Displaying publications 101 - 120 of 341 in total

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  1. Poh B, Zawiah H, Ismail M, Henry C
    Malays J Nutr, 1996 Mar;2(1):1-10.
    PMID: 22692096 MyJurnal
    A study was carried out on 117 schoolchildren comprising 51 boys and 66 girls between the ages of 10 and 13 years to evaluate the effect of Ramadan-fasting on body weight. The results revealed that more than 90% of the subjects experienced a decrease in body weight during Ramadan. The initial mean body weight of the boys and girls were 35.7 ± 6.7 kg and 35.2 ± 6.1 kg respectively. After four weeks' fast, the boys and girls significantly lost (p<0.001) an average of 4.2% and 3.7% of their initial body weight respectively. Dietary intake and activity pattern were also assessed in a subgroup of 20 boys and 30 girls during the same period. The mean daily energy intake during Ramadan-fasting {boys 1230 ± 363 kcal (5.15 ± 1.52 MJ), girls 1034 ± 290 kcal (4.33 ± 1.21 MJ)} was significantly lower (p<0.001) than intake assessed before Ramadan {boys 1520 ± 463 kcal (6.36 ± 1.94 MJ), girls 1344 ± 428 kcal (5.62 ± 1.79 MJ)}. Both values were found to be below the suggested daily dietary intake for Malaysians of similar sex and age group recommended by Teoh (1975). Both boys and girls significantly decreased their intakes of fat, carbohydrate and thiamine during Ramadan. However, intakes of protein, niacin, vitamins A and C were found to be comparable to non-fasting values. During Ramadan, the mean intake of all nutrients analysed except protein were lower than recommended values. The boys spent significantly more (p<0.05) time sitting and significantly less (p<0.05) time standing and in moderately active pursuits during Ramadan. During this period, the boys spent more time in prayers compared with the girls. Time spent on all other activities did not differ between the fasting and non-fasting months. The findings suggest that the decrease in body weight during Ramadan may be primarily due to the reduction in energy intake since activity pattern remain fairly constant. The nutrient intake pattern of the adolescents studied may be of great concern in the long-term, as it does not meet the requirements for the normal growth of adolescents.
  2. Otgontuya, D., Khor, G.L., Lye, M.S., Norhaizan, M.E.
    Malays J Nutr, 2009;15(2):185-194.
    MyJurnal
    Shifts in lifestyles and eating patterns have led to an increasing prevalence of chronic non-communicable diseases in the adult population in Mongolia. This article reports the prevalence of obesity, abdominal obesity and body fat among 408 Mongolian adults aged 25 years and above. The subjects included 61.2% from urban areas and 38.8% from rural areas, reflective of the 60: 40 urban rural ratio in the general population. Anthropometric measurements were taken according to standard methods. Classification of overweight/obesity was based on body mass index of WHO while abdominal obesity was based on WPRO for Asians. Men made up 47.8% (200) and women 52.2% (218) of the sample. The mean age of the subjects was 46.7±12.7 years. About one-third (32.8%) of the subjects were overweight and 10.5% obese. A higher proportion of women (13.3%) than men were obese (7.5%). The age groups of 35-54 years in men and 55-64 years in women showed the highest prevalence of overweight. Prevalence of abdominal obesity was found in 46.5% of the men and in 65.1% of the women. Women aged 55-64 years had the highest proportion (78.4%) of abdominal obesity. In terms of body fat, 20.0 % and 51.5% of the men had high and very high levels of body fat respectively, while among the women, 15.1% and 55.5% respectively had high and very high levels of body fat. Mongolian adults face serious risk of cardiovascular diseases and other aspects of ill-health brought about by obesity. Prevention and control of obesity should be targeted as an urgent public health agenda in Mongolia.
  3. Nyam, K.L., Lau, M., Tan, C.P.
    Malays J Nutr, 2013;19(1):99-109.
    MyJurnal
