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Fulltext Nutritional status and self-reported nutrition education exposure in women with gestational diabetes mellitus at primary health clinic

Nurul-Alia Samiun, Barakatun-Nisak Mohd Yusof, Irmi Zarina Ismail, Norfarhana Mohd Anuar, Winnie Chee Siew Swee

Journal of Clinical and Health Sciences, 2019;4(2):66-74.
MyJurnal

Introduction: Optimal nutritional status is of utmost importance not only for foetal
development but also to maintain normoglycemia in women with gestational diabetes mellitus
(GDM). This cross-sectional study described the nutritional status of women with GDM and
explored whether self-reported nutrition education (NEd) exposure before a GDM diagnosis
would be able to promote better nutrition status. Methods: GDM women (n= 60; age= 31.6 ±
5.0 years) diagnosed between 13th and 28th week of gestation participated in the study. We
assessed nutritional status that included anthropometric and blood pressure assessments,
biochemical data, and dietary intake. The respondents self-reported their NEd exposure before
a GDM diagnosis was made. Results: The pre-pregnancy BMI of the participants was 27.9 ±
6.8 kg/m2
, which was categorised as overweight. Total (4.3 ± 5.6 kg) and rate (0.2 ± 0.3
kg/week) of gestational weight gain were within the recommendations. Glycemic parameters
and blood pressure were also within the normal range. Nevertheless, they had high intakes of
fat (35.5%) and sugar (14.4%) proportionate to their energy intake. They did not meet the
recommended nutrient intakes for fibre, calcium, and iron. Only 28.3% of women had prior
NEd exposure. Among them, almost all (94.1%) had recurrent GDM. Those with NEd
exposure had lower pre-prandial blood glucose profiles, systolic blood pressure, and
proportion of protein intake from energy than those without (p< 0.05). Conclusions:
Suboptimal maternal nutritional status and low exposure to NEd are evident in women with
GDM. Those with self-reported NEd exposure had better parameters of nutritional status. The
findings recognised the need of having proper nutrition education for women who are at high
risk of GDM since at early pregnancy.

Matched MeSH terms: Overweight
Fulltext Determination of Cutoff Values for the Screening of Osteosarcopenia in Obese Postmenopausal Women

Abidin NZ, Mitra SR

Curr Gerontol Geriatr Res, 2021;2021:6634474.
PMID: 33790963 DOI: 10.1155/2021/6634474

Osteosarcopenic obesity (OSO) describes the concurrent presence of obesity, low bone mass, and low muscle mass in an individual. Currently, no established criteria exist to diagnose OSO. We hypothesized that obese individuals require different cut-points from standard cut-points to define low bone mass and low muscle mass due to their higher weight load. In this study, we determined cutoff values for the screening of osteosarcopenia (OS) in obese postmenopausal Malaysian women based on the measurements of quantitative ultrasound (QUS), bioelectrical impedance analysis (BIA), and functional performance test. Then, we compared the cutoff values derived by 3 different statistical modeling methods, (1) receiver operating characteristic (ROC) curve, (2) lowest quintile of the study population, and (3) 2 standard deviations (SD) below the mean value of a young reference group, and discussed the most suitable method to screen for the presence of OS in obese population. One hundred and forty-one (n = 141) postmenopausal Malaysian women participated in the study. Bone density was assessed using calcaneal quantitative ultrasound. Body composition was assessed using bioelectrical impedance analyzer. Handgrip strength was assessed using a handgrip dynamometer, and physical performance was assessed using a modified Short Physical Performance Battery test. ROC curve was determined to be the most suitable statistical modeling method to derive the cutoffs for the presence of OS in obese population. From the ROC curve method, the final model to estimate the probability of OS in obese postmenopausal women is comprised of five variables: handgrip strength (HGS, with area under the curve (AUC) = 0.698 and threshold ≤ 16.5 kg), skeletal muscle mass index (SMMI, AUC = 0.966 and threshold ≤ 8.2 kg/m2), fat-free mass index (FFMI, AUC = 0.946 and threshold ≤ 15.2 kg/m2), broadband ultrasonic attenuation (BUA, AUC = 0.987 and threshold ≤ 52.85 dB/MHz), and speed of sound (SOS, AUC = 0.991 and threshold ≤ 1492.15 m/s). Portable equipment may be used to screen for OS in obese women. Early identification of OS can help lower the risk of advanced functional impairment that can lead to physical disability in obese postmenopausal women.

