Penilaian Pakej Pendidikan Pemakanan Promosi Gaya Hidup Sihat Di Kalangan Kanak-Kanak Sekolah Rendah: Satu Kajian Helic

Tabiat pemakanan yang dibentuk pada peringkat kanak-kanak akan mempengaruhi status pemakanan dan kesihatan mereka dewasa kelak. Pendidikan pemakanan di sekolah dengan menggunakan teknik dan pendekatan yang sesuai mampu meningkatkan pengetahuan, sikap dan amalan pemakanan seterusnya memperbaiki taraf kesihatan dan pemakanan kanak-kanak. Maka, satu kajian telah dijalankan untuk mempromosi pemakanan berkhasiat di kalangan kanak-kanak sekolah rendah . Objektif utama kajian ini adalah untuk menilai pakej pendidikan pemakanan yang dibentuk untuk mempromosi amalan pemakanan yang sihat di kalangan kanak-kanak sekolah rendah. Kajian ini merupakan salah satu dari projek di bawah kajian induk yang bertajuk 'Promosi Gaya Hidup Sihat Di Kalangan Kanak- Kanak atau dikenali sebagai kajian HELIC (The HELIC Study). Kajian berdasarkan rekabentuk eksperimen ini telah dijalankan di kawasan sosioekonomi tinggi dan rendah . Dua buah sekolah dipilih secara rawak dari setiap kawasan satu sebagai sekolah eksperimen dan satu lagi sebagai sekolah kawalan. Seramai 335 kanak-kanak tahun dua telah dipilih secara rawak untuk terlibat dalam kajian ini

Development and Validation of Food Frequency Questionnaire (FFQ) for Ultra-processed Food Consumption among Adults in Malaysia: A protocol study

This study aims to develop and validate a food frequency questionnaire for ultra-processed food (FFQ-UPF) among Malaysian adults and will utilise a cross-sectional study design. Ultra-processed food items will be identified from the subjects’ three days 24-hour dietary recalls and a primary ultra-processed food checklist. Frequency options and portion sizes will be determined from the literature review. Expert panels will validate the items’ validity and relevancy and the newly developed FFQ-UPF will be pilot tested to the target population. It will also be validated against three days of 24-hour diet recall and will be retested two weeks after criterion validation. Keywords: development; FFQ-UPF; Malaysia; ultra-processed food  eISSN: 2398-4287 © 2023. The Authors. Published for AMER & cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), and cE-Bs (Centre for Environment-Behaviour Studies), College of Built Environment, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v8i24.462

Factors Influencing Adolescents’ Use of Social Media for Nutrition Intervention

Adolescents are the largest population using social media in daily life, and their use is influenced by a wide range of factors. Hence, it is applied in nutrition intervention, which improved their health. However, some intervention lacks participation and engagement. This study identifies factors influencing adolescents’ social media use for nutrition interventions. An in-depth interview was conducted virtually for 30 to 60 minutes focusing on nutrition-related matters with 15 adolescents. Almost all of them were interested to participate in nutrition interventions on social media. User characteristics, environmental factors, and social media features were identified as the factors impacting them. Keywords: Adolescents; Social media; Nutrition; Intervention eISSN: 2398-4287 © 2023. The Authors. Published for AMER & cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), and cE-Bs (Centre for Environment-Behaviour Studies), College of Built Environment, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v8i24.468

Exploring Common Game Elements in Serious Game Interventions for Health and Obesity Awareness in Children: A Systematic Review

Obesity is a growing health challenge. Serious game interventions can increase awareness of health and obesity, especially among children, and the effectiveness of these interventions depends on specific game elements. This review aimed to identify the most common game elements in serious game interventions for raising awareness about obesity in children. We conducted a literature search in the ACM digital library, IEEE Xplore, and Scopus databases for serious games designed and developed for obesity or health awareness. The extracted game elements are based on a pyramid with three categories: components, mechanics, and dynamics, according to Werbach and Hunter (2012). Each dimension, or category, consisted of various game elements. 1349 articles were identified. We found 27 game elements distributed across the 17 selected studies. The most common game elements were ‘Points,’ ‘Quests,’ ‘Challenges,’ ‘Feedbacks,’ ‘Constraints,’ ‘Progression,’ ‘Avatar,’ ‘Win States,’ ‘Achievement,’ and ‘Rewards.’ Serious game interventions for health promotion in children include multiple game elements that are crucial in designing and developing a game. The inclusion of these game elements depends on the learning outcomes and the purpose of the game

