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Fulltext High fat diet-induced inflammation and oxidative stress are attenuated by N-acetylneuraminic acid in rats

Yida Z, Imam MU, Ismail M, Ismail N, Ideris A, Abdullah MA

J Biomed Sci, 2015;22:96.
PMID: 26498218 DOI: 10.1186/s12929-015-0211-6

Serum sialic acid levels are positively correlated with coronary artery disease and inflammation. Although sialic acid is a non-specific marker, it is considered sensitive likely due to its influence in sialylation of glycoprotein structures all over the body.

Matched MeSH terms: Obesity/blood; Obesity/chemically induced; Obesity/drug therapy*
Fulltext Diabetes Care in Malaysia: Problems, New Models, and Solutions

Hussein Z, Taher SW, Gilcharan Singh HK, Chee Siew Swee W

Ann Glob Health, 2016 4 25;81(6):851-62.
PMID: 27108152 DOI: 10.1016/j.aogh.2015.12.016

BACKGROUND: Diabetes is a major public health concern in Malaysia, and the prevalence of type 2 diabetes (T2D) has escalated to 20.8% in adults above the age of 30, affecting 2.8 million individuals. The burden of managing diabetes falls on primary and tertiary health care providers operating in various settings.
OBJECTIVES: This review focuses on the current status of diabetes in Malaysia, including epidemiology, complications, lifestyle, and pharmacologic treatments, as well as the use of technologies in its management and the adoption of the World Health Organization chronic care model in primary care clinics.
METHODS: A narrative review based on local available health care data, publications, and observations from clinic experience.
FINDINGS: The prevalence of diabetes varies among the major ethnic groups in Malaysia, with Asian Indians having the highest prevalence of T2D, followed by Malays and Chinese. The increase prevalence of overweight and obesity has accompanied the rise in T2D. Multidisciplinary care is available in tertiary and primary care settings with integration of pharmacotherapy, diet, and lifestyle changes. Poor dietary adherence, high consumption of carbohydrates, and sedentary lifestyle are prevalent in patients with T2D. The latest medication options are available with increasing use of intensive insulin regimens, insulin pumps, and continuous glucose monitoring systems for managing glycemic control. A stepwise approach is proposed to expand the chronic care model into an Innovative Care for Chronic Conditions framework to facilitate implementation and realize better outcomes in primary care settings.
CONCLUSIONS: A comprehensive strategy and approach has been established by the Malaysian government to improve prevention, treatment, and control of diabetes as an urgent response to this growing chronic disease.

Matched MeSH terms: Obesity/complications; Obesity/epidemiology*; Obesity/therapy
The Family Diet Study: a cross-sectional study into the associations between diet, food habits and body weight status in Malay families

Yang WY, Burrows T, MacDonald-Wicks L, Williams LT, Collins CE, Chee WS

J Hum Nutr Diet, 2016 08;29(4):441-8.
PMID: 26879748 DOI: 10.1111/jhn.12356

BACKGROUND: Childhood obesity is becoming more common as Malaysia experiences rapid nutrition transition. Current evidence related to parental influences on child dietary intake and body weight status is limited. The present study aimed to report, among Malay families, the prevalence of energy mis-reporting and dietary relationships within family dyads.
METHODS: The cross-sectional Family Diet Study (n = 236) was conducted at five primary schools in central of Peninsular Malaysia. Each family consisted of a Malay child, aged 8-12 years, and their main caregiver(s). Information on socio-demographics, dietary intake and anthropometry were collected. Correlations and regression analyses were used to assess dietary relationships within family dyads.
RESULTS: Approximately 29.6% of the children and 75.0% parents were categorised as being overweight or obese. Intakes of nutrients and food groups were below the national recommended targets for majority of children and adults. A large proportion of energy intake mis-reporters were identified: mothers (55.5%), fathers (40.2%) and children (40.2%). Children's body mass index (BMI) was positively associated with parental BMI (fathers, r = 0.37; mothers, r = 0.34; P < 0.01). For dietary intakes, moderate-to-strong (0.35-0.72) and weak-to-moderate (0.16-0.35) correlations were found between mother-father and child-parent dyads, respectively. Multiple regression revealed that maternal percentage energy from fat (β = 0.09, P < 0.01) explained 81% of the variation in children's fat intake.
CONCLUSIONS: Clear parental dietary relationships, especially child-mother dyads, were found. Despite a significant proportion of families with members who were overweight or obese, the majority reported dietary intakes below recommended levels, distorted by energy mis-reporting. The findings of the present study can inform interventions targeting parent-child relationships to improve family dietary patterns in Malaysia.

