Introduction: During the coronavirus 2019 (COVID-19) pandemic, the public may seek a non-pharmacological approach, such as dietary supplements, to prevent or manage COVID-19. Therefore, this study aimed to evaluate the use of dietary supplements during the COVID-19 pandemic among adults in Kota Kinabalu. Methods: This cross-sectional study recruited 213 adults living in Kota Kinabalu through convenient sampling from October 2021 to March 2022. A validated questionnaire was used to evaluate their perception on the use of dietary supplements, and the types of dietary supplements consumed before and during the COVID-19 pandemic. Results: One-hundred sixty-one (75.6%) adults reported that they were told to consume dietary supplements during the COVID-19 pandemic, primarily from close family members (64.0%) and social media (58.4%). One-hundred and thirty-two (62%) adults were consuming dietary supplements and 46 (34.8%) of them only started taking them during the COVID-19 pandemic. The reasons for taking dietary supplements during the COVID-19 pandemic included enhancing the immune system (83.6%) and for prevention of COVID-19 infection (64.4%). The most common dietary supplements consumed during the COVID-19 pandemic were vitamin C (90.2%), followed by multi-vitamin and mineral (32.6%), and fish oil (25.8%). After adjusting for age, sex, education level, and income level, KadazanDusun adults were most likely to consume dietary supplements (adjusted odds ratio = 2.369, 95% CI: 1.070 - 5.248, p=0.034). Conclusion: There was an increase in the number of adults consuming dietary supplements during the COVID-19 pandemic, which was likely driven by information sharing via family members and social media.
{"title":"Dietary supplement intakes among adults living in Kota Kinabalu during the COVID-19 pandemic: A crosssectional study","authors":"Fredrica Li Ling Vun, Y. H. Ooi, B. Khor","doi":"10.31246/mjn-2022-0096","DOIUrl":"https://doi.org/10.31246/mjn-2022-0096","url":null,"abstract":"Introduction: During the coronavirus 2019 (COVID-19) pandemic, the public may seek a non-pharmacological approach, such as dietary supplements, to prevent or manage COVID-19. Therefore, this study aimed to evaluate the use of dietary supplements during the COVID-19 pandemic among adults in Kota Kinabalu. Methods: This cross-sectional study recruited 213 adults living in Kota Kinabalu through convenient sampling from October 2021 to March 2022. A validated questionnaire was used to evaluate their perception on the use of dietary supplements, and the types of dietary supplements consumed before and during the COVID-19 pandemic. Results: One-hundred sixty-one (75.6%) adults reported that they were told to consume dietary supplements during the COVID-19 pandemic, primarily from close family members (64.0%) and social media (58.4%). One-hundred and thirty-two (62%) adults were consuming dietary supplements and 46 (34.8%) of them only started taking them during the COVID-19 pandemic. The reasons for taking dietary supplements during the COVID-19 pandemic included enhancing the immune system (83.6%) and for prevention of COVID-19 infection (64.4%). The most common dietary supplements consumed during the COVID-19 pandemic were vitamin C (90.2%), followed by multi-vitamin and mineral (32.6%), and fish oil (25.8%). After adjusting for age, sex, education level, and income level, KadazanDusun adults were most likely to consume dietary supplements (adjusted odds ratio = 2.369, 95% CI: 1.070 - 5.248, p=0.034). Conclusion: There was an increase in the number of adults consuming dietary supplements during the COVID-19 pandemic, which was likely driven by information sharing via family members and social media.","PeriodicalId":18207,"journal":{"name":"Malaysian Journal of Nutrition","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41550875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Local food, which represents a country’s culture, can be gradually forgotten due to various factors. This study investigated the perceived value of local food and the influence of gender on consumer behaviour regarding the intention to eat local food. Methods: A quantitative survey was conducted using random systematic sampling at a fixed periodic interval. A sample of 2,000 consumers from Thailand’s upper northeastern region was chosen. Structural equation modelling was used to assess the relationships between perceived value, attitude towards eating, and intention to eat. Results: The relevant parameters identified the positive influence of perceived value and attitude towards eating behaviour on the intention to eat local food. The factor loading of attitude towards eating behaviour moderated the effect of the perceived value of local food on the intention to eat local food. Females had less perceived value for their intention to eat local food than males did. Conclusion: The perceived value of local food had the greatest positive impact on attitude towards eating behaviour. Moreover, the difference in gender in the eating behaviour of local food showed that females were more likely to control their food consumption than males were. To increase the intention to eat local food, local food vendors should focus on factors that influence attitudes and use food storytelling to increase consumers’ awareness on the benefits of local food.
