1.A qualitative study of motivators and barriers to weight reduction practices among overweight and obese suburban Malay adults
Wirdah Mohamed ; Syaznie Enre ; Poh Bee Koon ; Ruzita Abd Talib
Malaysian Journal of Nutrition 2020;26(No.3):471-485
Introduction: Designing an effective and comprehensive weight reduction
intervention requires an understanding of the motivating factors and barriers to
losing weight. This study explored the motivating factors and barriers to weight
reduction through the experiences, emotions and ideas shared among suburban
overweight and obese Malay adults. Methods: In this qualitative study, 23
overweight or obese Malay adults aged 30-59 years old were divided into three
focus group discussion (FGD). The Socio-Ecological Model (SEM), consisting of
four levels (intrapersonal, interpersonal, community, and policy) was utilised in this
study. Results: The motivating factors were: (1) Intrapersonal level: self-awareness,
health concern, self-confidence, and desire to have good physical appearance, (2)
Interpersonal level: social support from family and friends, (3) Community level:
availability and accessibility of physical activity facilities and health information,
and (4) Policy level: healthy lifestyle programme. The barriers were: (1) Intrapersonal
level: lack of knowledge about diet, physical limitations, lack of self-control, and
emotion/mood, (2) Interpersonal level: spouse and children, career or housework
commitment, (3) Community level: lack of neighbourhood safety, and availability
and accessibility of outside foods, and (4) Policy level: availability and accessibility of
outside foods. Conclusion: Eight factors were identified as motivating factors and
barriers for weight reduction practices. Support from family and friends should be
considered when developing an effective and comprehensive weight loss programme
as it was both a motivating factor as well as a barrier.
2.Proximate, mineral and fatty acid compositions of healthy recipes used in Fit, Eat, Active, Training (F.E.A.T) programme
Nurulhusna Abdullah ; Hasnah Haron ; Ruzita Abd Talib ; Wan Nurul Najwa Wan Nik ; Wirdah Mohamed
Malaysian Journal of Nutrition 2021;27(No.2):293-316
Introduction: Many people are seeking knowledge and skills about preparing healthy meals at home. This study aimed to determine the content of nutrients in 60 healthy dishes prepared for the recipe book Mudah, Sihat, Sedap used in the F.E.A.T nutrition intervention programme. The recipe book was developed as an educational material to guide participants in preparing healthy meals at home. Methods: A needs assessment survey was done to identify food preferences for breakfast, lunch and dinner of obese and overweight respondents. Recipes for these foods were then modified to reduce the calorie, fat, and sugar contents, while adding in fibre sources. Proximate analysis was done based on standard methods of AOAC, while total carbohydrate and calorie contents were calculated using the differentiation and Atwater methods, respectively. Mineral content was determined using atomic absorption spectrophotometer, while fatty acids content was analysed by gas chromatography using the FAME method. Results: Proximate analysis results showed that Kobis Goreng had the most calories (305 kcal/100g) (p<0.05) in all categories. Mineral analysis showed that sodium was significantly highest (p<0.05) in Asam Pedas Daging (554 mg/100g). For fatty acid analysis, Masak Lemak Telur Itik had the highest amount of MUFA (45.1%), Masak Lemak Sotong had the highest amount for SFA (71.8%), and Masak Lemak Cili Api Udang had the highest amount of PUFA (33.7%). Conclusion: This study successfully modified original recipes of selected cuisines used in the recipe book, which contained lower calories compared to original recipes. The calorie and nutrient values for each recipe will be included as nutrition composition information in the recipe book.