Muslimah Yusof - Academia.edu (original) (raw)

Papers by Muslimah Yusof

Research paper thumbnail of Association of food habits consumption (drinking plain water, eating fruits and chewing frequencies) towards obesity status among Malaysian adults: findings from Malaysian Adult Nutrition Survey (MANS 2014)

Introduction: Obesity becomes a challenge for healthcare provider especially in Asian region. Des... more Introduction: Obesity becomes a challenge for healthcare provider especially in Asian region. Despite many countermeasures taken, however, the food habits consumption such as drinking plain water, eating fruits and chewing frequencies somehow did not been highlighted for countering the obesity problem. Therefore, this study focus on association between the foods habits consumption and obesity status among Malaysian adults. Methods: This study was part of the Malaysian Adult Nutrition Survey (MANS 2014), a nationwide cross-sectional study focusing on Malaysian adults aged 18 to 59 years old. Questionnaire on habits in relation to food consumption (eating fruits, drinking plain water and chewing frequency) was asked in face-to-face interview and anthropometry measurement was taken by trained research assistant. Calculation for BMI and grouping for abdominal obesity were done based on World Health Organization (WHO) 1998. Data analysis was done using SPSS 16. Results: 2857 adults compl...

Research paper thumbnail of National Health and Morbidity Survey 2017: Adolescent Health Survey 2017

Research paper thumbnail of Additional file 1: of An update on obesity research pattern among adults in Malaysia: a scoping review

Keywords and synonyms for search strategy and Appendix 2 List of articles. (PDF 129 kb)

Research paper thumbnail of Risk factors related with high sodium intake among Malaysian adults: findings from the Malaysian Community Salt Survey (MyCoSS) 2017–2018

Journal of Health, Population and Nutrition, 2021

Background High sodium intake was an established risk factor for stroke and cardiovascular diseas... more Background High sodium intake was an established risk factor for stroke and cardiovascular diseases. The objective of this study was to investigate factors associated with high sodium intake based on 24-h urinary sodium excretion from the MyCoSS study. Methods The cross-sectional survey was conducted among adults aged 18 years and above in Malaysia. A multi-stage stratified sampling was used to represent nationally. Twenty-four-hour urine was collected from a total of 900 respondents. Indirect ion-selective electrode (ISE) method was used to measure sodium intake. Descriptive and logistic regression analysis was applied to determine factors associated with high sodium intake based on 24-h urinary sodium excretion. Results A total of 798 respondents (76% response rate) completed the 24-h urine collection process. Logistic regression revealed that high sodium intake associated with obese [aOR 2.611 (95% CI 1.519, 4.488)], male [aOR 2.436 (95% CI 1.473, 4.030)], having a waist circumfe...

Research paper thumbnail of Living in fear : Intimate partner violence against women

Osteochondroma is one of the most common benign tumors of the axial skeleton, but is rarely found... more Osteochondroma is one of the most common benign tumors of the axial skeleton, but is rarely found in the facial bones. Osteochondroma shows an irregular radiopaque lesion and chondromatic area surrounded by osteoma. It may appear different findings as calcification levels. When it develops in the long bone, it has a marked tendency in the ages from 10 to 20 years and ceases with the end of pubertal growth. However, when it develops in the condyle, it is prevalent in the third decades (average 39.2 years) and continues to develop. Lesions developed in the long bone have a predilection for men (M:F = 2:1), but for women in the mandible. Osteochondroma is differentiated from chondroma, osteochondromatosis and osteoma. Mandibular condyle osteochondroma presents asymptomatic facial swelling, rarely posterior openbite, pain during mouth opening and internal derangement of the temporomandibular joint disc due to condylar lengthening and condylar hyperplasia. The first choice of treatment of the massive osteochondroma is the surgical removal. We report osteochondroma of the mandibular condyle showing good result to treat the lesion.

Research paper thumbnail of Validity of Point-of-Care Testing Mission Plus in Detecting Anemia

Background: Point-of-care testing, POCT, was widely used to assess hemoglobin status before proce... more Background: Point-of-care testing, POCT, was widely used to assess hemoglobin status before proceeding with the confirmation test. Our study aimed to assess the validity of Mission® Plus Hb in detecting hemoglobin levels in a general population compared with a standard laboratory hematology analyser as the gold standard. Methods: Two types of samples, capillary and venous blood, were collected from all respondents by trained nurses. Both blood samples were tested using Mission® Plus while the remaining venous blood in EDTA test tubes was sent to the reference laboratory. Results: A total of 622 respondents participated in this study, 75% of them females. The mean Hb tested from capillary blood using Mission® Plus Hb was 11.80±2.02 g/dl. For venous blood, the mean Hb concentrations using Mission® Plus Hb and Sysmex XE-2100 hematology analyser were 12.16±1.84 g/dl and 13.07±1.87 g/dl, respectively. Sensitivity and specificity in detecting anemia from venous samples were 98.8% and 73.4...

Research paper thumbnail of Evaluation Of Colorectal Polypectomy Practices In Portugal – A Nationwide Survey From A Western Europe Country

Research paper thumbnail of Idade funcional, parâmetros antropométricos, nível de atividade física e pressão arterial de idosas com diferentes faixas etárias

O processo de envelhecimento provoca no organismo modificacoes biologicas, psicologicas e sociais... more O processo de envelhecimento provoca no organismo modificacoes biologicas, psicologicas e sociais. O presente estudo teve como objetivo comparar a capacidade funcional, circunferencia abdominal e do quadril, indice massa corporal, nivel de atividade fisica e pressao arterial de acordo com a idade cronologica de idosas ativas. A amostra foi dividida em dois grupos, sendo G1 grupo menor de 70 anos (64,619 ± 2,854) e G2 grupo maior que 70 anos (74,904 ± 3,207). Os dados foram analisados utilizando o software (SISVAR 5.3). Tendo sido encontrada diferenca na autonomia Funcional entre os grupos. Os tempos obtidos nos testes em segundos: C10m (5,311 ± 0,810) para o G1 e (7,305 ± 1,777) para o G2, apresentando diferenca significativa entre os grupos (p=0,000093). No LPS o G1 obteve tempo medio de (10,09 ± 1,537) e o G2 (12,23 ± 3,69), apresentando diferenca significativa entre os grupos (p=0,0296). No teste LPDV o G1 teve o tempo medio de (3,618 ± 0,808) e o G2 (5,548 ± 3,108), apresentando...