{"title":"The influence of perceived value and gender on local food consumption intentions in the northeastern cluster of Thailand","authors":"Meesubthong Chatcharawan, Meesuptong Jaruporn, Udomsamuthirun Pongkaew","doi":"10.31246/mjn-2022-0051","DOIUrl":"https://doi.org/10.31246/mjn-2022-0051","url":null,"abstract":"Introduction: Local food, which represents a country’s culture, can be gradually forgotten due to various factors. This study investigated the perceived value of local food and the influence of gender on consumer behaviour regarding the intention to eat local food. Methods: A quantitative survey was conducted using random systematic sampling at a fixed periodic interval. A sample of 2,000 consumers from Thailand’s upper northeastern region was chosen. Structural equation modelling was used to assess the relationships between perceived value, attitude towards eating, and intention to eat. Results: The relevant parameters identified the positive influence of perceived value and attitude towards eating behaviour on the intention to eat local food. The factor loading of attitude towards eating behaviour moderated the effect of the perceived value of local food on the intention to eat local food. Females had less perceived value for their intention to eat local food than males did. Conclusion: The perceived value of local food had the greatest positive impact on attitude towards eating behaviour. Moreover, the difference in gender in the eating behaviour of local food showed that females were more likely to control their food consumption than males were. To increase the intention to eat local food, local food vendors should focus on factors that influence attitudes and use food storytelling to increase consumers’ awareness on the benefits of local food.","PeriodicalId":18207,"journal":{"name":"Malaysian Journal of Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47713396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: The menstrual cycle in women is often associated with appetite control, mood, and behavioural changes due to hormonal imbalance. However, levels of sugar craving and stress during pre- and post-menstrual periods have not been thoroughly studied. This cross-sectional study aimed to compare levels of stress and sugar cravings during different phases of menstrual cycle among university students. Methods: Participants aged 19–25 years were assessed for sugar craving and stress during pre- and post-menstrual periods. They were requested to fill out the Sugar Craving Assessment Tool (SCAT) and Perceived Stress Scale (PSS-10) questionnaires on the first day of menses (the pre-menses phase) by recalling how they felt throughout the past seven days. The participants completed the same set of questionnaires again two days after their menses ended (post-menses phase) by recalling how they felt within the previous two days. Results: Ninety-three students participated in the study. Pre-menstrual SCAT score (40.0±19.6) was higher than post-menstrual SCAT score (32.1±19.4), t(91)=4.82, p<0.001. Mean PSS-10 score was also higher before menstruation (22.8±6.2) than after menstruation (17.5±6.1), t(91)=6.26, p<0.001. There was no significant difference in mean sugar craving scores of different stress categories, either during pre-menses [F(2,90)=1.39, p=0.256] or post-menses [F(2,90)=0.89, p=0.415]. Conclusion: The findings indicate that levels of sugar craving and stress were higher during pre-menstrual phase compared to post-menstrual phase in young adults. However, whether sugar cravings are linked to stress during the menstrual cycle is inconclusive and requires further investigation.
