Displaying all 9 publications

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  1. Nurul-Farehah S, Rohana AJ
    Malays Fam Physician, 2020;15(2):34-42.
    PMID: 32843943
    Maternal obesity is a global public health concern that affects every aspect of maternity care. It affects the short-term and long-term health of the mother and her offspring. Obese pregnant mothers are at an increased risk of developing complications during antenatal, intrapartum, and postnatal periods. Maternal complications include gestational diabetes mellitus, hypertensive disorder in pregnancy, pre-eclampsia and eclampsia, increased rate of cesarean delivery, pulmonary embolism, and maternal mortality; fetal complications include congenital malformation, stillbirth, and macrosomia. Moreover, both mother and infant are at an increased risk of developing subsequent non-communicable diseases and cardiovascular problems later in life. Several factors are associated with the likelihood of maternal obesity, including sociodemographic characteristics, obstetric characteristics, knowledge, and perception of health-promoting behavior. Gaining a sound understanding of these factors is vital to reaching the targets of Sustainable Developmental Goal 3-to reduce global maternal mortality and end preventable deaths of children under 5 years of age-by 2030. It is essential to identify pregnant women who are at risk of maternal obesity in order to plan and implement effective and timely interventions for optimal pregnancy outcomes. Importantly, maternal obesity as a significant pregnancy risk factor is largely modifiable.
  2. Wan Rosli W. I., Rohana, A. J., Gan, S. H., Noor Fadzlina, H., Rosliza, H., Helmy, H., et al.
    MyJurnal
    The total lipid contents and the concentration of eicosapentaenoic (EPA) and docosahexaenoic
    (DHA) fatty acid of fourteen selected marine, three freshwater fish species, four shellfish species and two selected canned fish species of East Coast of Peninsular Malaysia were determined. The fat content of all samples ranged from 1.01 % to 15.83 % with silver catfish reported to have the highest value. Most of the fish had fat amounts lower than 10% of their total weight. In general, DHA concentrations (50.50-165.21 µg/g) were significantly higher than EPA (11.12-55.38 µg/g) in all of the fish species analyzed. Among all marine fish species, the sixbar grouper recorded the highest concentration of DHA (165.21 µg/g) while barramundi had the highest concentration of EPA (55.38 µg/g). In conclusion, all fish and shellfish species are considered a good source of EPA and DHA, representing a very valuable essential nutrient for maintenance of human health.
  3. Mas-Harithulfadhli-Agus AR, Hamid NA, Rohana AJ
    Ethn Health, 2021 02;26(2):264-279.
    PMID: 30041543 DOI: 10.1080/13557858.2018.1494820
    Objectives: The objectives of this study were to determine the prevalence of malnutrition among five-year-olds and factors associated with unsuccessful outcome of a Food Basket Programme (FBP) in a rural district of Kelantan, Malaysia.Design: Administrative health records from selected health clinics were reviewed. Study sample includes indigenous population or Orang Asli of Malaysia. Unsuccessful outcome was defined according to failure to complete the programme according to growth gain and on-time. Multiple logistics regression was used to assess the associated factors of unsuccessful outcome of FBP.Results: This study showed that the prevalence rates of malnutrition among children below five years old were 34.2% underweight, 16.4% thinness, 32.5% stunting and 3.0% overweight, with Orang Asli children faring the worse. Orang Asli children were also five times more likely to be unsuccessful in the FBP (p 
  4. Ihab AN, Rohana AJ, Manan WM, Suriati WN, Zalilah MS, Rusli AM
    Int J Prev Med, 2013 Jun;4(6):690-9.
    PMID: 23930187
    The coexistence of under and over nutrition might be influenced by a marked shift in dietary and lifestyle practices of people in developing countries. This study aims to identify factors associated with the occurrence of dual form of malnutrition in the same households in a rural district in Peninsular Malaysia.
  5. Tengku AT, Wan AM, Zaharah S, Rohana AJ, Nik Normanieza NM
    Malays J Nutr, 2012 Apr;18(1):15-25.
    PMID: 23717858 MyJurnal
    Despite evidence from various studies on exclusive breastfeeding (EBF) being best for infants, many women do not or are unable to practise EBF. This study aimed to examine perceptions on EBF and its influencing factors among a sample of Malay women in rural and urban areas in Kelantan, Malaysia.
  6. Ng CM, Badon SE, Dhivyalosini M, Hamid JJM, Rohana AJ, Teoh AN, et al.
    Sex Reprod Healthc, 2019 Jun;20:60-65.
    PMID: 31084820 DOI: 10.1016/j.srhc.2019.03.002
    OBJECTIVES: An optimal gestational weight gain is essential for maternal health and to reduce adverse birth outcomes. Current guidelines to monitor gestational weight gain are based on pre-pregnancy body mass index (BMI). However, middle-upper arm circumference (MUAC) is increasingly used as an alternative nutritional status measure for pregnant women. Hence, this study aimed to determine associations of MUAC and pre-pregnancy BMI with gestational weight gain rate among Malaysian pregnant women.

    STUDY DESIGN: A cross-sectional study was conducted among 444 pregnant women (≥20 weeks gestation).

    MAIN OUTCOMES MEASURES: Women completed questionnaires on sociodemographic data, maternal characteristics and pre-pregnancy weight. Height, current weight and MUAC were measured at study visit (from 1st February 2016 to 31st January 2017).