Research paper thumbnail of Validity of screening tools for dementia and mild cognitive impairment among the elderly in primary health care: a systematic review

Public Health, 2019

Objectives: This systematic review aims to provide updated and comprehensive evidence on the vali... more Objectives: This systematic review aims to provide updated and comprehensive evidence on the validity and feasibility of screening tools for mild cognitive impairment (MCI) and dementia among the elderly at primary healthcare level. Study design: A review of articles was performed. Methods: A search strategy was used by using electronic bibliographic databases including PubMed, Embase and CENTRAL for published studies and reference list of published studies. The articles were exported to a bibliographic database for further screening process. Two reviewers worked independently to screen results and extract data from the included studies. Any discrepancies were resolved and confirmed by the consensus of all authors. Results: There were three screening approaches for detecting MCI and dementia e screening by a healthcare provider, screening by a self-administered questionnaire and caretaker informant screening. Montreal Cognitive Assessment (MoCA) was the most common and preferable tool for MCI screening (sensitivity [Sn]: 81e97%; specificity [Sp]: 60 e86%), whereas Addenbrooke's Cognitive Examination (ACE) was the preferable tool for dementia screening (Sn: 79e100%; Sp: 86%). Conclusion: This systematic review found that there are three screening approaches for detecting early dementia and MCI at primary health care. ACE and MoCA are recommended tools for screening of dementia and MCI, respectively.

Research paper thumbnail of Postnatal depression and intimate partner violence: a nationwide clinic-based cross-sectional study in Malaysia

BMJ open, Jan 14, 2018

An estimated 13% of women in the postnatal period suffer from postnatal depression (PND) worldwid... more An estimated 13% of women in the postnatal period suffer from postnatal depression (PND) worldwide. In addition to underprivileged women, women who are exposed to violence are at higher risk of PND. This study aimed to investigate the relationship between intimate partner violence (IPV) and PND in Malaysia. This survey was conducted as a nationwide cross-sectional study using a cluster sampling design. Probable PND was assessed using a self-administered Edinburgh Postnatal Depression Scale (EPDS). Demographic profiles and IPV were assessed using a locally validated WHO Multicountry Study on Women's Health and Life Events Questionnaire that was administered in a face-to-face interview. An EPDS total score of 12 or more and/or a positive tendency to self-harm were used to define PND. Out of 6669 women, 5727 respondents were successfully interviewed with a response rate of 85.9%. The prevalence of probable PND was 4.4% (95% CI 2.9 to 6.7). The overall prevalence of IPV was 4.9% (95...

Research paper thumbnail of Prevalence and determinants of disability among adults in Malaysia: results from the National Health and Morbidity Survey (NHMS) 2015

BMC public health, Sep 29, 2017

Reliable national data on disability which is internationally comparable is needed in Malaysia. T... more Reliable national data on disability which is internationally comparable is needed in Malaysia. This study aims to examine the prevalence of disability among adults in Malaysia and its determinants, particularly the socioeconomic factors and comorbidities. This study was based on the disability module, which is part of the National Health and Morbidity Survey 2015. This survey was implemented using a multi-stage stratified sampling design. A locally validated Washington Group questionnaire was used to collect data on disability. Based on the definition of having at least one domain scored "a lot of difficulty or unable to do at all" or at least "some difficulty" scored in two domains, the prevalence of disability among adults in Malaysia was 11.8% (95% CI: 11.15, 12.53). Logistic regression analysis performed showed that population at risk of having disability in Malaysia were those of older people, ethnic minority, low level of education, single, obese, physical...

Research paper thumbnail of Prevalência e fatores associados à violência por parceiro íntimo em mulheres de uma comunidade em Recife/Pernambuco, Brasil

Ciência & Saúde Coletiva, 2016

Resumo Violência por Parceiro Íntimo consiste em importante causa de morbimortalidade de mulheres... more Resumo Violência por Parceiro Íntimo consiste em importante causa de morbimortalidade de mulheres. Embora não existam estatísticas oficiais, dados apontam para elevada prevalência mundial. Este estudo objetivou estimar a prevalência e os fatores associados à violência por parceiro íntimo em mulheres de uma comunidade em Recife/Pernambuco. Realizou-se estudo de corte transversal, incluindo 245 mulheres, na faixa etária de 15 a 49 anos. Utilizou-se questionário com variáveis sociodemográficas, acrescido dos instrumentos WHO VAW STUDY e Self Report Questionnaire (SRQ-20). As participantes assinaram Termo de Consentimento Livre e Esclarecido. A prevalência de violência por parceiro íntimo foi, por tipo de violência sofrida: emocional, 52,7%; física, 46,1%; e sexual, 13,6%. A análise bivariada evidenciou associação entre ter sofrido violência com não ter companheiro (p = 0,001) e uso de drogas (p ≤ 0,001). Na Análise Multivariada, as variáveis encontradas fortemente associadas ao desfech...