{"title":"Sugar craving and stress levels during different phases of menstrual cycle among university students","authors":"N. M. Mohd Shukri","doi":"10.31246/mjn-2022-0094","DOIUrl":"https://doi.org/10.31246/mjn-2022-0094","url":null,"abstract":"Introduction: The menstrual cycle in women is often associated with appetite control, mood, and behavioural changes due to hormonal imbalance. However, levels of sugar craving and stress during pre- and post-menstrual periods have not been thoroughly studied. This cross-sectional study aimed to compare levels of stress and sugar cravings during different phases of menstrual cycle among university students. Methods: Participants aged 19–25 years were assessed for sugar craving and stress during pre- and post-menstrual periods. They were requested to fill out the Sugar Craving Assessment Tool (SCAT) and Perceived Stress Scale (PSS-10) questionnaires on the first day of menses (the pre-menses phase) by recalling how they felt throughout the past seven days. The participants completed the same set of questionnaires again two days after their menses ended (post-menses phase) by recalling how they felt within the previous two days. Results: Ninety-three students participated in the study. Pre-menstrual SCAT score (40.0±19.6) was higher than post-menstrual SCAT score (32.1±19.4), t(91)=4.82, p<0.001. Mean PSS-10 score was also higher before menstruation (22.8±6.2) than after menstruation (17.5±6.1), t(91)=6.26, p<0.001. There was no significant difference in mean sugar craving scores of different stress categories, either during pre-menses [F(2,90)=1.39, p=0.256] or post-menses [F(2,90)=0.89, p=0.415]. Conclusion: The findings indicate that levels of sugar craving and stress were higher during pre-menstrual phase compared to post-menstrual phase in young adults. However, whether sugar cravings are linked to stress during the menstrual cycle is inconclusive and requires further investigation.","PeriodicalId":18207,"journal":{"name":"Malaysian Journal of Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42199859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-07DOI: 10.31246/mjn-2023-29-2-rni-rda-sea-review
E. Tee, R. Florentino, N. Chongviriyaphan, Hardinsyah Ridwan, M. Appukutty, Truong Tuyet Mai
This review summarises the officially published recommended energy and nutrient intake values in five Southeast Asia (SEA) countries namely Indonesia, Malaysia, Philippines, Thailand and Vietnam. The background information, general approaches and references used for setting up recommendations and the recommended intakes levels for energy, protein, fat and carbohydrate, dietary fibre, sugars,14 vitamins and 15 minerals of these countries were tabulated and compared. The recommended intake values show remarkable similarities in terms of approaches and principles taken, as well as references used as the basis for the recommendations development and the application of the recommendations in respective country. There are nevertheless some differences in age groupings, reference height and weight used, as well as the final recommendations of the intake levels for some nutrients, after adjustment to suit local situations. All five countries had provided recommendations in terms of recommended nutrient intakes (RNI) or recommended dietary allowance (RDA) for almost all the nutrients. Due to the limited availability of local data and resources, countries in the region have referred to several references, including those from Food and Agriculture Organization/World Health Organization (FAO/WHO) consultation report and recommendations from research organisations in United States and Europe and adapted the values for local uses. Opportunities should be created to enable closer dialogue and collaboration regarding future developments in nutrient recommendations for populations in the region. These could include consideration of establishing more appropriate nutrient recommendations and the call for setting up harmonised approaches to establishing recommended nutrient intake values for the region.
{"title":"Review of recommended energy and nutrient intake values in Southeast Asian countries","authors":"E. Tee, R. Florentino, N. Chongviriyaphan, Hardinsyah Ridwan, M. Appukutty, Truong Tuyet Mai","doi":"10.31246/mjn-2023-29-2-rni-rda-sea-review","DOIUrl":"https://doi.org/10.31246/mjn-2023-29-2-rni-rda-sea-review","url":null,"abstract":"This review summarises the officially published recommended energy and nutrient intake values in five Southeast Asia (SEA) countries namely Indonesia, Malaysia, Philippines, Thailand and Vietnam. The background information, general approaches and references used for setting up recommendations and the recommended intakes levels for energy, protein, fat and carbohydrate, dietary fibre, sugars,14 vitamins and 15 minerals of these countries were tabulated and compared. The recommended intake values show remarkable similarities in terms of approaches and principles taken, as well as references used as the basis for the recommendations development and the application of the recommendations in respective country. There are nevertheless some differences in age groupings, reference height and weight used, as well as the final recommendations of the intake levels for some nutrients, after adjustment to suit local situations. All five countries had provided recommendations in terms of recommended nutrient intakes (RNI) or recommended dietary allowance (RDA) for almost all the nutrients. Due to the limited availability of local data and resources, countries in the region have referred to several references, including those from Food and Agriculture Organization/World Health Organization (FAO/WHO) consultation report and recommendations from research organisations in United States and Europe and adapted the values for local uses. Opportunities should be created to enable closer dialogue and collaboration regarding future developments in nutrient recommendations for populations in the region. These could include consideration of establishing more appropriate nutrient recommendations and the call for setting up harmonised approaches to establishing recommended nutrient intake values for the region.","PeriodicalId":18207,"journal":{"name":"Malaysian Journal of Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43860936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Boyke Mulyana, Asti Dewi Rahayu Fitrianingsih, S. Syihab, Novrizal Achmad Novan