Matched MeSH terms: Overweight
Fulltext Prevalence of overweight and obesity among primary healthcare workers in Perak, Malaysia

Low, Pei Kit, Hazizi Abu Saad, Rosita Jamaluddin, Chee, Huei Phing

IIUM Medical Journal Malaysia, 2020;19(1):23-30.
MyJurnal

Introduction: Overweight and obesity has been emerging as one of the most common and preventable
nutritional problems worldwide. In 2016, 39% and 13% of the adult population worldwide was classified as
overweight and obese, respectively. Materials and Methods: We conducted a cross-sectional study at 12
selected health clinics in Perak, Malaysia, and we used multi-stage cluster random sampling to determine the
prevalence of overweight and obesity among the primary healthcare workers and the associate factors of
obesity indices. Each respondent was required to complete a self-administered questionnaire on their sociodemographic characteristics. In addition, we took anthropometric measurements, including height, weight,
BMI, waist circumference, and body fat percentage, of the participants. Results: We recruited 261 primary
healthcare workers. Overall, 49.9% of the healthcare workers were overweight or obese, 51.0% were at risk
of having abdominal obesity, and 79.6% had a high body fat percentages. Age and self-reported health status
were significantly associated with all the obesity indices. Educational level showed significant association
with BMI and waist circumference, while occupational status showed an association only with BMI. Older age
and professionals were predictors for high obesity indices. Conclusion: The prevalence of obesity among the
primary healthcare workers was higher than among the general population. An immediate intervention
programme is needed to reduce the prevalence of overweight and obesity among primary healthcare
workers.

Matched MeSH terms: Overweight
Bodyweight status misperception among reproductive-aged women in primary care settings

Sahiran MF, Lee PY, Mawardi M, Mohd Azizi F

Malays Fam Physician, 2020;15(3):62-73.
PMID: 33329864

Introduction: It is common, and many international and local studies confirm this, that women of reproductive age misperceive their body-weight status. This phenomenon can lead to their being less likely to adopt a healthy lifestyle which later exposes them to increased health problems and risks including those of a gynecological and obstetric nature. Generally, there have been inconsistent findings concerning the association between the self-perceived weight status and sociodemographic factors, physical activities, and previous weight loss attempts of women of reproductive age in an Asian population like Malaysia.
Objective: This study aimed to determine the factors associated with body weight status misperception among reproductive-aged women at a primary care setting in Malaysia.
Methods: This is a cross-sectional study conducted at Klinik Kesihatan Durian Tunggal in 2016-2017. The questionnaire included questions on the perception of weight status, sociodemographic factors, smoking status, level of physical activity, and weight loss attempts. Logistic regressions were used for statistical analysis to examine the association between body weight status misperception and related factors.
Results: The study recruited 630 reproductive-aged women. The mean age and SD of the respondents was 32.7 + 8.9 years, and 84% of the respondents were Malays. More than three-quarters of the respondents (75.5%, n = 476) had received up to a secondary level of education. The majority of the respondents were in the overweight/obese group (59.4%, n = 374). The mean BMI of the respondents was 27.1 kg/m2 + 6.61. Approximately 65.4% (n = 412) of the respondents had an inactive lifestyle. However, 60% (n = 378) of the respondents reported that they had attempted to reduce their weight in the last year. A total of 141 respondents (22.4%) misperceived their weight status with 113 (80.1% ) of them underestimating their weight status. Women with primary-level education (OR: 3.545, 95% CI: 1.530-8.215, p = 0.003) and secondary-level education (OR: 1.933, 95% CI: 1.065-3.510, p = 0.030) had a greater likelihood of misperceiving their body weight status as compared to those who have a tertiary level of education. Women with no weight loss attempts were also at risk of body weight status misperception (OR: 1.850, 95% CI: 1.195, 2.865, p = 0.006).
Conclusion: Bodyweight status misperception among reproductive-aged women was associated with a low level of education and with those who had made no weight loss attempts. Identifying women who are at risk of misperceiving their weight status would enable early counseling on weight management.

