1.Prevalence and Risk Factors Associated with Malnutrition among Children with Learning Disabilities: A Scoping Review
Nur Hamiza Ruzaini Hashim ; Nur-Fazimah Sahran
Malaysian Journal of Nutrition 2017;23(1):65-80
By the end of 2015, about 72,152 children with learning disabilities were
registered under the Malaysian Welfare Service Department (JKM). Malnutrition has been
found to be a common setback among children with learning disability (LD). This study
presents available evidence on the prevalence and risk factors associated with malnutrition
in children with LD. Methods: A framework suggested by Arksey & O`Male (2005) was
used to carry out this scoping review. Published articles, reviews and reports were identified
through a complete search. Inclusion criteria for the search were English articles related to
LD, published from 2005 to 2016. Results: Seventeen international studies published from
2005 until 2015 with a total of 318,596 participants and one study involving 281 participants
from Malaysia, were identified and included in this review (n=18). The target age range
of the sample in these 18 studies was 2 - 20 years, with a mean age of 3.2 - 14.2 years.
The prevalence of underweight among children with LD was 3.4 - 36%, overweight 7.6 -
37% and obesity 5.7 - 52%. Several studies reveal that malnutrition risk among children
with LD is significantly associated with gender, age, genetic syndrome, type of disability,
medication used, and country economic status. Conclusion: A number of studies show that
children with LD have a higher prevalence of being overweight and obese than typically
developing children and the risk associated with obesity significantly increases with age.
2.Prevalence of Geriatric Malnutrition and its Associated Factors at the Hospital Universiti Sains Malaysia, Kelantan
Nur Fazimah Sahran ; Sakinah Harith ; Rosminah Mohamed
Malaysian Journal of Nutrition 2016;22(1):41-53
Introduction: Identified parameters associated with geriatric malnutrition add greatly to the knowledge of clinical nutrition and facilitate patient-centred nutritional care management. Methods: A six-month cross-sectional study with the aims of deterrninine the prevalence of malnutrition and its associated parameters was conducted among hospitalised geriatrics admitted to Hospital USM. A total of 130 (49 men, 81 women) eligible participants with a mean age of 69.7 (6.99) were recruited for this study. Anthropometric tests, biochemical tests, and subjective global assessments (SGA) were applied in this study to assess the nutritional status of the participants. Meanwhile, socio-demographics, nutritional risk factors, and clinical elements were examined to identify the associated factors of malnutrition. Results: The findings of this study revealed that 35.4% of the participants were malnourished based on SGA ratings of B (26.2%) and C (9.2%), with women having a significantly higher proportion (43.5%) compared to men (22 4%) with p<0.05. Multivariate analysis revealed that loss of appetite (p<0.001), low body mass index (EMI) (p<0.001), albumin (p<0.05), and surgical procedures (p<0.05) were significantly associated with malnutrition. Conclusion: The associated parameters were found to be practicable in facilitating the identification process of malnutrition, and thus enable earlier nutritional intervention to improve the overall disease progress.
3.Prevalence of Geriatric Malnutrition and its Associated Factors at the Hospital Universiti Sains Malaysia, Kelantan
Nur Fazimah Sahran ; Sakinah Harithl ; Rosminah Mohamed
Malaysian Journal of Nutrition 2016;22(2):41-53
Introduction: Identified parameters associated with geriatric malnutrition add greatly to the knowledge of clinical nutrition and facilitate patient-centred nutritional care management. Methods: A six-month cross-sectional study with the aims of deterrninine the prevalence of malnutrition and its associated parameters was conducted among hospitalised geriatrics admitted to Hospital USM. A total of 130 (49 men, 81 women) eligible participants with a mean age of 69.7 (6.99) were recruited for this study. Anthropometric tests, biochemical tests, and subjective global assessments (SGA) were applied in this study to assess the nutritional status of the participants. Meanwhile, socio-demographics, nutritional risk factors, and clinical elements were examined to identify the associated factors of malnutrition. Results: The findings of this study revealed that 35.4% of the participants were malnourished based on SGA ratings of B (26.2%) and C (9.2%), with women having a significantly higher proportion (43.5%) compared to men (22 4%) with p<0.05. Multivariate analysis revealed that loss of appetite (p<0.001), low body mass index (EMI) (p<0.001), albumin (p<0.05), and surgical procedures (p<0.05) were significantly associated with malnutrition. Conclusion: The associated parameters were found to be practicable in facilitating the identification process of malnutrition, and thus enable earlier nutritional intervention to improve the overall disease progress.