Research paper thumbnail of The Use of the Self-Standing Turning Transfer Device to Perform Bed-To-Chair Transfers Reduces Physical Stress among Caregivers of Older Patients in a Middle-Income Developing Country

Frontiers in Medicine, 2014

Manual transfer of elderly patients remains commonplace in many developing countries because the ... more Manual transfer of elderly patients remains commonplace in many developing countries because the use of lifting equipment, such as hoists, is often considered unaffordable luxuries. The aim of this study was, therefore, to evaluate the usage and potential benefits of a low-cost, mechanical turning transfer device among elderly patients and their caregivers on a geriatric ward in a developing country in South East Asia. Fifty-six inpatients, aged 66-92 years, on a geriatric ward, and their caregivers were recruited. Participants were asked to transfer from bed-to-chair transfer with manual assistance, and the task was repeated using the Self-standing Turning Transfer Device (STurDi). The time taken to perform manual transfers and STurDi-assisted transfers was recorded. Physical strain was assessed using the perceived physical stress-rating tool for caregivers with and without the use of the device. User satisfaction was evaluated using the usefulness, satisfaction, and ease of use questionnaire. There was a significant reduction in transfer-time with manual transfers compared to STurDi-assisted transfers [mean (SD) = 48.39 (13.98) vs. 36.23 (10.96); p ≤ 0.001]. The physical stress rating was significantly lower in STurDi-aided transfers compared to manual transfers, shoulder [median (interquartile range) = 0 (1) vs. 4 (3); p = 0.001], upper back [0 (0) vs. 5 (4); p = 0.001], lower back [0 (1) vs. 5 (3), p = 0.001], whole body [1 (2) vs. 4 (3), p = 0.001], and knee [0 (1) vs. 1 (4), p = 0.001]. In addition, majority of patients and caregivers definitely or strongly agreed that the device was useful, saved time, and was easy to use. We have therefore demonstrated in a setting where manual handling was commonly performed that a low-cost mechanical transfer device reduced caregiver strain and was well received by older patients and caregivers.

Research paper thumbnail of Prevalence of Anaemia among the Elderly in Malaysia and Its Associated Factors: Does Ethnicity Matter?

Journal of environmental and public health, 2018

Anaemia is common among the elderly, yet it remains an underresearched clinical condition. This s... more Anaemia is common among the elderly, yet it remains an underresearched clinical condition. This study investigates ethnic differences in prevalence of anaemia and identifies potential factors associated with anaemia in the elderly. Data from the National Health & Morbidity Survey (NHMS) 2015 conducted by Ministry of Health was analyzed. Haemoglobin levels were measured using point-of-care testing, HemoCue® Hb 201+ System©, from consenting individuals. Demographic information and other clinical information were obtained through a structured questionnaire. Descriptive and multivariate analyses were conducted and significant results were presented as adjusted odds ratio. A total of 3794 participants aged 60 years and older responded to the anaemia module with a response rate of 93.7%. 64.0% of respondents were of Malay ethnicity, 21.6% were Chinese, 6.1% were Indians, and 8.3% were of other ethnicities. The overall prevalence of anaemia among older people was 35.3%. The highest prevale...

Research paper thumbnail of A Population-based Anaemia Screening using Point-of-care in Estimating Prevalence of Anaemia in Malaysian Adults: Findings from a Nationwide Survey

Journal of Community Medicine & Health Education

Background: Anaemia is one of the most common public health problems. Globally, the most affected... more Background: Anaemia is one of the most common public health problems. Globally, the most affected group is women of reproductive age. This study aims to describe the prevalence of anaemia among Malaysian adults. Methods: Data were obtained from the National Health and Morbidity Survey 2015, a population-based study. This study used a cross-sectional design with a nationally representative sample. Respondents aged 15 years and above from the selected livings quarters and who gave their consent, were recruited in this study. Haemoglobin level was measured using HemoCue® Hb 201+ System© point-of-care testing based on capillary blood sample. Data analysis was conducted using IBM SPSS software version 21 taking into consideration the complex sampling design. Results: There were 19,908 out of 21,445 respondents who participated in this study. The response rate towards point-of-care screening method was good except for those of young age and Chinese ethnicity. The overall prevalence of anaemia was 24.16% (95% CI: 23.16-25.19) with an estimated projection to 4,858,646 people. The prevalence of anaemia for the specific groups were 34.75% (95% CI: 33.09-36.46), 34.67% (95% CI: 33.02-36.37), 35.27% (95% CI 33.15-37.45) for non-pregnant women (15-49), women of reproductive age and older adults (≥ 60) respectively. Anaemia was positively associated with female sex (aOR=2.84; 95% CI: 2.62-3.07), Indian ethnicity (aOR=1.54; 95% CI: 1.31-1.80), those who were currently not working (aOR=1.11; 95% CI: 1.02-1.20) and age (aOR: 1.01; 95% CI: 1.00-1.01). Conclusion: Anaemia is a significant health problem that should be monitored periodically especially among women of reproductive age and the elderly. Preventive measures such as iron supplementation should thus be started from the younger population.

Research paper thumbnail of Influence of social support on limitation in daily living among older persons in Malaysia

Geriatrics & Gerontology International

Research paper thumbnail of PREVALENCE OF NON-STEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDs) USE IN MALAYSIAN ADULTS AND ASSOCIATED FACTORS: A POPULATION-BASED SURVEY

Malaysian Journal of Public Health Medicine

Chronic use of non-steroidal anti-inflammatory drugs (NSAIDs) is associated with adverse effects.... more Chronic use of non-steroidal anti-inflammatory drugs (NSAIDs) is associated with adverse effects. However, NSAIDs are among the most popular pain killers and easily available over the counter. This study aimed to determine the prevalence of NSAIDs use in Malaysian adults and among those with chronic diseases such as arthritis, kidney disease, hypertension, heart disease and asthma. It also examined the factors associated with NSAIDs use. Data from the National Health Morbidity Survey (NHMS) 2011, a nation-wide survey was analysed. A total of 18231 respondents aged 18 years and above responded to this module. Multivariate logistic regression was used to investigate the association between NSAIDs use and associated factors. The overall prevalence of NSAIDs use among Malaysian adults was 14.2% (95%CI 13.3-15.1). Of the respondents, 4.2% (95%CI 3.8-4.7) took NSAIDs once daily. NSAIDs use was highly associated with those who were ever-told to have arthritis (aOR: 3.03; 95%CI 2.60-3.52) a...

