Social media use, body image, and body weight status: comparison between university students with and without disordered eating in Universiti Putra Malaysia

Background: Disordered eating, body dissatisfaction, and social media use are increasingly common among university students. This cross-sectional study aimed to compare social media use, body image, and body weight status between disordered eating (DE) and non-disordered eating (NDE) university students. Materials and Methods: There were two phases of data collection. In Phase I, a total of 505 university students (22.6% males and 77.4% females) with a mean age of 21.26 ± 1.41 years from three randomly selected faculties in UPM were screened for disordered eating using the Eating Attitude Test (EAT-26). Sociodemographic background and anthropometric measurements including weight, height, waist circumference, and body fat percentage of respondents were measured. In Phase II, those respondents with DE were matched with those without DE by sex, age, and ethnicity. They answered an online survey on body image and social media use. Result: Out of 505 university students in Phase I, 21.8% were engaged in DE with no sex difference observed (χ2=0.738, p=0.390). In Phase II, 106 DE respondents were matched with 106 NDE respondents. No significant differences were found in body image, social media use (duration, volume, frequency, engagement, selfie sharing, photo investment, and photo manipulation) and body weight status between DE and NDE groups. However, DE respondents reported to have a significantly higher frequency of selfie-taking as compared to NDE respondents (t=-2.338, p=0.020). Conclusion: High prevalence of disordered eating was observed in this study. The contribution of social media use to disordered eating needs to be further studied

Factors associated with sleep quality among Malaysian undergraduate students during the COVID-19 pandemic

Poor sleep quality has become a public health concern due to its association with several health risks. Recent studies had shown that university students had poor sleep quality during the COVID-19 pandemic. Thus, this study aimed to determine the factors associated with sleep quality among undergraduate students in Malaysia during the COVID-19 pandemic. This cross-sectional study involved 377 undergraduates from public and private universities in Malaysia. The study ws conducted between 16 June 2021 to 31 July 2021. Respondents completed an online survey reagarding to their sociodemographic background, sleep quality, chronotype pattern, night eating syndrome, food security, physical activity, internet addiction and self-reported body weight and height. There was poor sleep quality in 62.3% of the respondents. Respondents who were Malay (AOR = 3.84, 95% CI =2.07-7.11), in the arts stream (AOR = 2.55, 95% CI = 1.20-5.42) and internetaddicted (AOR = 2.14, 95% CI = 1.22-3.77) had higher risk of poor sleep quality. Respondents who lived in a rented house (AOR = 0.38, 95% CI = 0.16-0.88), were sophomores (AOR = 0.49, 95% CI = 0.25-0.99) and were the morning chronotype (AOR = 0.35, 95% CI = 0.17-0.72) had lower risk for developing poor sleep quality. This study underscored the high prevalence of poor sleep quality among undergraduate students during the COVID-19 pandemic. The findings suggested that by preventing internet addiction and the evening chronotype can improve sleep quality

Comparisons of body mass index, waist circumference, waist-to-height ratio and a body shape index (ABSI) in predicting high blood pressure among Malaysian adolescents: a cross-sectional study

Objective To compare the performance of different anthropometric indices including body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR) and a body shape index to predict high blood pressure (BP) in adolescents using the 90th and 95th percentiles as two different thresholds. Design Cross-sectional study. Setting Probability proportionate to size was used to randomly select two schools in Selangor state, Malaysia. Participants A total of 513 adolescents (58.9% women and 41.1% men) aged 12–16 years were recruited. Primary and secondary outcome measures Weight, height, WC and BP of the adolescents were measured. The predictive power of anthropometric indices was analysed by sex using the receiver operating characteristic curve. Results BMI and WHtR were the indices with higher areas under the curve (AUCs), yet the optimal cut-offs to predict high BP using the 95th percentile were higher than the threshold for overweight/obesity. Most indices showed poor sensitivity under the suggested cut-offs. In contrast, the optimal BMI and WHtR cut-offs to predict high BP using the 90th percentile were lower (men: BMI-for-age=0.79, WHtR=0.46; women: BMI-for-age=0.92, WHtR=0.45). BMI showed the highest AUC in both sexes but had poor sensitivity among women. WHtR presented good sensitivity and specificity in both sexes. Conclusions These findings suggested that WHtR might be a useful indicator for screening high blood pressure risk in the routine primary-level health services for adolescents. Future studies are warranted to involve a larger sample size to confirm these findings

