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Weight loss practices among Malaysian adults

Kong WT, Chua SS, Alwi S

Asia Pac J Public Health, 2002;14(2):99-104.
PMID: 12862414 DOI: 10.1177/101053950201400208

The practice of losing weight is gaining popularity globally with an increase in health consciousness among the general public. A survey was conducted in seven shopping centres in Kuala Lumpur and its neighbouring towns to assess the weight-loss practices of the general public. Out of the 1032 people approached by the researcher, 389 (37.7%) admitted that they had tried to lose weight before. Of these respondents, 50.4% had the wrong perceptions about their weight with 39.1% of the respondents having BMI lower than what they had perceived. The most common weight-loss method used was dieting (89.5%), followed by exercise (81%) and the use of slimming teas (24.9%). Exercise (79.0%) was perceived as the most effective method for losing weight, followed by dieting (71.6%). Most respondents (60.6%) obtained their weight-loss products from the pharmacies but only 34.9% of these respondents had consulted the pharmacists on these products. Therefore, pharmacists should play a more active role in assisting the general public to lose weight successfully and safely.

Matched MeSH terms: Weight Loss*
Fulltext Gender differences in body mass index, body weight perception and weight loss strategies among undergraduates in Universiti Malaysia Sarawak

Kuan PX, Ho HL, Shuhaili MS, Siti AA, Gudum HR

Malays J Nutr, 2011 Apr;17(1):67-75.
PMID: 22135866 MyJurnal

INTRODUCTION:
This study was carried out among undergraduate students in Universiti Malaysia Sarawak with the objective of examining gender differences in body mass index (BMI), body weight perception, eating attitudes and weightloss strategies.

METHODS:
Subjects consisted of 600 undergraduates (300 males and 300 females) recruited from the various faculties between September 2008 until mid-November 2008. The Original Figure Rating Scale: Body Weight Perception, Body Shape Questionnaire (BSQ) and Eating Attitudes Test-26 (EAT-26) were used as assessment tools.

RESULTS:
Overall, 52.8% of students had normal BMI, with approximately an equal number of both sexes. More males than females were overweight (33.7%), while more females were underweight (25.3%). Males were more likely to perceive themselves as overweight, and fail to see themselves as underweight. More than half of the females preferred their ideal figure to be underweight, whereas about 30% males chose an overweight figure as their ideal model. Females were generally more concerned about body weight, body shape and eating than males. They diet more frequently, had self-induced vomiting, and used laxatives and exercise as their weight-loss strategies.

CONCLUSION:
Issues pertaining to body weight perception, eating attitudes and weight-loss strategies exist with differences among male and female undergraduates. Thus, in order to correct misperceptions among young adults, a more tailored intervention programme and more in-depth studies into the various factors involved are required

Matched MeSH terms: Weight Loss*
Fulltext Orally Administered Enoxaparin Ameliorates Acute Colitis by Reducing Macrophage-Associated Inflammatory Responses

Lean QY, Eri RD, Randall-Demllo S, Sohal SS, Stewart N, Peterson GM, et al.

PLoS One, 2015;10(7):e0134259.
PMID: 26218284 DOI: 10.1371/journal.pone.0134259

Inflammatory bowel diseases, such as ulcerative colitis, cause significant morbidity and decreased quality of life. The currently available treatments are not effective in all patients, can be expensive and have potential to cause severe side effects. This prompts the need for new treatment modalities. Enoxaparin, a widely used antithrombotic agent, is reported to possess anti-inflammatory properties and therefore we evaluated its therapeutic potential in a mouse model of colitis. Acute colitis was induced in male C57BL/6 mice by administration of dextran sulfate sodium (DSS). Mice were treated once daily with enoxaparin via oral or intraperitoneal administration and monitored for colitis activities. On termination (day 8), colons were collected for macroscopic evaluation and cytokine measurement, and processed for histology and immunohistochemistry. Oral but not intraperitoneal administration of enoxaparin significantly ameliorated DSS-induced colitis. Oral enoxaparin-treated mice retained their body weight and displayed less diarrhea and fecal blood loss compared to the untreated colitis group. Colon weight in enoxaparin-treated mice was significantly lower, indicating reduced inflammation and edema. Histological examination of untreated colitis mice showed a massive loss of crypt architecture and goblet cells, infiltration of immune cells and the presence of edema, while all aspects of this pathology were alleviated by oral enoxaparin. Reduced number of macrophages in the colon of oral enoxaparin-treated mice was accompanied by decreased levels of pro-inflammatory cytokines. Oral enoxaparin significantly reduces the inflammatory pathology associated with DSS-induced colitis in mice and could therefore represent a novel therapeutic option for the management of ulcerative colitis.

