Browsing by Author "Norlida Zulkafly"
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- PublicationAbdominal obesity and its associated factors among older adults in Malaysia(2020)
;Azli Baharudin@Shaharuddin ;Nur Shahida Abdul Aziz ;Mohamad Hasnan Ahmad ;Jayvikramjit Singh Manjit Singh ;Ying Ying Chan ;Lalitha Palaniveloo ;Chee Cheong Kee ;Norlida Zulkafly ;Norazizah Ibrahim Wong ;Ruhaya SallehRusidah SelamatAim: The rise in the prevalence of abdominal obesity (AO), in particular, has become a major concern as it contributes to diabetes, hypertension, high cholesterol, heart disease and certain types of cancer. The aim of this study is to determine the prevalence and associated factors of AO among older adults aged ≥60 years in Malaysia. Methods: This was a nationwide cross‐sectional study using two‐stage stratified random sampling. In total, 3977 older adults aged ≥60 years were involved in this study. Socio‐demography characteristics were obtained using self‐administered questionnaire. AO was measured using waist circumference and classified according to the cut‐off values of ≥90 cm for men and ≥80 cm for women based on the WHO recommendation. Descriptive and multiple logistic regression analysis using a complex sample design were performed for data analysis. Results: Our findings showed that 2371 (67.3%) older adults had AO. Older adults who were from urban areas (69.7%), of women (78.4%), married (66.7%), with tertiary education (73.6%) and unemployed (70.9%) had the highest prevalence of AO. Those from urban areas (adjusted odds ratio [aOR] = 1.29), women (aOR = 3.12), unemployed (aOR = 1.14), diagnosed with hypertension (aOR = 1.56) and diabetes mellitus (aOR = 2.08) were also significantly associated with a higher risk of AO. Conclusions: This study identified several risk factors that are associated with AO among older adults in Malaysia. Such information is important and needed to improve the healthcare system systematically, enable nutrition screening and appropriate intervention to combat the growing AO in Malaysia. Geriatr Gerontol Int 2020; 20: 68–72. - PublicationFactors contributing to food insecurity among older persons in Malaysia: Findings from the National Health and Morbidity Survey (NHMS) 2018(2020)
;Ruhaya Salleh ;Cheong Siew Man ;Mohamad Hasnan Ahmad ;Lalitha Palaniveloo ;Norlida Zulkafly ;Siti Adibah Ab.Halim ;Azli Baharudin@Shaharuddin ;Norhasmah Sulaiman ;Norsyamlina Che Abdul Rahim ;Nur Shahida Abdul Aziz ;Syafinaz Mohd Sallehuddin ;Munawara Pardi ;Ahmad Ali Zainuddin ;Suhaila Abdul Ghaffar ;Suzana Shahar ;Rusidah SelamatNorazizah Ibrahim WongAim: Older persons are vulnerable to food insecurity. Therefore, this study aimed to determine the prevalence of food insecurity and associated factors among older persons in Malaysia. Methods: This is a cross‐sectional study with two‐stage stratified random sampling. In total, 3977 older persons participated in this study. Face‐to‐face interviews were conducted using a mobile device to obtain information about socio‐demographic background, food insecurity, non‐communicable diseases, social support and living arrangements. Descriptive and multiple complex sample logistic regression analyses were performed for data analysis. Results: The overall prevalence of food insecurity among older persons was 10.4%. Older persons from rural areas with no or only primary and secondary education, income less than RM 2000 (USD 477.57), at risk of malnutrition and not receiving very high social support were more likely to be food‐insecure. Conclusion: Approximately, one‐tenth of Malaysian older adults were classified as food‐insecure; particularly those living in rural areas from lower socio‐economic status, not receiving very high social support and malnourished were more likely to be at risk. A specific nutrition program, such as meals on wheels and food vouchers, should be targeted toward older persons who are at risk to improve their malnutrition status. Geriatr Gerontol Int 2020; 20: 73–78. - PublicationWho Do Not Read and Understand Food Label in Malaysia? Findings from a Population Study(2018)
;Rashidah Ambak ;Leni Tupang ;Mohd Hazrin Hasim ;Natifah Che Salleh ;Norlida Zulkafly ;Ruhaya Salleh ;Mohamad Hasnan AhmadBalkish Mahadir NaiduObjective: This study determined the prevalence of food label reading and understanding among the Malaysian adults, types of labels being read and factors associated with not reading labels. Methods: Malaysian Adult Nutrition Survey 2014 was a cross-sectional and applied a multistage stratified cluster sampling of living quarters. A total of 4044 adults aged 18-59 years were randomly chosen in selected households to represent the Malaysian adult’s population. Data collection was carried out between March to June 2014. Trained data collectors conducted interview using a validated food label questionnaire to obtain information on whether the respondents read labels (every time they bought or received food) and types of information being read. Complex sample analysis was applied to describe the findings. Result: A total of 2992 respondents (1382 men and 1610 women) answered the questionnaire. About 55.0% of the respondents reported never read labels, sometimes read labels was 22.0% and always read labels was 23.0%. Male sex, lower education, being single (not married/divorced/ widow/widower) and normal weight respondents were significantly less likely to read food label, the expiry date was the most common label information. Among those who rea labels, the expiry date was the most common label information being read (91.8%), followed by the precautionary statement (65.9%). Nutrient information being read was carbohydrate and sugar (21.5%), fat (20.0%) and total energy (14.4%). Non-working respondents and primary school attainers were significantly less likely not to understand label information. Conclusion: Only half of Malaysian adults read the label when buying or receiving food. Expiry date was the most frequently read information and the prevalence of reading the nutrient information was low. These findings provide useful evidence for the health authorities to plan for nutrition intervention programs in order to increase the food label usage among the relevant target groups.