1
|
Abdul Wahab P, Mohd Yusoff D, Abdul Kadir A, Ali SH, Yeong Yeh L. Prevalence, Symptoms, and Associated Factors of Chronic Constipation Among Older Adults in North-East of Peninsular Malaysia. Clin Nurs Res 2021; 31:348-355. [PMID: 34340590 DOI: 10.1177/10547738211033934] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
This study aimed to determine the prevalence, symptoms, and associated factors of chronic constipation among older adults in the North-East of Peninsular Malaysia. A cross-sectional study was conducted among older patients from four health clinics. A total of 400 older patients participated, with a mean age of 68.7 (SD = 6.4) years. The prevalence of chronic constipation was 14.8%. The highest symptom reported was the inability to pass stool (98.3%). Chronic constipation was significantly associated with older age (OR = 2.97; 95% CI [1.17, 7.54]; p = .022), inadequate plain water intake per day (OR = 2.13; 95% CI [1.13, 4.02]; p = .020), hypertension (OR = 2.22; 95% CI [1.07, 4.61]; p = .033), and hyperlipidemia (OR = 2.52; 95% CI [1.24, 5.11]; p = .010). Identification of chronic constipation should be done as part of routine clinic visits, especially for older patients with cardiovascular disease.
Collapse
Affiliation(s)
| | | | | | - Siti Hawa Ali
- Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
| | - Lee Yeong Yeh
- Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia.,Gut Research Group, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.,St George & Sutherland Clinical School, University of New South Wales, Sydney, Australia
| |
Collapse
|
2
|
Baharudin@Shaharuddin A, Abdul Aziz NS, Ahmad MH, Manjit Singh JS, Chan YY, Palaniveloo L, Kee CC, Zulkafly N, Ibrahim Wong N, Salleh R, Selamat R. Abdominal obesity and its associated factors among older adults in Malaysia. Geriatr Gerontol Int 2020; 20 Suppl 2:68-72. [DOI: 10.1111/ggi.13962] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2020] [Revised: 04/30/2020] [Accepted: 05/16/2020] [Indexed: 02/02/2023]
Affiliation(s)
- Azli Baharudin@Shaharuddin
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia Selangor Malaysia
| | - Nur Shahida Abdul Aziz
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia Selangor Malaysia
| | - Mohamad Hasnan Ahmad
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia Selangor Malaysia
| | | | - Ying Ying Chan
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia Selangor Malaysia
| | - Lalitha Palaniveloo
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia Selangor Malaysia
| | - Chee Cheong Kee
- Sector for Biostatistics & Data Repository, Research Policy and Planning Division, National Institutes of Health, Ministry of Health Malaysia Selangor Malaysia
| | - Norlida Zulkafly
- Nutrition Division Ministry of Health Malaysia Putrajaya Malaysia
| | - Norazizah Ibrahim Wong
- Sector for Biostatistics & Data Repository, Research Policy and Planning Division, National Institutes of Health, Ministry of Health Malaysia Selangor Malaysia
| | - Ruhaya Salleh
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia Selangor Malaysia
| | - Rusidah Selamat
- Nutrition Division Ministry of Health Malaysia Putrajaya Malaysia
| |
Collapse
|
3
|
Prevalence of obesity and its associated risk factors among the elderly in Malaysia: Findings from The National Health and Morbidity Survey (NHMS) 2015. PLoS One 2020; 15:e0238566. [PMID: 32915860 PMCID: PMC7486079 DOI: 10.1371/journal.pone.0238566] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2019] [Accepted: 08/19/2020] [Indexed: 11/19/2022] Open
Abstract
Background Obesity is a crucial public health problem and is rising globally. This study was conducted to determine the prevalence of obesity and its associated factors among the elderly in Malaysia. Methods Data were obtained from the National Health and Morbidity Survey (NHMS) 2015. This was a cross sectional population-based study using a two stage stratified random sampling design. Elderly population aged 60 years and above was selected. Data were collected using pre-tested self-administered questionnaire in the form of sociodemographic profile, non-communicable diseases (NCD) comorbidities (status on hypertension, diabetes and hypercholesterolemia) and NCD risk factors (current smoker and physical activity). Obesity has been defined using the World Health Organization (WHO) Body Mass Index (BMI) guideline, 1998. A complex sampling design analysis was used for the descriptive statistics. The associated risk factors for obesity were identified using Multiple Logistic Regression analysis. Results A total of 3794 respondents were included in this study. The prevalence of obesity among Malaysian elderly was 30.2%. The prevalence of obesity among the elderly was significantly higher in females, respondents from urban areas and Indians. Approximately one third of the elderly with non-communicable diseases such as hypertension (33.1%) and diabetes (38.8%), respectively, were obese. Among elderly who were obese, majority of them (89.8%) had at least one NCD. The prevalence of obesity was 16.8% among current smokers (aOR 0.59). Multiple logistic regression analysis revealed that elderly females (aOR [adjusted odds ratio] 1.52), having secondary education (aOR 1.96) with household income of RM 3000 and above (aOR 1.57) as well as being hypertensive (aOR 1.61) and diabetic (aOR 1.50) were more likely to be obese. In contrast, the Chinese elderly respondents (aOR 0.62) and current smokers (aOR 0.59) were less likely to be obese. There were no significant associations of obesity with hypercholesterolemia or with physical activity. Conclusions A substantial proportion of Malaysian elderly were obese, and factors associated with obesity among them were being female, having secondary education with a household income of RM 3000 and above and being hypertensive or diabetic. Enhanced health promotion and education should be targeted at younger people in order to prevent obesity in the later years.
