Sedentary lifestyle due to physical inactivity and increased screen-viewing (SV) duration is one of the risk factors for childhood obesity. Thus, this study aimed to assess body mass index (BMI), SV and physical activity (PA) durations among children aged four-to-six years (N=284) attending kindergartens in urban and rural areas of Kuantan, Pahang. The SV and PA durations were estimated via a questionnaire completed by their parents. The preschoolers’ height and weight were measured using a stadiometer and a digital weighing scale, respectively. The BMI-for-age status was interpreted using the CDC growth charts and cut-off points. A total of 37.8% of respondents were underweight, 16.7% overweight/obese, while the rest had normal BMI. Almost 90% of the children were using electronic gadgets. In addition, 89.8% of them recorded >two hours/day of total SV duration, exceeding the international recommendation of

Literature data on association between physical activity (PA) and health related quality of life (HRQoL) in non-clinical adults population are still limited. Thereby, the objective of this study was to evaluate the association between PA and HRQoL among the non-academic staff serving the Faculty of Health Sciences (FSK), Universiti Kebangsaan Malaysia (UKM), Kuala Lumpur (KL). In this cross sectional study, 105 non-academic staffs aged between 18 to 60 years were recruited. Self-administered questionnaires (Malay version of the International Physical Activity Questionnaire and World Health Organisation Quality of Life-Brief Version) were administered among the participants. Mann Whitney test and Spearman’s rho correlation were employed for the statistical analysis using SPSS version 22.0 Majority of participants (72.4%) demonstrated high PA scores of ≥ 3000 MET-minutes/week. PA scores between genders was not statistically significant (p = 0.137). However, total PA score of support staffs (median = 9039.0, IQR = 15811.00) was significantly higher compared to staffs in management and professional group (median = 4329.0, IQR = 4189.00). The mean(SD) self-perceived HRQoL score was 3.4 (0.76). There were no significant correlation between PA and all domains of HRQoL such as physical health, psychological, social relationship and environmental domains (Correlation coefficient, ρ = -0.108, 0.003, -0.023, 0.026 respectively) with p = 0.273, 0.978, 0.818, 0.794 respectively. Majority of non-academic staffs of FSK, UKM engaged in high physical activity. The PA levels of support staffs were significantly higher than management and professional staffs. However, there was no statistically significant correlation observed between PA and domains of HRQoL.
Life Style

A spring is a result of karsts topography where surface water has infiltrated the earth's surface recharge area, becoming part of groundwater and emerges from below to become natural spring water. From few observations, local people tend to consume this water directly for many health reasons. The objective of the study was to determine the concentration of lead (Pb) and cadmium (Cd) in natural water resources and bottled drinking water sources, and compared with the existing standard. This field assessment was carried out in 2014 as part of the educational module for public health master student. About 13 water samples were collected directly from the tubing into the pre-washed sample bottle and rinse with the sampling water in the field. Sample preservation was achieved by acidifying to pH less 4.0 with nitric acid (HNO3). Samples were stored in a cooler with temperature between 0 to 4oC. Heavy metals were analysed by standard method for graphite furnace atomic absorption spectrophotometer (GFAAS) with Zeeman’s correction. Pb and Cd content were analysed from 13 samples which consists of eight natural spring water and five flavoured bottled drinking water. The result showed that Pb content in spring water ranges between 1.8 and 37.3ppb, while the Cd content in spring water ranges between 3.0 and 23.0ppb. In the commercialised drinking water, the amount of Pb ranges between 0.4 and 2.6 ppb, while the content of Cd ranges between 0.8 and 7.0 ppb. This study indicates that there are high content of Pb and Cd in most of the natural spring water points and some bottled drinking water that are available within Klang Valley. In the absence of any specific point sources, the possibility of urban area and high traffic source leading to run off as well as rock types may result in variations observed. Hence, very worrying, especially that these sources of water were consumed directly as drinking water or eye drops without knowing its content. Further tests, coupled with supportive soil and conductivity studies, are required to test all possible similar natural sources to safeguard the health of people.

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

Objective: To study the jelly formulation produced by Musa acuminata Colla (AAA Group) peels and evaluate its antioxidant properties which are related to the product quality. Methods: The formulations of peel jelly were established under two-level full factorial designs within two blocks and one center point. Regarding response optimizer, the amount of sugar and citric acid was obtained; hence, the peel jellies were produced. The evaluation of antioxidant properties was conducted by using total phenolic content (TPC) assay and 1,1 diphenyl-2-picrylhydrazyl (DPPH) free radical assay. Results: The TPC of peel powder varied from 91.8 to 602.26 mg gallic acid equivalents/100 g dry weight, and 5%-7% peel jellies had phenolic content ranging from 29.38 to 48.31 mg gallic acid equivalents/100 g dry weight. The results of DPPH test indicated that at 10 mg/mL, the peel powder showed 89% DPPH inhibition, while 7% peel jelly prominently exhibited 84% DPPH inhibition. The correlation between DPPH IC

