Aim: This study is to examine the association between food insecurity and nutritional outcomes among children and adults and its impact on the quality of life of the mother in rural sample in Bachok-Kelantan. Method: A cross-sectional survey of low income households was conducted and 223 households of mothers aged 18-55 years old, non-lactating, non-pregnant mother and having at least one child in 2-12 years range were purposively selected. A questionnaire was administered including the Radimer/Cornell scale; items on sociodemographic characteristics, anthropometric measurements and quality of life tool (SF36). Results: The study reported that 16.1% of the households were food secure, while 83.9% experienced some kind of food insecurity, (29.6% households were food insecure, 19.3% individuals were food insecure and 35.0% fell into the child hunger category). The prevalence of underweight, stunting and wasting among the food insecure children were 61.0%, 61.4% and 30.6% respectively, and the prevalence of weight-for-height (overweight) was 1.3%. Based on multinomial logistic regression, larger household size (OR=1.776; 95%C.I, 1.35, 2.32; p<0.001), number of children in the household (OR=1.20; 95%CI,1.025, 1.42; p=0.024), total monthly income (OR=0.977; 95% CI, 0.995, 0.998; p<0.001), income per capita (OR = 0.98; 95% CI, 0.97, 0.98; p<0.001) and food expenditure (OR=0.977; 95% CI, 0.99, 1.00; p=0.049) were found to be significant risk factors for household food insecurity. This study showed there was an association between food insecurity and Diet Dietary score and dietary pattern. Furthermore, food insecure households had lower intake of animal protein, fruits and vegetables compared to their counterparts in the food secure group. The findings of the study reveal that the children in the food insecure were 2.15 times more likely to be underweight and 3 times more likely to be stunted than the children in the food secure households, while no association with wasting was reported. Although, the study reported higher prevalence of overweight and obese mothers (52%) and (47.1%) at-risk WC (≥80 cm), no significant association has been found between food insecurity, BMI and waist circumferences. The score for all the eight domains of quality of life were negatively associated with food insecurity. Conclusion: Our study showed that food insecurity in low income households from Bachok´ is highly prevalent and associated with poor living conditions and it highlighted the pervasive vulnerability of individuals living in food insecure households. In addition to nutritional problems, food insecure households in Bachok-Kelantan struggle with a broad spectrum of health-related problems.

Background Overweight is the common issue existed among breast cancer patients, leading to poor cancer prognosis and survival. However, previous studies have focused merely on single nutrients or food groups. This study aimed to determine whether diet quality was associated with overweight and laboratory parameters among breast cancer patients undergoing treatment. Methods A cross sectional study comprises of 163 patients was conducted from January to May 2017. Diet quality and level of physical activity of patients were ascertained using Healthy Eating Index (HEI)-2015 and International Physical Activity Questionnaire (IPAQ)-short form, respectively. Data were available on body mass index and biochemical data, including of serum albumin, serum hemoblogbin and neutrophils count. Logistic regression was performed to identify the association between diet quality and overweight, serum albumin, serum hemoglobin and neutrophils count. Results The mean total HEI score (standard deviation) of the breast cancer patients was 63.86 (8.75). More than 80% of the subjects did not adhere to the dietary guidelines for whole grains, dairy, refined grains, ratio of poly- and mono-unsaturated fatty acids to saturated fatty acids components. In the multivariate model, those who perceived higher score of total HEI-2015 were less likely to experience overweight (Q4 vs Q1: OR=0.36; 95% CI=0.13, 0.99) while reported higher concentration of serum hemoglobin (Q4 vs Q1: OR=0.36; 95% CI=0.13, 0.98; Q3 vs Q1: OR=0.35; 95% CI=0.13, 0.92). Non-significant associations of diet quality were shown for serum albumin and neutrophils count. Conclusions A majority of breast cancer patients require dietary modification, especially for fatty acids, grains and dairy products. Diet quality may associate with overweight. A balanced diet that address the problem of overweight may help to maintain a good nutritional status and to improve cancer care in breast cancer patients during treatment. Future prospective studies are required to confirm this association.