Collapse
|
4
|
Mohamad Nor NS, Ambak R, Mohd Zaki N, Abdul Aziz NS, Cheong SM, Abd Razak MA, Yusof M, Ahmad MH, Baharuddin A, Megat Radzi MR, Wan Kozil WNK, Ishak IH, Aris T. An update on obesity research pattern among adults in Malaysia: a scoping review. BMC WOMENS HEALTH 2018; 18:114. [PMID: 30066661 PMCID: PMC6069511 DOI: 10.1186/s12905-018-0590-4] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Background Obesity is a global health burden in the non-communicable diseases and much efforts have been implemented in the past decade in response to the rise of obesity prevalence among the Malaysian population. These include the development of the national policies, health programmes and research activities. The main aim of the scoping review was to identify obesity research pattern among adults in Malaysia in terms of the scopes, topics and the research designs. Methods The scoping review was conducted based on the framework by Arksey and O’Malley. The Preferred Reporting Items for Systematic Reviews and Meta Analysis (PRISMA) diagram was used as a guide to record the review process. Articles from year 2008 until 2017 on overweight and obesity among adults aged 18 years and above were retrieved based on the keywords using electronic databases (Embase/Ovid, Pubmed, Cochrane library and Google Scholar). Local journals, Nutrition Research in Malaysia Biblography (2011 and 2016), online local theses databases, virtual library databases were also included in the searches. Consultations with relevant key informants from the National Institutes of Health and local universities were also conducted. Search activities were managed using Endnote software and MS Excelsheet. Results The characteristics of the results were described based on the objectives of the review. A total of 2004 articles and reports were retrieved, and 188 articles related to obesity in Malaysia were included in the final review. Scopes and topics of obesity research based on the Nutrition Research Priorities in Malaysia (NRPM) for 11th Malaysia Plan were obesity prevalence, weight loss intervention, association of physical activities and dietary factors with obesity. The majority of obesity research among adults in Malaysia was cross sectional studies and only a small number of intervention studies, qualitative studies and systematic review were indentified. Research gaps were identified in order to make useful recommendations to the stakeholders. Conclusions In the past decade, there has been an emerging evidence on obesity research among adults in Malaysia. More obesity research needs to be conducted particularly on obesity intervention among specific gender, qualitative studies, economic cost and genetic factors of obesity. Electronic supplementary material The online version of this article (10.1186/s12905-018-0590-4) contains supplementary material, which is available to authorized users.
Collapse
Affiliation(s)
- Noor Safiza Mohamad Nor
- Institute for Public Health, National Institutes for Health, Ministry of Health Malaysia, Kuala Lumpur, Malaysia.
