Displaying publications 61 - 80 of 375 in total

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  1. Shah NM, Aghamohammadi N, Thangiah N, Ng AK, Majid HA
    Sci Rep, 2023 May 15;13(1):7841.
    PMID: 37188720 DOI: 10.1038/s41598-023-34699-3
    Studies have shown the prevalence of mental health and obesity among adolescents is at increasing trend due to urbanisation and changes in lifestyle. This study is to investigate the level of stress and its impact on eating behaviour among Malaysian adolescents. A total of 797 multi-ethnic Malaysian secondary school student participated in this cross-sectional study. Data was collected two weeks prior to final year examination. A validated Cohen Perceived Stress Scale questionnaire was used to assess the stress level with subsample analysis of 261 participants' saliva cortisol level. A validated Child Eating Behaviour questionnaire was used to explore eating behaviours. There were 29.1% adolescents having high stress with the mean saliva cortisol 3.8 nmol/L. A positive correlation was observed between perceived stress and emotional overeating; stronger among urban (r = 0.32), female (r = 0.31), underweight (r = 0.34) and moderately stressed adolescents (r = 0.24). In addition, a positive correlation was found between perceived stress and food responsiveness; strongest among Malay (r = 0.23), male (r = 0.24), underweight (r = 0.30) and adolescents with high perceived stress (r = 0.24). The perceived stress level prior to exam period affects the emotional eating and external eating patterns of adolescents.
    Matched MeSH terms: Feeding Behavior/psychology
  2. Mazri FH, Manaf ZA, Shahar S, Mat Ludin AF, Karim NA
    Chronobiol Int, 2023 Mar;40(3):272-283.
    PMID: 36803265 DOI: 10.1080/07420528.2023.2165092
    Previously we had demonstrated the development and feasibility of an integrated chrono-nutrition weight reduction program among non-shift workers with morning and evening chronotypes. In this current paper, we described the association between the changes in chrono-nutrition practice and weight loss outcomes upon completing the weight reduction program. A total of 91 overweight/obese non-shift workers participated in the 12-week integrated chrono-nutrition weight reduction program (Age: 39.6 ± 6.3 y; 74.7% women; BMI: 31.2 ± 4.5 kg/m2). All the assessments including anthropometry, dietary, sleep habits, physical activity, and process of change were measured during pre- and post-intervention. Participants who had lost ≥3% of their body weight were categorized as satisfactory weight loss outcome, and those who did not achieve 3% weight loss were categorized as unsatisfactory weight loss. The satisfactory weight loss had greater daily percent energy intake during earlier in the day from protein (Mean difference (MD): +3.2%, 95% CI: 1.6, 4.9, p
    Matched MeSH terms: Feeding Behavior*
  3. Wan PM, Ali A, Mognard E, Jegathesan AJ, Lee SL, Ganesan R, et al.
    PLoS One, 2024;19(8):e0307874.
    PMID: 39213306 DOI: 10.1371/journal.pone.0307874
    This study aims to explore the food management strategies among caregivers/family members of children with Prader-Willi Syndrome (PWS) using the lens of 'familialisation' of a health problem and the sociology of food socialization. Food intake among individuals with PWS is a main concern for parents, caregivers, and medical practitioners as it affects their physical, mental, and social well-being throughout their lives. Earlier studies on PWS and food intake centered around dietary management, dietary intake and growth, nutritional treatment and pharmacological approaches, nutritional phases, and weight gain. However, little has been done to understand the challenges of managing children with PWS from the sociological lens of food management strategies and socialization among families in Malaysia. This study is based on an investigation involving eight children with PWS and 46 family members and caregivers through lab observations and reflexive interviews. Ten food management strategies were identified that were adopted by the caregivers and families, which were influenced by cultural factors, family norms, and formal and informal support systems. The findings will influence future behavioral interventions to ensure the empowerment and well-being of individuals with PWS and their families.
    Matched MeSH terms: Feeding Behavior/psychology
  4. Mok KT, Tung SEH, Kaur S, Chin YS, Martini MY, Ulaganathan V
    Nutr Health, 2023 Mar;29(1):9-20.
    PMID: 36330727 DOI: 10.1177/02601060221134997
