1.Rapid Weight Loss Practices among Elite Combat Sports Athletes in Malaysia
Ng Qi Xiong ; Choe Yee Xian ; Haemamalar Karppaya ; Chai Wen Jin ; Amutha Ramadas
Malaysian Journal of Nutrition 2017;23(2):199-209
Introduction: This study aimed to (i) determine rapid weight loss (RWL) practices among Malaysian elite combat sports athletes and (ii) examine the relationship between the characteristics of athletes, self-reported history of weight loss, perceived influence on weight loss and RWL practices.
Methods: This was a cross-sectional study conducted at the Malaysian National Sports Institute among elite combat sports athletes (n=40) recruited via a convenience sampling method. The athletes completed a self-administered validated Rapid Weight Loss Questionnaire. Each response was provided a score and the total RWL score corresponded to the aggressiveness of weight management methods. Partial correlations were used to assess the relationships between total RWL score and independent variables.
Results: The prevalence of RWL among the athletes was high (92.5%). Training with rubber or plastic suits (62.2%) and meal-skipping (27.0%) were the most common RWL techniques practised by the respondents. Aggressive weight-cutting as depicted by a higher total RWL score that correlated with most weight ever lost, duration taken to lose weight, influence of training colleagues and coaches, BMI, current weight and post-competition weight regain (all p<0.05). In contrast, negative correlations were seen between total RWL score, and the age at which the athletes began competing (p<0.001), duration of competition (p<0.001), age at first participation (p<0.05), duration of participation (p<0.05) and influence of nutritionists on weight loss (p<0.05).
Conclusion: A high prevalence of aggressive weight loss among elite combat sports athletes and its association with perceived influence of sports professionals, colleagues and actual weight-related characteristics are of great concern.
2.Knowledge and Attitude Related to Nutritional Supplements and Risk of Doping among National Elite Athletes in Malaysia
Balaravi Chin MQ ; Karppaya H ; Chai WJ ; Samantha Quah LW ; Ramadas A
Malaysian Journal of Nutrition 2017;23(3):409-423
Introduction: Often considered a legitimate strategy to enhance health and performance, the consumption of nutritional supplements (NS) has become a common practice which frequently results in unintentional doping among athletes. Despite a probable association between NS and doping, there are limited studies on this topic in developing countries such as Malaysia. Thus, this study aimed to identify the prevalence of NS usage among national elite athletes and assess their knowledge and attitude regarding its use and doping. Methods: This was a cross-sectional study conducted at the Malaysian National Sports Institute among national elite athletes (n=50) recruited via convenience sampling. The athletes completed a self-administered questionnaire documenting their demographic characteristics, training information, NS consumption, knowledge and attitude related to supplement-doping. The total knowledge and attitude scores were compared according to demography, training information, and NS consumption. Results: The prevalence of NS use among the athletes was 72%. NS usage was significantly associated with training duration (p=0.029), source of nutrition information (p=0.047) and self-exploration on supplements (p=0.045). Supplement-doping knowledge was significantly higher among athletes with tertiary level education (p=0.027), NS users (p=0.044), those obtaining information from nutritionists (p=0.048) and those who had attended nutrition workshops (p<0.001). The attitude score was significantly higher among males (p=0.021), professional athletes (p=0.041), athletes with lower training hours (p=0.010), those obtaining information from nutritionists (p=0.035) and those who had attended nutrition workshops (p=0.005). Conclusion: A demographic- and training-specific education on NS should be provided by qualified nutritionists to reduce the risk of doping amongst athletes.
3.A web-based educational intervention module to improve knowledge and attitudes towards thalassaemia prevention in Malaysian young adults
Chin Fang Ngim ; Hishamshah Ibrahim ; Nisah Abdullah ; Nai Ming Lai ; Ronnie Kian Meng Tan ; Chen Siew Ng ; Amutha Ramadas
The Medical Journal of Malaysia 2019;74(3):219-225
Background: Thalassaemia is a public health burden in
Malaysia and its prevention faces many challenges. In this
study, we aimed to assess the effectiveness of a web-based
educational module in improving knowledge and attitudes
about thalassaemia prevention amongst Malaysian young
adults.
Methods: We designed an interactive web-based
educational module in the Malay language wherein videos
were combined with text and pictorial visual cues.
Malaysians aged 18-40 years old who underwent the module
had their knowledge and attitudes assessed at baseline,
post-intervention and at 6-month follow-up using a selfadministered validated questionnaire.
Results: Sixty-five participants: 47 Malays (72.3%), 15
Chinese (23.1%), three Indians (4.6%) underwent the module.
Questionnaires were completed at baseline (n=65), postintervention (n=65) and at 6-month follow-up (n=60). Out of a
total knowledge score of 21, significant changes were
recorded across three time-points- median scores were 12 at
pre-intervention, 19 at post-intervention and 16 at 6-month
follow-up (p<0.001). Post-hoc testing comparing preintervention and 6-month follow-up scores showed
significant retention of knowledge (p<0.001). Compared to
baseline, attitudes at 6-month follow-up showed an
increased acceptance for “marriage avoidance between
carriers” (pre-intervention 20%, 6-month follow-up 48.3%,
p<0.001) and “prenatal diagnosis” (pre-intervention 73.8%,
6-month follow-up 86.2%, p=0.008). Acceptance for selective
termination however, remained low without significant
change (pre-intervention 6.2%, 6-month follow-up 16.7%,
p=0.109).
Conclusion: A web-based educational module appears
effective in improving knowledge and attitudes towards
thalassaemia prevention and its incorporation in
thalassaemia prevention programs is potentially useful in
Malaysia and countries with a high internet penetration rate.