Qualitative study on identification of common coping strategies practised by Indigenous Peoples (Orang Asli) in Peninsular Malaysia during periods of food insecurity

Objective: To examine the types of coping strategies practised by Indigenous women or Orang Asli (OA) in Peninsular Malaysia during times of food shortage and to determine the level of severity for food insecurity that will trigger each specific coping strategy. Design: A qualitative case study was conducted. Pertinent information about each type of coping strategy was gathered by in-depth interviews. To gauge the level of severity for each of the coping strategies, focus group discussions (FGD) were held. Thematic analysis was used for data analysis. Setting: OA villages in the states of Kelantan, Pahang, Perak and Selangor, Malaysia. Subjects: Sixty-one OA women from three ethnic groups (Senoi, Proto-Malay and Negrito) for in-depth interviews and nineteen OA women from the Proto-Malay ethnic group for three FGD. Results: The findings identified twenty-nine different coping strategies and these were divided into two main themes: food consumption (sub-themes of food consumption included dietary changes, diversification of food sources, decreasing the number of people and rationing) and financial management (sub-themes of financial management included increasing household income, reducing expenses for schooling children and reducing expenses on daily necessities). Three levels of severity were derived: less severe, severe and very severe. Conclusions: This information would enable local authorities or non-governmental organisations to more precisely target and plan interventions to better aid the OA communities needing assistance in the areas of food sources and financial management

Direct and indirect effects of sociocultural influences on disordered eating among Malaysian male and female university students : a mediation analysis of psychological distress.

This study aimed to examine the role of psychological distress in the relationships between sociocultural influences (social pressure to be thin and weight teasing) and disordered eating. Data were collected from 584 university students (59.4% females and 40.6% males), aged 18–24 years old (M = 20.6, SD = 1.4), selected from four universities in the Klang Valley, Malaysia. Participants completed four standardized questionnaires which measured social pressure to be thin, weight-related teasing, psychological distress and disordered eating. A good fit structural equation modeling (SEM) model was developed for both sexes. For males, the SEM model revealed that sociocultural influences showed an indirect effect on disordered eating through psychological distress. For females, the model showed an indirect effect of sociocultural influences on disordered eating through psychological distress, as well as a direct effect of sociocultural influences on disordered eating. In conclusion, psychological distress mediated the relationships between sociocultural influences and disordered eating in both males and females. Our results suggest that disordered eating intervention programs on reducing psychological distress in university students may be beneficial

Factors associated with binge eating behavior among Malaysian adolescents

Although there are numerous studies on binge eating behavior in the Western countries, studies on this behavior in Malaysia are still limited. Therefore, this cross-sectional study aimed to determine the risk factors associated with binge eating behavior among adolescents in Malaysia. The study included 356 adolescents (42.7% males and 57.3% females), aged 13 to 16 years. They completed a self-administered questionnaire on demographic and socioeconomic backgrounds, frequency of family meals, family meal environments, family cohesion, perception of body size, self-esteem, depressive symptoms, perfectionistic self-presentation, and binge eating behavior. Furthermore, their weight, height, and waist circumference were measured. It was found that 14.0% of the participants engaged in binge eating behavior (15.2% in females and 12.5% in males). Additionally, it was identified that high levels of depressive symptoms, high levels of body dissatisfaction, poor family cohesion, and low self-esteem were significantly contributed to binge eating behavior after controlling for sex (adjusted R² = 0.165, F = 15.056, p < 0.001). The findings may suggest that improving the relationships between family members, along with eliminating adolescents' negative emotions could help in the prevention of binge eating behavior among adolescents. The identified modifiable risk factors should be incorporated into binge eating preventive programs to increase the effectiveness of the programs