Research paper thumbnail of Prevalence of and factors associated with diarrhoeal diseases among children under five in Malaysia: a cross-sectional study 2016

BMC Public Health, Dec 1, 2018

Background: Globally, diarrhoea is one of the major causes of morbidity and mortality among child... more Background: Globally, diarrhoea is one of the major causes of morbidity and mortality among children under than 5 years of age. There is a scarcity of published data on acute gastroenteritis (AGE) prevalence in Malaysia among children. This study aims to determine factors associated with diarrhoea in children aged less than 5 years in Malaysia. Method: Data from the National Health and Morbidity Survey 2016 conducted by Ministry of Health was analysed. This nationwide survey involved 15,188 children below five years old. The survey was carried out using a two-stage stratified sampling design to ensure national representativeness. The Questionnaire from UNICEF's Multiple Indicator Cluster Survey (MCIS) was adapted to suit local requirements. Analysis was done using SPSS Version 23. Descriptive followed by multiple logistic regression were done to identify relevant factors. Result: The prevalence of diarrhoea among children under five in Malaysia was 4.4% (95% CI: 3.8,5.2). Analysis using logistic regression indicated that only ethnicity and usage of untreated water were significantly associated with diarrhoea among children after controlling for relevant factors. By ethnicity, children in the 'Other Bumiputera' group had 2.5 times the odds of having diarrhoea compared to children of Malay ethnicity. Children of Indian ethnicity were also at higher risk, at almost double the odds, as well as other ethnic groups (1.5 times). Children who used untreated water supply were two times more likely to develop diarrhoea. Conclusion: There is a higher risk of diarrhoea among children of 'Other Bumiputera' ethnicity, Indian ethnicities, and other ethnic groups and those who consume untreated water. Strategies to reduce diarrhoea among children should be targeted towards these at-risk populations. In addition, the Government must strive to ensure universal access to treated clean water in Malaysia and the Ministry of Health must focus on raising awareness on how to prevent diarrhoea.

Research paper thumbnail of Visual Impairment among Adult 50 Years and Above in Malaysia: Findings from National Health and Morbidity Survey (NHMS) 2015

Journal of Diabetes & Metabolism

Background: Visual impairment and blindness are common problems in older adult of Malaysian and t... more Background: Visual impairment and blindness are common problems in older adult of Malaysian and the number of people affected is likely to increase as the population age increased. Visual impairment can be described as any chronic visual deficit that impairs everyday functioning.This study aims to determine the association of visual impairment with diabetes mellitus among adults in Malaysia. Method: Data was analyzed on adults aged ≥ 50 years from the National Health and Morbidity Survey (NHMS) 2015, a cross-sectional, nationwide population-based survey covering information on socio-demographic profile, diabetes mellitus and visual domain from the locally validated Washington Group Short Questionnaire. Results: The overall prevalence of diabetes patients had difficulty in seeing was 26.1% (95% CI: 24.2, 28.0). Elderly Malaysians was noted to have higher proportion of visual impairment 27.8% (95% CI: 25.6-30.1) compared to other age group. From that, we selected the respondents aged 50 and above and the result showed 32.5% (95% CI: 30.76, 34.37) of them having visual impairment. Logistic regression analysis was used to determine factors associated with visual impairment and showed it was significantly associated with diabetes mellitus [aOR = 1.8, 95%-CI: 1.7-1.9], more female visually impaired [aOR = 1.1, 95%-CI: 1.0-1.2] and most among elderly [aOR = 5.3, 95% CI: 4.4-6.4], other bumiputra [aOR = 1.9, 95%-CI: 1.6-2.1], widow/widower/divorcee [aOR = 1.4, 95%-CI: 1.1-1.7] and rural [aOR = 1.0,95%-CI: 1.0-1.1]. Conclusion: National screening and educational programs were needed to reduce visual impairment and risk of blindness among diabetes patient. The findings may help increase the awareness of visual impairment by general public and policy makers as well.

Research paper thumbnail of An update on obesity research pattern among adults in Malaysia: a scoping review

BMC Women's Health

Background: Obesity is a global health burden in the non-communicable diseases and much efforts h... more Background: Obesity is a global health burden in the non-communicable diseases and much efforts have been implemented in the past decade in response to the rise of obesity prevalence among the Malaysian population. These include the development of the national policies, health programmes and research activities. The main aim of the scoping review was to identify obesity research pattern among adults in Malaysia in terms of the scopes, topics and the research designs. Methods: The scoping review was conducted based on the framework by Arksey and O'Malley. The Preferred Reporting Items for Systematic Reviews and Meta Analysis (PRISMA) diagram was used as a guide to record the review process. Articles from year 2008 until 2017 on overweight and obesity among adults aged 18 years and above were retrieved based on the keywords using electronic databases (Embase/Ovid, Pubmed, Cochrane library and Google Scholar). Local journals, Nutrition Research in Malaysia Biblography (2011 and 2016), online local theses databases, virtual library databases were also included in the searches. Consultations with relevant key informants from the National Institutes of Health and local universities were also conducted. Search activities were managed using Endnote software and MS Excelsheet. Results: The characteristics of the results were described based on the objectives of the review. A total of 2004 articles and reports were retrieved, and 188 articles related to obesity in Malaysia were included in the final review. Scopes and topics of obesity research based on the Nutrition Research Priorities in Malaysia (NRPM) for 11th Malaysia Plan were obesity prevalence, weight loss intervention, association of physical activities and dietary factors with obesity. The majority of obesity research among adults in Malaysia was cross sectional studies and only a small number of intervention studies, qualitative studies and systematic review were indentified. Research gaps were identified in order to make useful recommendations to the stakeholders. Conclusions: In the past decade, there has been an emerging evidence on obesity research among adults in Malaysia. More obesity research needs to be conducted particularly on obesity intervention among specific gender, qualitative studies, economic cost and genetic factors of obesity.

