1.Iron Intake and Iron Deficiency Anaemia among Young Women in Kuala Lumpur
Malaysian Journal of Medicine and Health Sciences 2010;6(1):63-70
Objective: To assess the prevalence of iron deficiency, anaemia and iron deficiency anemia (IDA) in women aged 20 to 40 years and its association with iron intake. Methods: A total of 388 women were recruited from universities and work sites in Kuala Lumpur and its suburbs. The subjects comprised 135 Malays, 130 Chinese and 123 Indians. Dietary intake was estimated using a single 24-hour food recall and a semi-quantitative food frequency questionnaire. HAemoglobin (Hb), Haematocrit (hct), mean corpuscular volume (MCV) and serum ferritin were determinated. Results: The prevalence of anaemia (Hb <12g/dL) was 20.9%,being highest among the Indians (26.4%) and lowest among the Malays (16.4%). About 10.3% of the women showed iron deficiency anaemia (IDA) (Hb<12g/dL + serum ferritin <15mg/L + MCV < 80fl/). The prevalence of IDA was highest in Indians (18.0%) followed by Chinese (9.9%) and Malays (4.3%). The mean (95% CI) intake of total iron was at 14.4mg/day (95% CI 13.4, 15.5), amounting to 49.7% of the Malaysian recommended nutrient intake (RNI). Intake of Iron was the highest for the Indians (16.0mg/d) and the lowest for the Chinese (11.3mg/d). Conclusions: The overall prevalence of IDA was lower compared to prevalence of anaemia. Nonetheless, the markedly higher prevalence of IDA among the Indians, despite relatively higher intake levels of iron-rich foods warrants further investigations, including the bioavailability of iron in the context of cultural practices that may influence food preferences and meal preparation
2.In vitro Inhibitory Potential of Selected Malaysian Plants Against Key Enzymes Involved in Hyperglycemia and Hypertension
Malaysian Journal of Nutrition 2011;17(1):77-86
Introduction: This study was conducted to determine the inhibitory potential of
selected Malaysian plants against key enzymes related to type 2 diabetes and
hypertension. Methods: The samples investigated were pucuk ubi (Manihot
esculenta), pucuk betik (Carica papaya), ulam raja (Cosmos caudatus), pegaga (Centella
asiatica) and kacang botol (Psophocarpus tetragonolobus). The inhibitory potential of
hexane and dichloromethane extracts against the enzymes were determined by
using α-amylase, α-glucosidase and angiotensin I-converting enzyme (ACE)
inhibition assay. Results: In α-amylase inhibition assay, the inhibitory potential
was highest in pucuk ubi for both hexane (59.22%) and dichloromethane extract
(54.15%). Hexane extract of pucuk ubi (95.01%) and dichloromethane extract of
kacang botol (38.94%) showed the highest inhibitory potential against α-
glucosidase,while in ACE inhibition assay, the inhibitory potential was highest
in hexane extract of pegaga (48.45%) and dichloromethane extract of pucuk betik
(59.77%). Conclusion: This study suggests a nutraceutical potential of some of
these plants for hyperglycemia and hypertension prevention associated with
type 2 diabetes.
3.Folate Content and Availability in Malaysian Cooked Foods
Malaysian Journal of Nutrition 2012;18(3):383-391
Introduction: Data on folate availability of Malaysian cooked foods would be useful for estimation of dietary folate intake; however such information is scarce. Methods: A total of 53 samples of frequently consumed foods in Malaysia were selected from the Nutrient Composition of Malaysian Foods. Folate content
was determined using HPLC method hyphenated with a stainless steel C18 column and ultraviolet detector ( = 280 nm). The index of folate availability was defined
as the proportion of folate identified as monoglutamyl derivatives from the total folate content. Results: Total folate content of different food samples varied
from 30-95 μg/100g fresh weight. Among rice-based dishes, the highest and the lowest total folate was in coconut milk rice (nasi lemak) and ghee rice (nasi minyak),
respectively. In noodle dishes, fried rice noodle (kuey teow goreng) and curry noodle (mee kari) had the highest folate contents. The highest index of folate availability was in a flat rice noodle dish (kuey teow bandung) (12.13%), while the lowest was in a festival cake (kuih bakul) (0.13%). Folate content was found to be
negatively related to its availability. Conclusion: This study determined folate content and folate availability in commonly consumed cooked foods in Malaysia.
