Leng, Soo Kah
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Risk Factors of Subjective Cognitive Decline among Older People with Low Socioeconomic Status Muhamad Nazri, Ameer Izzuddin; Vanoh, Divya; Leng, Soo Kah; Badrasawi, Manal
Jurnal Gizi dan Pangan Vol. 18 No. 2 (2023)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2023.18.2.127-136

Abstract

The aim of the study is to investigate the predictors associated with Subjective Cognitive Decline (SCD)especially among older people with low socioeconomic status. This was a cross- sectional study involving older people with low socioeconomic status in Kelantan, which is one of the poorest states in Malaysia. Data of anthropometry, body composition, cognitive function, sarcopenia, depressive symptoms, medical history, blood pressure and polypharmacy were obtained via face-to-face interview. SCD was determined by a single item in the Geriatric Depression Scale (GDS). Variables were analysed using the binary logistic regression model for identification of risk factors. A total of 293 older people with mean age of 69.1 years old was recruited. The SCD proportion in this study was 24.6%. One unit increase in Geriatric Depression Scale (GDS) score increases risk of subjective cognitive decline by odds of 1.814 (OR=0.595: 95% CI:1.441–2.283; p<0.001). Meanwhile, those with diabetes have a tendency of 2.972 to have SCD as compared to non-diabetics (OR=1.089: 95% CI:1.062–8.315; p<0.038). The prevalence of SCD in this study is high and may contribute to cognitive impairment. The predictors of SCD were larger waist circumference, having diabetes, and increasing score in GDS. SCD must be screened earlier and healthy lifestyle must be emphasized. Routine screening and monitoring of non-communicable disease risk factors are important for the prevention of SCD.
Determinants of Poor Diet Quality among Elderly with Low Socioeconomic Status Nazri, Nurul Syahidah; Vanoh, Divya; Leng, Soo Kah
Jurnal Gizi dan Pangan Vol. 18 No. 3 (2023)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2023.18.3.147-156

Abstract

The purpose of this study was to evaluate the factors that contribute to the elderly with low socioeconomic status eating poor-quality diets. Two hundreds and ninety three (293) senior citizens, including 136 men and 157 women, were sought out from five districts in Kelantan. Data on socio-demography, medical history, empty nest, depressive symptoms and diet history were obtained through an interview-administered method. Anthropometry measurement including height, weight and circumferences (waist, hip, calf and mid-upper arm) were measured. Body composition were measured using body composition monitor to obtain muscle mass and fat mass. Blood pressure were measured using blood pressure monitor. The Asian Working Group for Sarcopenia (AWGS) algorithm was used to determine the diagnosis of sarcopenia. 48.8% of the participants were underweight. The majority of participants fell short of the suggested daily calorie consumption. 42% of the participants had poor diet quality according to Healthy Eating Index (HEI) score. Hypercholesterolemia and poor Short Physical Performance Battery (SPPB) score were found to be risk factors of poor diet quality. Therefore, nutrition interventions are important to help low-income families especially with older adults to improve their nutritional status for reducing risk of sarcopenia and chronic diseases.
Effect of Sacha Inchi Oil on Human Blood Pressure and Lipid Profile: A Preliminary Study in Malaysia En, Cheong Yi; Binti Udin, Nur Ayuni; Vanoh, Divya A/P; Leng, Soo Kah
Jurnal Gizi dan Pangan Vol. 19 No. 1 (2024)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2024.19.1.61-68

Abstract

This uncontrolled pre-post study aimed to assess changes in blood lipid profiles and blood pressure resulting from a 2-month consumption of Sacha Inchi Oil (SIO) (Plukenetia volubilis). Investigating the effects of SIO on Malaysians is essential for tailoring interventions to the local context, considering genetic, cultural, and dietary differences. A total of 13 adult participants, comprising 8 males and 5 females aged 35 to 74 years old, took part in this intervention study. Each participant was instructed to consume 2 softgels daily, with each softgel containing 530 mg of SIO. Blood lipid profiles and blood pressure were measured at baseline and at the end of the 2-month period, utilizing venipuncture for blood tests and a sphygmomanometer for blood pressure assessment. The results indicated a significant reduction in Systolic Blood Pressure (SBP) levels following SIO supplementation (2 softgels daily) (p<0.05). However, there were no notable improvements in Diastolic Blood Pressure (DBP), Total Cholesterol (TC), Low-Density Lipoprotein Cholesterol (LDL-C), High-Density Lipoprotein Cholesterol (HDL-C), and Triglycerides (TG) after the 2-month supplementation. In conclusion, the daily supplementation of 2 softgels of SIO (1,060 mg) for 2 months demonstrated a beneficial effect on blood pressure, particularly in reducing SBP. These findings serve as preliminary data for future research into the potential health benefits of SIO in the Malaysian population.