1.Effects of Carbohydrate Mouth Rinsing on Salivary Lysozyme, Mood States and Running Performance Among Recreational Runners
Ayu Suzailiana Muhamad ; Nurul Fatin Raihan Mohd Puad ; Garry Kuan
Malaysian Journal of Medical Sciences 2020;27(1):87-96
Introduction: Carbohydrate (CHO) mouth rinsing can enhance sports performance
through a central action mediated by receptors in the mouth. This study examined the effect of a
CHO mouth rinse on salivary lysozyme concentrations, mood states and running performances.
Methods: Ten males recreational runners were randomised to three running trials with a
1 week recovery period between the trials. Each trial involved running at 75% maximum heart rate
(HRmax) for 1 h, followed by a 15 min time trial. The participants used a CHO mouth rinse, placebo
(PLA) solution or control (CON, no solution) every 15 min during the exercise. Heart rate (HR),
rating of perceived exertion (RPE) and mood states were recorded pre-, during and post-exercise.
Saliva samples were collected pre-, post- and 1 h post-exercise.
Results: There was no significant interaction and time effect (P > 0.05) on the salivary
lysozyme concentration and running performance, but it was significant (P < 0.05) for HR and RPE
(increase in all trials). However, there was no significant difference (P > 0.05) in salivary lysozyme
concentrations, running performances, HR values or RPE between the trials. Mood states were
not significantly different (P > 0.05) between the trials, but one of the mood sub-scales showed a
significant (P < 0.001) time effect (increase fatigue in all trials).
Conclusion: CHO mouth rinsing did not affect physiological parameters, salivary lysozyme
concentrations, mood states or running performance among recreational runners.
2.Confirmatory Factor Analysis of the Malay-Language Transtheoretical Model of Physical Activity among Malaysian Primary School Children
Hussein Rizal ; Mawar Siti Hajar1, ; Yee Cheng Kueh ; Ayu Suzailiana Muhamad ; Garry Kuan
Malaysian Journal of Medical Sciences 2019;26(2):99-113
Introduction: The transtheoretical model (TTM) is an integrative model of intentional
change consisting of stages of change, processes of change, decisional balance and self-efficacy.
This study aimed at validating the TTM questionnaires on physical activity for Malaysian children
using confirmatory factor analysis.
Methods: The participants were 381 Malay students (188 male; 193 female), aged 10–12
years old, with a mean age of 10.94 (SD = 0.81). The original version of the TTM was translated into
the Malay language using forward and backward translation. Certain phrases were adapted based
on the local culture and vocabulary suitable for primary school students.
Results: The final measurement models and their fit indices were: processes of change
(CFI = 0.939, TLI = 0.925, SRMR = 0.040, RMSEA = 0.030); decisional balance (CFI = 0.897,
TLI = 0.864, SRMR = 0.045, RMSEA = 0.038); and self-efficacy (CFI = 0.934, TLI = 0.915,
SRMR = 0.042, RMSEA = 0.032).
Conclusion: Care must be taken when using the TTM with children, as it has been
prevalently validated with adults. The final version of the TTM questionnaire for Malay primary
school children had 24 items for process of changes, 13 items for self-efficacy and 10 items for
decisional balance.
3.Psychometric Properties of the Self-Efficacy Scale among Undergraduate Students in Malaysia
Liu Kien Ting ; Garry Kuan ; Wan Nor Arifin ; Kueh Yee Cheng
Malaysian Journal of Medical Sciences 2019;26(3):119-128
Background: Self-efficacy (SE) is a person’s belief in his or her own capability to perform
and accomplish a task that could produce a favourable outcome, despite facing obstacles. This
study aimed to confirm the validity and reliability of an SE scale among undergraduate students at
the Health Campus of the Universiti Sains Malaysia.
Methods: A cross-sectional study was conducted among the undergraduate students
using a self-administered questionnaire. After using a purposive sampling method, 562 students
completed the questionnaire. Mplus 8 was employed to conduct the confirmatory factor analysis
on the psychometric properties of Bandura’s 18-item SE scale with three factors (internal feeling,
competing demands and situational). Then, the composite reliability was calculated for each factor.
Results: Most of the students were Malay (73.3%) females (79.0%) who exercised 2.62
times a week for an average of 43.37 min per session. The final measurement model was obtained
after removing six problematic items, and the model was deemed fit based on several indices [Root
Mean Square Error of Approximation (RMSEA) = 0.067, Standardised Root Mean Square Residual
(SRMR) = 0.004, Comparative Fit Index (CFI) = 0.924]. The composite reliability values of the
three factors were acceptable (0.65 to 0.84).
