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Fulltext Does picky eating behavior exist in University students?

Nur Fadzlina Zulkefli, Muhammad Muzaffar Ali Khan Khattak, Wan Azdie Mohd Abu Bakar

International Journal of Allied Health Sciences, 2018;2(1):140-154.
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The aim of this study was to assess picky eating behavior existence among university students. This was an observational cross sectional study design. The sample size was calculated by using single proportion formula based on the adult prevalence of picky eating of 28.7 % which gives a sample of ~ 324 students. However, 407 students online registered to participate out which 403 students responded. A set of questionnaire was posted online. The questionnaire contained three sections which are demographic information, determinants of picky eating behavior and normal eating behaviors. Furthermore, the students were categorized as non-picky eating behavior, moderate picky eating behavior, and extreme picky eating behavior. The statistical analysis
carried out was mainly descriptive in order to determine the extent of picky eating behavior among the university students. Student t-test was used to find the differences between picky and non-picky eaters in terms of eating behaviors. Among the students possessing non picky eating behavior, moderate picky eating behavior and extreme picky eating behavior were 168 (41.69%), were 130(32.26%), 105(26.05%) respectively. On overall basis 235(58.31 %) of the students were having picky eating behavior. The present study revealed that picky eating behavior exists among the university students which need to be addressed.
Fulltext Fasting in islam: a combination of spiritual elevation and prevention of diseases.

Muhammad Muzaffar Ali Khan, Noraisha M.Nor, Nik Mazlan Mamat, Nor Azwani Mohd-Shukri, Wan Azdie Mohd Abu Bakar

IIUM Medical Journal Malaysia, 2018;17(102):107-112.
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The obligatory fasting of Ramadan is not only an Islamic ritual to enhance the God-consciousness (called Taqwa), it may also lead to improvement of health status of fasting person(s). In other words, it is a complete overhauling instrument of Muslims soul/body in terms of faith and health. This can be termed as “Islamic fasting: a combination of spiritual elevation and prevention of diseases”. During fasting Muslims try to maintain integrity of the human body both physically and spiritually. It not only keeps us healthy physically/spiritually but also makes us healthy in social obligations. Furthermore,with full devotion it brings long-lasting changes in the individual’s life and relate to the level of righteousness and strength of character to resist desires. In health fasting plays an important role, for example the improvement of hyperlipidemia, obesity (fat loss), diabetes, cognition, cell functions, immunological factors, inflammation, stress and lifespan etc. This article is an effort to review and discuss research carried out on the listed conditions during the holy month of Ramadan on various aspects of human health.
Fulltext The prophetic foods consumption among exclusively breastfeeding mothers in Kuantan, Pahang: an exploratory study

Siti Munirah Abdul Basir, Radiah Abdul Ghani, Muhammad Ibrahim, Muhammad Muzaffar Ali Khan Khattak, Muhammad Nor Omar, Nor Azwani Mohd Shukri

International Journal of Allied Health Sciences, 2018;2(1):234-243.
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The World Health Organization (WHO) and United Nations Children’s Fund (UNICEF) strongly advocate exclusive breastfeeding for the first six months after birth as the optimal way of feeding infants. Nutritional inadequacy during breastfeeding period may lead to breastfeeding problems such as inadequate milk production which is a common reason to early breastfeeding termination.
Galactagogue is one of the solutions seek by breastfeeding mothers to overcome this problem. Within the topic of prophetic medicine, scholars discussed the foods consumed by Prophet Muhammad (P.B.U.H) and their health benefits. Among the plants mentioned in Islamic literature are F.carica (figs), O.europea (olive), P.granatum (pomegranate) and N.sativa (habbatussauda). Studies on prophetic foods consumption among lactating mothers is limited in the literature. Thus, the aims of this study to explore on prophetic food consumption, among Malay mothers during
exclusive breastfeeding period. Ten subjects are interviewed by in-depth semistructured interview guide. Inclusion criteria include Malay mothers aged 18 to 40 years, deliver full term babies and were exclusively breastfeeding. Audio-recorded interviews were transcribed verbatim in Malay and translated into English. Translated transcripts were then analysed thematically with the help of NVivo software. Thematic analysis revealed three themes that represents participants’ knowledge, attitude and practice on prophetic foods consumption. The themes were 1) prophetic diet is related to Prophet Muhammad (P.B.U.H)’s practice on foods and eating manners, 2) perceived benefits and effectiveness of prophetic foods consumption, and 3) Practice of prophetic foods consumption during exclusive breastfeeding period. This study provides an insight to the understanding and
perception on prophetic foods consumption during exclusive breastfeeding period among breastfeeding mothers. It is acknowledged that prophetic foods, particularly dates may have lactogenic function. Further studies should be carried out to investigate the relationship between prophetic foods consumption and lactogenic activity.
Fulltext Maternal diet and its association with human milk energy and macronutrient composition among exclusively breastfeeding Malaysian Malay mothers

Siti Munirah Abdul Basir, Radiah Abdul Ghani, Muhammad Ibrahim, Khattak, Muhammad Muzaffar Ali Khan, Muhammad Nor Omar, Nor Azwani Mohd Shukri