The uptake of folate from foods with high folate content may not be necessarily high as folate absorption also depends on the capacity of intestinal deconjugation
and the presence of high fibre in the foods.
4.Bioaccessibility of Carotenoids and Tocopherols in Marine Microalgae, Nannochloropsis sp. and Chaetoceros sp.
Goh LP ; Loh SP ; Fatimah MY ; Perumal K
Malaysian Journal of Nutrition 2009;15(1):77-86
Microalgae can produce various natural products such as pigments, enzymes, unique
fatty acids and vitamin that benefit humans. The objective of the study is to study the
bioaccessibility of carotenoids (β-carotene and lycopene) and vitamin E (α- and β-
tocopherol) of Nannochloropsis oculata and Chaetoceros calcitrans. Analyses were carried
out for both the powdered forms of N. oculata and C. calcitrans, and the dried extract
forms of N. oculata and C. calcitrans. In vitro digestion method together with RP-HPLC
was used to determine the bioaccessibility of carotenoids and vitamin E for both forms
of microalgae. Powdered form of N. oculata had the highest bioaccessibility of β-carotene
(28.0 ± 0.6 g kg-1), followed by dried extract N. oculata (21.5 ± 1.1 g kg-1), dried extract C.
calcitrans (16.9 ± 0.1 g kg-1), and powdered C. calcitrans (15.6 ± 0.1 g kg-1). For lycopene,
dried extract of N. oculata had the highest bioaccessibility of lycopene (42.6 ± 1.1 g kg-
1), followed by dried extract C. calcitrans (41.9 ± 0.6 g kg-1), powdered C. calcitrans (39.7
± 0.1 g kg-1) and powdered N. oculata (32.6 ± 0.7 g kg-1). Dried extract C. calcitrans had the
highest bioaccessibility of α-tocopherol (72.1 ± 1.2 g kg-1). However, β-tocopherol was
not detected in both dried extract and powdered form of C. calcitrans. In conclusion, all
samples in their dried extract forms were found to have significantly higher
bioaccessibilities than their powdered forms. This may be due to the disruption of the
food matrix contributing to a higher bioaccessibility of nutrients shown by the dried
extract forms
5.MTHFR C677T Polymorphism, Homocysteine and B-Vitamins Status in a Sample of Chinese and Malay Subjects in Universiti Putra Malaysia
Choo SC ; Loh SP ; Khor GL ; Sabariah MN ; Rozita R
Malaysian Journal of Nutrition 2011;17(2):249-258
Introduction: Methylenetetrahydrofolate reductase (MTHFR) C677T is involved
in folate and homocysteine metabolism. Disruption in the activity of this enzyme
will alter their levels in the body. Methodology: This study assessed MTHFR
C677T polymorphism and its relationship with serum homocysteine and Bvitamins
levels in a sample of Chinese and Malays subjects in UPM, Serdang.
One hundred subjects were randomly selected from among the university
population. Folate, vitamin B12, B6, and homocysteine levels were determined
using MBA, ECLIA, and HPLC, respectively. PCR coupled with HinfI digestion
was used for detection of MTHFR C677T polymorphism. Results: The frequency
of T allele was higher in the Chinese subjects (0.40) compared to the Malay (0.14).
Folate, vitamin B12 and B6 levels were highest in the wild genotype in both
ethnic groups. Subjects with heterozygous and homozygous genotype showed
the highest homocysteine levels. The serum folate and homocysteine were mainly
affected by homozygous genotype. Conclusion: MTHFR C677T polymorphism
plays an important role in influencing the folate and homocysteine metabolism.