Matched MeSH terms: Overweight
Fulltext The association between body weight status, sodium intake and blood pressure with intraocular pressure among orang asli adolescents in Semenyih, Selangor

Nurulain Asri, Tasneem Shaari, Mohd Zaki Awg Isa

Journal of Optometry, Eye and Health Research, 2020;2(1):48-56.
MyJurnal

Abnormal intraocular pressure (IOP) if left untreated it can lead to glaucoma and permanent vision loss. However, the correlation between IOP and body weight status, sodium intake, and blood pressure (BP) are unclear among adolescents. This cross-sectional study aimed to determine the relationship between body weight status, sodium intake, and BP with IOP among orang Asli adolescents. A total sample of 50 adolescents of Orang Asli aged 13 to 17 participated in this study. Three days' dietary intake was recorded through 24-hour diet recall to determine the sodium intake. The questionnaire was administered to acquire socio-demographic information, and measurements Body Mass Index (BMI) and BP were done according to standard protocols, and IOP was measured using Tonopen. Data obtained involving 40% boys and 60% girls. Two boys (4%) were underweight, 13 boys (26%) and 17 (34%) girls were normal weight, 4 (8%) boys and 11 (22%) girls were overweight, 1 (2%) boy and 2 (4%) girls were obese. Sixty percent of subjects have exceeded the Lowest-Observed-Adverse-Effect-Level (LOAEL) of 2300 mg of sodium intake. Hypertension stage 1 was found higher than hypertension stage 2 in male and female subjects, with 38% of the female have stage 1 hypertension compared to only 14% in male subjects. 98% of subjects have normal IOP and only 2% of subjects have high IOP. There was a significant association between BMI and IOP (p

Matched MeSH terms: Overweight
Fulltext Prevalence of obesity with the basic health consequences among the preclinical medical students in Universiti Malaysia Sabah

Shaila Kabir, Sadia Choudhury Shimm, M. Tanveer Hossain Parash, Mya Sanda Khaing, A. B. M. Tofazzal Hossain

Malaysian Journal of Medicine and Health Sciences, 2019;15(106):69-69.
MyJurnal

Introduction:Obesity or overweight and its consequences are important public health problems globally resulting in a significant cause of morbidity such as hypertension, Diabetes Mellitus, hypercholesterolaemia, coronary artery disease, stroke, sleep apnoea, cancers and mortality which also render distressing financial burden on everyone. It is imperative to intervene in momentous strategies for early detection to prevent the weight-related epidemic. Methods:It was a health survey conducted in June 2019 to detect the prevalence of obesity and overweight problems and the resultant detrimental health conditions among the year 1 and year 2 medical students of the University Malaysia Sa-bah. The survey was done on 145 students aged between 19-23 years. The height, weight, BMI, waist circumference, blood pressure and capillary random blood glucose were measured. Pearson correlation and Chi-square tests were done to find an association between BMI and probable factors using SPSS. Results: The prevalence of obesity was 8.2%. High blood pressure was recorded in 23.45% participants where both systolic and diastolic blood pressure was high in 18.6%, only systolic blood pressure was high in 37.2% and only diastolic blood pressure was high in 28.3% among 145 students. There was no impaired glucose tolerance among the participants. There was a positive correlation between BMI and systolic (r=0.518, p

Matched MeSH terms: Overweight
Fulltext Obesity intervention among community in Taman Impian Ehsan, Hulu Langat, Selangor