    Background: One of the key importance of vegetable consumption is to obtain sufficient micronutrients, dietary fibre, and for the prevention of childhood obesity. Most Malaysian children did not meet the recommended intake of vegetable consumption, and this is especially vulnerable among the urban poor population due to food insecurity. Efforts are needed to promote vegetable consumption that fall short of the recommended intake level. Aim: This trial aims to examine the effectiveness of the "GrowEat" project, as a nutrition intervention programme integrated with home gardening activities to improve vegetable consumption among urban poor children in Kuala Lumpur, Malaysia. Methods: This is a single-blinded parallel two-arm cluster randomised controlled trial (RCT) that include 134 children. Two zones in Kuala Lumpur will be randomly selected, and three low-cost housing flats from each zone will be selected as the intervention and control groups respectively. The trial is designed based on the social cognitive theory (SCT). Children from the intervention group (n = 67) will attend a 12-week programme, which consists of home garden-based activities, gardening and nutrition education session. Assessment will be conducted for both groups at three time points: baseline, post-intervention and follow-up phase at 3 months after the intervention. Conclusion: We anticipate positive changes in vegetable consumption and its related factors after the implementation of the "GrowEat" project. The current intervention may also serve as a model and can be extended to other urban poor population for similar interventions in the future to improve vegetable consumption, agriculture and nutrition awareness.
    Matched MeSH terms: Feeding Behavior*
  5. Jeyaprakasam NK, Naidu VTV, Vythilingam I, Saeung A
    Trop Biomed, 2024 Dec 01;41(4):518-525.
    PMID: 39876510 DOI: 10.47665/tb.41.4.013
    Studies have suggested animals as possible reservoir hosts for flaviviruses transmitted by Aedes mosquitoes; however, there is limited evidence for the dengue virus in Malaysia. One of the possible ways to determine the zoonotic potential for any pathogen transmission is through blood meal analysis which can provide valuable insights into the feeding preferences of the mosquitoes. Unfortunately, limited information is available on the feeding preferences of Aedes mosquitoes in Malaysia. Thus, this study aimed to identify the blood-feeding preferences of Aedes aegypti and Aedes albopictus from different ecotypes in Selangor, Malaysia. The field mosquitoes were collected using a modified backpack aspirator and CDC light trap. The collected mosquitoes were initially classified based on degrees of blood digestion according to the Sella scale before extracting the DNA. The presence of vertebrate DNA was detected using nested PCR, and samples positive for vertebrate DNA were further subjected to species-specific PCR targeting the common animals found at the study locations. In general, 51 of 187 field caught Aedes mosquitoes were positive for the presence of vertebrate DNA in their blood meal. The most frequent blood meal source was human (38.2%), followed by monkey (12.7%), bovine (10.9%), chicken (7.3%) and dog (3.6%). The human blood index (HBI) of Ae. albopictus collected across the four different ecotypes revealed that, Ae. albopictus collected near human dwellings showed 100% anthropophilic tendency. Interestingly, there were two Aedes mosquitoes, Ae. aegypti (n=1) and Ae. albopictus (n=1) positive for both human and monkey blood. Since sylvatic dengue continues to flourish in Southeast Asia, this finding from blood meal analysis shows the potential for zoonotic transmission by Aedes mosquitoes in these locations. However, further research must be carried out to understand the role of animals as potential reservoir hosts for the dengue virus, especially through the detection of the virus in the blood meal.
    Matched MeSH terms: Feeding Behavior*
  6. de Bruyn J, Wesana J, Bunting SW, Thilsted SH, Cohen PJ
    Nutrients, 2021 Jul 14;13(7).
    PMID: 34371918 DOI: 10.3390/nu13072408
    Effective actions for the fishery and aquaculture sectors to contribute toward improving nutrition rely on an understanding of the factors influencing fish intake, particularly amongst vulnerable populations. This scoping review synthesises evidence from 33 studies in the African Great Lakes Region to examine the influence of food environments on fish acquisition and consumption. We identified only two studies that explicitly applied a food environment framework and none that linked policy conditions with the contribution of fish to diets. Economic access to fish was represented in the largest number of included studies (21 studies), followed by preferences, acceptability and desirability of fish (17 studies) and availability and physical access (14 studies). Positive perceptions of taste and low cost, relative to other animal-source foods, were drivers of fish purchases in many settings; however, limited physical and economic access were frequently identified as preventing optimal intake. In lakeside communities, fish were increasingly directed toward external markets which reduced the availability and affordability of fish for local households. Few studies considered intra-household variations in fish access according to age, gender or physiological status, which represents an important knowledge gap. There is also scope for future research on seasonal influences on fish access and the design and rigorous evaluation of programmes and policies that address one or more constraints of availability, cost, convenience and preferences.
