Maternal child feeding knowledge and practices and growth status of young children aged 6 to 24 months in Kuala Lumpur

This study was conducted to determine the association between maternal child feeding knowledge and practices with the growth status of young children. A total of 102 young children (62 boys and 40 girls) aged between 6 and 24 months old and their mothers participated in this study. A set of structured questionnaire; was used to obtain information on socio-economic, demographic characteristics, maternal feeding knowledge and practices, and anthropometric measurements of the young children. Maternal feeding knowledge was assessed in three different constructs i.e. general nutrition, breastfeeding and complementary feeding. Maternal feeding practice was assessed by examining whether mothers met the WHO guidelines for continued breastfeeding or feeding of milk or milk products, number of feeding times and number of food groups. Anthropometric measurements of the children such as weight and recumbent length were obtained using TANITA weighing scale and wooden measuring board, respectively. The anthropometric measurements were then compared to the National Center for Health Statistics (NCHS) reference. The results indicated that 18.6% (n=19) of the young children were significantly underweight, 16.7% (n=17) mildly underweight, and 3.9% (n=4) were overweight. The percentage of children with significant and mild wasting were 17.6% (n=18) and 32.4% (n=33) respectively, while 14.7% (n=15) and 34.3 (n=35) were significantly and mildly stunted respectively. Maternal feeding data showed that the mean of maternal feeding knowledge score in the three constructs were 6.73±0.18, 5.97±0.19 and 6.57±0.18, for general nutrition, breastfeeding and complementary feeding respectively. The total score for each construct was 10. The mean total knowledge score obtained was 19.26±4.12. Maternal feeding practice data indicated that 97.1% (n=99) of the mothers continued breastfeeding or feeding milk or milk products, 33.3% (n=34) of the children were fed the recommended minimum number of times, and 81.4% (n=83) of the children were fed the recommended minimum number of food groups. Statistical test on the association between maternal child feeding knowledge and practices with the growth status of young children will be further conducted. Maternal nutritional knowledge and child feeding practices should not be overlooked as factors that may influence growth status of young children

Development and preliminary validation of socio-cultural influences on body image scale for Malaysian female adolescents

The present study aimed to develop and validate comprehensive multi-dimensional sociocultural (parental, peers, media) influence on body image scale for Malaysian female adolescents. A total of 328 female adolescents from a secondary school in Kuantan district, Pahang, Malaysiacompleted a self-administered questionnaire, which encompassed a multiple measure of sociocultural influence, Body Dissatisfaction and Body Importance subscales of Body Image Questionnaire (McCabe & Ricciardelli, 2001), and Body Change Inventory (Ricciardelli & McCabe, 2002). Through factor analysis, the three major components (parental, peers, media) of the sociocultural influence scale were found to consist of multi-dimensional constructs. Particularly, five dimensions were identified for the parental influence subscale: 1) parental teasing on weight, 2) parental encouragement on increasing muscle and weight, 3) parental social support, 4) parental preoccupation with thinness and dieting behaviour, and 5) parental feedback on body change behaviour; the peer influence subscale comprised four dimensions including 1) peer social support, 2) peer preoccupation with thinness and dieting behaviour, 3) peer teasing on weight, and 4) peer encouragement on increasing muscle and weight; and three dimensions were identified in the media influence subscale, which included 1) media encouragement on reducing weight, 2) media modeling on weight reducing behaviour, and 3) media encouragement on increasing muscle and weight. As for construct validity, there were positive correlations between the composite score of the subscales and body dissatisfaction, body importance, strategies to decrease body size and strategies to increase body size and muscle size. In short, the present study has developed a sociocultural (parental, peer, media) influences on body image scale with construct validity and good internal consistency for Malaysian female adolescents. The scale can be used to assess the various dimensions of socio-cultural influences and will be useful to determine the etiology, prevention and treatment of negative body image and its related problems for Malaysian female adolescents

Malnutrition and dietary pattern of children age below 12 years old living in Mukim Kemumin, Kota Bharu, Kelantan.