Prevalence of Primary Dysmenorrhea and Factors Associated with Its Intensity Among Undergraduate Students: A Cross-Sectional Study

AbstractPrimary dysmenorrhea is a womanhood problem around the world and negatively affects quality of life. This study was designed to investigate the prevalence of primary dysmenorrhea and to determine the factors associated with its intensity. A cross-sectional study was carried out among 311 undergraduate female students aged 18 to 27 years in Isfahan University of Medical Sciences, Iran. Socio-demographic characteristics and menstrual factors were obtained through interviews with the help of a pretested questionnaire. The prevalence of primary dysmenorrhea was 89.1%. Residing at home, younger age, lower number of years of formal education for the mother, positive family history of dysmenorrhea, higher severity of bleeding, and shorter menstrual period intervals were significantly associated with the higher intensity of primary dysmenorrhea. Primary dysmenorrhea is a common health concern among young women. Being aware of the factors that are associated with its intensity makes it possible for health professionals to organize better focused programs to reduce the adverse effects of dysmenorrhea

Determination of risk factors for night eating syndrome among public university students in Malaysia

Introduction: Night eating syndrome (NES) has been progressively drawing attention and becoming a global concern due to its clinical implications. However, the study related to NES was found to be scarce in Malaysia. As such, this study aimed to determine the risk factors of NES among Malaysian public university students. Methods: This cross-sectional study involved 270 participants (mean age: 20.9±1.4 years), who were selected randomly from three different course disciplines at a public university in Selangor, Malaysia. The data were collected using a self-administered questionnaire on socio-demographic background, NES, depression, anxiety, stress, sleep quality, and disordered eating. Weight, height, and waist circumference of the participants were measured. Results: Results showed that 12.2% of the participants were engaged in NES. Binary logistic regression identified four significant risk factors of NES namely, being a male (AOR = 3.050, 95% CI = 1.129 – 8.238), persuading in a technical-stream course (AOR = 6.010, 95% CI = 2.057 – 17.555), being a stressful student (AOR = 3.580, 95% CI = 1.149 – 11.151), and having poor sleep quality (AOR = 4.664, 95% CI = 1.431 – 15.209). Conclusion: Early screening process should be conducted from time to time in which university students with potentially NES are able to receive necessary behavioural and cognitive therapy in order to recover

Chrysophanol administration alleviates bleomycin-induced pulmonary fibrosis by inhibiting lung fibroblast proliferation and Wnt/β-catenin signaling

Purpose: To determine the functional effect of chrysophanol (CH) on bleomycin (BLM)-induced pulmonary fibrosis (PF) and reveal its mechanism of action.Methods: A mouse model of PF was established by intratracheal instillation of BLM (5 mg/kg), prior to CH administration. Masson’s trichrome staining was used to analyze interstitial fibrosis and collagen deposition. Hydroxyproline (HYP) content was measured, and lung fibroblast viability determined by MTT assay. Bronchoalveolar lavage fluid (BALF) was collected, and levels of tumor necrosis factor-α (TNF-α), interleukin-1β (IL-1β), IL-6, and interferon-γ (IFN-γ) were evaluated using enzyme-linked immunosorbent assays (ELISA). Expression of cell signaling, adhesion, and apoptotic proteins were determined by western blotting.Results: Administration of CH reduced collagen deposition and HYP content, downregulated α-smooth muscle actin, upregulated E-cadherin, and decreased the levels of TNF-α, IL-1β, IL-6, and IFN-γ in BLM-treated mice. The viability of lung fibroblasts was also reduced, and Bcl-2-associated X protein and cleaved caspase-3 were upregulated after CH treatment in BLM-treated mice. In addition, CH treatment in BLM-treated mice significantly increased levels of cytoplasmic β-catenin but decreased its expression in the nucleus.Conclusion: Administration of CH alleviated BLM-induced PF by inhibiting lung fibroblast proliferation and nuclear translocation of β-catenin. Thus, this study provides a potential therapeutic strategy for PF. Keywords: Chrysophanol, Bleomycin, Pulmonary fibrosis, Hydroxyproline, E-cadheri