    Matched MeSH terms: Feeding Behavior*
  7. Chong GY, Kaur S, Ruzita AT, Wilfred Mok KH, Tan HY, Loy SL, et al.
    Chronobiol Int, 2024 Jun;41(6):904-923.
    PMID: 38832541 DOI: 10.1080/07420528.2024.2360742
    Chrononutrition, an emerging body of evidence on the relationship between biological rhythms and metabolism, has been established to be associated with glycemic responses. However, the available evidence is inconsistent, due to protocol variations. Therefore, this review aims to summarize the findings on chrononutrition characteristics and their association with glycemic responses among adults. Systematic searches were conducted across six databases (PubMed, EBSCO Host, ProQuest Central, MEDLINE & Ovid, Scopus and Web of Science) to identify all relevant studies published from January 2012. Two reviewers independently screened the abstracts and full-text articles based on the inclusion and exclusion criteria. Details about population characteristics, study methods and key findings were extracted following the PRISMA-ScR guideline. The quality of selected studies was evaluated using the mixed methods appraisal tool. The searchers identified 49 studies eligible for analysis. The results showed that meal timing, particularly night-time eating and snacking were associated with glycemic responses. Regarding meal regularity, skipping breakfast may affect glycemic responses, but no clear conclusion was drawn about its effect on insulin. The association between meal frequency and glycemic responses was inconclusive. Night fasting duration and restricted eating window are potentially associated with glycemic responses. The current review extensively investigates the association between chrononutrition factors and glycemic responses in adults. However, more prospective cohort and interventional studies are needed to better understand this causal-effect relationship.
    Matched MeSH terms: Feeding Behavior/physiology
  8. Johnson CA, Lommelen E, Allard D, Gobin B
    Naturwissenschaften, 2003 Jul;90(7):332-6.
    PMID: 12883778
    Gnamptogenys menadensis is an arboreal nester that forages opportunistically almost exclusively on vegetation, sometimes recruiting others to participate in prey retrieval. The three-dimensional characteristics of vegetation suggest that functions describing recruitment decision thresholds or the pattern of recruitment in arboreal species may differ from those predicted by optimal foraging theory. To examine the effects of prey abundance and distance on the recruitment dynamics of G. menadensis, we baited nests with one termite, five termites or a number of termites between 20 and 40 either near to or far from the entrance and observed the ensuing behaviors. G. menadensis recruited others when encountering multiple termites regardless of the termite pile's distance from the nest, although a few individuals remained at the site and defended the resource. The pattern of arrivals at the site indicates that the majority and sometimes all arrivals were recruited from the branch trails. In combination, these results suggest that the architecture of the foraging habitat, which limits available return routes to the nest and thus increases encounter probabilities with potential recruits, shaped the process of information transfer and generated a collective pattern of foraging and prey retrieval.
    Matched MeSH terms: Feeding Behavior
  9. Mansor MS, Nor SM, Ramli R
    Behav Processes, 2020 Nov;180:104229.
    PMID: 32866554 DOI: 10.1016/j.beproc.2020.104229
    Mixed-species flocks (MSFs) serve important roles in bird communities, especially in tropical forests. Although structure of mixed-species bird flocks and its benefits has been intensively studied globally, the foraging plasticity of a species when joining MSFs has rarely been evaluated. The present study examines foraging strategies of the Rufous-crowned Babbler (Malacopteron magnum), Chestnut-winged Babbler (Cyanoderma erythropterum) and Black-naped Monarch (Hypothymis azurea) when participating in MSFs in the Krau Wildlife Reserve, central Peninsular Malaysia. These species exhibit active foraging shifts in utilisation of vertical strata, foraging substrate, attack manoeuvres and foliage density, when foraging in MSFs, compared to when foraging outside MSFs. While the Rufous-crowned Babbler