Zailiza Suli, Nur Zawani Jalaluddin, Hazariah Abdul Halim

Malaysian Journal of Medicine and Health Sciences, 2019;15(104):95-95.
MyJurnal

Introduction: Obesity is a major public health concern worldwide. The increasing prevalence of obesity in all ages can cause chronic illnesses, such as Type 2 Diabetes Mellitus and Cardiovascular Diseases. The Body Mass Index (BMI) is generally used to classify an adult population as underweight (BMI =25.0 kgm-2) or obese (BMI >=30.0 kgm-2). The normal BMI range lies between 18.5 and 24.99 kgm-2. Physical activity is an important component of lifestyle interventions for weight loss and the prevention of weight regain. The objective of this study was to assess the impact of physical activity in reducing the obesity among the selected participants in Taman Impian Ehsan, Hulu Langat. Methods: This study was a one-group pretest-posttest quasi-experimental design. The physical activity program took place three times a week for six months started from June to December 2018 which is a part of KOSPEN activity. Results: Thirty participants were recruited in the program. For pre- intervention study, 4 participants have normal body weight (BMI 18.5-24.99), 12 participants were overweight (BMI 26.0 to 30.0kgm-2) and 14 participants were obese (BMI > =30.0 kgm-2). Twenty six of participants were retained in the program while the rest quitted. Post-intervention study shows that seven participants have normal BMI, 10 partici-pants were still overweight and nine participants still categorized as obese. Post-intervention study showed that 17 participants managed to lose weight with minimum of 1.2 kg and maximum of 22.6 kg. The average reduction of the body weight was 5%. Conclusion: Physical activity is one of most feasible approach that can assist communities in developing healthy behaviours that promote weight loss and maintain ideal body weight.

Matched MeSH terms: Overweight
Fulltext Nutritional management of the critically ill obese patient

Mohd Basri Mat-Nor, Noor Airini Ibrahim, Fa’iza Abdullah

International Medical Journal Malaysia, 2018;17(2):143-148.
MyJurnal

Over the last decade, Malaysia has witnessed a steady rise in obesity rate. The overweight and obese now comprise of half its 30 million population. This figure is broken down into 30 percent in the overweight category and 17.7 percent in the obese category, according to the 2015 National Health and Morbidity Survey.1 This is an increase of four times from what was reported in 1996, at 4.4 percent.2 World Health Organization (WHO) definition of obesity is body mass index (BMI) of 30 or more, calculated as weight in kilograms divided by height in metres squared.3 As the general population get heavier, the average BMI of ICU admissions have also increased. From the International Nutrition Survey (INS) 2014, the average BMI of critically ill patients admitted to Serdang Hospital was 26 kg/m2 higher than the Asian average at 23.6 kg/m2 . 4 Being obese puts the patients at a greater risk of heart disease, hypertension, stroke, diabetes, sleep apnoea, fatty liver disease, osteoarthritis, and many other serious medical conditions.

Matched MeSH terms: Overweight
Fulltext Food security status and childhood obesity in Kuantan Pahang

Roselawati Mat Ya, Wan Azdie Mohd Abu Bakar, Aflah Afandi, Jamalludin Ab Rahman, Zalilah Mohd Shariff

International Journal of Allied Health Sciences, 2017;1(2):56-71.
MyJurnal

Food insecurity has become one of the concerning issues in public health. The purpose of this study was to investigate household food security status and its relationship with childhood obesity in Kuantan, Pahang. This comparative cross sectional study was conducted in Kuantan, Pahang among 128 mothers aged 18 to 55 years with the children aged 7 and 13 years. Data on food security status was collected using Radimer/Cornell hunger and food insecurity instrument through telephone survey while children's height and weight as well as socio-demographic data were measured and obtained during schools visits. A total of 23% of the respondents were food secure. However, 77% experienced food insecurity where 52% were household food insecure, 9% women were individual food insecure and 16% fell into the child hunger category. Income (p=0.04), income per capita (p=0.033), household size (p=0.032) and area of living (p=0.001) were the significant risk factors for household food insecurity. The prevalence of overweight and obesity among children were 60.6% in food insecure households which was higher compared to food-secure households (38.4%). However, there were no significant association between childhood obesity and food security status. This study demonstrates that the prevalence of food insecurity and childhood obesity in Kuantan, Pahang is a major concern. The results warrant the need
for further investigation to identify complex interaction between food insecurity and
childhood obesity.

Matched MeSH terms: Overweight
Fulltext Effects of leptin gene variants on obesity and its attributes in Malay population

Amiratul Athirah, S., Aryati, A., Wan Rohani, W.T.

