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Fulltext Associations between weight teasing by peers, self-esteem, and academic related stressors with body weight status among adolescents in Hulu Langat District, Selangor, Malaysia

Nor Mazni Ibrahim, Zuriati Ibrahim, Rosita Jamaluddin

Malaysian Journal of Medicine and Health Sciences, 2019;15(201):10-15.
MyJurnal

Introduction: Growing evidence highlighting the physical health risks linked with adolescent obesity and yet little is known on the role of psychosocial factors on the body weight status of adolescents. A cross sectional study was conducted to ascertain the associations between psychosocial factors (operationalised as weight teasing by peers, self-esteem and academic related stressor) with body weight status of adolescents in Hulu Langat District, Selangor, Malaysia. Methods: A total of 455 adolescents aged 13-16 years (50.3% male and 49.7% female) were recruited from five randomly selected schools through a multistage cluster sampling. Body weight and height were assessed and body mass index (BMI) was computed. Weight teasing by peers, self-esteem and academic related stressor were assessed using self-administered questionnaire of Perception of Teasing Scale (POTS), Rosenberg Self esteem Scale (RSE) and Secondary School Stressor (SSS) respectively. Results: The prevalence of overweight and obesity were 17.1% and 12.2%. Binary logistic regression revealed that adolescents who experienced weight teasing by their peers had 12 times higher odds to be overweight and obese. However, low self-esteem and high academic stressor were associated with a reduction in the likelihood of being overweight and obese. This rather contradictory results may be due to various factors that may affect the adolescents’ self-esteem and academic related stressor. Conclusion: Intervention programmes need to consider the peer environment of adolescents, increasing awareness on the effect of weight teasing by peers and further well designed study is crucial to stimulate the central understanding of psy- chosocial correlates to the adolescent obesity.
Fulltext Management responsibilities among dietitians: what is the level of job satisfaction and skills involved? a scoping review

Roszanadia Rusali, Rosita Jamaluddin, Nor Baizura Md Yusop, Hazrina Ghazali

Malaysian Journal of Medicine and Health Sciences, 2020;16(106):205-212.
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The role of dietitians involves not solely on clinical responsibilities. Additionally, operation management responsibil- ities such as managing human labor, financial resources, and problem solver are the tasks that a dietitian look after. It is reported to be challenging and stressful and could affect job satisfaction levels in the working environment. This scoping review aimed to explore the job satisfaction level and skills needed among dietitians to assume management responsibilities at their workplace. This study was completed using PRISMA guidelines. Online databases (Scopus and Science Direct) were used to identify papers published from 2000 to 2019. We selected English publications from the United States, Australia, South Africa, Korea, and the United Kingdom that used job satisfaction as a pri- mary or secondary outcome. Studies were included if they addressed dietitians who were involved in clinical work, food service, and management in their dietetic practices. Findings on existing skills, including managerial skills, communication, teamwork, and time management among dietitians with management responsibilities, have helped to enhance the job satisfaction and work quality of the dietetic profession. The findings would be useful for human resource management in the organisation, preserving the professional identity of a dietitian.
Fulltext Prevalence of overweight and obesity among primary healthcare workers in Perak, Malaysia

Low, Pei Kit, Hazizi Abu Saad, Rosita Jamaluddin, Chee, Huei Phing

IIUM Medical Journal Malaysia, 2020;19(1):23-30.
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Introduction: Overweight and obesity has been emerging as one of the most common and preventable
nutritional problems worldwide. In 2016, 39% and 13% of the adult population worldwide was classified as
overweight and obese, respectively. Materials and Methods: We conducted a cross-sectional study at 12
selected health clinics in Perak, Malaysia, and we used multi-stage cluster random sampling to determine the
prevalence of overweight and obesity among the primary healthcare workers and the associate factors of
obesity indices. Each respondent was required to complete a self-administered questionnaire on their sociodemographic characteristics. In addition, we took anthropometric measurements, including height, weight,
BMI, waist circumference, and body fat percentage, of the participants. Results: We recruited 261 primary
healthcare workers. Overall, 49.9% of the healthcare workers were overweight or obese, 51.0% were at risk
of having abdominal obesity, and 79.6% had a high body fat percentages. Age and self-reported health status
were significantly associated with all the obesity indices. Educational level showed significant association
with BMI and waist circumference, while occupational status showed an association only with BMI. Older age
and professionals were predictors for high obesity indices. Conclusion: The prevalence of obesity among the
primary healthcare workers was higher than among the general population. An immediate intervention
programme is needed to reduce the prevalence of overweight and obesity among primary healthcare
workers.
Fulltext Diet quality and its associated factors among community dwelling older adults in urban district in Kuala Lumpur, Malaysia