Introduction: Changes in our bodies can cause several problems, particularly for students who are concerned about maintaining an ideal body shape. Many of them try to diet, but their body returns to its previous weight or even increases in weight. Thus, this study aimed to determine the factors that influence the incidence of weight cycling in Indonesian students during the COVID-19 pandemic. Methods: This cross-sectional study used purposive sampling to collect data. Three hundred college students from West Java province, Indonesia, participated. Weight cycling was the dependent variable and the independent variables were physical activity, sex, and weight management. Multivariate logistic regression analysis was used to determine the factors influencing the incidence of weight cycling. Results: Sex, physical activity, skipping meals, and snacking were determinants related to weight cycling incidence. Females had a 0.7 times higher risk of experiencing weight cycling than males. Inactive students were 4.7 times more likely to become weight cyclers, and those who rarely skipped mealtime had lower risk of being weight cyclers. Students who sometimes and always consumed snacks had higher risk of becoming weight cyclers by 3.3 and 2.7 times, respectively, compared to those who rarely consumed snacks. Conclusion: Regular physical activity, not skipping meals, especially breakfast, and practising a healthy diet every day are recommended strategies to avoid weight cycling during a pandemic.
{"title":"Weight cycling among Indonesian college students in West Java province during the COVID-19 pandemic","authors":"Boyke Mulyana, Asti Dewi Rahayu Fitrianingsih, S. Syihab, Novrizal Achmad Novan","doi":"10.31246/mjn-2021-0125","DOIUrl":"https://doi.org/10.31246/mjn-2021-0125","url":null,"abstract":"Introduction: Changes in our bodies can cause several problems, particularly for students who are concerned about maintaining an ideal body shape. Many of them try to diet, but their body returns to its previous weight or even increases in weight. Thus, this study aimed to determine the factors that influence the incidence of weight cycling in Indonesian students during the COVID-19 pandemic. Methods: This cross-sectional study used purposive sampling to collect data. Three hundred college students from West Java province, Indonesia, participated. Weight cycling was the dependent variable and the independent variables were physical activity, sex, and weight management. Multivariate logistic regression analysis was used to determine the factors influencing the incidence of weight cycling. Results: Sex, physical activity, skipping meals, and snacking were determinants related to weight cycling incidence. Females had a 0.7 times higher risk of experiencing weight cycling than males. Inactive students were 4.7 times more likely to become weight cyclers, and those who rarely skipped mealtime had lower risk of being weight cyclers. Students who sometimes and always consumed snacks had higher risk of becoming weight cyclers by 3.3 and 2.7 times, respectively, compared to those who rarely consumed snacks. Conclusion: Regular physical activity, not skipping meals, especially breakfast, and practising a healthy diet every day are recommended strategies to avoid weight cycling during a pandemic.","PeriodicalId":18207,"journal":{"name":"Malaysian Journal of Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46893862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anna Fitriani, A. Setiarini, Engkus Kusdinar Ahmad, Desiani Rizki Purwaningtyas, F. Fitria
Introduction: For athletes, an excessive increase in blood urea nitrogen (BUN) after multiple endurance exercises indicates muscle glycogen depletion that induces a diminution in performance. Our study aimed to examine the efficacy of chocolate milk (CM) compared with carbohydrate-protein replacement drink (CHOPRO) in suppressing the increase in BUN level following multiple rowing exercises among national male rowing athletes aged 18–23 years. Methods: Seven male athletes from the Rowing National Training Centre, Pengalengan, West Java, participated in this single-blind, randomised crossover study. They received CM or CHOPRO during four hours of recovery between two endurance exercises. Before (pre) and after (post) multiple exercises, a venous blood sample was collected to measure the increase in BUN level. The effects of each beverage on BUN level were compared using an independent t-test. Results: The increase in pre-post BUN level was significantly lower for CM trial compared to CHOPRO trial (164.0±61.3 mmol/L vs 293.5±88.3 mmol/L, p=0.012). Conclusion: It was observed that CM reduced rate of increase in BUN level following multiple rowing exercises. Thus, CM can be useful for athletes during intense training regimen with multiple exercise sessions. Future studies should investigate the effect of CM in various types of sports, using convenient, non-invasive, and real-time measurement.
