The use of weight loss products and body mass index among university students in Kota Bharu, Kelantan

Body mass index (BMI) was one of the reasons people used weight loss products to lose weight. The purpose of this study is to look into the use of weight loss products and their relationship to BMI and associated factors. A cross-sectional study with convenient sampling was conducted on 133 students from Universiti Sains Malaysia, Kubang Kerian (USMKK) Health Campus. Participants were asked to complete an online questionnaire that included sociodemographic information, self-reported weight and height for BMI, weight loss product use, weight loss product usage characteristics, body weight perception and satisfaction, and weight loss product perception. The majority of participants were female (78.2%), 80.5% were Malay, and the mean age was 22 ± 3.1 years old. Majority had a normal BMI (56.4%), whereas 16.5% were underweight, 18.8% were overweight, and 8.3% were obese. Nevertheless, only 10.5% of participants utilised weight loss products. It was discovered that the use of weight loss products is statistically associated with BMI, with a high proportion of users having an overweight or obese BMI (p=0.042). Those who reported using a weight loss product had a higher BMI [25.56 (IQR 6.6) kg/m2 ] than those who did not [21.35 (IQR 5.3) kg/m2 ] (p = 0.015). The use of weight loss products was also statistically associated with perceived product safety (p=0.041) and body weight dissatisfaction (p=0.011). Universities should therefore provide students with appropriate weight loss advice, up-to date information on the safety and efficacy of various weight loss products, and opportunities to enhance their knowledge, self-efficacy, and social support. For future research, it is suggested to wider the research population to overweight and obese adults in Kelantan

Association between nutritional status, food insecurity and frailty amongelderly with low income

Aging is associated with increased risk of frailty and malnutrition. However, food insecurity has rarely been highlighted in the elderly population, especially among the low income group. Thus, a cross-sectional study was conducted to determine the association between nutritional status, food insecurity and frailty among elderly in low income residences in Klang Valley. A total of 72 elderly individuals aged 60 years and above was selected (mean age 66 ± 6 years) through convenient sampling. Participants were interviewed to obtain information on socio-demographic, health status, food insecurity and cognitive status. Anthropometrics parameters and frailty assessments was measured using standard criteria. Results showed that 75.0% of the participants had abdominal obesity. Nearly half of the participants were overweight (41.7%), followed by normal (43.0%) and underweight (15.3%). With respect to food insecurity, most of them reported that they had enough food (93.1%). There were significant correlation (p < 0.05) between food insecurity with height (r = -0.263, p = 0.026). Most of the participants were pre-frail (58.3%), frail (27.8%) and followed by non-frail (13.9%). Calcium intake is inversely associated with frailty (t = -2.62, p = 0.011). In conclusion, food insecurity was not a problem, however, half of the subjects were overweight and pre-frail. Three out four subjects had abdominal obesity. There is a need to investigate further the pathogenesis of fat frail in this low income elderly population and formulate effective intervention strategies

Association between Nutritional Status, Food Insecurity and Frailty among Elderly with Low Income

Aging is associated with increased risk of frailty and malnutrition. However, food insecurity has rarely been highlighted in the elderly population, especially among the low income group. Thus, a cross-sectional study was conducted to determine the association between nutritional status, food insecurity and frailty among elderly in low income residences in Klang Valley. A total of 72 elderly individuals aged 60 years and above was selected (mean age 66 ± 6 years) through convenient sampling. Participants were interviewed to obtain information on socio-demographic, health status, food insecurity and cognitive status. Anthropometrics parameters and frailty assessments was measured using standard criteria. Results showed that 75.0% of the participants had abdominal obesity. Nearly half of the participants were overweight (41.7%), followed by normal (43.0%) and underweight (15.3%). With respect to food insecurity, most of them reported that they had enough food (93.1%). There were significant correlation (p < 0.05) between food insecurity with height (r = -0.263, p = 0.026). Most of the participants were pre-frail (58.3%), frail (27.8%) and followed by non-frail (13.9%). Calcium intake is inversely associated with frailty (t = -2.62, p = 0.011). In conclusion, food insecurity was not a problem, however, half of the subjects were overweight and pre-frail. Three out four subjects had abdominal obesity. There is a need to investigate further the pathogenesis of fat frail in this low income elderly population and formulate effective intervention strategies

Development and Relative Validity of a Semiquantitative Food Frequency Questionnaire to Estimate Dietary Intake among a Multi-Ethnic Population in the Malaysian Cohort Project

Measuring dietary intakes in a multi-ethnic and multicultural setting, such as Malaysia, remains a challenge due to its diversity. This study aims to develop and evaluate the relative validity of an interviewer-administered food frequency questionnaire (FFQ) in assessing the habitual dietary exposure of The Malaysian Cohort (TMC) participants. We developed a nutrient database (with 203 items) based on various food consumption tables, and 803 participants were involved in this study. The output of the FFQ was then validated against three-day 24-h dietary recalls (n = 64). We assessed the relative validity and its agreement using various methods, such as Spearman’s correlation, weighed Kappa, intraclass correlation coefficient (ICC), and Bland–Altman analysis. Spearman’s correlation coefficient ranged from 0.24 (vitamin C) to 0.46 (carbohydrate), and almost all nutrients had correlation coefficients above 0.3, except for vitamin C and sodium. Intraclass correlation coefficients ranged from −0.01 (calcium) to 0.59 (carbohydrates), and weighted Kappa exceeded 0.4 for 50% of nutrients. In short, TMC’s FFQ appears to have good relative validity for the assessment of nutrient intake among its participants, as compared to the three-day 24-h dietary recalls. However, estimates for iron, vitamin A, and vitamin C should be interpreted with caution