Matched MeSH terms: Pediatric Obesity/ethnology; Pediatric Obesity/etiology*; Pediatric Obesity/epidemiology
Fulltext Obesity in Malaysia

Ismail MN, Chee SS, Nawawi H, Yusoff K, Lim TO, James WP

Obes Rev, 2002 Aug;3(3):203-8.
PMID: 12164473 DOI: 10.1046/j.1467-789x.2002.00074.x

This study was undertaken to assess the recent data on Malaysian adult body weights and associations of ethnic differences in overweight and obesity with comorbid risk factors, and to examine measures of energy intake, energy expenditure, basal metabolic rate (BMR) and physical activity changes in urban and rural populations of normal weight. Three studies were included (1) a summary of a national health morbidity survey conducted in 1996 on nearly 29 000 adults > or =20 years of age; (2) a study comparing energy intake, BMR and physical activity levels (PALs) in 409 ethnically diverse, healthy adults drawn from a population of 1165 rural and urban subjects 18-60 years of age; and (3) an examination of the prevalence of obesity and comorbid risk factors that predict coronary heart disease and type 2 diabetes in 609 rural Malaysians aged 30-65 years. Overweight and obesity were calculated using body mass index (BMI) measures and World Health Organization (WHO) criteria. Energy intake was assessed using 3-d food records, BMR and PALs were assessed with Douglas bags and activity diaries, while hypertension, hyperlipidaemia and glucose intolerance were specified using standard criteria. The National Health Morbidity Survey data revealed that in adults, 20.7% were overweight and 5.8% obese (0.3% of whom had BMI values of >40.0 kg m(-2)); the prevalence of obesity was clearly greater in women than in men. In women, obesity rates were higher in Indian and Malay women than in Chinese women, while in men the Chinese recorded the highest obesity prevalences followed by the Malay and Indians. Studies on normal healthy subjects indicated that the energy intake of Indians was significantly lower than that of other ethnic groups. In women, Malays recorded a significantly higher energy intake than the other groups. Urban male subjects consumed significantly more energy than their rural counterparts, but this was not the case in women. In both men and women, fat intakes (%) were significantly higher in Chinese and urban subjects. Men were moderately active with the exception of the Dayaks. Chinese women were considerably less active than Chinese men. Chinese and Dayak women were less active than Malay and Indian women. In both men and women, Indians recorded the highest PALs. Hence, current nutrition and health surveys reveal that Malaysians are already affected by western health problems. The escalation of obesity, once thought to be an urban phenomenon, has now spread to the rural population at an alarming rate. As Malaysia proceeds rapidly towards a developed economy status, the health of its population will probably continue to deteriorate. Therefore, a national strategy needs to be developed to tackle both dietary and activity contributors to the excess weight gain of the Malaysian population.
Study name: National Health and Morbidity Survey (NHMS-2006)

Matched MeSH terms: Obesity/complications; Obesity/genetics; Obesity/epidemiology*
Fulltext The possible culprit of obesity in malaysia – pisang goreng

Tan Jia Yi

Borneo Journal of Medical Sciences, 2020;14(3):65-66.
MyJurnal

Obesity has become a global health issue, not to mention Malaysia, which topped over the list of countries in Asia. On World Health Day in 2019, the World Health Organization (WHO) announced that 64% of the male population and 65% of the female population in Malaysia are either obese or overweight1. The ringing of alarm is tremendously loud in the silence. Depending on each of us, this can be an issue that we laugh over or a kind but severe urge for us to take a step backwards, observe, and self-reflect.