Research paper thumbnail of Association of food habits consumption (drinking plain water, eating fruits and chewing frequencies) towards obesity status among Malaysian adults: findings from Malaysian Adult Nutrition Survey (MANS 2014)

Introduction: Obesity becomes a challenge for healthcare provider especially in Asian region. Des... more Introduction: Obesity becomes a challenge for healthcare provider especially in Asian region. Despite many countermeasures taken, however, the food habits consumption such as drinking plain water, eating fruits and chewing frequencies somehow did not been highlighted for countering the obesity problem. Therefore, this study focus on association between the foods habits consumption and obesity status among Malaysian adults. Methods: This study was part of the Malaysian Adult Nutrition Survey (MANS 2014), a nationwide cross-sectional study focusing on Malaysian adults aged 18 to 59 years old. Questionnaire on habits in relation to food consumption (eating fruits, drinking plain water and chewing frequency) was asked in face-to-face interview and anthropometry measurement was taken by trained research assistant. Calculation for BMI and grouping for abdominal obesity were done based on World Health Organization (WHO) 1998. Data analysis was done using SPSS 16. Results: 2857 adults compl...

Research paper thumbnail of National Health and Morbidity Survey 2017: Adolescent Health Survey 2017

Research paper thumbnail of Additional file 1: of An update on obesity research pattern among adults in Malaysia: a scoping review

Keywords and synonyms for search strategy and Appendix 2 List of articles. (PDF 129 kb)

Research paper thumbnail of Risk factors related with high sodium intake among Malaysian adults: findings from the Malaysian Community Salt Survey (MyCoSS) 2017–2018

Journal of Health, Population and Nutrition, 2021

Background High sodium intake was an established risk factor for stroke and cardiovascular diseas... more Background High sodium intake was an established risk factor for stroke and cardiovascular diseases. The objective of this study was to investigate factors associated with high sodium intake based on 24-h urinary sodium excretion from the MyCoSS study. Methods The cross-sectional survey was conducted among adults aged 18 years and above in Malaysia. A multi-stage stratified sampling was used to represent nationally. Twenty-four-hour urine was collected from a total of 900 respondents. Indirect ion-selective electrode (ISE) method was used to measure sodium intake. Descriptive and logistic regression analysis was applied to determine factors associated with high sodium intake based on 24-h urinary sodium excretion. Results A total of 798 respondents (76% response rate) completed the 24-h urine collection process. Logistic regression revealed that high sodium intake associated with obese [aOR 2.611 (95% CI 1.519, 4.488)], male [aOR 2.436 (95% CI 1.473, 4.030)], having a waist circumfe...

Research paper thumbnail of Living in fear : Intimate partner violence against women

Osteochondroma is one of the most common benign tumors of the axial skeleton, but is rarely found... more Osteochondroma is one of the most common benign tumors of the axial skeleton, but is rarely found in the facial bones. Osteochondroma shows an irregular radiopaque lesion and chondromatic area surrounded by osteoma. It may appear different findings as calcification levels. When it develops in the long bone, it has a marked tendency in the ages from 10 to 20 years and ceases with the end of pubertal growth. However, when it develops in the condyle, it is prevalent in the third decades (average 39.2 years) and continues to develop. Lesions developed in the long bone have a predilection for men (M:F = 2:1), but for women in the mandible. Osteochondroma is differentiated from chondroma, osteochondromatosis and osteoma. Mandibular condyle osteochondroma presents asymptomatic facial swelling, rarely posterior openbite, pain during mouth opening and internal derangement of the temporomandibular joint disc due to condylar lengthening and condylar hyperplasia. The first choice of treatment of the massive osteochondroma is the surgical removal. We report osteochondroma of the mandibular condyle showing good result to treat the lesion.

Research paper thumbnail of Validity of Point-of-Care Testing Mission Plus in Detecting Anemia

Background: Point-of-care testing, POCT, was widely used to assess hemoglobin status before proce... more Background: Point-of-care testing, POCT, was widely used to assess hemoglobin status before proceeding with the confirmation test. Our study aimed to assess the validity of Mission® Plus Hb in detecting hemoglobin levels in a general population compared with a standard laboratory hematology analyser as the gold standard. Methods: Two types of samples, capillary and venous blood, were collected from all respondents by trained nurses. Both blood samples were tested using Mission® Plus while the remaining venous blood in EDTA test tubes was sent to the reference laboratory. Results: A total of 622 respondents participated in this study, 75% of them females. The mean Hb tested from capillary blood using Mission® Plus Hb was 11.80±2.02 g/dl. For venous blood, the mean Hb concentrations using Mission® Plus Hb and Sysmex XE-2100 hematology analyser were 12.16±1.84 g/dl and 13.07±1.87 g/dl, respectively. Sensitivity and specificity in detecting anemia from venous samples were 98.8% and 73.4...

Research paper thumbnail of Evaluation Of Colorectal Polypectomy Practices In Portugal – A Nationwide Survey From A Western Europe Country

Research paper thumbnail of Idade funcional, parâmetros antropométricos, nível de atividade física e pressão arterial de idosas com diferentes faixas etárias

O processo de envelhecimento provoca no organismo modificacoes biologicas, psicologicas e sociais... more O processo de envelhecimento provoca no organismo modificacoes biologicas, psicologicas e sociais. O presente estudo teve como objetivo comparar a capacidade funcional, circunferencia abdominal e do quadril, indice massa corporal, nivel de atividade fisica e pressao arterial de acordo com a idade cronologica de idosas ativas. A amostra foi dividida em dois grupos, sendo G1 grupo menor de 70 anos (64,619 ± 2,854) e G2 grupo maior que 70 anos (74,904 ± 3,207). Os dados foram analisados utilizando o software (SISVAR 5.3). Tendo sido encontrada diferenca na autonomia Funcional entre os grupos. Os tempos obtidos nos testes em segundos: C10m (5,311 ± 0,810) para o G1 e (7,305 ± 1,777) para o G2, apresentando diferenca significativa entre os grupos (p=0,000093). No LPS o G1 obteve tempo medio de (10,09 ± 1,537) e o G2 (12,23 ± 3,69), apresentando diferenca significativa entre os grupos (p=0,0296). No teste LPDV o G1 teve o tempo medio de (3,618 ± 0,808) e o G2 (5,548 ± 3,108), apresentando...