| | - Rashidah Ambak
- Institute for Public Health, National Institutes for Health, Ministry of Health Malaysia, Kuala Lumpur, Malaysia
| | - Norazian Mohd Zaki
- Institute for Public Health, National Institutes for Health, Ministry of Health Malaysia, Kuala Lumpur, Malaysia
| | - Nur Shahida Abdul Aziz
- Institute for Public Health, National Institutes for Health, Ministry of Health Malaysia, Kuala Lumpur, Malaysia
| | - Siew Man Cheong
- Institute for Public Health, National Institutes for Health, Ministry of Health Malaysia, Kuala Lumpur, Malaysia
| | - Mohamad Aznuddin Abd Razak
- Institute for Public Health, National Institutes for Health, Ministry of Health Malaysia, Kuala Lumpur, Malaysia
| | - Muslimah Yusof
- Institute for Public Health, National Institutes for Health, Ministry of Health Malaysia, Kuala Lumpur, Malaysia
| | - Mohamad Hasnan Ahmad
- Institute for Public Health, National Institutes for Health, Ministry of Health Malaysia, Kuala Lumpur, Malaysia
| | - Azli Baharuddin
- Institute for Public Health, National Institutes for Health, Ministry of Health Malaysia, Kuala Lumpur, Malaysia
| | - Megat Rusydi Megat Radzi
- Institute for Public Health, National Institutes for Health, Ministry of Health Malaysia, Kuala Lumpur, Malaysia
| | | | - Intan Hafizah Ishak
- Institute for Public Health, National Institutes for Health, Ministry of Health Malaysia, Kuala Lumpur, Malaysia
| | - Tahir Aris
- Institute for Public Health, National Institutes for Health, Ministry of Health Malaysia, Kuala Lumpur, Malaysia
| |
Collapse
|
5
|
Mak KK, Rathinasabapathy T, Sankaran S, Kandasamy M, Ling ECW, Balijepalli MK, Sagineedu SR, Pichika MR. Edible foxtail millet flour stabilises and retain the in vitro
activity of blueberry bioactive components. Int J Food Sci Technol 2018. [DOI: 10.1111/ijfs.13762] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Affiliation(s)
- Kit-Kay Mak
- School of Postgraduate Studies and Research; International Medical University; 126 Jalan Jalil Perkasa 19 Bukit Jalil 57000 Kuala Lumpur Malaysia
| | - Thirumurugan Rathinasabapathy
- Department of Pharmaceutical Chemistry; School of Pharmacy; International Medical University; 126 Jalan Jalil Perkasa 19 Bukit Jalil 57000 Kuala Lumpur Malaysia
| | - Shanta Sankaran
- School of Pharmacy; International Medical University; 126 Jalan Jalil Perkasa 19 Bukit Jalil 57000 Kuala Lumpur Malaysia
| | - Murugesh Kandasamy
- Department of Pharmaceutical Chemistry; School of Pharmacy; International Medical University; 126 Jalan Jalil Perkasa 19 Bukit Jalil 57000 Kuala Lumpur Malaysia
| | - Elaine Chan Wan Ling
- Institute for Research, Development and Innovation; International Medical University; 126 Jalan Jalil Perkasa 19 Bukit Jalil 57000 Kuala Lumpur Malaysia
| | - Madhu Katyayani Balijepalli
- Department of Pharmacology; Faculty of Medicine; MAHSA University; Jln SP 2, Bandar Saujana Putra Jenjarom 42610 Selangor Malaysia
| | - Sreenivasa Rao Sagineedu
- Department of Pharmaceutical Chemistry; School of Pharmacy; International Medical University; 126 Jalan Jalil Perkasa 19 Bukit Jalil 57000 Kuala Lumpur Malaysia
| | - Mallikarjuna Rao Pichika
- Department of Pharmaceutical Chemistry; School of Pharmacy; International Medical University; 126 Jalan Jalil Perkasa 19 Bukit Jalil 57000 Kuala Lumpur Malaysia
| |
Collapse
|
6
|
Zhang H, Xu H, Song F, Xu W, Pallard-Borg S, Qi X. Relation of socioeconomic status to overweight and obesity: a large population-based study of Chinese adults. Ann Hum Biol 2017; 44:495-501. [PMID: 28482732 DOI: 10.1080/03014460.2017.1328072] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
BACKGROUND China has been going through significant changes in social and economical aspects and with great socioeconomic disparity in different regions. However, data on the association between socioeconomic status (SES) and obesity are not available in Tianjin, China. AIM This study aimed to investigate the association between SES and high adiposity among the adult population in Tianjin. SUBJECTS AND METHODS A total of 7351 individuals aged 20-79 were included in this study. Socioeconomic information was collected through an interview following a structured questionnaire. Waist circumference, body weight and height were measured following standard procedures. Overweight and obesity were defined according to the criteria of the Working Group on Obesity in China. Data were analysed using multinomial logistic regression with adjustment for potential confounders. RESULTS Stratified analysis showed that higher monthly income and education were related to decreased odds of abdominal overweight/obesity in women, while high education was associated with increased odds of general overweight/obesity in men. Retirement increased the odds of abdominal overweight and obesity and non-manual work was associated with low odds of abdominal obesity in women. CONCLUSIONS SES was associated with general and abdominal overweight/obesity and sex may play a role in such an association.
