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  1. Kok-Yong Chin, Soelaiman, Ima-Nirwana, Isa Naina Mohamed, Wan Zurinah Wan Ngah
    MyJurnal
    Penanda kadar pusing ganti tulang (PPT) adalah berguna dalam penilaian status kesihatan tulang. Namun, pengaruh umur, kumpulan etnik dan antropometri badan terhadap aras PPT dalam kalangan lelaki masih belum jelas. Kajian ini bertujuan untuk menentukan pengaruh faktor-faktor tersebut terhadap aras PPT, iaitu aras osteokalsin (OC) dan telopeptida terminal-C kolagen jenis 1 (CTX-1) dalam kalangan lelaki Cina dan Melayu berumur 20 tahun dan ke atas (N = 407) di Lembah Klang. Subjek dikumpulkan melalui kaedah persampelan bertujuan. Ketinggian, berat badan dan indeks jisim badan subjek telah diukur. Darah mereka diambil pada waktu pagi untuk analisis aras OC dan CTX-1 serum dengan asai imunoserap terangkai enzim. Hasil kajian menunjukkan aras OC dan CTX-1 adalah lebih tinggi secara signifi kan dalam kalangan lelaki Melayu berbanding dengan lelaki Cina (p < 0.05). Aras OC dan CTX-1 adalah paling tinggi dalam kalangan lelaki berumur 20-29 tahun, dan kemudiannya menurun secara signifi kan berbanding dengan dekad sebelumnya dalam kalangan lelaki berumur 30-39 tahun (p < 0.005). Perbezaan aras kedua-dua PPT ini adalah tidak signifi kan di antara lelaki berusia 30-39 tahun dengan lelaki yang lebih tua (> 40 tahun dan ke atas) (p > 0.005). Aras OC berkorelasi secara signifi kan dan negatif dengan berat dan indeks jisim tubuh subjek dan korelasi ini adalah signifi kan untuk lelaki 20-39 tahun sahaja (p < 0.05). Aras CTX-1 tidak berkorelasi dengan antropometri badan subjek (p > 0.05). Secara kesimpulannya, aras PPT dalam kalangan lelaki di Malaysia boleh dipengaruhi oleh faktor umur, kumpulan etnik dan antropometri badan. Faktor-faktor ini seharusnya diambil kira dalam penilaian status kesihatan tulang lelaki berdasarkan aras PPT.
  2. Chin Yi Chan, Norazlina Mohamed, Soelaiman Ima-nirwana, Kok-yong Chin
    Sains Malaysiana, 2018;47:1801-1810.
    The prevalence of osteoporosis is increasing in Asian countries. Optimum calcium intake and vitamin D level are
    important to prevent osteoporosis. The attitude of the society towards calcium food sources and supplements, as well
    as sun exposure, influence their bone health practices. This review aimed to summarize the current literature on the
    attitude of Asians on calcium and vitamin D rich foods and supplements to understand the barriers among the Asians
    in achieving adequate calcium intake and vitamin D level. Studies showed that most Asians have a negative attitude
    towards calcium-rich foods, mainly dairy products due to lactose intolerance, aversion to the taste of dairy products or
    the absence of motivation. Although they took supplements to fill the gap in their diet, they were not aware of the daily
    recommended intake of calcium. Besides, the majority of them have a negative attitude towards sun exposure due to the
    fear of getting skin cancer or tanning. As a conclusion, most of Asians are still not aware of the importance of calcium
    and vitamin D for their health and their negative attitude must be corrected to prevent the rise of osteoporosis.
  3. Jamil NA, Jia Ling C, Md Ibrahim HI, Hamzaid NH, Kok Yong C
    J Appl Res Intellect Disabil, 2020 May;33(3):632-639.
    PMID: 32080943 DOI: 10.1111/jar.12708
    BACKGROUND: This study aimed to compare the nutritional and bone health status between young men with mild-to-moderate intellectual disability and those without intellectual disability and to determine predictors for their bone health status.

    METHOD: A total of 95 men (47 men with intellectual disability; 48 men without intellectual disability), aged 20-39 years, participated in this study. Anthropometric profile, dietary intake, physical activity level and calcaneal speed of sound (SOS) were collected.

    RESULTS: The men with intellectual disability had moderate diet quality whilst the men without intellectual disability had poor diet quality. More participants with intellectual disability (97.9%) were inactive compared with their counterparts (10.4%). The SOS value was similar between groups and was lower than the reference. Increasing age and low physical activity level were negative predictors for bone health status.

    CONCLUSION: Both young men with and without intellectual disability have suboptimal nutritional and bone health status. Strategies to improve their nutritional and bone health status are warranted.

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