对于运动员来说，多次耐力训练后血尿素氮(BUN)的过度增加表明肌肉糖原消耗，导致成绩下降。我们的研究旨在检验巧克力牛奶(CM)与碳水化合物-蛋白质替代饮料(CHOPRO)在抑制18-23岁国家男子赛艇运动员多次划船运动后BUN水平升高的功效。方法:来自西爪哇省彭达伦干赛艇国家训练中心的7名男性运动员参加了这项单盲、随机交叉研究。他们在两次耐力训练之间的四个小时内接受CM或CHOPRO的恢复。在多次运动前(前)和后(后)采集静脉血，测定BUN水平的升高。采用独立t检验比较各饮料对BUN水平的影响。结果:与CHOPRO组相比，CM组血清BUN升高(164.0±61.3 mmol/L vs 293.5±88.3 mmol/L, p=0.012)明显低于CHOPRO组。结论:观察到CM降低了多次划船运动后BUN水平的增加速率。因此，CM可用于运动员在高强度训练方案与多个运动会话。未来的研究应该使用方便、无创和实时的测量方法来研究CM在各种运动中的作用。
{"title":"Effects of chocolate milk consumption on muscle recovery following rowing exercise: A randomised crossover study","authors":"Anna Fitriani, A. Setiarini, Engkus Kusdinar Ahmad, Desiani Rizki Purwaningtyas, F. Fitria","doi":"10.31246/mjn-2022-0086","DOIUrl":"https://doi.org/10.31246/mjn-2022-0086","url":null,"abstract":"Introduction: For athletes, an excessive increase in blood urea nitrogen (BUN) after multiple endurance exercises indicates muscle glycogen depletion that induces a diminution in performance. Our study aimed to examine the efficacy of chocolate milk (CM) compared with carbohydrate-protein replacement drink (CHOPRO) in suppressing the increase in BUN level following multiple rowing exercises among national male rowing athletes aged 18–23 years. Methods: Seven male athletes from the Rowing National Training Centre, Pengalengan, West Java, participated in this single-blind, randomised crossover study. They received CM or CHOPRO during four hours of recovery between two endurance exercises. Before (pre) and after (post) multiple exercises, a venous blood sample was collected to measure the increase in BUN level. The effects of each beverage on BUN level were compared using an independent t-test. Results: The increase in pre-post BUN level was significantly lower for CM trial compared to CHOPRO trial (164.0±61.3 mmol/L vs 293.5±88.3 mmol/L, p=0.012). Conclusion: It was observed that CM reduced rate of increase in BUN level following multiple rowing exercises. Thus, CM can be useful for athletes during intense training regimen with multiple exercise sessions. Future studies should investigate the effect of CM in various types of sports, using convenient, non-invasive, and real-time measurement.","PeriodicalId":18207,"journal":{"name":"Malaysian Journal of Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46448251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nurul Fatihah Mohd Fauzi, S. W. Wafa, N. B. Raj, Mohd Ibrahim Abdullah, Norkhairani Abdul Rawi, N. M. Hassan, Rohayah Husain
Introduction: Intervention approaches that integrate human coaching into technology are considered as a convenient, accessible and scalable method to reach a larger population at risk. The objective of this paper is to present the protocol for a randomised controlled trial that evaluates the efficacy of a lifestyle intervention programme via a mobile phone app (MyDiPP), which aims to prevent diabetes among adults at risk of developing diabetes. Methods: MyDiPP intervention is to be delivered for 12 months with multiple approaches (weight loss, dietary modification, physical activity, and quality of life). Eligible adults aged 18-65 years, overweight/obese (body mass index, BMI ≥ 23kg/m2), and at high risk of type 2 diabetes [American Diabetes Association (ADA) Diabetes Risk Score ≥5, or haemoglobin A1c (HbA1c) of 5.6-6.2%], will be randomly assigned to one of two study groups (intervention or usual care control groups) in a 1:1 ratio using simple randomisation. Results: Changes in weight and HbA1c level (primary outcomes), and changes in physical activity level, dietary intake, and quality of life (secondary outcomes) will be assessed at 6 and 12 months. Conclusion: This study protocol describes the first digital therapy for diabetes prevention in Malaysia, which will determine whether the effect of this intervention is larger than the effect of usual care in reducing body weight and HbA1c level, and improving dietary intake, physical activity, and quality of life of high-risk individuals. Results from this trial may be useful for preventing type 2 diabetes mellitus in Malaysia.