Collapse
Affiliation(s)
- Hua Zhang
- a Department of Epidemiology and Biostatistics, School of Public Health , Tianjin Medical University , Tianjin , PR China.,b School of Nursing , Tianjin Medical University , Tianjin , PR China
| | - Hui Xu
- a Department of Epidemiology and Biostatistics, School of Public Health , Tianjin Medical University , Tianjin , PR China
| | - Fei Song
- a Department of Epidemiology and Biostatistics, School of Public Health , Tianjin Medical University , Tianjin , PR China
| | - Weili Xu
- a Department of Epidemiology and Biostatistics, School of Public Health , Tianjin Medical University , Tianjin , PR China.,c Aging Research Center , Karolinska Institute and Stockholm University , Stockholm , Sweden
| | - Stephanie Pallard-Borg
- d Department of Medicine and Public Health , Red Cross University College , Stockholm , Sweden
| | - Xiuying Qi
- a Department of Epidemiology and Biostatistics, School of Public Health , Tianjin Medical University , Tianjin , PR China
| |
Collapse
|
7
|
Costa CDS, Schneider BC, Cesar JA. [General and abdominal obesity among the elderly from Southern Brazil: results of the HOW ARE YOU DOING? (COMO VAI?) study]. CIENCIA & SAUDE COLETIVA 2016; 21:3585-3596. [PMID: 27828591 DOI: 10.1590/1413-812320152111.02492016] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2015] [Accepted: 05/06/2016] [Indexed: 11/22/2022] Open
Abstract
This is a cross-sectional population-based study aimed to measure the prevalence and to identify associated factors with the occurrence of general and abdominal obesity among the elderly living in the urban area of Pelotas, State of Rio Grande do Sul. The process of cluster sampling was conducted in two stages. Overall obesity was defined by Body Mass Index (BMI) from measurements of weight and height estimated by knee height. Obesity was considered when BMI was ≥ 30 kg/m2. Abdominal obesity was evaluated by waist circumference, being considered obese when it was > 102 cm for men and > 88 cm for women. The crude and adjusted analyses were performed using Poisson regression. The prevalence of obesity was 29.9% (CI95%: 27.5-32.4) and abdominal obesity, 50.4% (CI95%: 47.8-53.1). After adjustment, the prevalence of both outcomes were higher in women, non-smokers, hypertensives and diabetics and lower in the physically active in their leisure time. Age was inversely associated with general and abdominal obesity. Reducing obesity in this population depends on the planning of health policies actively encourage physical activity, keeping in mind the limitations and health conditions of the elderly.
Collapse
Affiliation(s)
- Caroline Dos Santos Costa
- Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas. R. Marechal Deodoro 1160/3o andar, Centro. 96020-220 Pelotas RS Brasil.
| | - Bruna Celestino Schneider
- Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas. R. Marechal Deodoro 1160/3o andar, Centro. 96020-220 Pelotas RS Brasil.
| | - Juraci Almeida Cesar
- Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas. R. Marechal Deodoro 1160/3o andar, Centro. 96020-220 Pelotas RS Brasil.
| |
Collapse
|
8
|
Abstract
BACKGROUND Exposure to nicotine via tobacco smoking may influence leptin release and decrease food intake among smokers. However, the effect of nicotine exposure on leptin and food intake among different nicotine dependent groups is unclear. OBJECTIVE We aimed to measure leptin and calorie intake among different nicotine dependent groups. DESIGN Cross-sectional study. SETTING Research department in school of medical sciences. PATIENTS AND METHODS Subjects were selected by purposive (non-probability) sampling and categorized as having low, moderate and high nicotine dependency based on the Fagerstrom Test for Nicotine Dependence (FTND) score. Diet was recorded by interview. Anthropometry, blood pressure, body composition, lipid profile, and physical activity level were measured accordingly. Fasting serum leptin was measured using a commercial ELISA kit. MAIN OUTCOME MEASURE(S) Nicotine dependency, 24-hour diet, clinical anthropometric and clinical measurements. RESULTS In 107 Malay male smokers leptin concentration was inversely correlated with nicotine dependence. However, body weight, smoking period, blood pressure, body composition, lipid profile and physical activity level were not significantly different among low, moderately and highly dependent smoking groups. Leptin concentration and total calorie intake were also not significantly different among these groups. CONCLUSION Leptin concentration was inversely correlated with nicotine dependence, but leptin concentration and total calorie intake status were not significantly different among our different nicotine dependency subjects. LIMITATIONS Purposive sampling for subject recruitment and inaccurate information in the self-administered questionnaire.