The Impact of the COVID-19 Pandemic on the Dietary of Malay Hypertensive Patients

Implementing infection control measures during the COVID-19 pandemic has resulted in dietary restrictions among hypertensive patients. This study aimed to explore the dietary management among Malay hypertensive patients during COVID-19. The results outlined divergent changes in dietary practices among participants, including improvement, worsening, as well as no changes. The effect of the pandemic has both negatively and positively impacted on dietary, which could have a substantial impact on the population's health in the short and long term if they are sustained. Keywords: Dietary ; Physical Activity ; Covid-19 ; Hypertension eISSN: 2398-4287© 2021. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v6i18.308

Understandability and Actionability of Web-based Education Materials on Hypertension Management

Hypertension websites are widely and easily accessible. This study aims to assess the understandability and actionability of hypertension websites. Eight websites that met the inclusion criteria were included. Eight experts were appointed to evaluate the websites using PEMAT instrument. The overall mean scores for understandability and actionability were 76.08% and 52.83% respectively. One website did not meet the criteria for understandability (score of ≥70%), while almost all materials failed to meet the criteria for actionability (score of ≤70%). In conclusion, this study provides evidence that many of the available hypertension websites can be easily understood but are less actionable. Keywords: Hypertension; Health promotion; Internet; Website quality eISSN: 2398-4287© 2020. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer-review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v5i14.223

Penilaian media bercetak untuk pendidikan pemakanan kanak-kanak berlebihan berat badan dan obes

Media pendidikan bercetak merupakan saluran komunikasi yang utama dalam pendidikan kesihatan awam. Namun, kajian tempatan yang menilai penerimaan media pendidikan bercetak masih terhad di Malaysia. Maka, kajian ini dilakukan untuk menilai media pendidikan bercetak sedia ada yang mensasarkan obesiti di kalangan kanak-kanak untuk kegunaan dalam program pendidikan atau promosi pemakanan. Kajian ini melibatkan dua peringkat. Peringkat pertama merupakan tinjauan keperluan iaitu tinjauan terhadap media pendidikan bercetak sedia ada yang mensasarkan kanakkanak yang mengalami masalah berlebihan berat badan dan obes dan kajian rintis terhadap borang soal selidik yang dibentuk. Manakala peringkat kedua adalah penilaian penerimaan subjek kajian terhadap media pendidikan bercetak dan perubahan tahap pengetahuan mereka selepas membaca media pendidikan bercetak yang diberikan. Skala Likert digunakan dalam penilaian ini iaitu daripada 1 (sangat tidak memuaskan) hingga 5 (sangat memuaskan). Jumlah subjek dalam kajian ini adalah seramai 67 orang yang terdiri daripada golongan profesional dalam bidang pendidikan dan kesihatan (n = 7), subjek dewasa (n = 30) dan subjek kanak-kanak (n = 30). Di dalam kajian ini, subjek dewasa diberi satu buku kecil yang mengandungi maklumat berkenaan pencegahan dan pengurusan masalah obesiti di kalangan kanak-kanak seperti komplikasi masalah obesiti dan penyediaan makanan. Subjek kanak-kanak pula menerima satu buku kecil yang mengandungi maklumat berkenaan piramid makanan, kepentingan sarapan, aktiviti fi zikal dan sebagainya di samping satu poster yang mengandungi maklumat berkenaan pemilihan makanan sihat. Manakala golongan profesional menerima semua media pendidikan bercetak ini. Kajian ini mendapati penerimaan subjek terhadap isi kandungan, gambar, jadual dan rajah, warna, susun atur gambar, susun atur kandungan, bahasa dan saiz huruf bagi ketiga-tiga media pendidikan bercetak adalah pelbagai, iaitu daripada sangat tidak memuaskan hingga sangat memuaskan. Min skor penilaian keseluruhan terhadap buku kecil yang mensasarkan populasi dewasa adalah 3.9 ± 0.5 manakala min skor penilaian keseluruhan terhadap buku kecil yang mensasarkan populasi kanak-kanak adalah 4.3 ± 0.4 dan poster adalah 3.9 ± 0.9. Skor pengetahuan pemakanan golongan profesional meningkat dari 88.6 ± 11.2% kepada 95.5 ± 3.2% selepas membaca media tersebut. Skor pengetahuan pemakanan subjek dewasa juga meningkat secara signifi kan (p < 0.001) daripada 67.7 ± 13.6% kepada 84.8 ± 15.9%; bagi subjek kanak-kanak, skor pengetahuan pemakanan juga meningkat secara signifi kan (p < 0.001) daripada 65.3 ± 14.4% kepada 84.0 ± 11.4%. Kesimpulannya, media pendidikan bercetak sedia ada mendapat penerimaan yang baik dan dapat meningkatkan tahap pengetahuan kumpulan sasaran. Oleh itu, media pendidikan bercetak tersebut sesuai digunakan dalam mana-mana program pendidikan pemakanan yang berkaitan dengan obesiti kanak-kanak