Research paper thumbnail of Validity of screening tools for dementia and mild cognitive impairment among the elderly in primary health care: a systematic review

Public Health, 2019

Objectives: This systematic review aims to provide updated and comprehensive evidence on the vali... more Objectives: This systematic review aims to provide updated and comprehensive evidence on the validity and feasibility of screening tools for mild cognitive impairment (MCI) and dementia among the elderly at primary healthcare level. Study design: A review of articles was performed. Methods: A search strategy was used by using electronic bibliographic databases including PubMed, Embase and CENTRAL for published studies and reference list of published studies. The articles were exported to a bibliographic database for further screening process. Two reviewers worked independently to screen results and extract data from the included studies. Any discrepancies were resolved and confirmed by the consensus of all authors. Results: There were three screening approaches for detecting MCI and dementia e screening by a healthcare provider, screening by a self-administered questionnaire and caretaker informant screening. Montreal Cognitive Assessment (MoCA) was the most common and preferable tool for MCI screening (sensitivity [Sn]: 81e97%; specificity [Sp]: 60 e86%), whereas Addenbrooke's Cognitive Examination (ACE) was the preferable tool for dementia screening (Sn: 79e100%; Sp: 86%). Conclusion: This systematic review found that there are three screening approaches for detecting early dementia and MCI at primary health care. ACE and MoCA are recommended tools for screening of dementia and MCI, respectively.

Research paper thumbnail of Postnatal depression and intimate partner violence: a nationwide clinic-based cross-sectional study in Malaysia

BMJ open, Jan 14, 2018

An estimated 13% of women in the postnatal period suffer from postnatal depression (PND) worldwid... more An estimated 13% of women in the postnatal period suffer from postnatal depression (PND) worldwide. In addition to underprivileged women, women who are exposed to violence are at higher risk of PND. This study aimed to investigate the relationship between intimate partner violence (IPV) and PND in Malaysia. This survey was conducted as a nationwide cross-sectional study using a cluster sampling design. Probable PND was assessed using a self-administered Edinburgh Postnatal Depression Scale (EPDS). Demographic profiles and IPV were assessed using a locally validated WHO Multicountry Study on Women's Health and Life Events Questionnaire that was administered in a face-to-face interview. An EPDS total score of 12 or more and/or a positive tendency to self-harm were used to define PND. Out of 6669 women, 5727 respondents were successfully interviewed with a response rate of 85.9%. The prevalence of probable PND was 4.4% (95% CI 2.9 to 6.7). The overall prevalence of IPV was 4.9% (95...

Research paper thumbnail of Prevalence and determinants of disability among adults in Malaysia: results from the National Health and Morbidity Survey (NHMS) 2015

BMC public health, Sep 29, 2017

Reliable national data on disability which is internationally comparable is needed in Malaysia. T... more Reliable national data on disability which is internationally comparable is needed in Malaysia. This study aims to examine the prevalence of disability among adults in Malaysia and its determinants, particularly the socioeconomic factors and comorbidities. This study was based on the disability module, which is part of the National Health and Morbidity Survey 2015. This survey was implemented using a multi-stage stratified sampling design. A locally validated Washington Group questionnaire was used to collect data on disability. Based on the definition of having at least one domain scored "a lot of difficulty or unable to do at all" or at least "some difficulty" scored in two domains, the prevalence of disability among adults in Malaysia was 11.8% (95% CI: 11.15, 12.53). Logistic regression analysis performed showed that population at risk of having disability in Malaysia were those of older people, ethnic minority, low level of education, single, obese, physical...

Research paper thumbnail of Prevalência e fatores associados à violência por parceiro íntimo em mulheres de uma comunidade em Recife/Pernambuco, Brasil

Ciência & Saúde Coletiva, 2016

Resumo Violência por Parceiro Íntimo consiste em importante causa de morbimortalidade de mulheres... more Resumo Violência por Parceiro Íntimo consiste em importante causa de morbimortalidade de mulheres. Embora não existam estatísticas oficiais, dados apontam para elevada prevalência mundial. Este estudo objetivou estimar a prevalência e os fatores associados à violência por parceiro íntimo em mulheres de uma comunidade em Recife/Pernambuco. Realizou-se estudo de corte transversal, incluindo 245 mulheres, na faixa etária de 15 a 49 anos. Utilizou-se questionário com variáveis sociodemográficas, acrescido dos instrumentos WHO VAW STUDY e Self Report Questionnaire (SRQ-20). As participantes assinaram Termo de Consentimento Livre e Esclarecido. A prevalência de violência por parceiro íntimo foi, por tipo de violência sofrida: emocional, 52,7%; física, 46,1%; e sexual, 13,6%. A análise bivariada evidenciou associação entre ter sofrido violência com não ter companheiro (p = 0,001) e uso de drogas (p ≤ 0,001). Na Análise Multivariada, as variáveis encontradas fortemente associadas ao desfech...