Collapse
Affiliation(s)
| | | | | | - Harmy Mohamed Yusoff
- Prof. Dr. Harmy Mohamed Yusoff, Faculty of Medicine and Health Sciences,, Universiti Sultan Zainal Abidin, City Campus,, 20400 Kuala Terengganu, Terengganu, Malaysia, T: +609 627 5771, F: +609 667 5583, , ORCID: http://orcid. org/0000-0001-6918-1549
| |
Collapse
|
9
|
Kumolosasi E, Siew Gyn T, Mansor AH, Makmor Bakry M, Azmi N, Jasamai M. Effects of Durian Intake on Blood Pressure and Heart Rate in Healthy Individuals. INTERNATIONAL JOURNAL OF FOOD PROPERTIES 2015. [DOI: 10.1080/10942912.2015.1083577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
10
|
Urban environments and obesity in southeast Asia: a systematic review, meta-analysis and meta-regression. PLoS One 2014; 9:e113547. [PMID: 25426942 PMCID: PMC4245122 DOI: 10.1371/journal.pone.0113547] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2014] [Accepted: 10/29/2014] [Indexed: 01/21/2023] Open
Abstract
Many environmental factors contribute to the rise in prevalence of obesity in populations but one key driver is urbanization. Countries in Southeast (SE) Asia have undergone rapid changes in urbanization in recent decades. The aim of this study is to provide a systematic review of studies exploring the relationship between living in an urban or rural environment (urbanicity) and obesity in Southeast Asia. In particular, the review will investigate whether the associations are uniform across countries and ages, and by sex. The literature search was conducted up to June 2014 using five databases: EMBASE, PubMed, GlobalHealth, DigitalJournal and Open Grey. Forty-five articles representing eight of the eleven countries in SE Asia were included in the review. The review found a consistent positive association between urbanicity and obesity in countries of Southeast Asia, in all age groups and both genders. Regional differences between the associations are partly explained by gross national income (GNI). In countries with lower GNI per capita, the association between urbanicity and obesity was greater. Such findings have implications for policy makers. They imply that population level interventions need to be country or region specific, tailored to suit the current stage of economic development. In addition, less developed countries might be more vulnerable to the negative health impact of urbanization than more developed countries.
Collapse
|
11
|
Zaman Huri H, Lian Choo T, Sulaiman CZ, Mark R, Abdul Razack AH. Oral drug treatments in patients with erectile dysfunction and multiple comorbidities: a retrospective observational study. BMJ Open 2014; 4:e005381. [PMID: 25001396 PMCID: PMC4091539 DOI: 10.1136/bmjopen-2014-005381] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/02/2014] [Revised: 05/27/2014] [Accepted: 06/16/2014] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVE To investigate factors associated with demographic/clinical characteristics and drug selection in patients with erectile dysfunction (ED). The prevalence of ED is increasing worldwide. Studies have shown that ED is associated with age, lifestyle and comorbidities. However, the factors associated with patient characteristics as well as drug selection are incompletely understood. SETTING A tertiary medical centre in Kuala Lumpur, Malaysia. PARTICIPANTS A total of 219 patients (range 23-80 years) who had received phosphodiesterase type-5 (PDE-5) inhibitors as ED treatment were evaluated. INCLUSION CRITERIA Adult patients aged ≥18 years, diagnosed with ED, and prescribed with sildenafil, tadalafil or vardenafil. EXCLUSION CRITERIA Patients diagnosed with ED but who did not receive any PDE-5 inhibitor, or those with missing data. PRIMARY AND SECONDARY OUTCOME MEASURES Factors associated with demographic and clinical characteristics as well as drug selection were assessed. RESULTS Ischaemic heart disease (p=0.025), benign prostatic hyperplasia (p<0.001), obesity (p=0.005), lower urinary tract symptoms (LUTS) (p=0.006) and α-blockers (p<0.001) were significantly associated with elderly patients with ED. Additionally, LUTS (p=0.038) and α-blockers (p=0.008) were significantly associated with the selection of PDE-5 inhibitor. CONCLUSIONS These data showed that elderly patients with ED were significantly associated with comorbidities and α-blockers, whereas LUTS and α blockers were associated with drug selection.