and Chestnut-winged Babbler commonly used gleaning and stretching (to completely extend the legs or neck to reach the food items) manoeuvres when foraging outside MSFs, respectively, they adopted probing manoeuvre and frequently used higher strata upon joining MSFs. The Chestnut-winged Babbler tended to forage on the underside of leaves and the Black-naped Monarch frequently utilised branches when joining MSFs, while they exclusively used aerial leaf litter and live green leaves, respectively, when foraging with conspecifics. The monarch also adopted the hovering manoeuvre and frequently foraged within denser foliage cover when joining MSFs. This study demonstrated that flock members exhibits foraging plasticity either through an expansion or active shift in foraging niches when participating in MSFs, thus suggesting the occurrence of possible foraging improvement and/or reductions in predation risk.
    Matched MeSH terms: Feeding Behavior
  10. Fakhriah Kamaruddin, Mohamed Nor Zalipah
    MyJurnal
    This study aimed to determine the potential pollinating agents of Ixora coccinae and Ruellia simplex at Universiti Malaysia Terengganu (UMT) campus based on the foraging activities of the flower visitors. The diurnal observations (0700 hr to 1800 hr) were conducted for a total of 144 hours and 96 hours for I. coccinae, for R. simplex respectively. The flower visitor activities (landing or hovering at the flowers) and the time spent at the flowers however were recorded for only the first 10 minutes of every hour between 0700 hr and 1000 hr for four days. A total of 383 flower visitations was recorded by 17 insect species and a bird species, the olive-backed sunbird (Cinnyris jugularis). For I. coccinae, the most common visitors were Apis cerana, Heterotrigona itama and Xylocopa confusa, in which all species were found to show only landing behaviour to forage at the flowers, and the time spent foraging at the flowers was not significantly different between the species (Kruskal-Wallis test, H = 1.323, df = 2, p = 0.055). For R. simplex, the most common visitors were A. cerana with 100% landing, and C. jugularis which recorded 80% landing and 20% hovering during their visits to the flowers. Between the two, A. cerana recorded significantly longer time spent at the flowers as compared to C. jugularis (Mann-Whitney test, U = 17.355, p < 0.001). Based on the visitation rate and feeding behaviour of the flower visitors, A. cerana, H. itama and X. confusa were the potential pollinating agents for I. coccinae while for R. simplex, A. cerana showed higher potential to be a pollinating agent as compared to C. jugularis. Therefore, this study highlighted the importance of recording the behaviour of each flower visitor to determine the relative contribution to the pollination success of the plant species visited.
    Matched MeSH terms: Feeding Behavior
  11. Easa M.N., Yusof, F., Abd. Halim, A.
    MyJurnal
    Many studies have been done on various species of insects to investigate their potential use in industries. This is because insects have high protein content which could be further manipulated. Due to its eating habit, Zophobas morio larvae, also known as super mealworm has been shown to have high amylase activity. In this study, amylase from super mealworm has been immobilized via Cross-Linked Enzyme Aggregates (CLEA) technique and its kinetic performance, evaluated. CLEA is one of the best immobilization method with respect to enzyme stability and reusability. Kinetic performance of both free and CLEA-amylase were evaluated based on the Michaelis-Menten model. Results obtained based on Hanes-Woolf, LineweaverBurk, Eadie-Hofstee and Hyperbolic Regression plots showed that the kinetic parameters, Vmax and KM, changed upon immobilization. For CLEA-amylase, Hanes-Woolf plot showed the bestfitted model based on R2 with Vmax= 1.068 mM/min and KM= 0.182 mM, however, LineweaverBurk plot was used to obtain the kinetic parameters for free amylase, with Vmax and KM of 17.230 mM/min and 2.470 mM, respectively. Thus it is observed that upon immobilization, Vmax for amylase dropped appreciably, however, much lower substrate concentration is needed to saturate the enzymatic sites to reach its maximum catalytic efficiency. The result from this study might open the new path in discovering the potential use of insects in industrial applications, for example, making use of the recovered enzymes in the detergent industry.
    Matched MeSH terms: Feeding Behavior
  12. Jaafar NH, Othman A, Majid NA, Harith S, Zabidi-Hussin Z
    Dev Med Child Neurol, 2019 02;61(2):135-144.
    PMID: 30079517 DOI: 10.1111/dmcn.13986
    AIM: This study aimed to review the psychometric properties and clinical application of parent-report instruments that assess feeding difficulties in children with neurological impairments.