Conclusion: The simplified 12-item SE scale with three factors displayed good fit indices
with regard to the data, and they were considered to be acceptable for the current sampl
4.Motives for Participation and Amount of Physical Activity among Kelantan Chinese Adolescents
Nurzulaikha Abdullah ; Yee Cheng Kueh ; Muhammad Hafiz Hanafi ; Tony Morris ; Garry Kuan
Malaysian Journal of Medical Sciences 2019;26(6):101-110
Background: Engaging in regular physical activity (PA) has become a worldwide issue
for the prevention of numerous chronic diseases; therefore, is important to increase students’
desires to engage in PA by triggering their motivation. The purpose of this study was to examine
the relationships between the motives for participating in PA and the amount of PA that secondary
Chinese school students in Kelantan undertake.
Methods: The participants consisted of 304 Chinese secondary school students
(males = 165, females = 139) with a mean age of 13.55 years old (SD = 0.57) who volunteered to
complete three measures, consisting of a demographic information form, the physical activity
and leisure motivation scale for youth-Chinese version (PALMS-Y-C) and the Godin leisure-time
exercise questionnaire-Chinese version (GLTEQ-C).
Results: There were significant positive correlations between all the seven PA
participation motives with amount of exercise (Enjoyment: r = 0.16, P = 0.010; Mastery: r =
0.23, P < 0.001; Competition: r = 0.21, P = 0.001; Affiliation: r = 0.22, P < 0.001; Psychological
condition: r = 0.26, P < 0.001; Appearance: r = 0.20, P = 0.001; Physical condition: r = 0.20,
P = 0.001). There were also significant mean differences among sweating exercise frequency
categories in all the seven areas of PA participation motives (Enjoyment: P = 0.003, Mastery:
P < 0.001, Competition: P = 0.001, Affiliation: P = 0.001, Psychological condition: P = 0.038,
Appearance = 0.002, Physical condition: P = 0.004).
Conclusion: The present study provided insight into how to promote PA in Kelantan
Chinese school-aged children by specifically targeting their motives. Interventions targeting these
motives could increase the amount of PA among Kelantan Chinese youths.
5.Psychometric Properties of the Malay Version of the Goal Content for Exercise Questionnaire among Undergraduate Students at the Health Campus, Universiti Sains Malaysia
Shirlie Chai ; Yee Cheng Kueh ; Najib Majdi YaaCob ; Garry Kuan
Malaysian Journal of Medical Sciences 2019;26(1):115-124
Understanding the individual aspirations of exercise participation is important for promoting physical activity. However, there is a lack of evidence to validate a measurement instrument for exercise-based goal content among Malaysian populations. The purpose of this study was to determine the validity and reliability of the Malay version of the Goal Content in Exercise Questionnaire (GCEQ) for a sample of Malaysian undergraduates. Methods: The original English version of the GCEQ underwent forward and backward translation into the Malay language. A cross-sectional study was conducted. The finalised Malay version was administered to 674 undergraduate students at the Health Campus of the Universiti Sains Malaysia (USM) with a mean age of 20.27 years (SD = 1.35 years). Confirmatory factor analysis (CFA) was conducted for the psychometric evaluation. Results: The measurement model consisted of 20 observed items and five latent factors. CFA demonstrated adequate fit to the data: comparative fit index = 0.929; standardised root mean square residual = 0.052; root mean square error of approximation = 0.061 (90% CI = 0.056, 0.067). The composite reliability coefficients for the five latent factors ranged from 0.777 to 0.851. All the correlations between the factors were less than 0.85, so discriminant validity was achieved. Conclusion: The findings suggested that the Malay version of the GCEQ is valid and reliable for assessing goal content in the exercise context of undergraduates at the Health Campus, USM.
6.Co-Curricular Activities and Motives for Participating in Physical Activity among Health Sciences Students at Universiti Sains Malaysia, Malaysia
Garry Kuan ; Nurzulaikha Abdullah ; Yee Cheng Kueh ; Mohd Ismail ; Mohd Nazri Shafei ; Tony Morris
Malaysian Journal of Medical Sciences 2019;26(1):138-146
Background: The purpose of the study was to compare the motives for participating
in physical activity (PA) through the different types of co-curricular activities chosen by health
sciences undergraduate students at Universiti Sains Malaysia (USM), Malaysia.
Methods: The participants were university students at USM’s Health Campus, who were
invited to volunteer and complete two measures: a demographic form, including the types of
co-curricular activities in which the students chose to enrol (sports, uniform and art), and the
Physical Activity and Leisure Motivation Scale (PALMS).
Results: A total of 588 university students (female = 79.1%, male = 20.9%) with a mean
age of 19.77 (SD = 1.39) participated in the study. The results showed significant differences in the
motives of affiliation (P < 0.001), appearance (P = 0.008) and physical condition (P = 0.010) across
the types of co-curricular activities in which the students participated. The students who enrolled
in sports generally showed higher motives of affiliation, appearance and physical condition for
participating in PA than other types of co-curricular activities.
Conclusion: The study findings can provide further insights into the motives for
participating in PA among health sciences students and encouragement for students to integrate
PA into their daily routines.