Collapse
Affiliation(s)
- Hasniza Zaman Huri
- Department of Pharmacy, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
- Clinical Investigation Centre, University Malaya Medical Centre, Kuala Lumpur, Malaysia
| | - Tee Lian Choo
- Department of Pharmacy, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Che Zuraini Sulaiman
- Department of Pharmacy, University of Malaya Medical Centre, Kuala Lumpur, Malaysia
| | - Raymond Mark
- Department of Pharmacy, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | | |
Collapse
|
12
|
Chong PN, Teh CPW, Poh BK, Noor MI. Etiology of Obesity Over the Life Span: Ecological and Genetic Highlights from Asian Countries. Curr Obes Rep 2014; 3:16-37. [PMID: 26626465 DOI: 10.1007/s13679-013-0088-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Obesity is a worldwide pandemic, and the prevalence rate has doubled since the 1980s. Asian countries are also experiencing the global epidemic of obesity with its related health consequences. The prevalence of overweight and obesity are increasing at an alarming rate across all age groups in Asia. These increases are mainly attributed to rapid economic growth, which leads to socio-economic, nutrition and lifestyle transitions, resulting in a positive energy balance. In addition, fat mass and obesity-associated gene variants, copy number variants in chromosomes and epigenetic modifications have shown positive associations with the risk of obesity among Asians. In this review highlights of prevalence and related ecological and genetic factors that could influence the rapid rise in obesity among Asian populations are discussed.
Collapse
Affiliation(s)
- Pei Nee Chong
- Nutritional Sciences Programme, School of Healthcare Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Abdul Aziz, 50300, Kuala Lumpur, Malaysia
| | - Christinal Pey Wen Teh
- UKM Medical Molecular Biology Institute, Universiti Kebangsaan Malaysia, Jalan Ya'acob Latiff, Bandar Tun Razak, 56000, Cheras, Kuala Lumpur, Malaysia
| | - Bee Koon Poh
- Nutritional Sciences Programme, School of Healthcare Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Abdul Aziz, 50300, Kuala Lumpur, Malaysia.
| | - Mohd Ismail Noor
- Department of Nutrition and Dietetics, Faculty of Health Sciences, MARA University of Technology, 42300, Puncak Alam, Selangor, Malaysia
| |
Collapse
|
13
|
Kaur J, Kaur G, Ho BK, Yao WK, Salleh M, Lim KH. Predictors of physical inactivity among elderly malaysians: recommendations for policy planning. Asia Pac J Public Health 2014; 27:314-22. [PMID: 24425796 DOI: 10.1177/1010539513517257] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Physical inactivity is the fourth leading risk factor for global mortality. Regular moderate-intensity physical activity has significant benefits for health. To determine the socioeconomic predictors of physical inactivity among elderly Malaysian population. A nationwide community-based survey was conducted among 4831 respondents aged ≥60 years with a face-to-face questionnaire. The prevalence of physical inactivity among the elderly was 88.0%, highest in respondents aged older than 80 years (95.4%), females (90.1%), other Bumiputra (92.2%), earning household income less than RM1000 (87.9%), and residing in urban locality (88.4%). In the multivariate model, the predictors of physical inactivity were only sex, ethnicity, locality, and age group (adjusted odds ratio = 1.3-3.6). The predictors of physical inactivity can identify the risk factors to develop policies that will reduce the public health burden of noncommunicable diseases.