Amin Faiz Nohan, Siti Nur ‘Asyura Adznam, Rosita Jamaluddin, Camilla Wahida Norazman

Malaysian Journal of Medicine and Health Sciences, 2020;16(106):153-162.
MyJurnal

Introduction: Diet quality is an essential factor in determining the adherence towards dietary guidelines. This study aims to assess the diet quality among community-dwelling older adults and identify the factors associated with the diet quality. Method: This is a cross-sectional study, conducted among 138 community-dwelling older adults living in PPR flats, Kuala Lumpur. Subjects were randomly recruited in this study. Diet Quality Index (DQI) was used to identify diet quality index of elderly. The Chi-square Test of Independence and Pearson’s correlation test were used to determine the association between tested covariates with DQI. Results: Majority of the respondents were report- ed with good diet quality (74.6%), whereas quarter of them (25.6%) had poor diet quality. Significant difference between the diet quality and the adherence on the food groups were observed for all food groups (p
Fulltext Prevalence of overweight and obesity among primary healthcare workers in perak, Malaysia.

Low Pei Kit, Rosita Jamaluddin, Hazizi Abu Saad, Hazizi Abu Saad, Chee Huei Phing

IIUM Medical Journal Malaysia, 2020;19(1):23-30.
MyJurnal

Overweight and obesity has been emerging as one of the most common and preventable nutritional problems worldwide. In 2016, 39% and 13% of the adult population worldwide was classified as overweight and obese, respectively. Materials and Methods:We conducted a cross-sectional study at 12 selected health clinics in Perak, Malaysia, and we used multi-stage cluster random sampling to determine the prevalence of overweight and obesity among the primary healthcare workers and the associate factors of obesity indices. Each respondent was required to complete a self-administered questionnaire on their socio-demographic characteristics. In addition, we took anthropometric measurements, including height, weight, BMI, waist circumference, and body fat percentage, of the participants. Results:We recruited 261 primary healthcare workers. Overall, 49.9% of the healthcare workers were overweight or obese, 51.0% were at risk of having abdominal obesity, and 79.6% had a high body fat percentages. Age and self-reported health status were significantly associated with all the obesity indices. Educational level showed significant association with BMI and waist circumference, while occupational status showed an association only with BMI. Older age and professionals were predictors for high obesity indices. Conclusion:The prevalence of obesity among the primary healthcare workers was higher than among the general population. An immediate intervention programme is needed to reduce the prevalence of overweight and obesity among primary healthcare workers.
Fulltext Anthropometry measurements to determine nutritional status among cerebral palsy children: a scoping review

Mahnon Suria Mokhy, Rosita Jamaluddin, Abd Rasyid Ismail, Woan Yie Siah, Norhasmah Sulaiman, Siti Nur ‘Asyura Adznam, et al.

Malaysian Journal of Medicine and Health Sciences, 2020;16(106):213-218.
MyJurnal

This article aimed to review the available anthropometry measurements used in the assessment of nutritional sta- tus among Cerebral Palsy (CP) children. Searched journals were from Medline, PubMed and Ovid published from 2015 to 2018. The search identified 443 articles, and eight studies met the criteria. Anthropometric measurements included weight, height, recumbent length, knee height, tibia length, Dual-energy X-ray absorptiometry (DXA), Bio- electrical impedance (BIA), Mid arm circumference (MUAC) subscapular skinfold (SFT), Triceps skinfold (TSF) and prediction equations. Body fat composition can be obtained by DXA, BIA, skinfold measurement, and also prediction equation. The predictive equation is the most reported method to determine nutritional status among CP. This review found that TSF and SFT are more accurate to determine body fat percentage when using together with the predictive equation. Besides, predictive equations using segmental length are reliable in estimating the height and can be used to evaluate the nutritional status using the specific CP growth chart.
Fulltext A cross-sectional evaluation of nutritional status among paediatric oncology patients in Hospital Universiti Kebangsaan Malaysia. [Kajian rintis penilaian status pemakanan di kalangan pesakit onkologi pediatrik di Hospital Universiti Kebangsaan Malaysia]

Noor Aini Mohd. Yusoff, Zalina Abu Zaid, Raiza Sham, Rosita Jamaluddin, Suzana Shahar, A. Rahman A. Jamal