6.Prevalence of Metabolic Syndrome Among Staff in a Malaysian Public University Based on Harmonised, International Diabetes Federation and National Cholesterol Education Program Definitions
Heng KS ; Hejar AR ; Rushdan AZ ; Loh SP
Malaysian Journal of Nutrition 2013;19(1):77-86
Introduction: Metabolic syndrome (MetSyn) as defined by the latest Harmonised
definition and the agreement between the Harmonised definition and other
definitions is poorly studied among Malaysians. This study was conducted to
determine and compare the prevalence of MetSyn according to the Harmonised,
International Diabetes Federation (IDF) and National Cholesterol Education
Program (NCEP ATPIII) definitions among Malay staff of Universiti Putra
Malaysia (UPM). Methods: Subjects aged between 20 to 65 years were recruited
by convenient sampling. Waist circumference, blood pressure, lipid profiles and
fasting plasma glucose levels were assessed. The agreement between the
Harmonised and other definitions was determined by Kappa statistics. Results:
A total of 227 subjects with a mean ± SD age of 37.9±9.6 years participated in the
study. The overall prevalence of MetSyn was 38.3%, 38.8% and 33.5% according
to Harmonised, IDF and NCEP ATP III definitions, respectively. Generally, men
had higher prevalence of MetSyn than women. The prevalence increased with
age in both genders with a more progressive trend in women. Men in the age
group of 20-39 years had a high prevalence of metabolic syndrome. A strong
agreement was found between the Harmonised and the IDF definitions (Kappa
index=0.991), and between the Harmonised and the NCEP ATP III definitions
(Kappa index=0.857). Conclusion: Regardless of definitions used, the prevalence
of metabolic syndrome in the study, especially in young men, was high and
warrants further investigation. The Harmonised definition is suitable for
diagnosing metabolic syndrome in any population with similar sociodemographic
characteristics.
7.Effects of Consuming Yellowstripe Scad versus Salmon on Lipid Profile, Fasting Glucose, Body Weight Status and Blood Pressure among Healthy Overweight Malaysian Adults
Chang WL ; Azrina A ; Sabariah MN ; Irmi Zarina I ; Loh SP
Malaysian Journal of Nutrition 2017;23(3):343-352
Introduction: This is a preliminary result of an on-going randomised cross-over trial to compare the effects of consuming yellowstripe scad (YSS) and salmon, both rich in omega-3 fatty acids, on lipid profile, fasting glucose, body weight status, and blood pressure among healthy overweight adults. Methods: Fifty healthy overweight Malaysians aged 21-55 years were recruited voluntarily through advertisements. During the first period of intervention, subjects were randomised equally to receive eight weeks of either steamed whole YSS fish (YSS group) or salmon fillet (salmon group), three days per week, obtaining approximately 7000 mg EPA+DHA per week. The diets were switched after an eight-week washout period. Lipid profile, fasting glucose, body mass index, and blood pressure were evaluated before and after each intervention period. Results: The mean ages of YSS group (n=25) and salmon (n=25) group were 30.6?±9.1 and 27.9?±7.1 years respectively. Both groups had no statistically significant differences on socio-demographic characteristics (p>0.05). After the first intervention period, there was a significant increase in total cholesterol within the YSS group (p<0.05) but not within the salmon group (p>0.05). Both YSS and salmon groups had significantly higher HDL-cholesterol levels after 8 weeks compared to baseline (p<0.05). There was no significant between-group difference in all the variables after eight weeks (time x group interaction, p>0.05). However, there was a significant effect of time on diastolic blood pressure (p<0.05). Conclusion: These preliminary findings indicate that YSS and salmon may have similar beneficial effects on HDL-cholesterol level among healthy overweight adults. The second intervention period is on-going to confirm these finding