Matched MeSH terms: Obesity
Estimation of national stress index using socioeconomic antecedents - a case of MIMIC model

Arshed N, Ahmad W, Munir M, Farooqi A

Psychol Health Med, 2021 Mar 21.
PMID: 33749455 DOI: 10.1080/13548506.2021.1903051

Developed economies are at the forefront of facing the brunt of non-communicable diseases (NCD). The majority of the health expenditures are routed in managing obesity and mental disorder-related patients, and there is a fall in the productivity of the distressed and NCD prone labour. Several indicators of stress are used in literature to assess its implications. However, empirically no database has maintained the longitudinal data of national stress level. This study focused on constructing the socioeconomic antecedent of non-communicable stress which is leading to several NCDs. For this Multiple Indicator and Multiple Causes (MIMIC) model is utilized for 151 countries between 2008 and 2018. The results show that macroeconomic conditions, trade, and environmental quality follow fundamentals in explaining stress. While, national stress index is a significant source of smoking and mental disorder prevalence.

Matched MeSH terms: Obesity
Patient and procedure selection for bariatric and metabolic surgery in Malaysia- The Malaysian Consensus

Gafoor AM, Reynu R, Kirubakaran M, Vimal Kumar V, Nik Ritza NM, Tikfun G, et al.

Med J Malaysia, 2021 03;76(2):229-232.
PMID: 33742633

The rise in obesity has fuelled the current debate of its classification as a disease. Contrary to just being a medical condition or a risk factor for other diseases, obesity is a complex disease with multifaceted aetiology as well as its own disabling capacities, pathophysiology, and comorbidities. The problem of obesity in Malaysia is serious and calls for active intervention by all stakeholders ranging from government agencies to insurers and healthcare providers. To aid efforts to curb obesity, this consensus statement for bariatric surgery provides a basis for inclusion and exclusion criteria as well as the types of procedures accepted as the norm in Malaysia. This consensus statement was initiated by the Society of Endoscopic and Laparoscopic Surgeons of Malaysia and was collaborated with representatives from the Ministry of Health Malaysia.

Matched MeSH terms: Obesity
Fulltext Overweight: Its associated risk factors and health related conditions among adults in Kampung Tiga Papan. [Abstract]

Sia YL, Juis E, Reddy J, Sepen A, Lam PJ, Vijayan V, et al.

Borneo Journal of Medical Sciences, 2018;12(101):33-0.
MyJurnal DOI: 10.51200/bjms.v0i0.1381

Abstracts of 4th Scientific Research Conference, organised by the Department of Community and Family Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah.
Background: Malaysia has been ranked the fattest country in Southeast Asia. Overweight and obesity are the fifth leading risk factor for death globally in 2008. It may lead to increase of risk of non-communicable diseases such as cardiovascular diseases, diabetes, cancer and hypertension.
Objectives: This research aimed to determine the prevalence of overweight and association of overweight with sociodemography, lifestyle as well as its health related conditions of adults in Kampung Tiga Papan.
Methods: Cross-sectional analytical study was used to achieve our specific objectives. A total of 199 adults aged 18 years and above in Kampung Tiga Papan had been recruited by non-probability sampling method. Sociodemographic data and lifestyle adopted were obtained via validated questionnaire, the BMI status of respondents were calculated, blood pressure was measured and DASS-21 score was used to assess mental health of the respondents.
Results: There are 118 (59.3%) respondents categorized into overweight group (BMI>23 kg/m2) and 130 (65.3%) respondents are having abdominal obesity (Waist-hip ratio: male>0.9 and female>0.8). There are significant association between gender, household-income, alcohol status and preference of food and BMI status. Besides, there are significant association between gender, household income, alcohol and smoking status and significant increased risk of hypertension in overweight group.
Conclusion: Overweight is associated to some sociodemographic and lifestyle factors. It helps to target high risk population and community intervention can be done to reduce the prevalence of overweight

Matched MeSH terms: Obesity
Fulltext Selected recommendations from international guidelines on obstructive sleep apnoea

Nurul Yaqeen Mohd Esa

Journal of Clinical and Health Sciences, 2017;2:19-25.