Matched MeSH terms: Weight Loss/drug effects
Lignin biodegradation and ligninolytic enzyme studies during biopulping of Acacia mangium wood chips by tropical white rot fungi

Liew CY, Husaini A, Hussain H, Muid S, Liew KC, Roslan HA

World J Microbiol Biotechnol, 2011 Jun;27(6):1457-68.
PMID: 25187145 DOI: 10.1007/s11274-010-0598-x

White rot fungi are good lignin degraders and have the potential to be used in industry. In the present work, Phellinus sp., Daedalea sp., Trametes versicolor and Pycnoporus coccineus were selected due to their relatively high ligninolytic enzyme activity, and grown on Acacia mangium wood chips under solid state fermentation. Results obtained showed that manganese peroxidase produced is far more compared to lignin peroxidase, suggesting that MnP might be the predominating enzymes causing lignin degradation in Acacia mangium wood chips. Cellulase enzyme assays showed that no significant cellulase activity was detected in the enzyme preparation of T. versicolor and Phellinus sp. This low cellulolytic activity further suggests that these two white rot strains are of more interest in lignin degradation. The results on lignin losses showed 20-30% of lignin breakdown at 60 days of biodegradation. The highest lignin loss was found in Acacia mangium biotreated with T. versicolor after 60 days and recorded 26.9%, corresponding to the percentage of their wood weight loss recorded followed by P. coccineus. In general, lignin degradation was only significant from 20 days onwards. The overall percentage of lignin weight loss was within the range of 1.02-26.90% over the biodegradation periods. Microscopic observations conducted using scanning electron microscope showed that T. versicolor, P. coccineus, Daedalea sp. and Phellinus sp. had caused lignin degradation in Acacia mangium wood chips.

Matched MeSH terms: Weight Loss
Fulltext Effectiveness of a community-based intervention for weight loss on cardiometabolic risk factors among overweight and obese women in a low socio-economic urban community: findings of the MyBFF@home

Liyana AZ, Appannah G, Sham SYZ, Fazliana M, Nor NSM, Ambak R, et al.

BMC Womens Health, 2018 07 19;18(Suppl 1):126.
PMID: 30066628 DOI: 10.1186/s12905-018-0593-1

BACKGROUND: The effectiveness of lifestyle intervention for weight loss on cardiometabolic risk factors among overweight and obese individuals in the community setting remains inconclusive. This study aimed to evaluate the effect of a 6-month weight loss lifestyle intervention on cardiometabolic risk factors among overweight and obese women and the sustainability of the changes in those markers at 12-month follow-up, comparing an intervention group with a control group.
METHODS: A total of 243 participants from MyBFF@home were included in this study. Fasting blood samples at baseline, 6- and 12-month were assessed for fasting plasma glucose (FPG), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C) and triglycerides. The effect of the intervention on cardiometabolic risk markers were investigated within and between study groups using t-test and general linear model (GLM) repeated measure ANOVA.
RESULTS: Results from repeated measures ANOVA showed intervention effect only in TC where significant reduction was found in the intervention group (- 0.26 mmol/L [95% CI: - 0.47 to - 0.06], p weight loss related lifestyle modifications over a 6-month period could improve selected cardiometabolic risk factors, particularly fasting glucose, TC and HDL-C in overweight and obese women with favourable sustainability over a 12-month period.

Matched MeSH terms: Weight Loss/physiology*
The association of weight loss from anti-obesity medications or bariatric surgery and apnea-hypopnea index in obstructive sleep apnea

Locke BW, Gomez-Lumbreras A, Tan CJ, Nonthasawadsri T, Veettil SK, Patikorn C, et al.

