1.The Association of Knowledge, Attitude and Practice with 24 Hours Urinary Sodium Excretion among Malay Healthcare Staff in Malaysia
Diana Mahat ; Zaleha Md Isa ; Azmi Mohd Tamil ; Mohd Ihsani Mahmood ; Fatimah Othman ; Rashidah Ambak
International Journal of Public Health Research 2017;7(2):860-870
The most effective and affordable public health strategy to prevent hypertension, stroke and renal disease is by reducing daily salt consumption. Therefore, this study aims to determine the association of knowledge, attitude and practice on salt diet intake and to identify foods contributing to high sodium intake. Secondary data analysis was performed on MySalt 2016 data. It was conducted from November 2015 until January 2016 which involving Ministry of Health Staff worked at 16 study sites in Malaysia. Salt intake was measured using 24 hours urinary sodium excretion. Food frequency questionnaire was used to determine the sodium sources. Knowledge, attitude and practice of salt intake were assessed using a validated questionnaire adapted from WHO. Demographic data and anthropometric measures also were collected. Sodium levels of more than 2400mg/day was categorised as high sodium intake. Data were analysed using SPSS software version 21. The mean sodium intake estimated by 24 hours urinary sodium excretion was 2853.23 + 1275.8 mg/day. Food groups namely rice/noodles (33.8%), sauces/seasoning (20.6%), meat and poultry (12.6%) and fish/seafoods (9.3%) were the major contributors of dietary sodium. In multiple logistic regression analysis, being a male (aOR=2.83, 95% CI 2.02 – 3.96) and obese (aOR=6.78, 95% CI 1.98 – 23.18) were significantly associated with high urinary sodium excretions. In addition, those who were unsure that high salt intake can cause hypertension (aOR=1.24, 95% CI 0.65 – 2.36), those who think that they consumed too much salt (aOR=2.10, 95% CI 1.13 – 3.87) and those who only use salt rather than other spices for cooking (aOR=2.07, 95% CI 1.29 – 3.30) were significantly associated with high urinary sodium excretion. This study showed that the main sources of sodium among Malay healthcare staff is cooked food. Poor knowledge and practice towards reducing salt consumption among them contributes to the high sodium consumption. The practice of healthy eating among them together with continuous awareness campaign is essential in order to educate them to minimize sodium consumption and to practice healthy eating.
2.Analysis of Onion Benefi ts Toward Health from the Perspective of Islamic Medical Scholar and Scientifi c Reasearch
Mohammad Amir Wan Harun ; Aminuddin Ruskam ; Ahmad Syukran Baharuddin ; Rashidah Othman ; Mohd Ariff Abdul Sarip
Malaysian Journal of Health Sciences 2015;13(1):15-21
Scientifi cally known as Allium Cepa L., onion is a plant which contains various benefi ts and has been used as food
and medicine over the years by many nations and races. This research is conducted to identify the benefi ts of onion for
human body from the perspectives of Islamic medical scholars and scientifi c research. The literature data for this study
has been collected from four Islamic medical books and 14 articles of a variety of related journals. The cumulative data
has been analysed by using Nvivo10.0 to identify emerging suitable categories and subsequently generate the fi ndings.
The fi ndings of this study discovered that there are at least 17 benefi ts of onion. This includes six which are based on
the perspectives of Islamic scholars which are to treat epiphora, to treat ear problems, to medicate infections from dog
bites, to neutralize poisons, to stimulate sexual desire and to treat water-borne diseases. Another 11 benefi ts identifi ed
in the scientifi c researches include its potential as an antiplatelet agent, anti-fat formation agent, antioxidant agent,
antithrombotic agent, anticarcinogen agent, antidepressant agent, antiinfl ammatory agent, antiasthmatic agent, and
antibiotic agent, as well as it helps decrease hyperglicemia levels and reduce the risk of atherosclerosis. Thus, this study
suggest that onion should be highlighted as one of organic treatment/remedy as well as an alternative to conventional
treatment.
Onions
3.Association between intake of soy isoflavones and blood pressure among urban and rural Malaysian adult
Nurul Fatin Malek Rivan ; Suzana Shahar ; Hasnah Haron ; Rashidah Ambak ; Fatimah Othman
Malaysian Journal of Nutrition 2018;24(3):381-393
Introduction: Intake of soy isoflavones has been shown to be beneficial in reducing blood pressure, a known cardiovascular risk factor. This study investigated the association between intake of soy isoflavones and blood pressure among multiethnic Malaysian adults.
Methods: A total of 230 non-institutionalised Malaysians aged 18-81 years were recruited through multi-stage random sampling from urban and rural areas in four conveniently selected states. Participants were interviewed on socio-demographics, medical history, smoking status, and physical activity. Measurements of height, weight, waist circumference (WC), and blood pressure (BP) were taken. Information on usual intake of soy foods was obtained using a validated semi-quantitative food frequency questionnaire.
Results: The mean intake of soy protein of both urban (3.40g/day) and rural participants (3.01g/day) were lower than the USFDA recommended intake level of soy protein (25.00g/day). Urban participants had significantly higher intake of isoflavones (9.35±11.31mg/ day) compared to the rural participants (7.88±14.30mg/day). Mean BP levels were significantly lower among urban (136/81mmHg) than rural adults (142/83mmHg). After adjusting for age, gender, educational level, household income, smoking status, physical activity, BMI and WC, soy protein intake was significantly associated with both SBP (R2=0.205, β=-0.136) and DBP (R2=0.110, β=-0.104), whilst soy isoflavones intake was significantly associated with SBP (β=-0.131). Intake of 1 mg of isoflavone is estimated to lower SBP by 7.97 mmHg.
Conclusion: Higher consumption of isoflavones among the urban participants showed an association with lower levels of SBP. Use of biological markers for estimating isoflavones levels is recommended to investigate its protective effects on blood pressure.