    Introduction: The aims of this study were to determine the proximate composition, functional properties and antioxidant activity of pumpkin seeds and rind. Besides, the effects of dietary fibre in pumpkin seeds and rinds on bread qualities and properties were evaluated. Methods: Formulations for bread substituted with 0%, 5% and 10% pumpkin seed and rind, respectively were produced. Sensory evaluation of the prepared bread samples for such attributes as appearance, aroma, flavour, texture and overall acceptability was undertaken. The physical properties of the bread samples, including dough expansion, loaf volume, crumb colour and bread texture, were determined. Proximate analysis and determination of antioxidant activity of the bread samples were also conducted. Results: Crude fibre of the pumpkin seeds and pumpkin rinds was high at 31.48% and 14.83%, respectively. The total phenolic compound (TPC) and DPPH radical scavenging activity for the pumpkin rinds were 38.60 mg GAE/ 100 g dry weight and 69.38%, respectively, which were higher than those of pumpkin seeds. A 5% level of pumpkin rind bread gave the best overall acceptability and sensory attributes, followed by 5% pumpkin seed bread. Total dietary fibre, total phenolic compound and DPPH radical scavenging activity in breads substituted with 5% pumpkin seed and 5% pumpkin rind flour were higher than the values in control bread. Conclusion: Pumpkin seeds and rinds can be used as dietary fibre sources in bakery.
  4. Nyam KL, Teh YN, Tan CP, Kamariah L
    Malays J Nutr, 2012 Aug;18(2):265-74.
    PMID: 24575672 MyJurnal
    In order to overcome the stability problems of oils and fats, synthetic antioxidants such as butylated hydroxyanisole (BHA), butylated hydroxytoluene (BHT) and tert-butyl hydroquinone (TBHQ) have widespread use as food additives in many countries. Recent reports reveal that these compounds may be implicated in many health risks, including cancer and carcinogenesis. Hence, there is a move towards the use of natural antioxidants of plant origin to replace these synthetic antioxidants.
  5. Nurul Fatin Malek Rivan, Suzana Shahar, Hasnah Haron, Rashidah Ambak, Fatimah Othman
    Malays J Nutr, 2018;24(3):381-393.
    MyJurnal
    Introduction: Intake of soy isoflavones has been shown to be beneficial in reducing
    blood pressure, a known cardiovascular risk factor. This study investigated the
    association between intake of soy isoflavones and blood pressure among multiethnic Malaysian adults. Methods: A total of 230 non-institutionalised Malaysians
    aged 18-81 years were recruited through multi-stage random sampling from urban
    and rural areas in four conveniently selected states. Participants were interviewed
    on socio-demographics, medical history, smoking status, and physical activity.
    Measurements of height, weight, waist circumference (WC), and blood pressure
    (BP) were taken. Information on usual intake of soy foods was obtained using a
    validated semi-quantitative food frequency questionnaire. Results: The mean
    intake of soy protein of both urban (3.40g/day) and rural participants (3.01g/day)
    were lower than the USFDA recommended intake level of soy protein (25.00g/day).
    Urban participants had significantly higher intake of isoflavones (9.35±11.31mg/
    day) compared to the rural participants (7.88±14.30mg/day). Mean BP levels were
    significantly lower among urban (136/81mmHg) than rural adults (142/83mmHg).
    After adjusting for age, gender, educational level, household income, smoking status,
    physical activity, BMI and WC, soy protein intake was significantly associated with
    both SBP (R2=0.205, β=-0.136) and DBP (R2=0.110, β=-0.104), whilst soy isoflavones
    intake was significantly associated with SBP (β=-0.131). Intake of 1 mg of isoflavone
    is estimated to lower SBP by 7.97 mmHg. Conclusion: Higher consumption of
    isoflavones among the urban participants showed an association with lower levels
    of SBP. Use of biological markers for estimating isoflavones levels is recommended
    to investigate its protective effects on blood pressure.
  6. Nursakinah I, Zulkhairi HA, Norhafizah M, Hasnah B, Zamree MS, Farrah SI, et al.
    Malays J Nutr, 2012 Dec;18(3):363-71.
    PMID: 24568077 MyJurnal
    The objective of this study was to determine antioxidant potential of Garcinia atroviridis leaves and fruits extracts in vitro.
  7. Nurhidayah, M., Suzana, S., Zahara, A.M., Mahadir, A., Mohd Azahadi, O., Mohamad Hasnan, A., et al.
    Malays J Nutr, 2016;22(2):233-243.
    MyJurnal
    Introduction: Omega-3 Polyunsaturated Fatty Acids (PUFAs) play an important role in developing cognitive function in children, especially Docosahexanoic Acid (DHA). However, there is no suitable dietary assessment tool to assess DHA intake among Malaysian children. Thus, this study assessed the validity of an interviewer-administered semi-quantitative Food Frequency Questionnaire (FFQ) for estimating DHA intake among Malay school children in the Sepang District.