Obes Rev, 2024 Apr;25(4):e13697.
PMID: 38342767 DOI: 10.1111/obr.13697

INTRODUCTION: Weight loss is recommended for individuals with obstructive sleep apnea (OSA) and overweight or obesity, but there is limited evidence to guide the selection of weight management strategies for patients who do not lose sufficient weight with diet and lifestyle changes. We evaluated the relationship between weight loss caused by pharmacologic or surgical interventions and subsequent improvement in OSA by the apnea-hypopnea index (AHI).
METHODS: PubMed, Cochrane CENTRAL, and EMBASE were searched for randomized trials comparing pharmacologic or surgical obesity interventions to usual care, placebo, or no treatment in adults with OSA. The association between percentage weight loss and AHI change between randomization and last follow-up was evaluated using meta-regression.
PROSPERO: CRD42022378853.
RESULTS: Ten eligible trials (n = 854 patients) were included. Four (n = 211) assessed bariatric surgery, and 6 (n = 643) assessed pharmacologic interventions over a median follow-up of 13 months (interquartile range 6-26 months). The linear best estimate of the change in AHI is 0.45 events per hour (95% Confidence Interval 0.18 to 0.73 events per hour) for every 1% body weight lost.
CONCLUSIONS: Weight loss caused by medication or surgery caused a proportionate improvement of the AHI. Providers could consider extrapolating from this relationship when advising patients of the expected effects of other pharmacologic or surgical interventions without direct evidence in OSA.

Matched MeSH terms: Weight Loss
Unintentional weight loss is the most important indicator of malnutrition among surgical cancer patients

Loh KW, Vriens MR, Gerritsen A, Borel Rinkes IH, van Hillegersberg R, Schippers C, et al.

Neth J Med, 2012 Oct;70(8):365-9.
PMID: 23065984

Disease-related malnutrition is highly prevalent in hospital patients and varies from 25-40%. Early nutritional screening of patients at admission helps to improve recognition of malnourished patients to allow early interventions and enhance clinical outcomes.

Matched MeSH terms: Weight Loss/physiology
Fulltext Effects of conjugated linoleic acid supplementation and exercise on body fat mass and blood lipid profiles among overweight Iranians

Loh, Su Peng, Abas Mohaghehgi, Hanieh Fouladi

Malays J Nutr, 2018;24(2):203-213.
MyJurnal

Introduction: Conjugated linoleic acid (CLA) has been studied for its fat mass
reduction effects. This study aimed to determine the effects of CLA supplementation
on body fat mass (BFM) and selected blood lipid profiles among overweight Iranian.

Methods: A total of 180 adults with BMI = 26-29 kg/m2 and BFM exceeding 21%
and 28% for men and women, respectively were recruited through voluntary
participation from weight management clinics in Tehran. They were assigned
randomly to three groups as follows: Group (1) (control group) receives weight loss
diet only; Group (2) receives weight loss diet +3 gr/day CLA supplement (mixture
of cis-9, trans-11 and trans-10, cis-12) twice a day and Group (3) weight loss diet
+3 gr/day CLA supplement as Group (2) twice a day + regular exercise (walking at
5.5-6 km/h for at least 160 minutes/week). The trial was conducted for 12 weeks.
Anthropometric measurements and blood lipid profiles were determined at weeks 0,
6 and 12.

Results: Both Group 2 and Group 3 showed a significant between-group
difference in reduction of BFM (1.3% and 2.6% respectively) compared to Group 1.
Group 2 supplementation showed increased free fatty acid (FFA) (0.44 mM to 0.55
mM) and decreased HDL-chol (47.5 mg/dL to 42.0 mg/dL) between weeks 0 and
12. These results were not observed for Group 3.

Conclusion: Combination of CLA
supplementation with exercise showed BFM reduction in overweight Iranian adults.
Further research is suggested to verify the findings of this study.

Matched MeSH terms: Weight Loss
Fulltext Complementary and Alternative Therapies for Weight Loss: A Narrative Review

Lua PL, Roslim NA, Ahmad A, Mansor M, Aung MMT, Hamzah F

J Evid Based Integr Med, 2021 9 10;26:2515690X211043738.
PMID: 34496677 DOI: 10.1177/2515690X211043738