    METHOD: Papers were identified through five electronic databases based on 15 keywords and were included if they met the following criteria: published in English, described the implementation of parent-report instruments, and included children with neurological impairments (either in the report or a related study population).

    RESULTS: In total, 1220 relevant abstracts were screened and 22 full-text articles were evaluated. The following six parent-report instruments met the inclusion criteria: (1) Screening Tool of Feeding Problems applied to children, (2) Paediatric Eating Assessment Tool, (3) Paediatric Assessment Scale for Severe Feeding Problems, (4) Montreal Children's Hospital Feeding Scale, (5) Children's Eating Behaviour Inventory, and (6) Behavioural Paediatric Feeding Assessment Scale (BPFAS). Based on comprehensive psychometric testing and consistently good results, the BPFAS was considered the most valid and reliable instrument. The BPFAS also showed good clinical applicability because it was readily available, required a short administration time, and used a simple scoring system.

    INTERPRETATION: We reviewed the available parent-report instruments for assessing feeding difficulties in children with neurological impairments. The BPFAS had the best psychometric properties and clinical applicability.

    WHAT THIS PAPER ADDS: Six parent-report instruments were suitable for assessing feeding in children with neurological impairments. The Behavioural Paediatric Feeding Assessment Scale (BPFAS) has the strongest psychometric properties. The BPFAS also has good clinical applicability.