    Methods: Thirty 12-year-old Malay children (13 boys and 17 girls) were recruited through purposive sampling. Their DHA intake for one month duration was assessed using a 30-food item FFQ and validated against a 3-day food record.

    Results: The majority of the subjects (70%) had normal body mass index, 6.7% were overweight, 16.7% obese, whilst the rest were in the thin category. The reliability of FFQ was found to be good with a Cronbach’s α coefficient value of 0.815. Wilcoxon Signed Rank Test indicated no significant difference in mean intake between the two assessment methods. Significant and strong correlation between FFQ and the 3-day food record was found for total omega-3 PUFAs (r=0.812)and DHA (r=0.839) using both methods. BlandAltman analysis exhibited no apparent systematic bias between the two methods for DHA and total omega-3 PUFAs intake, whilst a quartile analysis assigned 73.3% of the subjects into the same quartile.

    Conclusion: The FFQ was found to be valid in estimating DHA intake among Malay school children, and it is recommended that its validity be tested on other ethnic population groups.
  8. Nurdiana, A., Ahmad Munir, C.M., Rabindarjeet, Singh, Brown, W.J., Clark, B.
    Malays J Nutr, 2016;22(3):363-374.
    MyJurnal
    Background: Population-based physical activity (PA) data are lacking in multicultural South East Asia. Malaysian elderly Malays, for example, are occupied daily with religious and community activities. Those living in rural areas also have a distinctively different lifestyle in terms of walking habits and leisure-time activities, compared to people from urban areas.

    Methods: A cross-sectional study was conducted with 146 community-dwelling Malay adults aged 60 to 85 years (mean (SD) = 67.6 (6.4) years) living in semi-rural areas in Seberang Perai Utara, Penang, Malaysia. Each participant was interviewed using a questionnaire for their socio-economic background and self-reported PA levels. Then, the participants were invited to wear an accelerometer (ActiGraph GT3X or GT3X+) during their waking hours for seven consecutive days.

    Results: Daily activity patterns of the participants were dominated by sedentary time (7.9 (SD 2.1) hours/day; 52% of wear time) and light intensity activity (7.0 (1.9) hours/day; 46% of wear time). The participants spent 24 (SD 30) minutes daily in ‘health enhancing’ (i.e. moderatevigorous intensity) activities. Men spent significantly more time in higher intensity acti-vities than women. Average daily step count was more than 10,000 (mean = 12,542 [4,857]) steps/day.