Despite various strategies, overweight and obesity problems are still increasingly prevalent worldwide with serious health outcomes. Consequently, the continuous demand for more effective, safe and acceptable therapies for reducing body weight is also escalating-including complementary and alternative therapies (CATs). The aim of this review is to provide a summary of the most commonly- and recently-used CATs, with evaluation of their safety and efficacy for weight loss. Electronic scientific databases such as Scopus, PubMed and EBSCO Host were explored for articles that reported CATs for overweight and obesity treatment from 2015 to December 2019. Only systematic reviews, meta-analysis and randomized controlled trials (RCTs) published in English were included. Studies whereby CATs were not utilized for reducing body weight were excluded. Eight systematic reviews and meta-analyses and 11 additional RCTs with 765 participants (50.2% overweight and 49.8% obese) related to hypnotherapy, acupuncture and dietary supplements met the inclusion criteria. Their results suggested that spirulina, chitosan, probiotic, EPA + DHA, vitamin D, fiber, and herbal extract supplementation may all provide small reductions in body weight (ranging from 1-10 kg). Interestingly, hypnotherapy and acupuncture reported significantly greater reduction in body weight compared with placebo (p < 0.001 and p < 0.0001, respectively). Nonetheless, the evidence is still relatively limited and not encouraging to provide a definitive conclusion due to the methodological shortcomings and the presence of adverse events in chitosan and fiber supplementation. Hence, studies of this nature need to be further replicated and improved to corroborate the efficacy and safety of the CATs to combat weight issues.

Matched MeSH terms: Weight Loss*
Fulltext Performance Evaluation of Modified Rubberized Concrete Exposed to Aggressive Environments

M Mhaya A, Baghban MH, Faridmehr I, Huseien GF, Abidin ARZ, Ismail M

Materials (Basel), 2021 Apr 11;14(8).
PMID: 33920340 DOI: 10.3390/ma14081900

Recycling of the waste rubber tire crumbs (WRTCs) for the concretes production generated renewed interest worldwide. The insertion of such waste as a substitute for the natural aggregates in the concretes is an emergent trend for sustainable development towards building materials. Meanwhile, the enhanced resistance of the concrete structures against aggressive environments is important for durability, cost-saving, and sustainability. In this view, this research evaluated the performance of several modified rubberized concretes by exposing them to aggressive environments i.e., acid, and sulphate attacks, elevated temperatures. These concrete (12 batches) were made by replacing the cement and natural aggregate with an appropriate amount of the granulated blast furnace slag (GBFS) and WRTCs, respectively. The proposed mix designs' performance was evaluated by several measures, including the residual compressive strength (CS), weight loss, ultrasonic pulse velocity (UPV), microstructures, etc. Besides, by using the available experimental test database, an optimized artificial neural network (ANN) combined with the particle swarm optimization (PSO) was developed to estimate the residual CS of modified rubberized concrete after immersion one year in MgSO4 and H2SO4 solutions. The results indicated that modified rubberized concrete prepared by 5 to 20% WRTCs as a substitute to natural aggregate, provided lower CS and weight lose expose to sulphate and acid attacks compared to control specimen prepared by ordinary Portland cement (OPC). Although the CS were slightly declined at the elevated temperature, these proposed mix designs have a high potential for a wide variety of concrete industrial applications, especially in acid and sulphate risk.

Matched MeSH terms: Weight Loss
Fulltext A weight management programme for patients with severe mental illness: a pilot project in a general hospital setting in Malaysia

Marhani Midin, Nik Ruzyanei Nik Jaafar, Ruzanna Zam Zam, Che Khatijjah Bee Mohd Ali

ASEAN Journal of Psychiatry, 2008;9(1):1-5.
MyJurnal

Objective: To describe the setting up of a pilot project on weight management programme for patients with severe mental illness (SMI) in a general hospital setting, the effectiveness of the programme on 5 patients and the feasibility of such programme to be developed in our local setting. Methods: Key staff members from relevant disciplines were involved through out the programme, which was based on dietary education, exercise and behavioural techniques. It was conducted weekly for physical exercise and biweekly for topic discussion with a total duration of 16 weeks. Results: Patients achieved means (SDs) weight loss of 1.78 (2.83) kg; BMI reduction of 0.92 (1.41) kg/m2; and reduction of waist circumference of 6.8 (4.97) cm. Factors associated with positive health outcome were high baseline BMI, high educational level and committed family members. Conclusion: The programme appears to be effective for patients and is feasible to be developed in Malaysian hospitals.

Matched MeSH terms: Weight Loss
Fulltext Evaluation of the modified-ceylon copra kiln for accelerated production of ball copra

Marikkar, J.M.N., Banu, M.K.I., Yalegama, C.