A study to assess household food insecurity was carried out among 150 n=150) households in Mukim Kemumin, Kota Bharu, Kelantan. Apart from this study, an assessment of nutritional status and dietary pattern of children of the selected household aged below 12 years old was implemented, where a total of 150 households were selected through proportion sampling

Potential Use of Sea Water for Pineapple Production in BRIS Soil.

An experiment was conducted to determine the response of four sea water treatments on an improved pineapple genotype “N- 36” grown in Beach Ridges Interspersed with Swales (BRIS) soil. Sea water treatments were prepared by substitution of K with Na ions i.e., 0% (in control), 15%, 30% and 60% of required K doses were replaced by Na ions from sea water. Treatment effects were non-significant up to 30% sodium replacement from sea water. Na replacement (60%) showed significant impact on different growth parameters at different stages (8-10 months after planting). However, the fruit yield, the final target of crop harvest was not adversely affected at significance level. Therefore, sea water irrigation can easily fulfil 60% dose of potassium fertilizer by sodium ions for the production of pineapple in BRIS soil

Perceptions of body image among Malaysian male and female adolescents

Introduction: Body image concerns are common among adolescents as they undergo rapid physical growth and body shape changes. Having a distorted body image is a risk factor for the development of disordered eating behaviours and eating disorders. This study was undertaken to investigate body image concerns among Malaysian male and female adolescents aged 11-15 years. Methods: A total of 2,050 adolescents (1,043 males and 1,007 females) with a mean age of 13.1 +/- 0.8 years from secondary schools in Kedah and Pulau Pinang were included in the study. Questionnaires were used to collect socioeconomic data and body image indicators. Results: The majority (87 percent) of the adolescents were concerned with their body shape. While the majority of underweight, normal weight and overweight male and female subjects perceived their body weight status correctly according to their body mass index (BMI), a noteworthy proportion in each category misjudged their body weight. About 35.4 percent of the males and 20.5 percent of the females in the underweight category perceived themselves as having a normal weight, while 29.4 percent and 26.7 percent of the overweight males and females respectively also perceived that they had a normal weight. A higher proportion of the females (20 percent) than males (9 percent) with a normal BMI perceived themselves as fat. Most of the male (78-83 percent) and female subjects (69-74 percent) in all the BMI categories desired to be taller than their current height. An appreciable proportion of both the males (41.9 percent) and females (38.2 percent) preferred to remain thin, or even to be thinner (23.7 percent of males and 5.9 percent of females). Females had a significantly higher mean body dissatisfaction score than males, indicating their preference for a slimmer body shape. More males (49.1 percent) preferred a larger body size while more females (58.3 percent) idealised a smaller body size. Compared to normal weight and underweight subjects, overweight males and females expressed lower confidence and acceptance levels, as well as expressed greater preoccupation with and anxiety over their body weight and shape. Conclusion: As having a distorted body image may lead to negative effects such as unhealthy eating habits and disordered eating behaviours, it is recommended that appropriate educational efforts on body image be incorporated into school health activities for adolescents

Nutritional outcomes related to household food insecurity among mothers in rural Malaysia

During the past two decades, the rates of food insecurity and obesity have risen. Although a relationship between these two seemingly-paradoxical states has not been repeatedly seen in men, research suggests that a correlation between them exists in women. This study examines nutritional outcomes of household food insecurity among mothers in rural Malaysia. A cross-sectional survey of low-income households was conducted, and 223 households with mothers aged 18-55 years, who were non-lactating, non-pregnant, and had at least one child aged 2-12 years, were purposively selected. A questionnaire was administered that included the Radimer/Cornell Scale, items about sociodemographic characteristics, and anthropometric measurements. Of the households, 16.1% were food-secure whereas 83.9% experienced some kind of food insecurity: 29.6% of households were food-insecure, 19.3% contained individuals who were foodinsecure, and 35.0% fell into the 'child hunger' category. The result reported that household-size, total monthly income, income per capita, and food expenditure were significant risk factors of household food insecurity. Although there was a high prevalence of overweight and obese mothers (52%) and 47.1% had at-risk waist-circumference (=80 cm), no significant association was found between food insecurity, body mass index, and waist-circumference. In conclusion, the rates of household food insecurity and overweight and obesity were high in the study population, although they are looking paradoxical. Longitudinal studies with larger sample-sizes are recommended to further examine the relationship between food insecurity and obesity