    Matched MeSH terms: Feeding Behavior
  13. Singh S, Yong SK, Jalaludin NH, Brau E, Shamsudin NN, Keawbaingam N, et al.
    Trop Biomed, 2020 Dec 01;37(4):1146-1151.
    PMID: 33612767 DOI: 10.47665/tb.37.4.1146
    The immature stages of necrophagous insects such as Diptera and Coleoptera play a vital ecological role in carrion decomposition. These invertebrates reduce the necromass significantly through consumption and recycle nutrients into organic forms which are readily being used by autotrophs or served as an abiotic storage in the soil ecosystem. Fly and beetle larvae are frequently encountered decomposers on ephemeral resource patches; however, lepidopterans associated with carrion decomposition is seldom reported. Here, we report colonization of Monopis sp. (Tineidae) and an unknown species of Psychidae on a rat carcass, and a Lithosiini caterpillar (Arctiidae) on a rabbit carcass in Peninsular Malaysia for the first time. The feeding behaviour and their potential forensic implications are discussed.
    Matched MeSH terms: Feeding Behavior
  14. Musa H, Ismail II, Abdul Rashid NH
    Paediatr Int Child Health, 2021 May;41(2):158-161.
    PMID: 32937094 DOI: 10.1080/20469047.2020.1816285
    Paediatric scurvy is uncommon in the modern age but cases have been reported in children with neurodevelopmental issues and restricted dietary habits. The broad clinical picture is frequently overlooked as primarily other systemic diseases are considered first leading to extensive investigations and delay in diagnosis. A 4-year-old boy with autism and bilateral lower limb pain and refusal to walk is reported. His restricted diet and radiographic findings were highly suggestive of scurvy which was confirmed by the extremely low levels of ascorbic acid. Treatment with ascorbic acid replenishment and maintenance resulted in remarkable improvement. This case highlights the importance of a high index of suspicion in at-risk children so as to avoid unnecessary invasive investigations and procedures.
    Matched MeSH terms: Feeding Behavior
  15. Ahmed IA, Mikail MA
    Nutrition, 2024 Mar;119:112350.
    PMID: 38232577 DOI: 10.1016/j.nut.2023.112350
    The skin protects humans from pathogens, ultraviolet light, chemicals, mechanical, thermal, and physical injuries as well as hazardous substances. Other important roles of the skin include the regulation of several important physiological processes of the body, sensing stimuli, synthesis of vitamin D, and immune surveillance. However, aging, diseases and environmental conditions significantly change the skin's behavior and functioning. The treatment and prevention strategies for various skin diseases especially photoaging usually include topical treatment with medical cosmetology, active ingredients and other physical means of photoprotection. In recent times, however, there is an increasing consciousness about the role of diet and nutrition in skin health with certain dietary components emerging as an adequate alternative approach to alleviate and prevent both endogenous and exogenous aging symptoms. Therefore, this narrative review uniquely discusses the basic structure of the skin and also addresses common dermatological signs of damaged skin, the impacts of unhealthy diet habits on the skin, and the beneficial effects of some healthy diet habits on skin health. The information and data were collated from various literature databases and resources such as Science Direct, PubMed, Wiley, Springer, Taylor and Francis, Inflibnet, Scopus, Google, and Google Scholar using relevant keywords Medical Subject Headings (MeSH). In conclusion, diet and nutrition play essential roles in the optimum functioning of the human body, including the skin. Thus, certain diet habits such as less water intake, high-fat diet, refined sugar, and certain food additives are unhealthy and harmful to the skin while alternative healthy diet habits such as adequate water intake; consumption of antioxidants and polyphenolic-rich fruits, vegetables, nuts, and legumes; a low glycemic index diet; probiotics; and phytoestrogens should be adopted to enhance skin health.
    Matched MeSH terms: Feeding Behavior
  16. Singh T
    PMID: 9656353
    Cyprinids are the largest group of cultured freshwater fish and thus the most important from the aspect of fish-borne parasitic zoonoses. The common practices employed in the culture of this group are described to provide background information which may be used in the formulation of strategies for the control of these zoonoses. Only the common carp is cultured in monoculture: all the rest of the carp species are usually cultured in polyculture systems incorporating several species. Polyculture of cyprinids may be carried out in ponds, cages or in free range culture in natural or man-made water bodies, Polyculture of cyprinids is often integrated with agriculture, such as livestock, poultry or crop farming, utilizing byproducts of the agriculture activity, especially manure, as a source of nutrient for the fish pond. If precautions are not taken, this practice may provide an avenue for the transmission of fish borne parasites to man.
    Matched MeSH terms: Feeding Behavior
  17. Muhamad S, Sowtali SN, Arifin SRM, Islah MAR, Mohd Shukri NA
    J Hum Nutr Diet, 2023 Oct;36(5):2060-2072.
    PMID: 37515409 DOI: 10.1111/jhn.13215
    BACKGROUND: Dietary habit is one of the most important methods to prevent and treat urinary stones. However, only limited evidence of the experiences of dietary management among urinary stone patients in Malaysia is available. This study aimed to explore participants' current dietary practices after the diagnosis of urinary stones and to identify the factors that facilitate their dietary changes.

    METHODS: A qualitative study with purposive sampling was conducted using face-to-face semistructured interviews. A total of 20 participants from a tertiary general hospital in Kuantan, Malaysia, were recruited in this study. Data were analysed using framework analysis.

    RESULTS: Two themes emerged from the analysis. The first theme explained the changes in the dietary practice of the participants postdiagnosis. The second theme revealed that the participants' dietary changes were greatly influenced by personal factors and external support from professionals, family and peers.

    CONCLUSIONS: Urinary stone patients highlighted the fear of complications, self-determination and knowledge of nutrition as the main drivers of their dietary change postdiagnosis. Emphasising proper nutritional care by assessing and evaluating dietary self-management among patients can facilitate effective self-care in stone prevention management.