International Food Research Journal, 2009;16(2):175-181.
MyJurnal

This study attempted to investigate the effect of kiln drying on the rate of formation of ball copra. Three samples containing fifty partially dried-coconuts were placed as a single layer in three compartmentalized blocks namely, Front: Blok-1, Middle: Block-2, and Rear: Block-3 in the copra bed of the modified-Ceylon copra kiln. From each of the three blocks, thirty coconuts were selected randomly for labeling and their fresh weights were recorded. The samples were subjected to intermittent drying in the kiln by thirty five firing cycles using charcoal dust as the fuel source. The temperature distribution pattern of the three blocks during the first six firing was monitored at three hourly intervals. The weight losses of individual coconuts in each block were measured after the completion of each firing. The results showed that, there was a significant (p

Matched MeSH terms: Weight Loss
Improvement in chrono-nutrition is associated with robust weight loss outcomes: An extension of the feasibility study

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 weight loss outcome. After accounting for potential confounders, the temporal pattern of energy, protein, and fat intake were associated with greater odds of achieving a satisfactory weight loss. The findings suggest a promising role of chrono-nutrition as one of the strategies in weight reduction intervention.

Matched MeSH terms: Weight Loss
Sociocultural influences on strategies to lose weight, gain weight, and increase muscles among ten cultural groups

McCabe MP, Busija L, Fuller-Tyszkiewicz M, Ricciardelli L, Mellor D, Mussap A

Body Image, 2015 Jan;12:108-14.
PMID: 25497878 DOI: 10.1016/j.bodyim.2014.10.008

This study determined how sociocultural messages to change one's body are perceived by adolescents from different cultural groups. In total, 4904 adolescents, including Australian, Chilean, Chinese, Indo-Fijian, Indigenous Fijian, Greek, Malaysian, Chinese Malaysian, Tongans in New Zealand, and Tongans in Tonga, were surveyed about messages from family, peers, and the media to lose weight, gain weight, and increase muscles. Groups were best differentiated by family pressure to gain weight. Girls were more likely to receive the messages from multiple sociocultural sources whereas boys were more likely to receive the messages from the family. Some participants in a cultural group indicated higher, and others lower, levels of these sociocultural messages. These findings highlight the differences in sociocultural messages across cultural groups, but also that adolescents receive contrasting messages within a cultural group. These results demonstrate the difficulty in representing a particular message as being characteristic of each cultural group.

Matched MeSH terms: Weight Loss/ethnology*
Fulltext The efficacy of combined coatings of chitosan and cinnamic acid on tomatoes

Mior Azmai, W. N. S., Abdul Latif, N. S., Md Zain, N.

International Food Research Journal, 2018;25(102):185-194.
MyJurnal

Tomatoes require appropriate environment to stay sturdy due to earlier decay process. Deterioration causes short shelf life of tomatoes with unfavourable quality, resulting in potential rejection by customers. The objective of the study is to observe the effect of combined coatings of chitosan (Ch) and cinnamic acid (CA) in extending the tomato shelf life. Layer by layer coating of chitosan prior to the cinnamic acid (single coating for each) were applied on fresh graded tomato at two maturity stages; breaker and turning. Twelve days observations at ambient temperature with three-day intervals were recorded. Combined coating of chitosan and cinnamic acid were expected to influence firmness, TSS value, hue angle and weight loss. Results showed that a combined coating of 1.0% Ch + 3 mM CA has significant increament at breaker stage to firmness (8.26 N), hue angle (60.42%) and weight loss value (6.51%) compared to untreated tomato whereas for turning stage, the results showed there were no significant different in all parameters observed except the changes of fruit sweetness (TSS). 1.0% Ch + 4 mM CA show highest TSS value, 3.48% indicating 21% difference than untreated tomato (3.27%). Cinnamic acid helped chitosan in improving coating ability by serving better barrier from pathogen and oxidative gas penetration to prevent earlier spoilage problem.

Matched MeSH terms: Weight Loss
Fulltext A Consensus of Key Opinion Leaders on the Management of Pre-diabetes in the Asia-Pacific Region

Mirasol R, Thai AC, Salahuddin AA, Tan K, Deerochanawong C, Mohamed M, et al.

