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Fulltext Validity and reproducibility of an interviewer-administered food frequency questionnaire for the assessment of riboflavin intake in Malaysian women in Selangor

Ru En How, Su Peng Loh, Geok Lin Khor

Malaysian Journal of Medicine and Health Sciences, 2019;15(201):40-46.
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Introduction: The aim of this study was to assess the validity and reproducibility of a food frequency questionnaire (FFQ) specifically developed for the assessment of riboflavin intake among Malaysian women in Selangor. Methods: The study was carried out in Universiti Putra Malaysia (UPM), which consisted of 204 healthy women (102 Chinese and 102 Malay) aged between 19 and 45 years. The FFQs were interviewer-administered, which were completed twice; at the beginning of the study (FFQ-1) and two weeks thereafter (FFQ-2). A two-day 24-hour dietary recall (24DR) was interviewer-administered as the standard criteria method. Data were analyzed using Wilcoxon signed ranks test, Spearman correlation coefficient (SCC), intra-class correlation coefficient (ICC) and Bland-Altman plots to determine the validity and reproducibility. Results: Median riboflavin intake derived from 24DRs was significantly higher than FFQ-2 (p
Fulltext Anti-proliferative and apoptosis-inducing effects of Morinda citrifolia L. shoot on breast, liver, and colorectal cancer cell lines

Mohd Amir Ashraf Meli, Nurul Husna Shafie, Su Peng Loh, Asmah Rahmat

Malaysian Journal of Medicine and Health Sciences, 2019;15(201):129-135.
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Introduction: Morinda citrifolia or also known as noni is commonly consumed raw or blanched as side dishes or ‘ulam’. As cancer is one of the most leading causes of death in the world, we aimed to evaluate the anti-prolifera- tive potential of noni shoot against various types of cancer cell lines. Methods: The breast cancer (MDA-MB-231), liver cancer (HepG2), and colorectal cancer (HT-29) cell lines were treated with 70% ethanol extract of noni shoot for cytotoxicity testing using 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. Apoptosis induction effects were examined using AO/PI dual fluorescent assay and cell cycle analysis using flow cytometry. Gas chromatography-mass spectrometry (GCMS) was also carried out to characterize the active compounds in noni shoot. Results: The cytotoxicity assay demonstrated noni shoot had IC50 of 49.72 µg/mL, 307.5 µg/mL and 65.43 µg/ mL against MDA-MB-231, HepG2, and HT-29 cell lines, respectively. The AO/PI staining showed apoptotic bodies such as cell blebbing, chromatin condensation, and nuclear fragmentation was markedly induced in the selected cancer cell lines-treated with noni shoot extract. Apoptosis induction by noni shoot was showed by a significant increase in sub G0/G1 phase in MDA-MB-231 and HT-29 cell lines of cell cycle analysis. It was found that noni shoot extract contained mostly acetic acid and ethriol that may contribute to its anti-cancer properties. Conclusion: These findings showed the potential anticancer properties of noni shoot extract thereby, further studies are needed to un- derstand the mechanism of noni as anti-cancer agent and possibility to be developed as a nutraceutical or functional food products.
Fulltext Coffee and gastrointestinal health: a review

Wan Syamimi Wan Kamarul Zaman, Su Peng Loh, Norhaizan Mohd Esa

Malaysian Journal of Medicine and Health Sciences, 2019;15(201):96-103.
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Coffee is a well-known beverage being processed from coffee beans of either Arabica and/or Robusta. Observational and experimental research on coffee shows positive health impact. Coffee often relates with dyspeptic condition (i.e. Gastric release) and manifest Gastro-esophageal Reflux (GERD) and peptic ulcer (PU) diseases. Despite much con- tradictive results, epidemiological studies were inclined towards debunking the possible relationship between coffee and gastrointestinal diseases. Putative compounds were experimentally found to be chlorogenic acid (CQA), caffeine (CAFF), βN-alkanoyl-5-hydroxytryptamide (C5HT), N-methylpyridinium (NMP), chlorogenic acid lactones (CQL) and hydroxybenzenes in coffee that leads to gastric release. The type 2 bitter taste receptors (TAS2Rs), were physiologi- cally involve in the gastric acid secretion. These contrarily results need much considerations involving genetic, types of coffee used and the compounds in coffee that might interact causing gastrointestinal problem.
Fulltext Effect of vitamin D3-fortified fruit juice supplementation of 4000 IU daily on the recovery of iron status in childbearing-aged women with marginally low iron stores: Protocol for an 8-week, parallel group, double-blind randomized controlled trial

Ahmad Fuzi SF, Su Peng L, Zabaha Zalbahar N, Ab Manan N, Mohamad Alwi MN

PLoS One, 2022;17(3):e0265772.
PMID: 35333885 DOI: 10.1371/journal.pone.0265772

BACKGROUND: In recent years, emerging evidence has highlighted the role of vitamin D as an iron absorption enhancer by suppressing hepcidin concentration, albeit with an unclear underlying mechanism. Dietary-based approach in improving iron status has been widely practised, however, there is a scarcity in randomized controlled trials (RCT) to elucidate the effect of vitamin D-fortified juice on iron status recovery. Therefore, this study aims to investigate the effect of an 8-week vitamin D3-fortified fruit juice supplementation on iron status indicators in childbearing-aged women with marginally low iron stores.
METHODS: In a placebo-controlled, double-blind, RCT, a total of 120 women aged between 19-40 with serum ferritin < 20 μg/l and fulfilled the eligibility criteria will be randomized into consuming either vitamin D3-fortified fruit juices containing 4000 IU (100 mcg) (vitamin D) or placebo-fruit juices (placebo) daily for eight weeks. At every 4-week interval, 10 ml fasting blood sample, information on dietary habit and anthropometric measurement will be collected. A mixed model repeated-measures analysis of variance will be performed to determine the effect of the intervention and the interaction with time points for all iron and vitamin D status blood biomarkers.
DISCUSSION: Vitamin D supplementation in food fortification as a novel iron absorption enhancer might be a future and relevant alternative management of iron deficiency as opposed to the oral iron therapy that has poor adherence.
TRIAL REGISTRATION: Clinicaltrials.gov: registration number NCT04618289, registration date October 28, 2020, protocol ID JKEUPM-2020-033.