Medicine & Health, 2018;13(2):58-71.
MyJurnal

Leptin is a hormone that regulates the energy intake and expenditure which is encoded by leptin gene. Leptin gene variants were studied comprehensively in relation with body weight status, but the evidences were indecisive. This study was to determine the association between leptin gene variants, G2548A, H1328080 and A19G with obesity and its attributes in Terengganu, Malaysian population. This study involved a total of 249 Malay subjects (101 healthy adults with normal BMI as the control group and 148 overweight and obese subjects). The anthropometrics data were obtained, blood samples were collected for genetic markers and lipid profile analyses. PCR-RFLP technique was performed to determine the genotype and allele distribution of leptin gene variants. The genotypic and allelic frequencies of leptin gene variants presented no significant difference between groups, G2548A (P = 0.93 and 0.74); H1328080 (P = 0.58 and 0.56); and A19G (P = 0.72 and 0.38) correspondingly. However, there was statistical significant difference between triglyceride level and genotypes of G2548A variant (P = 0.016); between total cholesterol level and H1328080 genotypes (P = 0.027). In addition, multivariate logistic regression projected the male gender (adjusted OR= 26.27; CI= 1.06-1.25; P = 0.009), waist circumference (adjusted OR = 1.15; CI = 1.06-1.25; P = 0.001) and body fat percentage (adjusted OR = 1.43; CI = 1.20-1.70; P

Matched MeSH terms: Overweight
Fulltext Socio-demographic and physical factors associated with disability in adults with non- specific chronic neck pain

Ponvel, P., Devinder K.A. Singh, Yan Hang, M., Muniandy Y., Mokhtar, S.

Medicine & Health, 2018;13(2):122-132.
MyJurnal

While socio-demographic, physical and other factors are associated with neck pain, there is scanty literature about how these factors are associated with disability in adults suffering from this condition. We aimed to determine the socio-demographic and physical (strength and range of motions) related factors of disability in adults with non-specific chronic neck pain. A total of 34 adults with neck pain, with mean age 55 (10.80) years from a physiotherapy clinic in a teaching hospital participated in this study. Socio-demographic details such as body mass index (BMI), current employment status, hours of exercise done a week were obtained. Severity of pain was evaluated using the Numerical Rating Scale (NRS). Disability level was assessed using Neck Disability Index. Cervical range of motion was measured using the Cervical Range of Motion device. A hand dynamometer was used to measure the dominant hand grip muscle strength. The data was analyzed using descriptive and stepwise linear regression analysis. More than half the participants were females, above 50 years, in the overweight group (BMI>25 kg/m2), currently unemployed and had severe neck pain (NRS >7). Handgrip strength was the only factor found to be significantly (p

Matched MeSH terms: Overweight
Fulltext Avascular Necrosis of the Hip in Primary Care

Baharum NN, Ariffin F, Hanafiah M, Sulaiman SH

Korean J Fam Med, 2021 Jan;42(1):84-87.
PMID: 32447880 DOI: 10.4082/kjfm.19.0021

Avascular necrosis, or osteonecrosis of the femoral head, is a debilitating condition which leads to the destruction of the hip joint due to an interruption in the blood supply to the bony region and is most commonly due to trauma. The case discussed here has been highlighted as it presented as non-traumatic osteonecrosis of the femoral head with an absence of risk factors in a healthy adult male. A 37-year-old male presented with a 4-month history of recurrent left hip pain, which worsened with initiation of movement and weightbearing on the affected side. The patient was overweight but normotensive with a full range of movement of the hips bilaterally. There were no abnormalities detected on initial X-ray images of the left hip. However, due to the persistent pain and sclerotic changes in a subsequent X-ray, a magnetic resonance image of the bilateral hips was obtained, leading to the diagnosis of osteonecrosis of the bilateral femoral heads. Due to the lack of improvement with physiotherapy and analgesia, the patient was subjected to conservative surgery of the symptomatic left hip with concurring evidence of avascular necrosis based on intraoperative anatomical biopsy. This case emphasizes the importance of identifying underlying issues during history taking and physical examination in adults without risk factors. The early diagnosis of osteonecrosis assists in preventing joint collapse and can delay the requirement of joint replacements. High levels of suspicion are necessary to instigate investigation in persistent cases without the presence of risk factors.