J ASEAN Fed Endocr Soc, 2017;32(1):6-12.
PMID: 33442078 DOI: 10.15605/jafes.032.01.02

The Asia-Pacific region carries a high disease burden, with over half of the global diabetic population residing in this region. Increasing evidence shows that without targeted intervention, the progression from impaired glucose tolerance (IGT) to type 2 diabetes occurs more frequently in Asians compared with Caucasians. Furthermore, IGT is independently associated with an increased risk of cardiovascular disease, and should be managed as early as possible. Because diabetes is now a major public health issue, strategies aimed at prevention and treatment are urgently required. Lifestyle modification, including weight loss, dietary changes and increased physical activity, play a major role in controlling the disease. Significant evidence also supports the effectiveness of a combination of lifestyle modification and pharmacologic therapy, such as metformin, in delaying the onset of diabetes. Although the importance of lifestyle interventions is well recognized throughout Asia, many countries do not have formal recommendations to guide the diagnosis and management of individuals at risk of progression to diabetes. At a recent regional meeting, experts from the Asian region convened to develop consensus recommendations to guide clinicians in the management of Asian patients with pre-diabetes. These consensus recommendations provide a clear and concise approach to the management of individuals with IGT based on the available evidence and current best clinical practice.

Matched MeSH terms: Weight Loss
Effect of an individualised high-protein, energy-restricted diet on anthropometric and cardio-metabolic parameters in overweight and obese Malaysian adults: a 6-month randomised controlled study

Mitra SR, Tan PY

Br J Nutr, 2019 05;121(9):1002-1017.
PMID: 30761964 DOI: 10.1017/S0007114519000345

The aim of this study was to investigate the effectiveness of the Hipcref (high-protein, energy-restricted, high-vitamin E and high-fibre) diet in Malaysian adults on body composition and metabolic parameters after an intervention period of 6 months. Overweight/obese Malaysian adults (n 128; BMI≥23 kg/m2) were randomised to the Hipcref (n 65) or control diet (n 63). The intervention group received Hipcref diet charts based on their personal preferences. The control group followed a generalised dietary advice based on Malaysian Dietary Guidelines, 2010. All participants were responsible for preparing their own meals. There was a significant treatment group×time effect on anthropometric parameters (P<0·05) on an intention-to-treat basis. Pairwise comparisons revealed that Hipcref diet participants had significant reduction in weight, BMI, waist circumference, fat mass and percentage body fat at months 3 and 6 compared with baseline (P<0·001). The control group had significant increase in weight and BMI at months 3 and 6 compared with baseline (P<0·05). The Hipcref diet group had higher reduction in fasting insulin, insulin resistance and C-reactive protein levels compared with the control group at month 6 (P<0·05). Post-intervention, compared with the control group, the Hipcref diet group was found to consume significantly higher percentage energy from protein, and PUFA, higher energy-adjusted vitamin E (mg) and fibre (g), and lower total energy, lower percentage energy from fat and carbohydrate (P<0·05). The success of the Hipcref diet on overweight/obese Malaysian adults may be due to the combined effect of the nutrient composition of the Hipcref diet.

Matched MeSH terms: Weight Loss
Fulltext An update on obesity research pattern among adults in Malaysia: a scoping review

Mohamad Nor NS, Ambak R, Mohd Zaki N, Abdul Aziz NS, Cheong SM, Abd Razak MA, et al.

BMC Womens Health, 2018 07 19;18(Suppl 1):114.
PMID: 30066661 DOI: 10.1186/s12905-018-0590-4

BACKGROUND: Obesity is a global health burden in the non-communicable diseases and much efforts have been implemented in the past decade in response to the rise of obesity prevalence among the Malaysian population. These include the development of the national policies, health programmes and research activities. The main aim of the scoping review was to identify obesity research pattern among adults in Malaysia in terms of the scopes, topics and the research designs.
METHODS: The scoping review was conducted based on the framework by Arksey and O'Malley. The Preferred Reporting Items for Systematic Reviews and Meta Analysis (PRISMA) diagram was used as a guide to record the review process. Articles from year 2008 until 2017 on overweight and obesity among adults aged 18 years and above were retrieved based on the keywords using electronic databases (Embase/Ovid, Pubmed, Cochrane library and Google Scholar). Local journals, Nutrition Research in Malaysia Biblography (2011 and 2016), online local theses databases, virtual library databases were also included in the searches. Consultations with relevant key informants from the National Institutes of Health and local universities were also conducted. Search activities were managed using Endnote software and MS Excelsheet.
RESULTS: The characteristics of the results were described based on the objectives of the review. A total of 2004 articles and reports were retrieved, and 188 articles related to obesity in Malaysia were included in the final review. Scopes and topics of obesity research based on the Nutrition Research Priorities in Malaysia (NRPM) for 11th Malaysia Plan were obesity prevalence, weight loss intervention, association of physical activities and dietary factors with obesity. The majority of obesity research among adults in Malaysia was cross sectional studies and only a small number of intervention studies, qualitative studies and systematic review were indentified. Research gaps were identified in order to make useful recommendations to the stakeholders.
CONCLUSIONS: In the past decade, there has been an emerging evidence on obesity research among adults in Malaysia. More obesity research needs to be conducted particularly on obesity intervention among specific gender, qualitative studies, economic cost and genetic factors of obesity.