    Conclusion: Based on the accelerometer counts, these elderly Malay participants were assessed to be sedentary for most of the time during the day, though their daily step count exceeded 10,000 on average. Community-living older adults, especially women,should be encouraged to increase their physical activity levels.
  9. Nur Islami Mohd Fahmi Teng, Norsham Juliana Nordin, Aisyah Suraya Muhammad Shah
    Malays J Nutr, 2019;25(3):227-236.
    MyJurnal
    Introduction: Data on water and sugar sweetened beverages (SSB) intake
    among young adults in Malaysia is sparse. This study aimed at measuring the
    intake of plain water and SSB among undergraduate students in a Malaysian
    university and examine its association with body mass index (BMI). Methods:
    A total of 376 undergraduate students aged 18-30 years were recruited. A selfadministered questionnaire was used to determine the SSB consumption pattern.
    The questionnaire consisted of five sections that included the background of the
    participants, knowledge about SSB, SSB preferences, frequency and portion size.
    Results: 23.9% of subjects in this study were overweight. Almost all of the subjects
    took outside food (93.1%) and drink (74.2%). The highest daily consumption was
    plain water (92.3%), with a majority drinking more than two cups at each intake.
    Caffeinated drinks (coffee or tea) were the most popular SSB among the students
    (18.4%). Most students (79.7%) did not consume SSB on a daily basis. A significant
    association was found between the proportion of plain water consumption and BMI
    (p
  10. Nur Hamiza Ruzaini Hashim, Sakinah Harith, Raishan Shafini Bakar, Nur-Fazimah Sahran
    Malays J Nutr, 2017;23(1):65-80.
    MyJurnal
    Introduction: By the end of 2015, about 72,152 children with learning disabilities were registered under the Malaysian Welfare Service Department (JKM). Malnutrition has been found to be a common setback among children with learning disability (LD). This study presents available evidence on the prevalence and risk factors associated with malnutrition in children with LD.

    Methods: A framework suggested by Arksey & O`Male (2005) was used to carry out this scoping review. Published articles, reviews and reports were identified through a complete search. Inclusion criteria for the search were English articles related to LD, published from 2005 to 2016.

    Results: Seventeen international studies published from 2005 until 2015 with a total of 318,596 participants and one study involving 281 participants from Malaysia, were identified and included in this review (n=18). The target age range of the sample in these 18 studies was 2 - 20 years, with a mean age of 3.2 - 14.2 years. The prevalence of underweight among children with LD was 3.4 - 36%, overweight 7.6 - 37% and obesity 5.7 - 52%. Several studies reveal that malnutrition risk among children with LD is significantly associated with gender, age, genetic syndrome, type of disability, medication used, and country economic status.

    Conclusion: A number of studies show that children with LD have a higher prevalence of being overweight and obese than typically developing children and the risk associated with obesity significantly increases with age.
  11. Nur Fazimah, S., Rosminah, M., Sakinah, H.
    Malays J Nutr, 2017;23(3):385-396.
    MyJurnal
    Introduction: Detailed clinical information is important for the Casemix System to
    generate valuable Case Based Group (CBG) for malnourished geriatric patients. Clinical
    coding for malnutrition provides useful information on the nutritional health of patients
    for treatment purposes.

    Methods: This cross-sectional study with purposive sampling
    involved a total of 130 geriatric patients (>60 years) at Hospital Universiti Sains Malaysia
    (USM). Nutritional assessments were performed such as anthropometrics measurement,
    Subjective Global Assessment (SGA), and biochemical assessment. The patients’ medical
    records and coded data were systematically reviewed to observe the documentation of
    nutritional information and coding criteria based on the International Classification for
    Diseases (ICD-10).

    Results: The prevalence of malnutrition among the geriatric patients
    was 35.4%. Proper documentation of required nutritional information was found in less
    than 50% of the cases. None of the malnourished patients were documented and coded
    with malnutrition diagnosis, despite being given nutritional interventions. The reasons
    given for this omission were related to the lack of awareness (50%) and incomplete
    medical documentation (50%). Further analysis revealed that uncoded diagnosis,
    miscoding, missing, and unavailable codes for nutritional counselling and oral nutritional
    supplementation were the main contributors to the incomplete records.

