Adherence of Malaysian Adults’ Energy and Macronutrient Intakes to National Recommendations: A Review and Meta-Analysis

Shahar, Suzana; Mohamed, Hamid Jan B. Jan; Reyes, Francisco de los; Amarra, Maria Sofia

doi:10.3390/nu10111584

Cited by 8 publications

(8 citation statements)

References 38 publications

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“…Based on the analyses of HEI components, women in the present study had low HEI component score for legumes and milk and milk products, with the average score ranging from 1.04 to 3.83. This is consistent with the findings of a review and meta-analysis on energy and macronutrient intakes of Malaysian adults which showed that most Malaysians did not meet the recommended servings for other protein sources specifically legumes, nuts, milk and milk products [46].…”

Section: Discussionsupporting

confidence: 90%

“…Asian countries, such as China [55], Singapore [13], and Indonesia [15] have adapted the HEI and AHEI-P to the local dietary guidelines. These measures of HEI were also associated with sociodemographic characteristics [53,54,56], pre-pregnancy weight status [12,16], and birth outcomes [46,57,58]. The HEI for Malaysians used in this study showed an association with GWG, thus, giving support to HEI as a good indicator of diet quality in this study population.…”

Section: Discussionsupporting

confidence: 56%

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Pre-Pregnancy BMI Influences the Association of Dietary Quality and Gestational Weight Gain: The SECOST Study

Yong

Shariff

Yusof

et al. 2019

IJERPH

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Poor diet quality in pregnancy could impact gestational weight gain (GWG) and consequently fetal growth and development. But today there is limited data available on gestational diet quality. This study investigated the association between diet quality in each pregnancy trimester and GWG in Malaysian women. Diet quality was assessed using the modified Healthy Eating Index for Malaysians (HEI). Total GWG was defined as the difference between measured weight at last prenatal visit and pre-pregnancy weight. About one-fourth of women (23.3%) had excessive total GWG. There were significant differences in the HEI component score across trimesters, except for fruits. Overall, overweight/obese women had lower total HEI score (51.49–55.40) during pregnancy compared to non-overweight/obese women (53.38–56.50). For non-overweight/obese women, higher total HEI scores in the second and third trimesters were significantly associated with lower risk of inadequate GWG (aOR = 0.97, 95% CI = 0.95–0.99, p = 0.01) and higher risk of excessive GWG (aOR = 1.04, 95% CI = 1.01–1.07, p = 0.03), respectively. Overweight/obese women with higher total HEI scores in the second (aOR = 1.04, 95% CI = 1.01–1.07, p = 0.02) and third trimester (aOR = 1.04, 95% CI = 1.01–1.08, p = 0.02) were significantly at higher risk for excessive GWG. Pregnant women had relatively low diet quality throughout pregnancy. Diet quality and GWG association differed according to pre-pregnancy BMI with excessive GWG more likely to be associated with higher total HEI scores in the third trimester.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 56%

Pre-Pregnancy BMI Influences the Association of Dietary Quality and Gestational Weight Gain: The SECOST Study

Yong

Shariff

Yusof

et al. 2019

IJERPH

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“…A higher level of 4HPLA in the males of this study may imply an increased consumption of protein-rich foods. The claim is corroborated by a meta-analysis that found higher protein intake in Malaysian males than females [ 31 ]. However, the inference remains to be verified as dietary patterns were not examined in the current study.…”

Section: Discussionmentioning

confidence: 77%

Metabolomics Profiling of Age-Associated Metabolites in Malay Population

Tan

Zakaria

Gunasekaran

et al. 2023

Oxidative Medicine and Cellular Longevity

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Aging is a complex process characterized by progressive loss of functional abilities due to the accumulation of molecular damages. Metabolomics could offer novel insights into the predictors and mechanisms of aging. This cross-sectional study is aimed at identifying age-associated plasma metabolome in a Malay population. A total of 146 (90 females) healthy participants aged 28–69 were selected for the study. Untargeted metabolomics profiling was performed using liquid chromatography-tandem mass spectrometry. Association analysis was based on the general linear model. Gender-associated metabolites were adjusted for age, while age-associated metabolites were adjusted for gender or analyzed in a gender-stratified manner. Gender-associated metabolites such as 4-hydroxyphenyllactic acid, carnitine, cortisol, and testosterone sulfate showed higher levels in males than females. Deoxycholic acid and hippuric acid were among the metabolites with a positive association with age after being adjusted for gender, while 9(E),11(E)-conjugated linoleic acid, cortisol, and nicotinamide were negatively associated with age. In gender-stratified analysis, glutamine was one of the common metabolites that showed a direct association with age in both genders, while metabolites such as 11-deoxy prostaglandin F2β, guanosine monophosphate, and testosterone sulfate were inversely associated with age in males and females. This study reveals several age-associated metabolites in Malays that could reflect the changes in metabolisms during aging and may be used to discern the risk of geriatric syndromes and disorders later. Further studies are required to determine the interplay between these metabolites and environmental factors on the functional outcomes during aging.