Collapse
Affiliation(s)
- Jasvindar Kaur
- Institute for Public Health, Ministry of Health, Bangsar, Malaysia
| | - Gurpreet Kaur
- Institute for Public Health, Ministry of Health, Bangsar, Malaysia
| | | | | | | | - Kuang Hock Lim
- Institute for Public Health, Ministry of Health, Bangsar, Malaysia
| |
Collapse
|
14
|
Sazlina SG, Mastura I, Ahmad Z, Cheong AT, Adam BM, Jamaiyah H, Lee PY, Syed-Alwi SAR, Chew BH, Sriwahyu T. Control of glycemia and other cardiovascular disease risk factors in older adults with type 2 diabetes mellitus: data from the Adult Diabetes Control and Management. Geriatr Gerontol Int 2014; 14:130-7. [PMID: 23581598 DOI: 10.1111/ggi.12070] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/27/2013] [Indexed: 02/05/2023]
Abstract
AIM The aims of the present study were to assess the control of glycemia and other cardiovascular disease risk factors, and the association between age and these controls among older adults with type 2 diabetes in Malaysia. METHODS A cross-sectional study was carried out using cases notified to the Adult Diabetes Control and Management database between 1 January and 31 December 2009. A total of 10 363 people aged over 60 years with type 2 diabetes mellitus were included in the analyses. A standard online case report form was used to record demographic data, clinical factors (diabetes duration, comorbid condition and treatment modalities), cardiovascular disease risk factors, diabetes complications and laboratory assessments. The cardiovascular disease risk factors controls assessed included glycosylated hemoglobin (HbA(1c)) <7.0%, blood pressure, body mass index, waist circumference and lipid profiles. RESULTS The proportion of older adults who achieved target HbA(1c) (<7.0%) was 41.7%. A greater proportion of older adults aged ≥80 years significantly achieved the targets of HbA(1c) <7% (P < 0.001), waist circumference (P < 0.001), low-density lipoprotein cholesterol <2.6 mmol/L (P = 0.007) and triglycerides <1.7 mmol/L (P = 0.001) when compared with the younger elderly groups. They were also associated with achieving target HbA(1c) <7.0% (OR = 1.90, 95% CI 1.68-2.26) and triglycerides <1.7 mmol/L (OR = 1.20, 95%CI 1.04-1.46) than those aged 60-69 years. CONCLUSION The control of cardiovascular disease risk factors was suboptimal in older adults with type 2 diabetes. The oldest elderly were more likely to achieve target HbA(1c) (<7.0%) and triglycerides (<1.7 mmol/L) than older adults aged 60-69 years.
Collapse
Affiliation(s)
- Shariff-Ghazali Sazlina
- Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia; Institute of Gerontology, Universiti Putra Malaysia, Serdang, Malaysia
| | | | | | | | | | | | | | | | | | | |
Collapse
|
15
|
Shahar S, Adznam SN, Rahman SA, Yusoff NAM, Yassin Z, Arshad F, Sakian NIM, Salleh M, Samah AA. Development and analysis of acceptance of a nutrition education package among a rural elderly population: an action research study. BMC Geriatr 2012; 12:24. [PMID: 22676577 PMCID: PMC3494568 DOI: 10.1186/1471-2318-12-24] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2010] [Accepted: 05/16/2012] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND It is well known that older adults are often vulnerable to malnutrition. This action research was conducted to develop a nutrition education package for promoting healthy ageing and reducing risk of chronic diseases among older adults in a rural area of Malaysia. METHODS This study was designed and conducted in three stages, including needs assessment, development of the package and analysis of acceptance among 33 older adults aged 60 years and over in rural communities, and 14 health staff members at rural health clinics. Subjects completed a questionnaire including sociodemographic factors and acceptance evaluation of the nutrition education package with respect to content, graphics and design. Data were analysed descriptively using numbers and percentages. RESULTS A nutrition education package comprising a booklet, flipchart and placemats was developed. A total of 42.4% of the older adults expressed that the sentences in the flipchart needed to be simplified and medical terms explained. Terminology (60%), illustrations (20%) and nutrition recommendations (20%) were the aspects that prevented elderly subjects from fully understanding the booklet. Information on the placemats was easily understood by subjects. CONCLUSIONS A well accepted nutrition education package for promoting healthy ageing and reducing risk of chronic diseases was developed that incorporated modifications based on feedback from older adult subjects and health clinic staff in a rural area. It is a tool that can effectively be used for health education in this population.
Collapse
Affiliation(s)
- Suzana Shahar
- Dietetics Programme, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda A., Aziz 50300, Kuala Lumpur, Malaysia
| | - Siti Nur’Asyura Adznam
- Dietetics Programme, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda A., Aziz 50300, Kuala Lumpur, Malaysia
| | - Suriah Abdul Rahman
- School of Chemical Sciences and Food Technology, Faculty of Sciences and Technology, Universiti Kebangsaan Malaysia, Bandar Baru BangiBangi, Selangor, Malaysia
| | - Noor Aini Mohd Yusoff
- Faculty of Therapeutic Sciences, Masterskill University College of Health Sciences, Cheras, Selangor, Malaysia
| | - Zaitun Yassin
- Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Fatimah Arshad
- Department of Dietetics, International Medical University, Bukit Jalil, Selangor, Malaysia
| | - Noor Ibrahim Mohamed Sakian
- Occupational Therapy Programme, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Mohmad Salleh
- Family Health Development Division, Ministry of Health Malaysia, Putrajaya, Malaysia
| | - Asnarulkhadi Abu Samah
- Department of Social and Development Science, Faculty of Human Ecology, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| |
Collapse
|
16
|
Apalasamy YD, Ming MF, Rampal S, Bulgiba A, Mohamed Z. Gender-dependent association of a β(2)-adrenergic gene variant with obesity parameters in Malaysian Malays. Asia Pac J Public Health 2011; 27:NP154-65. [PMID: 22199155 DOI: 10.1177/1010539511430250] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Recent findings have shown that the rs1042714 (Gln27Glu) single-nucleotide polymorphism (SNP) on the β2-adrenoceptor gene may predispose to obesity. The findings from other studies carried on different populations, however, have been inconsistent. The authors investigated the association between the rs1042714 SNP with obesity-related parameters. DNA of 672 Malaysian Malays was analyzed using real-time polymerase chain reaction. Univariate and multivariate linear regression analyses revealed significant associations between rs1042714 and diastolic blood pressure in the pooled Malaysian Malay subjects under additive and recessive models. After gender stratification, however, a significant association was found between the rs1042714 and triglyceride and the rs1042714 and log-transformed high-density lipoprotein cholesterol levels in Malaysian Malay men. No significant association was found between the SNP and log-transformed body mass index. This polymorphism may have an important role in the development of obesity-related traits in Malaysian Malays. Gender is an effect modifier for the effect of the rs1042714 polymorphism on obesity-related traits in Malaysian Malays.