    Conclusion:
    The quality of clinical coding for malnourished geriatric patients in the hospital should
    be improved. A structured assessment and standard documentation is recommended to
    improve the quality of healthcare provision for malnourished geriatric patients.
  12. Nur Fazimah Sahran, Sakinah Harith, Rosminah Mohamed
    Malays J Nutr, 2016;22(1):41-54.
    MyJurnal
    Introduction: Identified parameters associated with geriatric malnutrition add greatly to the knowledge of clinical nutrition and facilitate patient-centred nutritional care management.
    Methods: A six-month cross-sectional study with the aims of deterrninine the prevalence of malnutrition and its associated parameters was conducted among hospitalised geriatrics admitted to Hospital USM. A total of 130 (49 men, 81 women) eligible participants with a mean age of 69.7 (6.99) were recruited for this study. Anthropometric tests, biochemical tests, and subjective global assessments (SGA) were applied in this study to assess the nutritional status of the participants. Meanwhile, socio-demographics, nutritional risk factors, and clinical elements were examined to identify the associated factors of malnutrition.
    Results: The findings of this study revealed that 35.4% of the participants were malnourished based on SGA ratings of B (26.2%) and C (9.2%), with women having a significantly higher proportion (43.5%) compared to men (22 4%) with p
  13. Nur Dayana Shaari, Zalilah Mohd Shariff, Gan, Wan Ying, Loh, Su Peng
    Malays J Nutr, 2019;25(1):69-77.
    MyJurnal
    Introduction: The prevalence of child undernutrition and micronutrient deficiencies
    are higher in the Orang Asli (OA) than the general Malaysian population. The World
    Health Organization recommends the use of multiple micronutrient supplement
    (MMS) that is a blend of micronutrients in powder form that can be sprinkled onto
    foods for home fortification to prevent undernutrition among children. This pilot
    study aimed to assess the feasibility of using MMS among OA children. Methods: A
    total of 25 OA children (14 boys and 11 girls) aged 6-31 months (mean±SD = 15.7±7.2
    months) in Negeri Sembilan were given three sachets of MMS weekly for 5 weeks.
    Caregivers were instructed to add MMS to three types of food from the same food
    group per week varying with a different food group weekly. Written instruction for
    using MMS in simple language was given prior to the supplementation. Caregivers
    were interviewed for information on socio-demographics, compliance, acceptance,
    preference and adverse effect of MMS. Results: A high level of compliance was
    observed (85%). All caregivers reported that the instructions for use were easy to read.
    No noticeable changes to the foods mixed with MMS were observed and no adverse
    effects were reported. Conclusion: This study demonstrated feasibility of the use of
    MMS for future trials among OA children. The easy to read information that comes
    with the MMS, frequent monitoring of MMS use and support to caregivers were
    required to ensure compliance. Cultural feeding practices and financial constraints
    may limit the types of food that can be mixed with MMS.
  14. Norshazila S, Syed Zahir I, Mustapha Suleiman K, Aisyah MR, Kamarul Rahim K
    Malays J Nutr, 2010 Apr;16(1):149-59.
    PMID: 22691862 MyJurnal
    The aims of this study are to determine and compare the antioxidant levels and activities (i.e. primary and secondary) between selected seeds of Malaysian tropical fruits - guava (Psidium guajava), mango (Mangifera indica L.) and papaya (Carica papaya L.). Seeds are among byproducts from the processing of fruitsbased products. Instead of discarding seeds as waste, seeds with high potential as antioxidants could be utilised for commercial purposes. Accordingly, the selected seeds of Malaysian tropical fruits were tested in this study for total phenolic content (TPC), free radical scavenging activity by 1, 1- diphenyl-2-picrylhydrazyl (DPPH) assay and metal ion chelating effect by ferrous ion chelating (FIC) assay. Extraction of antioxidant compounds from sample was done with 70% ethanol. TPCs of the seeds were expressed as gallic acid equivalents (GAE) in mg per 100 g fresh seed weight. TPC assay showed that mango seeds had the highest TPC (i.e. 32 ± 0.001 mg GAE) followed by guava seeds (i.e. 20 ± 0.001 mg GAE) and papaya seeds (8 ± 0.003 mg GAE). For DPPH assay, IC50 data showed that mango seed extract scavenged 50% DPPH radicals at the lowest concentration (0.11 ± 0.01 mg/mL) followed by the positive control BHA (0.13 ± 0.01 mg/mL), guava seed extract (0.26 ± 0.01 mg/mL) and papaya seed extract (0.34 ± 0.01 mg/mL). Interestingly, all seed extracts showed higher free radical scavenging activities than BHA after sample concentration of 0.60 mg/mL. However, FIC assay indicated that metal ion chelating effects of all seed extracts were weaker than BHA suggesting that the fruit seeds are not sources of good metal ion chelators. Overall, present results suggest that TPC of the seeds show strong negative correlation with their primary antioxidant activity (r= -0.985, R2= 0.970), and not all compounds in extracts which could scavenge DPPH radicals are good metal ion chelators. Mango seeds relatively showed the highest antioxidant level and primary antioxidant activity followed by guava seeds and papaya seeds.
  15. Norshariza, J., Zuliehaiza, K., Ho, C.Y.
    Malays J Nutr, 2017;23(3):479-484.
    MyJurnal
    Introduction: Rectal adenocarcinoma patients are advised to increase protein intake
    especially after surgery for speedy recovery. Concentrated collagen peptides might help to
    improve compliance of protein prescription and ultimately muscle bulk.