    RESULTS: About a third (34.24%) of pregnant women were overweight or obese prior to pregnancy. MUAC was inversely associated with an inadequate rate of gestational weight gain (OR = 0.77; 95% CI: 0.68, 0.87) as compared to normal gestational weight gain. In contrast, a higher MUAC was associated with a higher odds ratio (OR = 1.28; 95% CI: 1.11, 1.49) of having excessive rate of gestational weight. No associations were found for pre-pregnancy BMI categories for gestational weight gain rate.

    CONCLUSION: Our findings revealed that women with low MUAC were more likely to have an inadequate gestational weight gain rate during pregnancy whereas higher MUAC was associated with an excessive gestational weight gain rate. MUAC may be a useful indicator of nutritional status associated with GWG. Routine measurement of MUAC in pregnant women may help health professionals, particularly in middle-income countries, to counsel women about gestational weight gain.

  7. Alkinani AA, Rohana AJ, Hasan R, W Ahmad WMA, Al-Badri SA
    Cureus, 2024 Oct;16(10):e71710.
    PMID: 39553075 DOI: 10.7759/cureus.71710
    BACKGROUND: The prevalence of sugar-sweetened beverage (SSB) consumption is on the rise among Arabic adolescents, with a notable increase observed in Iraq. However, no validated tool currently exists to assess SSB consumption apart from the frequency of SSB intake within this population. The objective of this study is to evaluate the beverage consumption patterns of Arabic-speaking adolescents using a validated Beverage Intake Questionnaire (BEVQ) specifically designed for this population.

    METHODOLOGY: The BEVQ has been authorized by the original author and was meticulously translated through a 10-step protocol. The content validity of the BEVQ was rigorously evaluated by four independent experts using the item-level content validity index (I-CVI), scale-level content validity index average (S-CVI/Ave), sum of the content validity index/universal agreement (S-CVI/UA), and the modified kappa statistic (κ m). The face validity was also conducted on 30 adolescents, ensuring clarity and comprehensive validation.

    RESULTS: The translation process required minor modifications to ensure linguistic and cultural equivalence to the original questionnaire. The Arabic version of the BEVQ (BEVQ-A) achieved S-CVI/Ave scores ranging from 0.90 to 0.98 and S-CVI/UA scores ranging from 0.75 to 1.00. The modified kappa statistic (κ m) indicated that the majority of items were categorized as good to excellent. These scores confirmed that the BEVQ-A possessed robust content validity. Additionally, the BEVQ-A demonstratedcomprehensive and clear face validity, with a sum of face validity index (S-FVI) score of 0.97.

    CONCLUSION: In conclusion, the Arabic-translated version of the BEVQ is a valid and reliable instrument for assessing total beverage consumption among Arabic-speaking adolescents.

  8. Ihabi AN, Rohana AJ, Wan Manan WM, Wan Suriati WN, Zalilah MS, Rusli AM
    J Health Popul Nutr, 2013 Dec;31(4):480-9.
    PMID: 24592589
    During the past two decades, the rates of food insecurity and obesity have risen. Although a relationship between these two seemingly-paradoxical states has not been repeatedly seen in men, research suggests that a correlation between them exists in women. This study examines nutritional outcomes of household food insecurity among mothers in rural Malaysia. A cross-sectional survey of low-income households was conducted, and 223 households with mothers aged 18-55 years, who were non-lactating, non-pregnant, and had at least one child aged 2-12 years, were purposively selected. A questionnaire was administered that included the Radimer/Cornell Scale, items about sociodemographic characteristics, and anthropometric measurements. Of the households, 16.1% were food-secure whereas 83.9% experienced some kind of food insecurity: 29.6% of households were food-insecure, 19.3% contained individuals who were food-insecure, and 35.0% fell into the 'child hunger' category. The result reported that household-size, total monthly income, income per capita, and food expenditure were significant risk factors of household food insecurity. Although there was a high prevalence of overweight and obese mothers (52%) and 47.1% had at-risk waist-circumference (> or = 80 cm), no significant association was found between food insecurity, body mass index, and waist-circumference. In conclusion, the rates of household food insecurity and overweight and obesity were high in the study population, although they are looking paradoxical. Longitudinal studies with larger sample-sizes are recommended to further examine the relationship between food insecurity and obesity.
  9. Helmyati S, Kiasaty S, Amalia AW, Sholihah H, Kurnia M, Wigati M, et al.
    J Diabetes Metab Disord, 2020 Dec;19(2):749-757.
    PMID: 33553011 DOI: 10.1007/s40200-020-00555-8
    Purpose: The purpose of this study is to explore the preference and acceptance of white rice substitution with brown and black rice among young adults in Indonesia to prevent diabetes.

    Methods: This study used a qualitative design. Rice preference deeply explored using focus group discussion as a case-study. 85 informants with an average of ages 20 years old were divided into several groups. Several topics to discuss include the reasons to accept or reject brown and black rice, knowledge, attitude, motivation, and potency to substitute white rice.

    Results: Price was the main barrier to substitute white rice to brown and black rice. The participants have known brown rice from parents, mass media, and friends. Most of them were still unfamiliar with black rice. Culture also affected the preferences of the participants. To motivate people to change their white rice diet, creative packaging and segmentation of the sale were recommended.

    Conclusion: Substituting white to brown and black rice is still a challenge for young adults in Indonesia. Several barriers such as culture, accessibility, and affordability need to be considered. Further efforts are important to manage a program to increase brown and black rice consumption.

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