Matched MeSH terms: Overweight
Fulltext Retrospective child feeding practices and obesity risk among young adults

Wan Ling Chew, Kaur Satvinder, Serene En Hui Tung, Ai Ni Teoh, Choon Ming Ng

Malaysian Journal of Medicine and Health Sciences, 2020;16(3):106-112.
MyJurnal

Introduction: Early environmental factors play a major role in shaping the health of an individual. Dietary prefer- ence and habits shaped by parental feeding practice during childhood are likely to persist into adulthood which further determines body weights status. This study aimed to determine the retrospective child feeding practices asso- ciated with obesity risk in young adults. Methods: This was a retrospective cross-sectional study with 176 university students in Kuala Lumpur. Data of maternal age, gestational age and feeding practices were collected retrospectively using Child Feeding Questionnaire (CFQ). Subject’s current socio-demographic data was collected and anthropo- metric measurements were taken using standard protocol. Results: Around 22% of the subjects were overweight/ obese. No significant association was found between child feeding practices with maternal age. A significant asso- ciation (p

Matched MeSH terms: Overweight
Fulltext Underweight, overweight, and tobacco use among adolescents aged 12-15 years: Evidence from 23 low-income and middle-income countries

Wang Q

Tob Induc Dis, 2021;19:37.
PMID: 34017231 DOI: 10.18332/tid/133932

INTRODUCTION: Compared with the number of studies in adults, body weight in relation to tobacco use has been understudied in the adolescent population. This study aimed to examine the association between underweight, overweight and tobacco use in low- and middle-income countries.
METHODS: Data were derived from the Global School-Based Student Health Survey (GSHS). Data from 71176 adolescents aged 12-15 years residing in 23 countries were analyzed. The Centers for Disease Control and Prevention (CDC) 2000 growth charts were used to identify underweight, normal weight, and overweight/ obesity. Weighted age- and gender-adjusted prevalence of weight categories and tobacco use was calculated. Multivariate logistic regression analysis was performed to estimate the association between weight categories and tobacco use for each country, controlling for covariates. Pooled odds ratios and confidence intervals were computed using random- or fixed-effects meta-analyses.
RESULTS: A significant association between weight categories and tobacco use was evident in only a few countries. Adolescents reporting tobacco use in French Polynesia, Suriname, and Indonesia, had 72% (95% CI: 0.15-0.56), 55% (95% CI: 0.24-0.84), and 24% (95% CI: 0.61-0.94) lower odds of being underweight, respectively. Adolescents reporting tobacco use in Uganda, Algeria, and Namibia, had 2.30 (95% CI: 1.04-5.09), 1.71 (95% CI: 1.25-2.34), and 1.45 (95% CI: 1.00-2.12) times greater odds of being overweight/obese, but those in Indonesia and Malaysia had 33% (95% CI: 0.50-0.91) and 16% (95% CI: 0.73-0.98) lower odds of being overweight/obese.
CONCLUSIONS: The association between tobacco use and BMI categories is likely to be different among adolescents versus adults. Associating tobacco use with being thin may be more myth than fact and should be emphasized in tobacco prevention programs targeting adolescents.

Matched MeSH terms: Overweight
Fulltext Body mass index (BMI) status and associated lifestyle factors among nursing students in Universiti Malaysia Sabah

Soong Shui Fun, Segaran Ramodran, Chyretta Burno, Mohd Ishkandar Nazlan, Wihelmina Michael

Malaysian Journal of Medicine and Health Sciences, 2020;16(105):42-0.
MyJurnal

Introduction: The Ministry of Health Malaysia over the last 20 years has initiated healthy lifestyle campaign to curb obesity but the issue has remained an escalating problem affecting Malaysians. Obesity among students in higher institute is a concern. Undergraduate student nurses as role-model advocating health, being overweight can be a problem. This study is to identify BMI status and determine associated lifestyle factors among undergraduate nurses in UMS. Methods: The study deployed a cross-sectional descriptive survey using a questionnaire to empirically asses BMI status and associated dietary and exercise practice among student nurses. Ethical clearance for the study was ob- tained from UMS`s REC and as well as respondents` consent. A total of 100(N) nursing students were selected through stratified sampling by year of study (year 1, n=35; year 2 n=35; and year 3 n=30). Random sampling for each year of study was done using full name list generated using Microsoft excel. The study tool consists of a validated instrument which captured the respondent’s demographics, BMI index, Healthy Eating Practice Index, and Exercise Practice Inventory. Results: Among the 100 student nurses in this study, 28 students had BMI index of more than 24.9 (either being overweight, obesity Type I or Type II). Students from finalYear 3are significantly overweight(p=0.03) compared to Year 1 or Year 2 students. Comparing respondents with optimum BMI and non-optimum BMI, students who are overweight had significantly poorer Healthy Eating Practice scores and poorer Exercise practice scores. Conclusion: Findings from this study imply that 1 in 4 nursing students are overweight mostly related to poor lifestyle habits. These findings raise the rhetoric and implication of overweight nurses as health care role -models and this paper will discuss some suggestions to address the issue.