Background Overweight is the common issue existed among breast cancer patients, leading to poor cancer prognosis and survival. However, previous studies have focused merely on single nutrients or food groups. This study aimed to determine whether diet quality was associated with overweight and laboratory parameters among breast cancer patients undergoing treatment.Methods A cross sectional study comprises of 163 patients was conducted from January to May 2017. Diet quality and level of physical activity of patients were ascertained using Healthy Eating Index (HEI)-2015 and International Physical Activity Questionnaire (IPAQ)-short form, respectively. Data were available on body mass index and biochemical data, including of serum albumin, serum hemoblogbin and neutrophils count. Logistic regression was performed to identify the association between diet quality and overweight, serum albumin, serum hemoglobin and neutrophils count.Results The mean total HEI score (standard deviation) of the breast cancer patients was 63.86 (8.75). More than 80% of the subjects did not adhere to the dietary guidelines for whole grains, dairy, refined grains, ratio of poly- and mono-unsaturated fatty acids to saturated fatty acids components. In the multivariate model, those who perceived higher score of total HEI-2015 were less likely to experience overweight (Q4 vs Q1: OR=0.36; 95% CI=0.13, 0.99) while reported higher concentration of serum hemoglobin (Q4 vs Q1: OR=0.36; 95% CI=0.13, 0.98; Q3 vs Q1: OR=0.35; 95% CI=0.13, 0.92). Non-significant associations of diet quality were shown for serum albumin and neutrophils count.Conclusions A majority of breast cancer patients require dietary modification, especially for fatty acids, grains and dairy products. Diet quality may associate with overweight. A balanced diet that address the problem of overweight may help to maintain a good nutritional status and to improve cancer care in breast cancer patients during treatment. Future prospective studies are required to confirm this association.

Background Overweight is the common issue existed among breast cancer patients, leading to poor cancer prognosis and survival. However, previous studies have focused merely on single nutrient or food groups. This study aimed to determine whether diet quality was associated with overweight and laboratory parameters among breast cancer patients undergoing treatment. Methods A cross sectional study comprises of 163 patients was conducted from January to May 2017. Diet quality and level of physical activity of patients were ascertained using Healthy Eating Index (HEI)-2015 and International Physical Activity Questionnaire (IPAQ)-short form, respectively. Data were available on body mass index and biochemical data, including of serum albumin, serum hemoglobin and neutrophils count. Logistic regression was performed to identify the association between diet quality and overweight, serum albumin, serum hemoglobin and neutrophils count. Results The mean total HEI score (standard deviation) of the breast cancer patients was 63.86 (8.75). More than 80% of the subjects did not adhere to the dietary guidelines for whole grains, dairy, refined grains, and ratio of poly- and mono-unsaturated fatty acids to saturated fatty acids components. In the multivariate model, those who perceived higher score of total HEI-2015 were less likely to experience overweight (Q4 vs Q1: OR=0.36; 95% CI=0.13, 0.99) while reported higher concentration of serum hemoglobin (Q4 vs Q1: OR=0.36; 95% CI=0.13, 0.98; Q3 vs Q1: OR=0.35; 95% CI=0.13, 0.92). Non-significant associations of diet quality were shown for serum albumin and neutrophils count. Conclusions A majority of breast cancer patients require dietary modification, especially for fatty acids, grains and dairy products. Diet quality may associate with overweight. A balanced diet that address the problem of overweight may help to maintain a good nutritional status and to improve cancer care in breast cancer patients during treatment. Future prospective studies are required to confirm this association.

Background Overweight is the common issue existed among breast cancer patients, leading to poor cancer prognosis and survival. However, previous studies have focused merely on single nutrients or food groups. This study aimed to determine whether diet quality was associated with overweight and laboratory parameters among breast cancer patients undergoing treatment.Methods A cross sectional study comprises of 163 patients was conducted from January to May 2017. Diet quality and level of physical activity of patients were ascertained using Healthy Eating Index (HEI)-2015 and International Physical Activity Questionnaire (IPAQ)-short form, respectively. Data were available on body mass index and biochemical data, including of serum albumin, serum hemoblogbin and neutrophils count. Logistic regression was performed to identify the association between diet quality and overweight, serum albumin, serum hemoglobin and neutrophils count.Results The mean total HEI score (standard deviation) of the breast cancer patients was 63.86 (8.75). More than 80% of the subjects did not adhere to the dietary guidelines for whole grains, dairy, refined grains, ratio of poly- and mono-unsaturated fatty acids to saturated fatty acids components. In the multivariate model, those who perceived higher score of total HEI-2015 were less likely to experience overweight (Q4 vs Q1: OR=0.36; 95% CI=0.13, 0.99) while reported higher concentration of serum hemoglobin (Q4 vs Q1: OR=0.36; 95% CI=0.13, 0.98; Q3 vs Q1: OR=0.35; 95% CI=0.13, 0.92). Non-significant associations of diet quality were shown for serum albumin and neutrophils count.Conclusions A majority of breast cancer patients require dietary modification, especially for fatty acids, grains and dairy products. Diet quality may associate with overweight. A balanced diet that address the problem of overweight may help to maintain a good nutritional status and to improve cancer care in breast cancer patients during treatment. Future prospective studies are required to confirm this association.