Malays J Nutr, 2019;25(3):309-320.
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Introduction: This study aimed to determine the relationship of maternal dietary
intake with human milk nutritional composition, among Malay mothers during the
postpartum period of exclusive breastfeeding. Methods: Human milk samples (20-
30ml) were collected from mothers (n=32) at least once monthly for six months
postpartum. Macronutrients and fatty acids contents were determined using
proximate analysis and gas chromatography methods, respectively. Maternal
dietary intakes were recorded using the multiple-pass diet recall method prior
to each milk sampling and were analysed using the Nutritionist ProTM software.
Associations between the milk composition and maternal diet were tested using
Spearman correlation. Results: The energy content ranged between 49.6-59.2
kcal/100ml, protein 1.3-1.4 g/100ml, carbohydrate 6.5-9.7 g/100ml and total
fat 6.5-9.7 g/100ml. The polyunsaturated, monounsaturated, and saturated fatty
acids concentrations were 10.5-19.1 %, 40.6-43.5 %, and 38.0-49.7 %, respectively.
During confinement (first month postpartum), total energy and total fat content of
human milk were the highest whereas total carbohydrate was the lowest, compared
to the rest of the exclusive breastfeeding period. In contrast, intakes of total calorie
and total fat were the lowest, whereas protein was the highest during this period.
However, no associations were detected between human milk nutritional contents
and maternal dietary intake. Conclusion: In our study population, the composition
of maternal diet and nutritional content of human milk differed between confinement
and post-confinement periods. However, the association between maternal diet and
human milk composition itself warrants further investigation.
Fulltext Dietary intake of mothers who practised traditional confinement during exclusive breastfeeding period

Siti Munirah Abdul Basir, Radiah Abdul Ghani, Muhammad Ibrahim, Muhammad Muzaffar Ali Khan Khattak, Muhammad Nor Omar, Nor Azwani Mohd Shukri

Malaysian Journal of Medicine and Health Sciences, 2019;15(2):39-46.
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Introduction: Nutritional requirements increase during lactation. However, maternal dietary intakes of Malaysian
mothers are subjected to restrictions commonly included in traditional postpartum practices. This study aimed to
assess the maternal dietary intake status during the recommended six month exclusive breastfeeding (part of which
included the traditional confinement) period. Methods: Thirty-two Malay mothers aged 18-35 years, who had delivered full-term (at ≥37 weeks) singleton babies and were exclusively breastfeeding, were included in the study.
Maternal dietary intake was assessed using multiple-pass diet recall on Days 10, 30, 60, 90, 120, 150, and 180,
postpartum. The average total energy and macronutrient intakes were compared against recommended values. Results: The findings of this study demonstrated that maternal intakes of total energy ranged from 1,500-2,000kcal/day,
carbohydrate 189-272g/day, protein 58-72g/day, and total fat 32-70g/day. Total calorie intake was the lowest during
confinement period (Days 10 and 30) compared to the rest of the exclusive breastfeeding period. This is similar with
total fat consumption. On the other hand, protein intake was the highest during confinement period whereas carbohydrate intake was consistent throughout the six-month period. Despite the increased requirements, intakes of total
calories, protein, total fat, dietary fibre, and water, did not meet the recommended values throughout the exclusive
breastfeeding period. Conclusion: Mothers’ inability to fulfil their nutritional requirements during exclusive breastfeeding period may be associated with traditional postpartum dietary practices. Dietary advice with consideration
for cultural food taboos practiced by local mothers during confinement may help to improve maternal nutritional
intakes during this crucial time.
Fulltext Knowledge, awareness and dietary practice on urolithiasis among general population in Kuantan, Pahang, Malaysia: Preliminary findings

Sowtali SN, Ariffin SRM, Nazli NS, Shukri NABM, Khattak MMAK, Ab Rashid IM, et al.

J Public Health Res, 2021 Apr 14;10(2).
PMID: 33855421 DOI: 10.4081/jphr.2021.2238

BACKGROUND: To date, no studies have been published at evaluating the level of knowledge, awareness and practice of dietary, particularly regarding to urolithiasis in patients or the general population. This study aims to provide basic information on the level of knowledge, awareness and dietary practice among general population in Kuantan, Pahang.
DESIGN AND METHODS: The respondents (n=30) were conveniently recruited within 10 kilometres radius of Kuantan city. The data were obtained using semi-guided administered questionnaires, which consists of four parts: socio-demographic data, lifestyle and clinical history (Part A); attitude and awareness on dietary practice regarding urolithiasis (Part B); food frequency questionnaire on urolithiasis (Part C) and level of knowledge on urolithiasis (Part D).
RESULTS: Majority of the respondents were women (70%), Malay (83.3%), mean age of 33.97 (±9.27), married (63.3%), completed higher education level (60%), working with government sector (33.3%) and have fixed monthly income (53.3%). Some of them had hypertension (n=4), diabetes (n=1), gout (n=1) and intestinal problem (n=1). Majority (80%) claimed having no family history of urolithiasis, consumed alcohol (10%), exercise with average frequency 2-3 times/week (46.7%) and heard about urolithiasis from healthcare worker (46.7%). The respondents' awareness about urolithiasis is considered to be good [81.23 (±9.98)] but having poor knowledge score [2.70 (±1.149)]. Majority preferred wholemeal bread, white rice, chicken meat, mackerel fish, chicken egg, apple, carrot, mustard leave and fresh milk in daily intake. Lesser plain water intake than standard requirement was noticed among respondents. Seasoning powder was commonly used for seasoning.
CONCLUSIONS: Generally, the general population of Kuantan, Pahang was aware of urolithiasis disease but needed more information on dietary aspect in terms of knowledge and food choice.