Obstructive sleep apnoea (OSA) is increasingly seen as a major health threat globally.
However, it is still underdiagnosed mainly among Asian population partly due to lack of
understanding on the pathophysiology, and limited access to the diagnostic and management
aspect of the disease. Recurring complete and/or partial collapses of the upper airways define
OSA. Based on the number of apnoeas and/or hypopnoeas per hour of sleep, OSA is
categorized as mild, moderate and severe. Both the American Association of Sleep Medicine
(AASM) and American College of Physicians (ACP) has published guidelines regarding the
management of OSA in adults. Three recommendations have been suggested by the
guidelines which can be used to tailor the management of OSA. The aim of this article is to
select relevant recommendations from these guidelines in epidemiology, pathophysiology,
diagnostic procedures and treatment for proper management of OSA, while considering
specific patient populations, such as hypertensive, diabetic, obese and Asian patients.

Matched MeSH terms: Obesity
Fulltext Reliability and Validity of the Malay Mindful Eating Questionnaire (MEQ-M) among Overweight and Obese Adults

Abdul Basir SM, Abdul Manaf Z, Ahmad M, Abdul Kadir NB, Ismail WNK, Mat Ludin AF, et al.

Int J Environ Res Public Health, 2021 01 24;18(3).
PMID: 33498903 DOI: 10.3390/ijerph18031021

The Mindful Eating Questionnaire is a reliable tool for the assessment of mindful eating behavior among the general population. This study aimed to determine the reliability and validity of The Malay Mindful Eating Questionnaire (MEQ-M) in a sample of overweight and obese adults. This is a cross-sectional survey which involved 144 overweight and obese adults in a selected public university. After linguistic validation of the Malay version of the MEQ, exploratory factor analysis (EFA) with varimax rotation was performed on the scale constructs. The psychometric properties of the MEQ were assessed through Cronbach's alpha and intraclass correlation coefficient (ICC) analysis. The EFA of the MEQ produced a seven-dimensional model (58.8% of overall variances). The concurrent validity analysis between total MEQ scores and total Mindfulness Attention Awareness Scale (MAAS) scores indicated a weak non-significant correlation (p = 0.679). The internal consistency reliability of the MEQ was reasonable (Cronbach's α = 0.64). The agreement stability of the MEQ over eight weeks was poor (ICC = 0.10). In conclusion, the psychometric properties of the Malay-translated MEQ are acceptable through construct validity and internal consistency reliability tests. This instrument may be used for assessing mindful eating habits in the Malaysian population, especially among overweight and obese adults.

Matched MeSH terms: Obesity
Fulltext Gonadotropin-releasing hormone stimulation test and diagnostic cutoff in precocious puberty: a mini review

Ab Rahim SN, Omar J, Tuan Ismail TS

Ann Pediatr Endocrinol Metab, 2020 Sep;25(3):152-155.
PMID: 32871650 DOI: 10.6065/apem.2040004.002

The gonadotropin-releasing hormone (GnRH) stimulation test is a valuable tool in diagnosing and differentiating causes of early pubertal occurrences. Utility of the test can be limited in some instances, however, including the early phases of pubertal hypothalamic-pituitary-gonadal axis activation, in girls showing commonly overlapping pictures, and in obese children due to excess circulating estrogen that suppresses luteinizing hormone (LH). A lack of consistent baseline and stimulated gonadotropin cutoffs observed in different studies also contributes to limitations in testing. Nevertheless, early detection of true pathological causes for pubertal disorders is needed to allow prompt treatment and better prognosis. While basal LH can be beneficial as a good screening tool for detecting pubertal disorder, it does not preclude the need for GnRH testing. The aim of this review was to highlight the role of GnRH stimulation tests and varying testing cutoffs in diagnosis of precocious puberty and its classification.