Associations between the dietary patterns of pregnant Malaysian women and ethnicity, education, and early pregnancy waist circumference:A prospective cohort study

BACKGROUND/OBJECTIVES: Little is known about the dietary patterns (DPs) of women during pregnancy. The present study aimed to identify the DPs of pregnant Malaysian women and their associations with socio-demographic, obstetric, and anthropometric characteristics.SUBJECTS AND METHODS: This prospective cohort study included 737 participants enrolled in Seremban Cohort Study between 2013 and 2015. Food consumption was assessed using a validated 126-food item semi-quantitative food frequency questionnaire (SFFQ) at four time-points, namely, pre-pregnancy and at each trimester (first, second, and third). Principal component analysis (PCA) was used to identify DPs.RESULTS: Three DPs were identified at each time point and designated DP 1-3 (pre-pregnancy), DP 4-6 (first trimester), DP 7-9 (second trimester) and DP 10-12 (third trimester). DP 1, 4, and 7 appeared to be more prudent diets, characterized by higher intakes of nuts, seeds &amp; legumes, green leafy vegetables, other vegetables, eggs, fruits, and milk &amp; dairy products. DP 2, 5, 8, and 11 had greater loadings of condiments &amp; spices, sugar, spreads &amp; creamer, though DP 2 had additional sweet foods, DP 5 and 8 had additional oils &amp; fats, and DP 11 had additional tea &amp; coffee, respectively. DP 3 and 6 were characterized by high protein (poultry, meat, processed, dairy, eggs, and fish), sugars (mainly as beverages and sweet foods), and energy (bread, cereal &amp; cereal products, rice, noodles &amp; pasta) intakes. DP 9 had additional fruits. However, DP 12 had greater loadings of energy foods (bread, cereal &amp; cereal products, rice, noodles &amp; pasta), sugars (mainly as beverages, and sweet foods), and good protein sources (eggs, nuts, seeds &amp; legumes). Malays were more likely to have lower adherence (LA) for DP 1 and 10 than non-Malays. DP 2, 8, and 11 were more prevalent among Malays than non-Malays. Women with a higher education were more likely to have LA for DP 10, and women with a greater waist circumference at first prenatal visit were more likely to show LA for DP 11.CONCLUSIONS: DPs observed in the present study were substantially different from those reported in Western populations. Information concerning associations between ethnicity, waist circumference and education with specific DPs before and throughout pregnancy could facilitate efforts to promote healthy dietary behavior and the overall health and well-being of pregnant women.</p

Beverage Intake and the Risk of Gestational Diabetes Mellitus:The SECOST

The contribution and impact of beverage intake to total nutrient and energy intake may be substantial. Given the link between lifestyle, diet, and the risk of pregnancy complications, this study investigated the association between the quantity and types of beverages with gestational diabetes mellitus (GDM) risk. The study included 452 women from the Seremban Cohort Study (SECOST). The mean energy by beverage intake was 273 ± 23.83 kcal/day (pre-pregnancy), 349 ± 69.46 kcal/day (first trimester) and 361 ± 64.24 kcal/day (second trimester). Women significantly increased intake of maternal milks and malted drinks, but significantly reduced the intake of carbonated drinks and other drinks from before until the second trimester of pregnancy. For chocolate drinks, carbonated drinks, and soy milk, women increased intake from pre-conception to the first trimester, but reduced their intake from the first to the second trimester. While higher intake of cultured-milk drinks was associated with an increased risk of GDM, higher fruit juice intake was associated with a lower risk of GDM. However, these associations were only observed for intake prior to pregnancy and during the first trimester. Further research is needed to corroborate these findings and investigate the contributions of different beverages to overall diet quality as well as adverse health outcomes during pregnancy