Research paper thumbnail of The Use of the Self-Standing Turning Transfer Device to Perform Bed-To-Chair Transfers Reduces Physical Stress among Caregivers of Older Patients in a Middle-Income Developing Country

Frontiers in Medicine, 2014

Manual transfer of elderly patients remains commonplace in many developing countries because the ... more Manual transfer of elderly patients remains commonplace in many developing countries because the use of lifting equipment, such as hoists, is often considered unaffordable luxuries. The aim of this study was, therefore, to evaluate the usage and potential benefits of a low-cost, mechanical turning transfer device among elderly patients and their caregivers on a geriatric ward in a developing country in South East Asia. Fifty-six inpatients, aged 66-92 years, on a geriatric ward, and their caregivers were recruited. Participants were asked to transfer from bed-to-chair transfer with manual assistance, and the task was repeated using the Self-standing Turning Transfer Device (STurDi). The time taken to perform manual transfers and STurDi-assisted transfers was recorded. Physical strain was assessed using the perceived physical stress-rating tool for caregivers with and without the use of the device. User satisfaction was evaluated using the usefulness, satisfaction, and ease of use questionnaire. There was a significant reduction in transfer-time with manual transfers compared to STurDi-assisted transfers [mean (SD) = 48.39 (13.98) vs. 36.23 (10.96); p ≤ 0.001]. The physical stress rating was significantly lower in STurDi-aided transfers compared to manual transfers, shoulder [median (interquartile range) = 0 (1) vs. 4 (3); p = 0.001], upper back [0 (0) vs. 5 (4); p = 0.001], lower back [0 (1) vs. 5 (3), p = 0.001], whole body [1 (2) vs. 4 (3), p = 0.001], and knee [0 (1) vs. 1 (4), p = 0.001]. In addition, majority of patients and caregivers definitely or strongly agreed that the device was useful, saved time, and was easy to use. We have therefore demonstrated in a setting where manual handling was commonly performed that a low-cost mechanical transfer device reduced caregiver strain and was well received by older patients and caregivers.

Research paper thumbnail of Prevalence of Anaemia among the Elderly in Malaysia and Its Associated Factors: Does Ethnicity Matter?

Journal of environmental and public health, 2018

Anaemia is common among the elderly, yet it remains an underresearched clinical condition. This s... more Anaemia is common among the elderly, yet it remains an underresearched clinical condition. This study investigates ethnic differences in prevalence of anaemia and identifies potential factors associated with anaemia in the elderly. Data from the National Health & Morbidity Survey (NHMS) 2015 conducted by Ministry of Health was analyzed. Haemoglobin levels were measured using point-of-care testing, HemoCue® Hb 201+ System©, from consenting individuals. Demographic information and other clinical information were obtained through a structured questionnaire. Descriptive and multivariate analyses were conducted and significant results were presented as adjusted odds ratio. A total of 3794 participants aged 60 years and older responded to the anaemia module with a response rate of 93.7%. 64.0% of respondents were of Malay ethnicity, 21.6% were Chinese, 6.1% were Indians, and 8.3% were of other ethnicities. The overall prevalence of anaemia among older people was 35.3%. The highest prevale...

Research paper thumbnail of A Population-based Anaemia Screening using Point-of-care in Estimating Prevalence of Anaemia in Malaysian Adults: Findings from a Nationwide Survey

Journal of Community Medicine & Health Education

Background: Anaemia is one of the most common public health problems. Globally, the most affected... more Background: Anaemia is one of the most common public health problems. Globally, the most affected group is women of reproductive age. This study aims to describe the prevalence of anaemia among Malaysian adults. Methods: Data were obtained from the National Health and Morbidity Survey 2015, a population-based study. This study used a cross-sectional design with a nationally representative sample. Respondents aged 15 years and above from the selected livings quarters and who gave their consent, were recruited in this study. Haemoglobin level was measured using HemoCue® Hb 201+ System© point-of-care testing based on capillary blood sample. Data analysis was conducted using IBM SPSS software version 21 taking into consideration the complex sampling design. Results: There were 19,908 out of 21,445 respondents who participated in this study. The response rate towards point-of-care screening method was good except for those of young age and Chinese ethnicity. The overall prevalence of anaemia was 24.16% (95% CI: 23.16-25.19) with an estimated projection to 4,858,646 people. The prevalence of anaemia for the specific groups were 34.75% (95% CI: 33.09-36.46), 34.67% (95% CI: 33.02-36.37), 35.27% (95% CI 33.15-37.45) for non-pregnant women (15-49), women of reproductive age and older adults (≥ 60) respectively. Anaemia was positively associated with female sex (aOR=2.84; 95% CI: 2.62-3.07), Indian ethnicity (aOR=1.54; 95% CI: 1.31-1.80), those who were currently not working (aOR=1.11; 95% CI: 1.02-1.20) and age (aOR: 1.01; 95% CI: 1.00-1.01). Conclusion: Anaemia is a significant health problem that should be monitored periodically especially among women of reproductive age and the elderly. Preventive measures such as iron supplementation should thus be started from the younger population.

Research paper thumbnail of Influence of social support on limitation in daily living among older persons in Malaysia

Geriatrics & Gerontology International

Research paper thumbnail of PREVALENCE OF NON-STEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDs) USE IN MALAYSIAN ADULTS AND ASSOCIATED FACTORS: A POPULATION-BASED SURVEY

Malaysian Journal of Public Health Medicine

Chronic use of non-steroidal anti-inflammatory drugs (NSAIDs) is associated with adverse effects.... more Chronic use of non-steroidal anti-inflammatory drugs (NSAIDs) is associated with adverse effects. However, NSAIDs are among the most popular pain killers and easily available over the counter. This study aimed to determine the prevalence of NSAIDs use in Malaysian adults and among those with chronic diseases such as arthritis, kidney disease, hypertension, heart disease and asthma. It also examined the factors associated with NSAIDs use. Data from the National Health Morbidity Survey (NHMS) 2011, a nation-wide survey was analysed. A total of 18231 respondents aged 18 years and above responded to this module. Multivariate logistic regression was used to investigate the association between NSAIDs use and associated factors. The overall prevalence of NSAIDs use among Malaysian adults was 14.2% (95%CI 13.3-15.1). Of the respondents, 4.2% (95%CI 3.8-4.7) took NSAIDs once daily. NSAIDs use was highly associated with those who were ever-told to have arthritis (aOR: 3.03; 95%CI 2.60-3.52) a...