Matched MeSH terms: Weight Loss*
Fulltext An introduction to the My Body is Fit and Fabulous at home (MyBFF@home): a community-based weight loss intervention study among Malaysian housewives

Mohamad Nor NS, Ambak R, Aris T

BMC Womens Health, 2018 07 19;18(Suppl 1):107.
PMID: 30066634 DOI: 10.1186/s12905-018-0589-x

BACKGROUND: The national prevalence of overweight and obesity in Malaysia has been increasing in the past 10 years and many efforts have been implemented by the Malaysian government to combat obesity problem among the Malaysian population. The aim of this paper was to describe the background of the My Body is Fit and Fabulous at home (MyBFF@home) study (Phase II).
DISCUSSION: The MyBFF@home (Phase II) was a quasi-experimental study and it was conducted among overweight and obese housewives living in the urban areas in Malaysia. In this phase, the study involved a weight loss intervention phase (6 months) and a weight loss maintenance phase (6 months). The intervention group received a standard weight loss intervention package and the control group received group seminars related to women's health. Measurements of weight, height, waist circumference, body composition, fasting blood lipids, dietary intake, physical activity, health literacy, body pain and quality of life were conducted during the study. Overweight and obese housewives from 14 People's Housing/Home Project (PHP) in Federal Territory of Kuala Lumpur (Klang Valley) were selected as control and intervention group (N = 328). Majority of the participants (76.1%) were from the low socioeconomic group. Data were analysed and presented according to the specific objectives and the needs for the particular topic in the present supplement report.
CONCLUSION: MyBFF@home is the first and the largest community-based weight loss intervention study which was conducted among overweight and obese housewives in Malaysia. Findings of the study could be used by the policy makers and the researchers to enhance the obesity intervention programme among female adults in Malaysia.

Matched MeSH terms: Weight Loss/physiology*
Fulltext Impact of community lifestyle intervention on anthropometric parameters and body composition among overweight and obese women: findings from the MyBFF@home study

Mohd Zaki NA, Appannah G, Mohamad Nor NS, Omar A, Fazliana M, Ambak R, et al.

BMC Womens Health, 2018 07 19;18(Suppl 1):110.
PMID: 30066638 DOI: 10.1186/s12905-018-0595-z

BACKGROUND: The prevalence of overweight and obesity among Malaysian women remained high over the past three decades. Collaboration with existing community at-risk may be feasible for wide-scale prevention of overweight and obesity in the country. The aims of this study were to examine the impact of community-based lifestyle intervention among overweight and obese women on their anthropometric and body composition changes as compared to the usual care group.
METHODS: This was a quasi-experimental study conducted in low-cost flats in Kuala Lumpur, Malaysia. A total of 255 overweight and obesity individuals aged between 18 to 59 years old were assigned to either the lifestyle intervention group (n = 169) or the usual care group (n = 146) over a period of 6 months. Individuals in the intervention group received 6 individual lifestyle counselling comprised of physical activity, diet counselling and self-monitoring components aimed to achieve at least 5% weight loss while individuals in the usual care group obtained six sessions of health care seminars from health care providers. These individuals were then followed-up for another 6 months without any intervention as part of maintenance period.
RESULTS: An intention-to-treat analysis of between-groups at 6-month of intervention (β, 95% CI) revealed greater changes in weight among intervention individuals' (- 1.09 kg vs. -0.99; p 0.05). Individuals in the intervention group showed a significant increase for skeletal muscle mass (0.13 kg) than those individuals in the control group (- 0.37 kg), p = 0.033, throughout the study period.
CONCLUSION: This study provides evidence that an overweight and obesity prevention program can be implemented in a community setting, with some reduction of several anthropometric and body composition parameters.

Matched MeSH terms: Weight Loss/physiology*

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