    Case presentation:
    A 35-year-old man diagnosed with low rectal adenocarcinoma was discharged and referred
    to diet clinic for continuous intervention. At the time of attending the diet clinic, patient
    looked cachectic and lethargic. Patient’s height was 164cm, weight 44kg, BMI 16.4 kg/m2, muscle mass 37.6kg and body fat 9.7%. He had lost 27% of his weight (16kg within 6 months)
    and had a C for SGA (Score Global Assessment). Estimated intake was 1560kcal/day and
    38g/day protein. Patient reached satiety early and did not comply with oral nutritional
    supplement (ONS) due to distaste and concern for his high stoma output. The nutritional
    diagnosis was inadequate protein intake related to decreased ability to consume sufficient
    protein as evidence by diet history. High protein high calorie diet (HPHC) and collagen
    peptides supplement daily were prescribed. Patient was requested to recall diet and to
    drink a bottle of collagen peptides in the diet clinic daily for a week to ensure compliance to
    diet prescription. After a week, his anthropometry improved: weight reached 46.2kg, muscle
    mass 38.6kg and body fat 12.7%. Patient was able to walk and to start working the following
    week. Total energy intake was 1690kcal/day with 56g/day protein. As patient was able
    to achieve protein requirement via food, collagen peptide was withheld. After a month,
    anthropometry improved and complied to HPHC as well as ONS. Concentrated collagen
    peptides were found to help the malnourished patient to achieve protein requirement in
    small volumes.

