Those who are more health concernedare more likely to monitor their diet and hence ,

    shun away from fast food.

    =owever, fast food consumption freuency has shown no relationship with 8ody 'ass *ndex 78'*9,

    self(perception of over(weight,weight$ attempt to lose weight, attendance on for medical check(up,

    perceived health score and parenting style. This is maybecould be due to beboth 8'* and heatlh are

    both influenced by multifactorial variables and their association with fast food cannot be observed in

    short term.

    8ehavioural KariablesI

    Eo association was found between fast food consumption freuency and time spent on physical

    activities as well as involvement in sport.

    mong 'alay races, group with %%4%7if you use abbreviations, must shown what it stands for for thr

    1st time9V + times spent an average of +.- hours on electronic gadgets, which was statistically

    higher than the group with %%4% 1(2 times 7mean J 1C.+- hours9. 'alay r!espondents who

    consumedmore fast food has had stronger fixation to electronic gadgets.

    mong male participants, group with %%4% V + times spent longer times on studying7'J+.2 hours9

    while the group with %%4% 1(2 times has had shorter studying time 7'J 12.> hours.

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    4omparison of time spent on sedentary activities 7what activitiesA99 was made. mong male

    participants, the group with %%4% V + times spent longer times on sedentary activities 7'J/+.

    hours9 while the group with %%4% 1(2 times has had shorter average time 7'J +2.?> hours9.

    Taken together, in male thepopulation, the group who that ateeatmore fast food will have higher

    tendency to spend most of their time on sedentary activities.

    %ast food consumption behaviorI

    There is was no significant relationship between fast food consumption freuency between and type of

    meals ordered, opinion on healthiness whetherof fast food was healthy, knowledge of nutritional

    values and ingredients contents of fast food, and awareness on association of fast food with non(

    communicable diseases.

    =owever, it was found that a vast majority of respondents preferedto order combo meals, and many

    thought thatthink thanfast food isn5t nothealthy, . A=ow manyA acknowledgedthe nutritional values

    and ingredients of in the fast food and some were aware of the association of between fast food with

    and non(communicable disease7AAAAno data AAA9.?@ of them will monitoredwhilst,only less than half 71.?@9 will take would make

    an effort to monitor.

    *n conclusion, those who eat ate lesser fast food are more health(conscious, and therefore will monitor

    their diet status.

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    &EFE&ENCES

    !ry to sear*h on,ine ho2 the A"A re0eren*ing system ,ist re0eren*es

    1 884 World #ervice. 7n.d.9. Fast food factory. !etrieved from

    httpIHHwww.bbc.co.ukHworldserviceHspecialsH1/1/[fastfoodH

    2 F. '. "oti, 3. F. uffey, 8. '. "opkin. The association of fast food consumption with poor

    dietary outcomes and obesity among childrenI is it the fast food or the remainder of the dietA

    merican. Fournal of 4linical Eutrition, 21+$ >> 719I 1/2 )*I 1.+>-Hajcn.11+.?1>2C

    + W=) "ress, World =ealth )rgani0ation, Peneva, #wit0erland, 7219. World health statistics

    20107*#8E >?C >2 1-/+>C ?9 World =ealth )rgani0ation.

    &in 8=, Puthrie F%, %ra0ao

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