Matched MeSH terms: Overweight
Fulltext Weight Change and Its Association with Cardiometabolic Risk Markers in Overweight and Obese Women

Ahmad Zamri L, Appannah G, Zahari Sham SY, Mansor F, Ambak R, Mohd Nor NS, et al.

J Obes, 2020;2020:3198326.
PMID: 32399286 DOI: 10.1155/2020/3198326

Objectives: To examine the association of weight loss magnitude with changes in cardiometabolic risk markers in overweight and obese women from low socioeconomic areas engaged in a lifestyle intervention.
Methods: Analyses were performed on 243 women (mean body mass index 31.27 ± 4.14 kg/m2) who completed a 12-month lifestyle intervention in low socioeconomic communities in Klang Valley, Malaysia. Analysis of covariance (ANCOVA) was used to compare changes of cardiometabolic risk factors across weight change categories (2% gain, ±2% maintain, >2 to <5% loss, and 5 to 20% loss) within intervention and control group.
Results: A graded association for changes in waist circumference, fasting insulin, and total cholesterol (p=0.002, for all variables) across the weight change categories were observed within the intervention group at six months postintervention. Participants who lost 5 to 20% of weight had the greatest improvements in those risk markers (-5.67 cm CI: -7.98 to -3.36, -4.27 μU/mL CI: -7.35, -1.19, and -0.59 mmol/L CI: -.99, -0.19, respectively) compared to those who did not. Those who lost >2% to <5% weight reduced more waist circumference (-4.24 cm CI: -5.44 to -3.04) and fasting insulin (-0.36 μU/mL CI: -1.95 to 1.24) than those who maintained or gained weight. No significant association was detected in changes of risk markers across the weight change categories within the control group except for waist circumference and adiponectin.
Conclusion: Weight loss of >2 to <5% obtained through lifestyle intervention may represent a reasonable initial weight loss target for women in the low socioeconomic community as it led to improvements in selected risk markers, particularly of diabetes risk.

Matched MeSH terms: Overweight
Fulltext Association of socio-demographics and home food environment factors on body weight status among primary school children

Rina Syahira Rathuan, Nurzalinda Zalbahar, Norhasmah Sulaiman

Malaysian Journal of Medicine and Health Sciences, 2020;16(106):19-25.
MyJurnal

Introduction: Obesity in children is a global epidemic issue. Home food environment is an important aspect that may influence children’s body weight status. The aim of this study is to identify the association between socio-de- mographics and home food environment (HFE) factors with body weight status in primary school children in Bangi, Selangor. Methods: There were 398 children (43.5% males and 56.5% females) aged 7-11 years old (mean age of 9.04±1.41 years) and their parents (66.6% mothers and 33.4% fathers) from eight randomly selected primary schools participated in this study. Parents were asked to complete a self-administered questionnaire on socio-demograph- ic background, feeding practices and food availability, while children were interviewed to obtain information on parental styles and physical activity level. Weight and height of children were assessed, and BMI-for-age z-score (BAZ) was calculated by using WHO Anthroplus Software. Results: Overweight and obesity prevalence was 17.8% and 13.1% respectively. A majority of the parents (61.3%) in this study practiced authoritative parenting style. The increased odds of childhood obesity has been found to be associated with an increasing age (OR=1.239, p

Matched MeSH terms: Overweight
Fulltext Associations of sociodemographic factors and body image with body weight status among Yemeni adolescents in Selangor and Putrajaya, Malaysia

Abdulwali Ali Mareh, Zuriati Ibrahim, Faisal Ali, Ahmed Al-Shahethi, Hazizi Abu Saad