Matched MeSH terms: Obesity
Fulltext Prevalence of Overweight and Obesity among Schoolchildren in Kota Kinabalu District: An Overview

Haslezah Saelih

Borneo Journal of Medical Sciences, 2018;12(101):45-46.
MyJurnal

Childhood obesity poses global public health threat and has risen to an alarming level throughout the world. Environmental factors, lifestyle preferences and culture play important roles in the rising prevalence of obesity worldwide. Overweight children are more likely to be overweight or obese in their adulthood and therefore are at greater risk of developing heart disease, diabetes, and other chronic ailments. Children occasionally become overweight on account of medical or genetic conditions. The main cause relates to poor dietary habits, inactivity or a combination of these factors. These situations also pose an emerging public health issue in Asia.

Matched MeSH terms: Pediatric Obesity
Heart Disease and Stroke Statistics-2019 Update: A Report From the American Heart Association

Benjamin EJ, Muntner P, Alonso A, Bittencourt MS, Callaway CW, Carson AP, et al.

Circulation, 2019 03 05;139(10):e56-e528.
PMID: 30700139 DOI: 10.1161/CIR.0000000000000659
Matched MeSH terms: Obesity/complications; Obesity/epidemiology; Obesity/pathology
Fulltext No association of peptide tyrosine-tyrosine (PYY) gene R72T variant with obesity in the Kampar Health Clinic cohort, Malaysia

Chan PM, Fan SH, Say YH

Malays J Nutr, 2011 Aug;17(2):201-12.
PMID: 22303574 MyJurnal

Peptide Tyrosine-Tyrosine (PYY) is a 36-amino acid peptide hormone released post-prandially from the endocrine cells in the intestinal tract to suppress pancreatic secretions and eventually reduce appetite. The R72T variant in the PYY gene (rs1058046) has been associated with increased susceptibility to obesity. Therefore, the objective of this study was to investigate the association of this variant with obesity and its related anthropometric measurements among the Kampar Health Clinic cohort, Malaysia.

Matched MeSH terms: Obesity/etiology; Obesity/genetics*; Obesity/epidemiology*
Fulltext Nutritional status of children below five years in Malaysia: Anthropometric analyses from the Third National Health and Morbidity Survey III (NHMS, 2006)

Khor GL, Noor Safiza MN, Jamalludin AB, Jamaiyah H, Geeta A, Kee CC, et al.

Malays J Nutr, 2009 Sep;15(2):121-36.
PMID: 22691811 MyJurnal

The Third National Health and Morbidity Survey (NHMS III) was conducted in 2006 on a nationally representative sample of population in Malaysia. Over 21,000 children aged 0-17.9 years were measured for body weight and stature according to the protocol of the World Health Organization. This article describes the nutritional status of children aged 0-59.9 months. Mean z score for weightfor-age (WAZ), height-for-age (HAZ) and BMI-for-age were compared with the z-scores tables of the WHO standards. The overall prevalence of underweight and stunting of the children were 12.9% and 17.2% respectively. These levels included 2.4% severe underweight and 6.0% severe stunting. In terms of z scores, the age group of 0-5.9 months showed the best nutritional status with mean WAZ of -0.33 (95%CI: -0.52, 0.15) and -0.40 (-0.57, 0.24) for boys and girls respectively, while mean HAZ was 0.64 (0.38, 0.89) for boys and 0.76 (0.54, 0.98) for girls. Mean HAZ and WAZ status was least satisfactory after about 6 months, suggesting a faltering in growth rate at an age that coincides with dependence on complementary feeding. Prevalence of overweight based on BMI-for-age for the sexes combined was 6.4%, while that based on WAZ was 3.4%. The NHMS III results indicate that Malaysian children have better nutritional status compared to children under 5 years in neighbouring countries. In order to meet the targets set in the National Plan of Nutrition (2006-2015), more effective intervention programmes are needed to accelerate the reduction of underweight and stunting, and to arrest the rise of overweight in young children.
Study name: National Health and Morbidity Survey (NHMS-2006)