Research paper thumbnail of Prevalence of and factors associated with diarrhoeal diseases among children under five in Malaysia: a cross-sectional study 2016

BMC Public Health, Dec 1, 2018

Background: Globally, diarrhoea is one of the major causes of morbidity and mortality among child... more Background: Globally, diarrhoea is one of the major causes of morbidity and mortality among children under than 5 years of age. There is a scarcity of published data on acute gastroenteritis (AGE) prevalence in Malaysia among children. This study aims to determine factors associated with diarrhoea in children aged less than 5 years in Malaysia. Method: Data from the National Health and Morbidity Survey 2016 conducted by Ministry of Health was analysed. This nationwide survey involved 15,188 children below five years old. The survey was carried out using a two-stage stratified sampling design to ensure national representativeness. The Questionnaire from UNICEF's Multiple Indicator Cluster Survey (MCIS) was adapted to suit local requirements. Analysis was done using SPSS Version 23. Descriptive followed by multiple logistic regression were done to identify relevant factors. Result: The prevalence of diarrhoea among children under five in Malaysia was 4.4% (95% CI: 3.8,5.2). Analysis using logistic regression indicated that only ethnicity and usage of untreated water were significantly associated with diarrhoea among children after controlling for relevant factors. By ethnicity, children in the 'Other Bumiputera' group had 2.5 times the odds of having diarrhoea compared to children of Malay ethnicity. Children of Indian ethnicity were also at higher risk, at almost double the odds, as well as other ethnic groups (1.5 times). Children who used untreated water supply were two times more likely to develop diarrhoea. Conclusion: There is a higher risk of diarrhoea among children of 'Other Bumiputera' ethnicity, Indian ethnicities, and other ethnic groups and those who consume untreated water. Strategies to reduce diarrhoea among children should be targeted towards these at-risk populations. In addition, the Government must strive to ensure universal access to treated clean water in Malaysia and the Ministry of Health must focus on raising awareness on how to prevent diarrhoea.

Research paper thumbnail of Visual Impairment among Adult 50 Years and Above in Malaysia: Findings from National Health and Morbidity Survey (NHMS) 2015

Journal of Diabetes & Metabolism

Background: Visual impairment and blindness are common problems in older adult of Malaysian and t... more Background: Visual impairment and blindness are common problems in older adult of Malaysian and the number of people affected is likely to increase as the population age increased. Visual impairment can be described as any chronic visual deficit that impairs everyday functioning.This study aims to determine the association of visual impairment with diabetes mellitus among adults in Malaysia. Method: Data was analyzed on adults aged ≥ 50 years from the National Health and Morbidity Survey (NHMS) 2015, a cross-sectional, nationwide population-based survey covering information on socio-demographic profile, diabetes mellitus and visual domain from the locally validated Washington Group Short Questionnaire. Results: The overall prevalence of diabetes patients had difficulty in seeing was 26.1% (95% CI: 24.2, 28.0). Elderly Malaysians was noted to have higher proportion of visual impairment 27.8% (95% CI: 25.6-30.1) compared to other age group. From that, we selected the respondents aged 50 and above and the result showed 32.5% (95% CI: 30.76, 34.37) of them having visual impairment. Logistic regression analysis was used to determine factors associated with visual impairment and showed it was significantly associated with diabetes mellitus [aOR = 1.8, 95%-CI: 1.7-1.9], more female visually impaired [aOR = 1.1, 95%-CI: 1.0-1.2] and most among elderly [aOR = 5.3, 95% CI: 4.4-6.4], other bumiputra [aOR = 1.9, 95%-CI: 1.6-2.1], widow/widower/divorcee [aOR = 1.4, 95%-CI: 1.1-1.7] and rural [aOR = 1.0,95%-CI: 1.0-1.1]. Conclusion: National screening and educational programs were needed to reduce visual impairment and risk of blindness among diabetes patient. The findings may help increase the awareness of visual impairment by general public and policy makers as well.

Research paper thumbnail of An update on obesity research pattern among adults in Malaysia: a scoping review

BMC Women's Health

Background: Obesity is a global health burden in the non-communicable diseases and much efforts h... more Background: Obesity is a global health burden in the non-communicable diseases and much efforts have been implemented in the past decade in response to the rise of obesity prevalence among the Malaysian population. These include the development of the national policies, health programmes and research activities. The main aim of the scoping review was to identify obesity research pattern among adults in Malaysia in terms of the scopes, topics and the research designs. Methods: The scoping review was conducted based on the framework by Arksey and O'Malley. The Preferred Reporting Items for Systematic Reviews and Meta Analysis (PRISMA) diagram was used as a guide to record the review process. Articles from year 2008 until 2017 on overweight and obesity among adults aged 18 years and above were retrieved based on the keywords using electronic databases (Embase/Ovid, Pubmed, Cochrane library and Google Scholar). Local journals, Nutrition Research in Malaysia Biblography (2011 and 2016), online local theses databases, virtual library databases were also included in the searches. Consultations with relevant key informants from the National Institutes of Health and local universities were also conducted. Search activities were managed using Endnote software and MS Excelsheet. Results: The characteristics of the results were described based on the objectives of the review. A total of 2004 articles and reports were retrieved, and 188 articles related to obesity in Malaysia were included in the final review. Scopes and topics of obesity research based on the Nutrition Research Priorities in Malaysia (NRPM) for 11th Malaysia Plan were obesity prevalence, weight loss intervention, association of physical activities and dietary factors with obesity. The majority of obesity research among adults in Malaysia was cross sectional studies and only a small number of intervention studies, qualitative studies and systematic review were indentified. Research gaps were identified in order to make useful recommendations to the stakeholders. Conclusions: In the past decade, there has been an emerging evidence on obesity research among adults in Malaysia. More obesity research needs to be conducted particularly on obesity intervention among specific gender, qualitative studies, economic cost and genetic factors of obesity.