Malaysian Journal of Medicine and Health Sciences, 2020;16(106):63-68.
MyJurnal

Introduction: Despite the high prevalence of malnutrition in Yemen, little is known on malnourished Yemeni adoles- cents in Malaysia. This study aimed to assess the body weight status among Yemeni adolescents in Malaysia and its association with sociodemographic factors and body image. Methods: A cross-sectional study involving 364 Yemeni adolescents aged between 12 to 18 years were recruited from four schools in Selangor and Putrajaya, Malaysia. So- ciodemographic factors and body image data were collected through face to face interview. Height and body weight were measured and body mass index (BMI) was calculated. Results: The prevalence of overweight and obesity was 23.6%, with 5.2% of thinness. Multivariable logistic regression revealed that a family income greater than RM5,001 (OR = 3.77, p = 0.004), body shape dissatisfaction (OR = 3.54, p = 0.001) and perception of overweight/obesity (OR
= 5.75, p = 0.001) were associated with an increased risk of being overweight and obese. Whereas a positive per- ception of underweight (OR = 0.23, p = 0.009) was found to be a significant protective factor against overweight and obesity. Conclusion: Overweight and obesity are prevalent among Yemeni adolescents in Malaysia. These findings highlight the need for regular weight status assessments amongst adolescents. Additionally, an obesity intervention program that incorporates body image perception may improve the children’s body weight status.

Matched MeSH terms: Overweight
Fulltext Sociodemographic and psychological factors as predictors of body mass index-for-age (BAZ) among adolescents in Sibu, Malaysia

Leh Shii Law, Wan Ying Gan, Mohd Nasir Mohd Taib

Malaysian Journal of Medicine and Health Sciences, 2020;16(106):56-62.
MyJurnal

Introduction: Understanding childhood obesity becomes vital as a tremendous increase in the prevalence of over- weight/obesity among children and adolescents was observed. This cross-sectional study aimed to investigate the as- sociations between sociodemographic and psychological characteristics with body-mass-index-for-age (BAZ) among adolescents in Sibu, Sarawak. Methods: A total of 375 students (32.0% males and 68.0% females; 15-17 years old) at four randomly selected public secondary schools were recruited. A questionnaire on sociodemographic and psycho- logical characteristics (self-efficacy for physical activity, weight management, and nutrition, body discrepancy score, and sociocultural pressure to be thin) were used to gather information. Body weight and height were also assessed. Results: Around 18.6% respondents were found to be overweight/obese while nearly 5.0% were categorized as thin. In multiple linear regression, three significant predictors, namely body discrepancy score, being Iban (Reference: Chinese) and sociocultural pressure to be thin explained 45.1% of the variance in BMI-for-age z-score. Conclusion: Future interventions on adolescent body weight management should consider incorporating sociodemographic and psychological factors such as the development of positive body image, uniqueness in cultural value, and manage- ment of perceived sociocultural pressures to increase their effectiveness.

Matched MeSH terms: Overweight
Fulltext Oral Diseases and Quality of Life between Obese and Normal Weight Adolescents: A Two-Year Observational Study

Tengku H TNN, Peh WY, Shoaib LA, Baharuddin NA, Vaithilingam RD, Saub R

Children (Basel), 2021 May 22;8(6).
PMID: 34067484 DOI: 10.3390/children8060435

This study aimed to investigate the association between oral disease burden and oral health related quality of life (OHRQoL) among overweight/obese (OW/OB) and normal weight (NW) Malaysian adolescents. A total of 397 adolescents were involved in the two-year prospective observational cohort study. OHRQOL was measured through a self-administered questionnaire containing the short version of the Malaysian Oral Health Impact Profile (OHIP[M]). Body mass index (BMI) was used for anthropometric measurement. Whilst, decayed, missing, and filled teeth (DMFT) index, Significant Caries Index (SiC), simplified basic periodontal examination (S-BPE), and gingival bleeding index (GBI) were used for clinical assessment tools. Higher dental caries prevalence was observed in the NW group while higher SiC was reported in the OW/OB group. Regardless of the obesity status, the prevalence of gingivitis (BPE code 1 and 2) was high in this study. A reduction of GBI prevalence was observed in the two-year follow-up results with an increased prevalence of OHRQoL impact in the OW/OB group compared to the NW group (p > 0.05). The findings from this study suggested that obesity status did not have influence over the burden of oral diseases and OHRQoL. It offers insights referring to the changes in adolescents' oral diseases burden and OHRQoL.

Matched MeSH terms: Overweight

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