{"title":"Diabetes prevention through digital therapy for highrisk individuals: Study protocol for the Malaysia Diabetes Prevention Programme (MyDiPP)","authors":"Nurul Fatihah Mohd Fauzi, S. W. Wafa, N. B. Raj, Mohd Ibrahim Abdullah, Norkhairani Abdul Rawi, N. M. Hassan, Rohayah Husain","doi":"10.31246/mjn-2022-0015","DOIUrl":"https://doi.org/10.31246/mjn-2022-0015","url":null,"abstract":"Introduction: Intervention approaches that integrate human coaching into technology are considered as a convenient, accessible and scalable method to reach a larger population at risk. The objective of this paper is to present the protocol for a randomised controlled trial that evaluates the efficacy of a lifestyle intervention programme via a mobile phone app (MyDiPP), which aims to prevent diabetes among adults at risk of developing diabetes. Methods: MyDiPP intervention is to be delivered for 12 months with multiple approaches (weight loss, dietary modification, physical activity, and quality of life). Eligible adults aged 18-65 years, overweight/obese (body mass index, BMI ≥ 23kg/m2), and at high risk of type 2 diabetes [American Diabetes Association (ADA) Diabetes Risk Score ≥5, or haemoglobin A1c (HbA1c) of 5.6-6.2%], will be randomly assigned to one of two study groups (intervention or usual care control groups) in a 1:1 ratio using simple randomisation. Results: Changes in weight and HbA1c level (primary outcomes), and changes in physical activity level, dietary intake, and quality of life (secondary outcomes) will be assessed at 6 and 12 months. Conclusion: This study protocol describes the first digital therapy for diabetes prevention in Malaysia, which will determine whether the effect of this intervention is larger than the effect of usual care in reducing body weight and HbA1c level, and improving dietary intake, physical activity, and quality of life of high-risk individuals. Results from this trial may be useful for preventing type 2 diabetes mellitus in Malaysia.","PeriodicalId":18207,"journal":{"name":"Malaysian Journal of Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48158265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Milflor S. Gonzales, Idelia G. Glorioso, C. Navarro, Theresa Krista B. Jolejole
Introduction: This study entailed the process of developing an online questionnaire to determine awareness, knowledge, attitude and self-efficacy (AKAS) on healthy eating for nutrition education. Currently, there is no local validated questionnaire that can be used to assess AKAS on healthy eating among Filipino adults. Methods: The study developed the questionnaire based on theoretical frameworks and literature review. The draft questionnaire underwent three stages of development: (1) online modified Delphi technique composing of seven subject matter experts (SME) for content validity; (2) online cognitive debriefing with 32 participants (14 nutrition experts and 18 general public) for construct validity; and (3) online pre-testing with 35 participants (non-nutritionists) using test-retest method. Results: For first stage, the questionnaire contained 16 questions for awareness, 17 questions for knowledge, 17 questions for attitude, and 15 questions for self-efficacy. For second stage, significantly different scores (p-value<0.00) between nutritionist experts and general public were observed, showing good construct validity. For third stage, Spearman’s correlation of test-retest method was 0.640. The questionnaire yielded Cronbach’s alpha of 0.467 to 0.923 (round 1) and 0.435 to 0.923 (round 2). A second analysis was done to improve the internal consistency of the questionnaire. By combining two question categories (awareness and knowledge), the Cronbach’s alpha increased to 0.659 (round 2), and by deleting three questions in attitude category, the Cronbach’s alpha improved to 0.626 (round 2). Conclusion: The process used ensured the questionnaire’s validity and reliability. Hence, this online questionnaire may be adopted by parties interested in developing and assessing nutrition education