Nutrition education intervention improves nutrition knowledge, attitude and practices of primary school children : a pilot study.

The purpose of this study was to determine the changes in knowledge, attitude and practices of primary school children after receiving a nutrition education intervention for 6 weeks. A validated questionnaire was used to assess knowledge, attitude and practice at pre- and post-intervention. A total of 335 students from four primary schools were assigned to either intervention or comparison group. The intervention group received nutrition education taught by trained school teachers while the comparison group received the standard Health and Physical Education curriculum. A generalized linear univariate procedure was used to compare changes in knowledge, attitude and practice scores between intervention and comparison groups with ethnicity, weight-for-age, mother’s and father’s employment as confounding factors. There were significant increments (p<0.001) in the post intervention mean scores of knowledge (2.17 vs. 0.47), attitude (1.40 vs. 0.32) and practice (0.87 vs. -0.10) items for the intervention group compared to comparison group. The changes in knowledge (F=17.72, p<0.001), attitude (F=6.41, p<0.05) and practice (F=15.49, p<0.001) in the intervention group were maintained even after adjusting for confounding factors. The findings support the importance of providing children with nutrition knowledge to promote healthy dietary behaviors

Key message 11: limit sugar intake in foods and beverages

It is now widely accepted that the major causes of morbidity and mortality in Malaysia are related to unhealthy eating habits and a sedentary lifestyle. Besides an alarming increase in prevalence of overweight and obesity, diet-related diseases such as type 2 diabetes, cardiovascular disease, hypertension and certain forms of cancer have recorded an increase during the last few decades in Malaysia. The role nutrition plays in addressing these problems have been recognised by the Government with the establishment of the National Nutrition Policy (NP) in 2005 and in line with the NNP, the National Plan of Action for Nutrition of Malaysia (2006-2015) was developed with a broad objective to achieve and maintain the nutritional well being of Malaysians. In order to meet the objective to improve food intake and dietary practices of Malaysians, one of the recommended strategies is to ensure that every individual gets access to information on nutrition. The Malaysian Dietary Guidelines (2010) is a compilation of the latest science-based nutrition and physical activity recommendations prepared by the Technical Working Group on Nutritional Guidelines under the auspices of the National Coordinating Committee on Food and Nutrition (NCCFN). Its aim is To provide advice on how to promote healthy eating and also practise an active lifestyle. Consumer-friendly brochures and pamphlets will be produced to help the general public in understanding the scientific language of the Dietary Guidelines and to help them make informed choices on what constitute a healthy diet. The Malaysian Dietary Guidelines (2010) differ in scope compared to the previous version first published in 1999. The updated guidelines contain 14 key messages as compared to 8 key messages described in the previous guidelines and also contained detailed background paper on each of the key messages. Due to the nature of the dietary guidelines, the background papers were developed as a result of a process of comprehensive, rather than systematic, review of the literature. This publication has included 55 key recommendations under the 14 key messages with some additional recommendations for special population groups. Since food can provide most if not all of our nutrient needs, the basic assumption of the Dietary Guidelines is that nutrient needs should be met primarily through food consumption. It is envisaged that if implemented as a whole, the dietary guidelines should encourage Malaysians to consume less calories, be more active and make wiser food choices

Limit sugar intake in foods and beverages

Malaysian Dietary Guidelines (MDGs) are government endorsed documents intended to provide specific recommendations and advice on healthy diets and lifestyles. They are intended to influence consumer food choice based on latest scientific findings on food and nutrient intakes, food supplies, prevalence and public health importance of diet-related health and nutrition outcomes, cultural preferences, and other considerations. It forms the basis for educational programmes and the national food and nutrition policies. The challenge for any dietary guidelines would be to have a coherent policy that take into consideration not only the healthy dietary choices and personal health but also the wider social and environmental impact towards achieving a global environmental sustainability