    Conclusion: Concentrated collagen peptides improve lean muscle mass
    in patients with rectal adenocarcinoma postoperatively. It is recommended that further
    investigations be conducted to provide concrete evidence on the role of collagen peptides.
  16. Norshariza, J., Neoh, M.K., Betti, Sharina M.H.L., Aeininhayatey, A., Siti Farrah Zaidah, M.Y., Aini Zaharah, A.J., et al.
    Malays J Nutr, 2017;23(2):161-174.
    MyJurnal
    Introduction: Malnutrition in cancer patients affects the quality of life (QoL) of the patients and brings about adverse outcomes including morbidity and mortality. This study aims to determine the prevalence of malnutrition among cancer patients at the National Cancer Institute (NCI), Putrajaya.
    Methods: A cross-sectional study was conducted among 97 respondents who were admitted to the NCI between August 2014 and January 2015. Information on socio-demographic characteristics, clinical characteristics, anthropometric measurements, dietary intake and biochemical data were obtained. The Malnutrition Screening Tool (MST) was used to identify malnutrition risk, while the Subjective Global Assessment (SGA) determined patients’ nutritional status.
    Results: Approximately 61.9% and 43.5% of the patients were malnourished upon admission based on the MST and SGA scores, respectively. Four most common types of cancer among the malnourished patients were nasopharyngeal (NPC), lung, breast and colorectal cancer. About 56.9% and 21.6% of the malnourished patients, according to MST, were at Stage 4 and Stage 3 cancer, respectively. Meanwhile 69.7% of the malnourished respondents, based on SGA, were at Stage 4 cancer. Mean energy intake was 1463±577 kcal and protein intake was 54±22 g proteins.
    Conclusion: Prevalence of malnutrition in hospitalised cancer patients in the NCI was high, depending on age, body mass index (BMI), tumour location and cancer stage. Early identification of malnutrition status is required for proper nutritional intervention.
    Study site: National Cancer Institute (NCI) in Putrajaya, Malaysia
  17. Norshafawati, A.A., Rosita, J., Norhaizan, M.E.
    Malays J Nutr, 2014;20(3):291-301.
    MyJurnal
    Introduction: High sensitivity C-reactive protein (hs-CRP) is an emerging risk marker for cardiovascular diseases (CVD). In Malaysia, CVD has become a major health problem and the risk factors of CVD have also increased among the middle- aged. Thus, this study aimed to determine factors that influence the level of hs- CRPamongMalaysianadultsaged30-55years-old. Methods:One-hundredand twenty-two (n=122) adults working at an institution were selected systematically in this cross-sectional study. Body weight, height, hip and waist circumference, systolic and diastolic blood pressure, hs-CRP level, total cholesterol, triglycerides, low-density lipoprotein, and high-density lipoprotein were measured. Body mass index (BMI), waist-to-hip ratio, and total cholesterol: high-density lipoprotein ratio were calculated. Results: The sample consisted of 40.2% male and 59.8% female subjects with a mean age± SD of 41.93 ± 8.26 years. Pearson's correlation coefficient showed significant positive correlations between log hs-CRP level (mean± SD= 0.22 ± 0.50 mg/L; 95% CI= 0.13 - 0.31) and age, waist circumference, hip circumference, BMI, systolic blood pressure, total cholesterol, low-density lipoprotein, triglycerides, and total cholesterol: high-density lipoprotein ratio. However, multivariate analysis showed only BMI (R = 0.489, R2 = 0.239, adjusted R2 = 0.232, F = 37.626, p< 0.001) was a predictor of hs-CRP, the risk marker of CVD. Hs-CRP level was greater in overweight (25 - 29.9 kg/m2), and obese(> 30 kg/ m2) subjects (ANOVA p< 0.05) compared to normal weight subjects. Conclusion: BMI is a modifiable risk factor with the change being important for reducing CVD events among adults.
  18. Norsakira Jefrydin, Norazmir Md Nor, Ruzita Abd. Talib
    Malays J Nutr, 2019;25(1):143-153.
    MyJurnal
    Introduction: The consumption of processed food is increasing in developing
    countries. Nutrition labels on food packaging are important for the education of
    consumers, particularly adolescents, to help them make healthier food choices.
    However, there is evidence to suggest that adolescents generally do not use nutrition
    labels. This study aims to explore the personal factors that influence the practice of
    Malaysian adolescents in reading nutrition labels. Methods: The participants were
    adolescents, aged 13-16 years, from five public schools in Negeri Sembilan. Five
    semi-structured focus group discussions (FGDs) were conducted. The participants