{"title":"Validity and reliability of online questionnaire on awareness, knowledge, attitude and self-efficacy (AKAS) on healthy eating for nutrition education and promotion","authors":"Milflor S. Gonzales, Idelia G. Glorioso, C. Navarro, Theresa Krista B. Jolejole","doi":"10.31246/mjn-2021-0099","DOIUrl":"https://doi.org/10.31246/mjn-2021-0099","url":null,"abstract":"Introduction: This study entailed the process of developing an online questionnaire to determine awareness, knowledge, attitude and self-efficacy (AKAS) on healthy eating for nutrition education. Currently, there is no local validated questionnaire that can be used to assess AKAS on healthy eating among Filipino adults. Methods: The study developed the questionnaire based on theoretical frameworks and literature review. The draft questionnaire underwent three stages of development: (1) online modified Delphi technique composing of seven subject matter experts (SME) for content validity; (2) online cognitive debriefing with 32 participants (14 nutrition experts and 18 general public) for construct validity; and (3) online pre-testing with 35 participants (non-nutritionists) using test-retest method. Results: For first stage, the questionnaire contained 16 questions for awareness, 17 questions for knowledge, 17 questions for attitude, and 15 questions for self-efficacy. For second stage, significantly different scores (p-value<0.00) between nutritionist experts and general public were observed, showing good construct validity. For third stage, Spearman’s correlation of test-retest method was 0.640. The questionnaire yielded Cronbach’s alpha of 0.467 to 0.923 (round 1) and 0.435 to 0.923 (round 2). A second analysis was done to improve the internal consistency of the questionnaire. By combining two question categories (awareness and knowledge), the Cronbach’s alpha increased to 0.659 (round 2), and by deleting three questions in attitude category, the Cronbach’s alpha improved to 0.626 (round 2). Conclusion: The process used ensured the questionnaire’s validity and reliability. Hence, this online questionnaire may be adopted by parties interested in developing and assessing nutrition education","PeriodicalId":18207,"journal":{"name":"Malaysian Journal of Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41990252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Consistent with the Sustainable Development Goal 17 highlighting partnership to achieve development, this study demonstrated the convergence among government, industry and academe in carrying out a nutrition intervention to improve the nutritional status, knowledge, attitude and behaviour of school community (school children and mothers). Methods: A school-based intervention study comprising of school lunch feeding and nutrition lessons was conducted. Quasi-experimental design was used in the intervention research. Data were analysed using Stata 12.0. Descriptive statistics were generated using the survey module (svy) of Stata. The food and nutrition intervention mix composed of the governmentpartner School Feeding Programme (SFP) and the nutrition education campaign. The government-partner SFP involved lunch feeding of 7 to 9 years old students based on the standardised Pinggang Pinoy® recipes. The government-partner nutrition education component involved teaching of the developed modules to students and their mothers. Results: The intervention resulted in improvements in nutritional status, knowledge, attitude and behaviour of students. Investing an average of Php 15.00 or USD 0.29 (as of 2017) in a school feeding programme following the government-partner food and nutrition intervention mix improved nutritional status and shifted the number of underweight children to normal nutritional status by 25.3% after 120 feeding days. This intervention was implemented through a multisectoral collaboration during the pre-implementation, implementation, and post-implementation phases of the study. Conclusion: Partnerships among stakeholders provided the context towards healthier children as demonstrated by improved nutritional status, knowledge, attitude and behaviour of participants.