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“…Furthermore, a high protein intake in pregnant and lactating women in Malaysia followed the same intake pattern of Malaysian adults. A recent review by Shahar et al ( 77 ) indicated that the total protein intake among Malaysian adults remained higher than the national recommendation. The consumption of excessive-high protein food source might develop the risk of diet-related diseases and impact fetal development.…”

Section: Discussionmentioning

confidence: 97%

“…The risk of bias assessment was modified from Shahar et al ( 77 ) that was specifically developed for nutrition science (i.e dietary assessment). The following information was rated: selection bias (sampling method used and representative of pregnant and lactating women); performance bias (dietary assessment method and measurement of usual intake); and reporting bias (excluded or included over/under-reporters and paid database/primary data collection).…”

Section: Methodsmentioning

confidence: 99%

Nutrient intakes of pregnant and lactating women in Indonesia and Malaysia: Systematic review and meta-analysis

et al. 2023

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IntroductionOptimizing dietary intake during pregnancy and lactation is crucial to the growth and development of children and their lifelong health. We performed a systematic review and meta-analysis to describe the nutrient intakes of pregnant and lactating women in Indonesia and Malaysia, countries that are experiencing rapid nutrition transition in Southeast Asia.MethodsWe screened 2,258 studies published between January 1980 and March 2021. The nutrient intakes of pregnant and lactating women were quantitatively analyzed to calculate the percentage of adequacy using national recommended daily allowances or nutrient intakes (RDA/RNI) and estimated average requirements (EAR) for micronutrients. Standardized mean differences (SMD) between dietary intake and RDA/RNI were determined for selected nutrients.ResultsFifty-three studies were included and showed that energy and macronutrient intakes among pregnant and lactating women in both countries were below the RDA/RNI. In addition, most studies reported that women failed to meet the EAR for vitamin D (<70% EAR), vitamin E (<50% EAR), and water-soluble vitamins (<80% EAR) except for vitamin C and A among Malaysians. Moreover, calcium, potassium, and iron intakes of pregnant women were <60% EAR in Indonesia and <80% EAR in Malaysia. Phosphorus intake among pregnant women in both countries and sodium intake among Malaysian pregnant women exceeded 100% EAR. Indonesian lactating women had <60% EAR for calcium and potassium intakes, while Malaysian women had more than 100% EAR. For 21 studies reporting overall protein intakes, the standard mean difference (SMD) was −2.26 (95% CI; −2.98, −1.54) below the RDA/RNI for pregnant women and −0.67 SMD (95% CI −15.7, −11.5) for lactating women. When the four studies from Malaysia were analyzed separately, protein intakes of pregnant women were above the RNI. Moreover, low intakes of vitamin D, vitamin C, calcium, and iron, but sufficient intakes in vitamin A, zinc, and phosphorus were observed in pregnant women in both countries.ConclusionDietary intakes of energy, macronutrients, and micronutrients (vitamin D, vitamin E, water-soluble vitamins, calcium, and iron) of pregnant and lactating women in Indonesia and Malaysia were below the recommendations. Important heterogeneities were observed even between these two countries for specific essential nutrient intakes. Innovative research and targeted programs to address specific deficiencies should be prioritized.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021252204, identifier: CRD42021252204.

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Adherence of Malaysian Adults’ Energy and Macronutrient Intakes to National Recommendations: A Review and Meta-Analysis

Cited by 8 publications

References 38 publications

Pre-Pregnancy BMI Influences the Association of Dietary Quality and Gestational Weight Gain: The SECOST Study

Pre-Pregnancy BMI Influences the Association of Dietary Quality and Gestational Weight Gain: The SECOST Study

Metabolomics Profiling of Age-Associated Metabolites in Malay Population

Nutrient intakes of pregnant and lactating women in Indonesia and Malaysia: Systematic review and meta-analysis

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