Jurnal Sains Kesihatan Malaysia, 2007;5(1):47-58.
MyJurnal

Malnutrition is common among pediatric oncology patients. Factors contributing to malnutrition include physiological abnormalities, response to the tumors and side effects of the treatment. A pilot study was carried out to determine the nutritional status of 17 pediatric oncology patients aged 4 to 12 years old in Hospital Universiti Kebangsaan Malaysia, Kuala Lumpur. The
nutritional status was assessed via anthropometric measurements and dietary intake through 3 days repeatitive 24 hours diet recall with subjects and their carers. Biochemical profiles (serum albumin and hemoglobin) were reviewed from the medical record. Through anthropometry measurements, weight and height were used to calculate Z-scores and further determine the percentile weight-for-age, height-for-age using NCHS percentile charts (WHO 1983). Frisancho’s standards (1981) were used to define malnutrition based on MUACfor- age. Underweight as determined using z scores below -2 for weight-for-age was observed in 70.6% of the subjects. Whilst, 76.5% of the subjects were classified as stunted (z score < –2) for height-for-age. Based on MUAC-for-age percentile, the sign of severe malnutrition category (<5 percentile) was observed in 35.3% of the subject and 23.6% of the subject were in the moderate malnutrition (>5 – <10 percentile). About 70.6% of the subject had low haemoglobin (< 11 g/dl) and 29.4% of the subject were hypoalbuminemia (< 35 g/dl) . Total macronutrient intake was assessed and compared with the individual requirement (Seashore 1984) for energy and protein intake were satisfactory, except for subjects in age group 10 – 12 years who achieved only 70% of the individuals requirements. As a conclusion, although food intake of the subjects was satisfactory but chronic malnutrition was prevalent. Early recognition of malnutrition is essential in order to plan for a nutritional intervention and further enhancing the quality of life.
Key words: Nutritional status, pediatric oncology, anthropometric, dietary intake, biochemical profile.
Fulltext Potential health detriment from fruit-induced immunomodulation

Pei-Shin, Chai, Siti Zuleha Idris, Norfarazieda Hassan, Nur Ramziahrazana Jumat, Zainina Seman, Sharmili Vidyadaran, et al.

Malaysian Journal of Medicine and Health Sciences, 2019;15(108):11-11.
MyJurnal

The immune system responds to stimulus by activation/increase or inhibition/decrease in activities. These immu-nomodulatory effects may be triggered by various factors in the environment including cytokines, hormones and growth factors, as well as flavonoids, antioxidants and various antigens in food and the environment. Immunosup-pression has a direct effect on the capacity of the immune system to fight against infection and cancer formation. A pro-inflammatory response, however, may induce further progression of tumours that had formed. Inflammation is also associated with many chronic illnesses including pain. The suppressive effects from phytochemicals have been shown in the potential to reduce T-lymphocyte proliferation in vitro and in vivo. Studies have demonstrated inhibi-tion of pro-inflammatory cytokines from flavonoid such as naringenin, green tea polyphenol extract, encapsulated fruit and vegetable juice powder concentrate. Feijoa sellowiana Berg var. coolidge fruit juice consumption exerted anti-inflammatory activity on edema-induced mice within first hour of treatment while agipenin, a natural flavonoid reduced neuroinflammation by protection against damage from dendritic cells stimulated T cells in experimental autoimmune encephalomyelitis mouse models. Dietary polyphenols were found to exert a regulatory role on den-dritic cell function. Our own study showed immunosuppressive effect from increased T regulatory cells from papaya consumption. Increased regulatory cells are associated with cancer conditions. On the other hand, grape juice con-sumption mobilized gamma–delta T cells. Ginseng berry extract increased pro-inflammatory molecules in dendritic cells in the spleen while polysaccharide fractions from Momorica charantia, an edible medicinal vegetable increased various immune indexes. Fruits may also have endo-immunomodulatory function causing differential effects in male and female. Sex hormones can influence immune changes based on sex as seen in increased NK cells in males and antibodies in females. We observed a population of CD4-CD45RA-CD69+CD25- cells was significantly lower in males. However, none of these studies have been directly conducted on cancers. Investigation into this area may help improve decision making in cancer management.
Fulltext The Prevalence and Symptoms Characteristic of Functional Constipation Using Rome III Diagnostic Criteria among Tertiary Education Students