{"title":"Government-Industry-Academia Alliance: A multisectoral collaboration for improved nutrition of children and well-being of mothers","authors":"Divorah V Aguila, Julieta B Dorado, M. Capanzana","doi":"10.31246/mjn-2022-0019","DOIUrl":"https://doi.org/10.31246/mjn-2022-0019","url":null,"abstract":"Introduction: Consistent with the Sustainable Development Goal 17 highlighting partnership to achieve development, this study demonstrated the convergence among government, industry and academe in carrying out a nutrition intervention to improve the nutritional status, knowledge, attitude and behaviour of school community (school children and mothers). Methods: A school-based intervention study comprising of school lunch feeding and nutrition lessons was conducted. Quasi-experimental design was used in the intervention research. Data were analysed using Stata 12.0. Descriptive statistics were generated using the survey module (svy) of Stata. The food and nutrition intervention mix composed of the governmentpartner School Feeding Programme (SFP) and the nutrition education campaign. The government-partner SFP involved lunch feeding of 7 to 9 years old students based on the standardised Pinggang Pinoy® recipes. The government-partner nutrition education component involved teaching of the developed modules to students and their mothers. Results: The intervention resulted in improvements in nutritional status, knowledge, attitude and behaviour of students. Investing an average of Php 15.00 or USD 0.29 (as of 2017) in a school feeding programme following the government-partner food and nutrition intervention mix improved nutritional status and shifted the number of underweight children to normal nutritional status by 25.3% after 120 feeding days. This intervention was implemented through a multisectoral collaboration during the pre-implementation, implementation, and post-implementation phases of the study. Conclusion: Partnerships among stakeholders provided the context towards healthier children as demonstrated by improved nutritional status, knowledge, attitude and behaviour of participants.","PeriodicalId":18207,"journal":{"name":"Malaysian Journal of Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48096811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Linkon, Nur-E-Safa Meem, Ssm. Habibullah Noory, Md. Hanif Hossain, Rehnova Mustafa Nitu, Md. Faridul Islam, M. Shyfullah, Sharmin Jalil, Md Abdul Alim
Introduction: Obesity in childhood is a major cause for developing cardiovascular diseases (CVD) at adulthood. The present study was a cross-sectional research aimed to examine the relationship between childhood obesity and dietary pattern with CVD in patients (n=100) from Tangail City, Bangladesh. Methods: Dietary patterns, laboratory tests, demographic, and anthropometric interrelated data were measured in patients with stroke and heart attack from five hospitals. The research also used 24-hour recall method and a food frequency questionnaire for assessing daily energy and macronutrient intakes. Results: Weight (p=0.004), body mass index (BMI) (p=0.001), mid-upper arm circumference (MUAC) (p=0.009), and waist circumference (WC) (p=0.030) was significantly different between males and females whereas lipid profile was not significantly different between genders. There were no significant associations between intakes of red meat, salt, fast food, fish, egg, nuts and seeds with heart attack and stroke. On the contrary, there were significant associations between fried food intake with heart attack and stroke (p=0.080 and p=0.020). The results indicated that there was a significant relationship between carbohydrate (p=0.001), protein (p=0.001), and fat (p=0.001) intakes with the total energy intake of respondents. The findings also showed that there was a significant relationship between carbohydrate (p=0.003), protein (p=0.001), and fat (p=0.001) intakes with body mass index of the respondents. Conclusion: CVD diagnosis in adult patients was found to be associated with fried food intake but not with childhood obesity.
{"title":"Association of dietary pattern and childhood obesity with cardiovascular disease in patients from Tangail city, Bangladesh","authors":"K. Linkon, Nur-E-Safa Meem, Ssm. Habibullah Noory, Md. Hanif Hossain, Rehnova Mustafa Nitu, Md. Faridul Islam, M. Shyfullah, Sharmin Jalil, Md Abdul Alim","doi":"10.31246/mjn-2022-0063","DOIUrl":"https://doi.org/10.31246/mjn-2022-0063","url":null,"abstract":"Introduction: Obesity in childhood is a major cause for developing cardiovascular diseases (CVD) at adulthood. The present study was a cross-sectional research aimed to examine the relationship between childhood obesity and dietary pattern with CVD in patients (n=100) from Tangail City, Bangladesh. Methods: Dietary patterns, laboratory tests, demographic, and anthropometric interrelated data were measured in patients with stroke and heart attack from five hospitals. The research also used 24-hour recall method and a food frequency questionnaire for assessing daily energy and macronutrient intakes. Results: Weight (p=0.004), body mass index (BMI) (p=0.001), mid-upper arm circumference (MUAC) (p=0.009), and waist circumference (WC) (p=0.030) was significantly different between males and females whereas lipid profile was not significantly different between genders. There were no significant associations between intakes of red meat, salt, fast food, fish, egg, nuts and seeds with heart attack and stroke. On the contrary, there were significant associations between fried food intake with heart attack and stroke (p=0.080 and p=0.020). The results indicated that there was a significant relationship between carbohydrate (p=0.001), protein (p=0.001), and fat (p=0.001) intakes with the total energy intake of respondents. The findings also showed that there was a significant relationship between carbohydrate (p=0.003), protein (p=0.001), and fat (p=0.001) intakes with body mass index of the respondents. Conclusion: CVD diagnosis in adult patients was found to be associated with fried food intake but not with childhood obesity.","PeriodicalId":18207,"journal":{"name":"Malaysian Journal of Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46037735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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