Collapse
Affiliation(s)
- Yamunah Devi Apalasamy
- Pharmacogenomics Laboratory, Department of Pharmacology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Moy Foong Ming
- Julius Centre University of Malaya, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Sanjay Rampal
- Julius Centre University of Malaya, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Awang Bulgiba
- Julius Centre University of Malaya, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Zahurin Mohamed
- Pharmacogenomics Laboratory, Department of Pharmacology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| |
Collapse
|
17
|
Chan SP, Chui WC, Lo KW, Huang KC, Leyesa ND, Lin WY, Mirasol RC, Robles YR, Tey BH, Paraidathathu T. Consensus statement: appropriate consumer education and communication programs for weight- loss agents in Asia. Asia Pac J Public Health 2011; 24:641-9. [PMID: 21490107 DOI: 10.1177/1010539511402189] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND AND AIM The increasing prevalence of overweight and obesity worldwide demands increased efforts in the prevention and management of obesity. This article aims to present consensus statements promoting appropriate consumer education and communication programs for weight-loss agents in Asia. METHODS Panel members from various disciplines developed consensus statements based on an expert meeting on the benefits of consumer education and communication programs for over-the-counter weight-loss agents. Key opinion leaders discussed relevant data that served as the basis of the recommendations. RESULTS Obesity is a growing epidemic in Asia, turning the region into a potential market for weight-loss products and services. Current trends in direct-to-consumer advertising demonstrate the pervasiveness of false representations lacking adequate substantiation. Relevant issues and recommendations were established. CONCLUSIONS Public education on weight management is a shared responsibility; there is a need to raise public awareness of obesity and its health-related consequences. Advertising guidelines should ensure responsible direct-to-consumer advertising of weight-loss agents.
Collapse
|
18
|
Østbye T, Malhotra R, Chan A. Variation in and Correlates of Body Mass Status of Older Singaporean Men and Women. Asia Pac J Public Health 2011; 25:48-62. [DOI: 10.1177/1010539510393726] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This study describes the body mass status of older (≥60 years) Singaporeans, using the international and Asian body mass index (BMI) classifications, assesses sociodemographic correlates of BMI, underweight, obesity, and “high-risk” BMI (≥27.5 kg/m2), and ascertains the relationship between body mass and important health outcomes. Prevalence of underweight, obesity, and high-risk BMI among 4371 older Singaporeans was 6.8%, 7.4%, and 18.6%, respectively. Women (vs men) and Malays and Indians (vs Chinese) were more likely to have obesity or high-risk BMI. Increasing education decreased the odds of obesity and high-risk BMI only among women. Prevalence and odds of various health conditions was similar in corresponding categories of the two BMI classifications. Whereas the prevalence of obesity is lower among elderly in Singapore than in many other countries, the prevalence of high-risk BMI is considerable. It is important to address high-risk BMI among them, with elderly of minority ethnic groups, especially females, being a priority.
Collapse
Affiliation(s)
- Truls Østbye
- Duke–National University of Singapore Graduate Medical School, Singapore
- Duke University Medical Centre, Durham, NC, USA
| | - Rahul Malhotra
- Duke–National University of Singapore Graduate Medical School, Singapore
| | - Angelique Chan
- Duke–National University of Singapore Graduate Medical School, Singapore
- National University of Singapore, Singapore
| |
Collapse
|