Matched MeSH terms: Obesity
Fulltext Rural communities in nutritional transition: emergence of obesity, hypertension and hypercholesterolemia as public health problems in three kampungs in Bagan Datoh, Perak

Ng TK, Tee ES, Rosman A

Malays J Nutr, 1995 Sep;1(2):129-39.
PMID: 22692058 MyJurnal

This paper highlights the marked presence of nutritional disorders in a sample (190 males, 237 females, aged 18-80 years) obtained from the adult population in three kampungs i.e. Pasang Api, Sungai Nipah Baroh and Sungai Balai Darat, in the Mukim of Bagan Datoh, Perak in 1992. All subjects (except pregnant females) were measured for blood pressure, weight, height, waist circumference, and hip circumference from which the body mass index (BMI) and waist-hip ratios (WHR) were calculated. A random blood sample was obtained by finger-prick from each subject and analysed for total cholesterol (TC) and glucose, using the Reflotron compact analyser. Elevated means for BMI and WHR indicated that obesity (BMI ≥30.0) was a serious public health problem in these three kampungs, affecting about 5% of males and 14% of females. Another 24% of males and 46% of females had an overweight problem (BMI 25.0-29.9), indicating that on the average, about half the adult population in these kampungs were either overweight or obese. This contrasted with the situation a decade ago in similar-type kampungs in the Peninsula where underweight was the major nutritional disorder in adults, especially males. Overall, there was a shift of an underweight problem to one of overweight, as exemplified by increments of 2.0 to 3.0 BMI units in the adult population, with the phenomenon being more marked in the females. Hypertension (21%) and hyperglycaemia (6.5%) affected the males and females approximately equally. Female adults had higher mean plasma TC compared to males (204 versus 199 mg/dl); these means were some 20 mg/dl (0.52 mmol/L) higher than the corresponding means for adults in similar rural communitites in the early eighties, and approximate the corresponding means for present-day urban adults. The above findings serve to emphasise the nutritional transition undergoing in the rural communities in the Peninsula, viz, the marked emergence in these rural communities of nutritional disorders normally associated with affluent populations.

Matched MeSH terms: Obesity
Fulltext Accelerometer-measured physical activity and its relationship with body mass index (BMI) and waist circumference (WC) measurements: a cross-sectional study on Malaysian adults

Lee, Yi Yi, Narimah Samat, Wan Manan Wan Muda

Malays J Nutr, 2017;23(3):397-408.
MyJurnal

Introduction: Physical activity has been shown to be beneficial for the prevention of
obesity and non-communicable diseases. Our contemporary way of life that is technology
dependent has significantly reduced physical activity. This study aimed to determine
accelerometer-measured physical activity (moderate-to-vigorous physical activity (MVPA))
among adults in high and low walkability neighbourhoods in Penang and Kota Bharu,
Malaysia.

Methods: Participants (n=490) were sampled using multistage sampling method
from neighbourhoods with varied levels of walkability using Geographical Information
System (GIS). Physical activity was measured objectively using Actigraph GT3X+
accelerometers, worn by the participants on their waists for a period of 5 to 7 days.

Results:
The participants had a mean of 13.5 min/day of MVPA. Total MVPA was significantly
higher among participants in high walkability neighbourhoods (19.7 min/day vs. 9.1 min/
day). Results from t-test showed that the time spent on MVPA per day was significantly
lower among participants residing in low walkability neighbourhoods. The final model
of the MIXED model statistical tests showed that total MVPA was significantly associated
with BMI, but not with WC measurements, after adjusting for covariates.