    Matched MeSH terms: Feeding Behavior
  18. Cheong WH, Omar AH, Sta Maria FL
    PMID: 4584108
    Matched MeSH terms: Feeding Behavior
  19. Abdullah NF, Teo PS, Foo LH
    Nutrients, 2016 Sep 12;8(9).
    PMID: 27626444 DOI: 10.3390/nu8090551
    OBJECTIVE: The aim of the study was to identify the ethnic differences in dietary patterns and its association with socio-economic, dietary and lifestyle practices among adolescents in Kelantan, Malaysia.

    METHODS: A population-based study of 454 adolescents aged 12 to 19 years was included. A validated food frequency questionnaire was used to assess dietary patterns and three dietary patterns were identified based on the principal component analysis method.

    RESULTS: Malay adolescents had significantly higher scores for the Western-based food pattern and local-based food pattern, whereas Chinese adolescents showed higher scores for the healthy-based food pattern. Multivariate analyses show that age and physical activity (PA) levels were positively associated with healthy-based food pattern in Malay (All, p < 0.001), whereas higher consumption of eating-out from home (EatOut) (p = 0.014) and fast food (p = 0.041) were negatively associated. High weekly breakfast skipping (p < 0.001) and EatOut (p = 0.003) were positively associated with a Western-based pattern, whereas age (p < 0.001) and household income (p = 0.005) were negatively associated. Higher frequency of daily snacking (p = 0.013) was positively associated with local-based food pattern. For Chinese adolescents, age (p < 0.001), PA levels (p < 0.001) and maternal education level (p = 0.035) showed positive associations with the healthy-based pattern, whereas high EatOut (p = 0.001) and fast food intakes (p = 0.001) were negatively associated. Higher weekly consumption of EatOut (p = 0.007), fast food (p = 0.023) and carbonated beverages (p = 0.023), and daily snacking practice (p = 0.004) were positively associated with higher Western-based food pattern, whereas age (p = 0.004) was inversely associated.

    CONCLUSION: This study showed that there were significant differences in dietary patterns and its association factors between Malay and Chinese adolescents. More importantly, these findings suggest that unhealthy dietary and lifestyle practices could increase the risk of adherence to unhealthy Western-based food pattern that is high in fat, sugar and salt contents, and, consequently, increase the risk of developing obesity and metabolic-related disorders during these critical years of growth.

    Matched MeSH terms: Feeding Behavior/ethnology*; Feeding Behavior/physiology*
  20. Law LS, Norhasmah S, Gan WY, Mohd Nasir MT
    Public Health Nutr, 2018 Oct;21(15):2819-2830.
    PMID: 29976262 DOI: 10.1017/S136898001800160X
    OBJECTIVE: To examine the types of coping strategies practised by Indigenous women or Orang Asli (OA) in Peninsular Malaysia during times of food shortage and to determine the level of severity for food insecurity that will trigger each specific coping strategy.

    DESIGN: A qualitative case study was conducted. Pertinent information about each type of coping strategy was gathered by in-depth interviews. To gauge the level of severity for each of the coping strategies, focus group discussions (FGD) were held. Thematic analysis was used for data analysis.

    SETTING: OA villages in the states of Kelantan, Pahang, Perak and Selangor, Malaysia.

    SUBJECTS: Sixty-one OA women from three ethnic groups (Senoi, Proto-Malay and Negrito) for in-depth interviews and nineteen OA women from the Proto-Malay ethnic group for three FGD.

    RESULTS: The findings identified twenty-nine different coping strategies and these were divided into two main themes: food consumption (sub-themes of food consumption included dietary changes, diversification of food sources, decreasing the number of people and rationing) and financial management (sub-themes of financial management included increasing household income, reducing expenses for schooling children and reducing expenses on daily necessities). Three levels of severity were derived: less severe, severe and very severe.

    CONCLUSIONS: This information would enable local authorities or non-governmental organisations to more precisely target and plan interventions to better aid the OA communities needing assistance in the areas of food sources and financial management.

    Matched MeSH terms: Feeding Behavior/ethnology*; Feeding Behavior/psychology*
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