    discussed their personal views, knowledge and perceptions regarding the use of
    nutrition labels and food selection. Data gathered from the FGDs were coded through
    thematic analysis using the NVivo software. Results: While the participants were
    familiar with nutrition labels, their usage was relatively low during food selection
    due to the lack of interest in nutrition information, past experiences, hunger and
    cravings, time constraints and the taste of the food. The main reasons for using
    nutrition labels were health consciousness and their curiosity about specific
    nutrition information provided on the labels. The majority of participants believed
    that information provided on the labels was accurate because it was provided by
    reliable institutions. There was also misperception among some participants, mixing
    up nutrition labels with list of ingredients and the expiry dates. A few participants
    were unconvinced by the labels and stated that the labels provided misleading
    information. Conclusion: Personal factors such as knowledge, misperception,
    awareness and trust significantly impact how adolescents read nutrition labels.
  19. Norlida Mat Daud, Nor Izati Fadzil, Lam, Kit Yan, Ika Aida Aprilini Makbul, Noor Fairuzi Suhana Yahya, Arnida Hani Teh, et al.
    Malays J Nutr, 2018;24(1):77-88.
    MyJurnal
    Introduction: Awareness of the importance of dietary fibre (DF) in health among adolescents is seldom reported in Malaysia. This study aimed to compare the knowledge, attitude and practice (KAP) of DF intake between Malaysian rural and urban school-going adolescents. Pulau Pangkor in Perak and Damansara in Selangor were randomly selected as rural and urban schools, respectively. Methods: A total of 305 school adolescents with a mean age of 13.5±0.6 years were randomly selected from rural (72 Malay, 85 Chinese) and urban (86 Malay, 62 Chinese) schools completed socio-demographic, validated KAP on DF intake questionnaire, as well as a 24-hour dietary recall. Results: Adolescents from both areas have moderate knowledge (54.4±11.3%), positive attitude (78.7±13.1%) and good practice (65.8±19.9%) scores towards DF intake. Although rural adolescents had significantly (p=0.022) higher DF intake (7.8±3.5 g) compared to urban adolescents (6.9±3.5 g), their DF intake was still lower than the Malaysian recommendation of 20-30 g/day. The attitude of DF intake of rural (r=0.390) and urban (r=0.370) adolescents showed significant positive correlations with practice score of DF intake. While a significant correlation was found between the practice score and DF intake (r=0.191, p=0.017), no significant correlation was found between knowledge and attitude scores with DF intake. Conclusion: Public health authorities and schools should raise awareness on health benefit of consuming DF to promote an increase in DF consumption among school adolescents.
  20. Norlaili, A.H., Roselina, K., Muhammad, T.S.
    Malays J Nutr, 2014;20(3):403-415.
    MyJurnal
    Introduction: Cosmos caudatus (Ulam Raja) is rich in phytochemicals and can be utilised in diet diversification strategies to improve the health of individuals. lbis study was designed to incorporate dry and aqueous extracts of C. caudatus for the preparation of herbal noodles. Methods: For this purpose, different proportions of dry extract (2, 4 and 6% dry extract) and aqueous extract (5, 10 and 15% aqueous extract) of C. caudatus were used. The physicochemical properties of noodles evaluated were pH, cooking time, cooking loss, texture and colour. Total polyphenol contents (TPq and 2,2-diphenyl-1-picrylhydrazyl (DPPH) assay were carried out to assess the antioxidant potential. Lastly, sensory appraisal of functional noodles was carried out to assess consumer acceptance and marketability. Results: The results on physicochemical properties indicated that the pH value of noodles varied from 8.66 to 10.47. In terms of textural analysis and colour properties, firmness and greenness (a*) were higher in dry extract noodles. TPC varied between 115to149 mg gallic acid equivalents (GAE/lOOg) whilst the highest DPPH free radical inhibition was exhibited in herbal noodles prepared using 4% dry extract (92.8%). In contrast, in terms of sensory appraisal, herbal noodles prepared with aqueous extract were more acceptable than dry extract noodles. Conclusion: C. caudatus can be utilised to prepare herbal noodles thus enhancing the dietary intake of phytochemicals especially antioxidants. Such functional foods can improve the health of consumers and offer the potential of protection against various ailments.
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