Conclusion: Most
of the participants had very low MVPA and did not achieve the current physical activity
recommendations, implying that Malaysian adults residing in these two cities were not
physically active to achieve health benefits. Results are suggestive of the importance of the
walkability concept in neighbourhoods in encouraging physical activity and healthy body
weight among Malaysians.

Matched MeSH terms: Obesity
Children's psychosocial factors of healthy meal preparation as predictors for nutritional status measures

Ng CM, Satvinder K, Koo HC, Yap RWK, Mukhtar F

Int J Vitam Nutr Res, 2021 Sep;91(5-6):522-530.
PMID: 32463351 DOI: 10.1024/0300-9831/a000655

Involving school-age children in the preparation of healthy meals is shown to be associated with positive eating behavior. Yet, it remains unclear whether this can extend to their nutritional status. The present study aimed to determine the association of school-age children's psychosocial factors (knowledge, attitude, practice, self-efficacy) towards healthy meal preparation with their nutritional status (BMI-for-age, waist circumference, body fat percentage). Stratified random sampling was used to select primary schools (n = 8) in Kuala Lumpur, Malaysia. Two hundred school children aged between 9-11 years old were involved. Psychosocial factors towards healthy meal preparation were assessed using validated questionnaire. Anthropometry measures were determined using standard protocol. Almost half (46 %) of the school-age children were obese/overweight, 39 % were abdominally obese and 40 % were overfat. Approximately half had poor knowledge (49 %), poor practice (45 %), good attitude (56 %) and good self-efficacy (47 %) towards healthy meal preparation. Significant positive correlations were observed between knowledge with attitude (r = 0.23, p

Matched MeSH terms: Obesity
Fulltext Hemorrhagic Thoracic Spinal Epidural Angiolipoma: A Case Report

Saufi, A., Chan, K.H., Zamzuri, Z., Ralib, A.R., Azlina, A.R.

International Medical Journal Malaysia, 2014;13(1):73-76.
MyJurnal

Spinal epidural angiolipomas are rare benign tumors. The tumors contain both vascular and mature adipose components. Typically, they present with a progressive clinical course. Acute presentation is rare. We present a case of a fifteen-year-old girl who presented with a sudden onset of backpain followed by paraparesis with bladder and bowel incontinence. Neurological examination showed sensory loss below T10 with Grade 2 motor power. Spinal MRI showed long segment extradural lesion at T6-T9 level. Multiple laminectomy and excision of the tumor containing areas of hemorrhage was performed. Histopathology report revealed angiolipoma.

Matched MeSH terms: Obesity
Fulltext Factors affecting fast food consumers’ intention to use menu labeling in Klang Valley, Malaysia

Delvarani, S., Ghazali, H., Othman, M.

International Food Research Journal, 2013;20(4):1799-1805.
MyJurnal

Menu labeling is an attempt to educate consumers about the nutrition value of the foods. The importance of using menu labeling has been highlighted in many studies in the past. Although public health programs are educating public on obesity but still this phenomenon is a serious problem in Malaysia. This study identified factors that influence intention to use menu labeling among fast food consumers in Malaysia. The research was conducted among 395 adults in Klang Valley. Respondents completed a self-administrative questionnaire which was adapted from previous studies. Results revealed that attitude, subjective norms and perceived behavioral control had statistically significant positive association with intention and each was significant predictors of intention to use menu labeling and together explained 41% of its variance. The most effective factor was attitude, followed by subjective norms and perceived behavioral control. The outcomes of this study suggested that nutritional knowledge of consumers does not have effect on consumer’s intention to use menu labeling; therefore nutritional knowledge of fast food consumers must be improved. Fast food restaurants have to put more effort on encouraging customers to use menu labeling by making the label more accessible and in a user friendly format.

Matched MeSH terms: Obesity

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