1.Fruit consumption and associated determinants in a sample of young urban Malaysian adults
Bibi Nabihah Abdul Hakim ; Hanis Mastura Yahya ; Suzana Shahar ; Zahara Abdul Manaf
Malaysian Journal of Nutrition 2018;24(4):567-574
Introduction: Adequacy of fruit intake contributes to an individual’s health
including reducing the risk of non-communicable disease. This study aimed to
assess consumption of fruits in various forms and to determine associated factors
and barriers. Methods: In this cross-sectional study, a total of 300 adults aged
20-39 years were purposely recruited from several urban locations in the Klang
Valley. Consumption of fruits in the past 12 months was assessed using a selfadministered food frequency questionnaire (FFQ), assisted with pictures of serving
size of fruits. Anthropometric measurements were taken and body mass index
and waist circumference computed. Results: Fruit intake among young adults
was lower (1.6±1.0 servings/day) than the Malaysian Dietary Guideline 2010 of
≥ 2 servings/day. Only 32.3% consumed fruits as recommended, with women
consuming significantly more fruits than men. Preferred fresh fruits were red apple,
banana and papaya. Consumption of fruit juice was associated with increase in
waist circumference (R2=0.261, p=0.027) after adjustment for age, sex, ethnicity,
education level and marital status. Fruit intake showed no significant association
with other anthropometric measurements. Sensory appeal, perceived health benefit,
easy to prepare and influence of family were the main determinants of fruit intake,
whilst affordability and availability were the major barriers. Conclusion: Fruit
consumption among young adults in this study was lower than the recommendation
for daily fruit intake. Studies with larger sample size are suggested to verify the
finding of significant association between fruit juice consumption and risk of
abdominal obesity.
2.Identification of dietary patterns associated with characteristics of successful aging
Nik Nur Izzati Nik Mohd Fakhruddin ; Suzana Shahar ; Roslee Rajikan ; Mohd Azahadi Omar ; Normah Che Din ; Rosdinom Razali ; Sakinah Harith ; Hamid Jan Jan Mohamed ; Bibi Nabihah Abdul Hakim
Malaysian Journal of Nutrition 2019;25(1):47-57
Introduction: This study aimed to identify dietary patterns (DPs) and their association with successful aging (SA).
Methods: A comparative cross-sectional study was conducted among 579 elderly subjects recruited from four states in Malaysia through a multistage random sampling method. SA was defined as having no chronic illnesses, no functional limitation, normal global function, no depression, a good quality of life and good self-perceived health. Information on dietary intake was obtained using a diet history questionnaire. Cognitive functions were assessed using the Mini Mental State Examination (MMSE), depressive symptoms using Geriatric Depression Score-15 items (GDS-15) and a question regarding their perceived health and quality of life. Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) questionnaires were used to determine functional status. DPs were obtained using the principal component analysis (PCA) approach. An ordinal logistic regression model was used to examine associations between DP scores and SA.
Results: Five DPs were identified namely ‘sweet foods-beverages’, ‘meat-vegetablesrice and noodles’, ‘local snacks-fish and seafood-high salt foods’, ‘fruits-legumes’, and ‘tropical fruits-oats’. A higher score for ‘tropical fruits-oats’ DP was associated with SA [Adjusted OR=1.59 (95% CI: 1.08-2.32)]. However, the association diminished when the model was adjusted for education level. Further analysis indicated that this DP increased the chance of SA among those with secondary education and above [Adjusted OR=2.43 (95% CI: 1.09–5.42)].
Conclusion: Tropical fruits-oats’ DP is associated with SA among elderly with secondary education and above. There is a need to investigate DPs among those with lower education.
3.Exploring the norms of eating-out practice among adults in Malaysia
Lydiatul Shima Ashari ; Ainaa Almardhiyah Abd Rashid ; Mohd Razif Shahril ; Yeong Yeh Lee ; Yee Cheng Kueh ; Bibi Nabihah Abdul Hakim ; Nor Hamizah Shafiee ; Raja Affendi Raja Ali ; Hamid Jan Jan Mohamed
Malaysian Journal of Nutrition 2022;28(No.1):31-41
Introduction: Eating-out is common in almost all countries, including Malaysia,
but this frequent practice may affect human health. In Malaysia, data on eating-out
is limited. This study aimed to assess the proportion of eating-out, to assess the
association between socio-demographic factors and eating patterns, and to compare
energy and nutrient intakes between people eating-out and eating-in. Methods:
This cross-sectional study was conducted among 100 adults aged 30 to 70 years old.
Three-day food diaries were used to collect data on dietary intake. Eating-out was
defined as eating foods prepared outside the home. Respondents who ate outside for
at least one meal per day, for two or three days per week were considered as those
who frequently practised eating-out. Results: A total of 84% of respondents who
ate out had significantly higher sodium intake than those who ate at home (2934
mg/day vs. 2165 mg/day, p=0.025). Foods and drinks that were most commonly
consumed outside were nasi lemak, roti canai, rice, ayam masak kicap, vegetable
soup, tomyam, rice vermicelli soup (mee-hoon soup), hot teh-o, iced tea, and orange
juice. Occupation (p=0.004) and location type (p=0.001) were associated with eatingout. Government and semi-government workers (61%) and urban population (57%)
had higher percentage of eating-out compared to eating at home (19% and 12%,
respectively). Conclusion: More than two-thirds of our respondents ate out and this
habit was related to poor diet quality with excessive intake of sodium. Interventions
are needed to improve the diet quality of the overall eating-out behaviour among
targeted population.