Lim YJ, Rosita J, Chieng JY, Hazizi AS

PLoS One, 2016;11(12):e0167243.
PMID: 27997551 DOI: 10.1371/journal.pone.0167243

BACKGROUND AND AIMS: Functional constipation is very common with heterogeneous symptoms that have substantial impact on patient quality of life as well as medical resources which are rarely reported as life-threatening. The aim of this study is to examine the prevalence and symptoms characteristic of functional constipation (FC) by using Rome III diagnostic criteria among tertiary education students with an intention to introduce treatment in the future.
METHODS: Demographic, socio-economics characteristics and symptoms of FC using the Rome III criteria were sought using a questionnaire administered to Malaysian students in a tertiary education setting. Other data obtained were the general health status, lifestyle factors and anthropometric measurements. Using a simple random sampling method, a total of 1662 students were recruited in the study with a response rate of 95.0%. Sampled data are presented as frequency and percentage and stratified accordingly into categories for Chi-square analysis.
RESULTS: The prevalence of functional constipation among the students was 16.2%, with a significantly higher prevalence among women (17.4%) than men (12.5%). Hard or lumpy stool, incomplete evacuation, anorectal obstruction and straining were reported as the commonest symptoms experienced. Type 3 was the most frequent stool consistency experienced among the constipated individuals (35.2%). Only 4.4% of individuals reported having less than three defecations per week. Using univariable analysis, FC was significantly associated with sex (odds ratio: 1.48, 95% CI: 1.06-2.06) and age group (odds ratio: 1.34, 95% CI: 1.01-1.79) with P value < 0.05 significance level. In multivariate logistic regression analysis, only sex was found significantly associated with FC (adjusted odds ratio: 1.53, 95% CI: 1.08-2.17, P < 0.05).
CONCLUSIONS: Based on the prevalence rate, constipation is a common problem among tertiary education students (16.2%), with significantly more prevalence among the female respondents. Early detection of symptoms and further intervention studies focusing on treatment recommendation in improving the symptoms are essential.
Detection of serum AFB1-lysine adduct in Malaysia and its association with liver and kidney functions

Mohd Redzwan S, Rosita J, Mohd Sokhini AM, Nurul 'Aqilah AR, Wang JS, Kang MS, et al.

Int J Hyg Environ Health, 2014 Apr-May;217(4-5):443-51.
PMID: 24095591 DOI: 10.1016/j.ijheh.2013.08.007

Aflatoxin is ubiquitously found in many foodstuffs and produced by Aspergillus species of fungi. Of many aflatoxin metabolites, AFB1 is classified by the International Agency for Research on Cancer (IARC) as group one carcinogen and linked to the development of hepatocellular carcinoma (HCC). The study on molecular biomarker of aflatoxin provides a better assessment on the extent of human exposure to aflatoxin. In Malaysia, the occurrences of aflatoxin-contaminated foods have been documented, but there is a lack of data on human exposure to aflatoxin. Hence, this study investigated the occurrence of AFB1-lysine adduct in serum samples and its association with liver and kidney functions. 5ml fasting blood samples were collected from seventy-one subjects (n=71) for the measurement of AFB1-lysine adduct, albumin, total bilirubin, AST (aspartate aminotransferase), ALT (alanine transaminase), ALP (alkaline phosphatase), GGT (gamma-glutamyl transpeptidase), creatinine and BUN (blood urea nitrogen). The AFB1-lysine adduct was detected in all serum samples (100% detection rate) with a mean of 6.85±3.20pg/mg albumin (range: 1.13-18.85pg/mg albumin). Male subjects (mean: 8.03±3.41pg/mg albumin) had significantly higher adduct levels than female subjects (mean: 5.64±2.46pg/mg albumin) (p<0.01). It was noteworthy that subjects with adduct levels greater than average (>6.85pg/mg albumin) had significantly elevated level of total bilirubin (p<0.01), GGT (p<0.05) and creatinine (p<0.01). Nevertheless, only the level of total bilirubin, (r=0.347, p-value=0.003) and creatinine (r=0.318, p-value=0.007) showed significant and positive correlation with the level of AFB1-lysine adduct. This study provides a valuable insight on human exposure to aflatoxin in Malaysia. Given that aflatoxin can pose serious problem to the health, intervention strategies should be implemented to limit/reduce human exposure to aflatoxin. Besides, a study with a big sample size should be warranted in order to assess aflatoxin exposure in the general population of Malaysia.
Association between aflatoxin M1 excreted in human urine samples with the consumption of milk and dairy products

Mohd Redzwan S, Rosita J, Mohd Sokhini AM, Nurul Aqilah AR

Bull Environ Contam Toxicol, 2012 Dec;89(6):1115-9.
PMID: 23052590 DOI: 10.1007/s00128-012-0853-y

This study aimed to find the association between urinary aflatoxin M(1) level and milk and dairy products consumption. Of 160 morning urine samples collected, aflatoxin M(1) was detected in 61.3 % samples (n = 98) [mean ± SD = 0.0234 ± 0.0177 ng/mL; range = 0-0.0747 ng/mL]. Of these positive samples, 67.3 % (n = 66) had levels above the limit of detection. Respondents with intake of milk and dairy products above median (67.79 g/day) had significantly high level of AFM(1) compared to those with low intake. A significant and positive association (φ = 0.286) was found between milk and dairy products consumption and urinary aflatoxin M(1) level.

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