Aims: Antimicrobial resistance (AMR) is a growing threat to public health, where treatments using conventional drugs are becoming ineffective. One viable but underexplored alternative is through the use of Dioscorea hispida, a wild plant that exhibits antimicrobial properties. This study aims to explore D. hispida effectiveness as an antibacterial and antibiofilm agent against selected pathogenic and non-pathogenic bacteria. Methodology and results: Different concentrations of D. hispida crude extracts (0 – 2.5 mg/mL) were tested against the growth of planktonic bacterial cells over 24 h incubation, and the half maximal effective concentration (EC50) obtained was used in the antibiofilm test over 24 and 48 h. All bacteria treated with D. hispida showed significant (P<0.05) reduction in planktonic cell and biofilm densities against the negative control starting at 0.3 mg/mL. However, in comparison to the antibiotic, only certain bacteria were significantly affected by D. hispida, implying the plant has a ‘moderate’ biocidal activity in general. Furthermore, Atomic Force Microscopy imaging of S. aureus biofilm with D. hispida revealed increased height and width of cell clusters despite reduction in volume compared to the negative control, suggesting unique biofilm resistance behaviour against the plant. Conclusion, significance and impact of study This study demonstrated D. hispida capability as a natural antimicrobial and antibiofilm agent. The plant could complement current antimicrobials to maximise killing efficiency and minimise occurrences of resistance. Unique biofilm behaviour against D. hispida also warrants further investigation on the effect of biocides towards biofilm structure. Overall, this research provides new insights into a traditional plant-based antimicrobial activity in combating infectious diseases and AMR.

Aims and Design: Individuals’ food intake may vary depending on their situation and with whom they are having their meal. Thus this systematic review aimed to compare the effect of social facilitation between eating alone and eating with others, and evaluate the social modeling effect when eating with familiar or unfamiliar others, on food intake. Data Sources: Articles were screened and reviewed based on titles, abstracts and keywords. Inclusion criteria included experimental design, English language, open-accessed, and published from 1980 until the review was conducted in 2018. Review Methods: Using the PRISMA method, potential studies were identified on Science Direct, ProQuest, PubMed, Scopus, and BASE databases using two different keywords combinations. Results: Seventeen studies were included. For social facilitation, seven studies found that food intake increases when eating alone while five others stated it would increase when eating with others. One study suggested that it increases in both situations. For social modeling of food intake, two studies found that it commonly occurs when an individual eats in the presence of unfamiliar others, while one study reported that it happens more often with familiar others. Two other studies observed that social modeling occurs in both situations. Conclusion and Impact: Food intake tends to increase when eating alone than eating with others while the presence of familiar or unfamiliar others may either increase or limit an individual’s food consumption to socially match their co-eaters’ intake. Thus, good self-control is crucial for setting a dietary limit regardless of whether ones are eating alone or with familiar or unfamiliar others.

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.

Self-care is defined as activities performed by individuals, families, and communities to enhance their health, prevent diseases, limit illnesses, and restore health. Previous research has mainly focused on self-care skills of older adults in either institution or residential homes separately but limited studies have compared between both these settings. This study aimed to compare the self-care skills between institutionalised and home dwelling older adults at selected area in Malaysia. A total of 43 participants aged 60 years old and above were recruited in our study; (23 participants were home-dwelled older adults and 19 participants were recruited from institutionalised older adults located in Kuala Lumpur). The Malay Version of Performance Assessment of Self-Care Skills (M-PASS-HOME) 4.0 was used focusing on four main subtests of self-skills; oral hygiene, trimming toenails, house mobility and shower mobility. The differences in self-care skills between institutionalised and home dwelling older adults are statistically significant (p<0.01) in the aspects of independency for all self-care activities. The results of this study revealed that home dwelling older adults group are more independent in self-care activities of oral hygiene, trimming toenails, house mobility and shower mobility compared to institutionalised group.

Introduction: Short-term fasting may influence intraocular pressure (IOP) due to alteration of fluid (total body water; TBW, and water intake) and fat (total body fat; TBF). This study aimed: i) to compare IOP values within and between, fasting and non-fasting periods; and ii) to assess the association between IOP and, TBW and TBF. Methods: Thirty healthy participants aged 21.8±1.1 years were assessed on two different periods (fasting vs. non-fasting). During each period, the IOP, TBW and TBF values were assessed for four times (morning, afternoon, evening, late-evening). The IOP was measured using AccuPen® tonopen, while TBW and TBF were assessed by using a Tanita body composition analyser. Results: During fasting, the IOP value in the afternoon (14.53±2.33 mmHg) was significantly higher than in the evening (12.43±2.73 mmHg, p=0.009) and late-evening (12.60±2.44 mmHg, p=0.003). No significant difference in IOP was observed during non-fasting period. The mean of IOP in the evening was significantly lower during fasting compared to non-fasting (12.43±2.73 mmHg vs 13.75±2.53 mmHg, p=0.044). The IOP and TBW were negatively correlated (r=-0.268; p=0.011) during non-fasting and showed no association during fasting period. There was no significant correlation between IOP and TBF during both fasting and non-fasting periods. Conclusion: IOP reduction during short-term fasting, together with the no association with TBF and TBW suggested that IOP is an independent factor that reduces during fasting in healthy population.