Predictors of poor cognitive status among older Malaysian adults: baseline findings from the LRGS TUA cohort study

Vanoh, Divya; Shahar, Suzana; Din, Normah Che; Ali, Omar; Vyrn, Chin Ai; Razali, Rosdinom; Ibrahim, Rahimah; Hamid, Tengku Aizan

doi:10.1007/s40520-016-0553-2

Cited by 34 publications

(45 citation statements)

References 33 publications

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“…Among aging Malaysian men, caloric restriction for three months resulted in body weight and fat loss, alleviated depression, and improved quality of life [ 32 ]. A large community-based cohort study involving 1993 older Malaysian adults showed that not practicing calorie restriction was a risk factor for poor cognitive performance [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2018

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The present study examined the best available evidence regarding energy and macronutrient intake during adulthood (age 19 to 59 years) in Malaysia and assessed whether intakes adhere to national recommendations, in order to develop recommendations for dietary improvement based on population consumption patterns. A literature review and meta-analysis evaluated intake based on the following characteristics, using information from food balance sheets, national surveys, and individual studies: (1) levels of intake, (2) proportion of the population whose diets adhere to/exceed/fail to meet Malaysian Recommended Nutrient Intake (RNI) levels, and (3) sources of macronutrients observed in these studies. Food balance data suggested high levels of available energy, animal source protein, vegetable fat, and refined carbohydrates. Twenty studies (five nationwide, 15 individual) indicated that Malaysian adults generally met or exceeded recommendations for fat and protein, but were inconsistent with respect to energy and carbohydrates. Information on dietary sources was limited. Due to methodological limitations, insufficient evidence exists regarding energy and macronutrient intakes of Malaysian adults. Improved dietary assessment methods (including use of biomarkers), better data analysis, and updated food composition data, will provide more reliable information on which to base policy decisions and recommendations for improvement.

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Section: Discussionmentioning

confidence: 99%

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

et al. 2018

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“…The website content was based on the data gathered from the study of literature and the outcome from the evaluation of the first phase of the research. 19 …”

Section: Methodsmentioning

confidence: 99%

“…These 10 suggestions were obtained from reviews of previous literature and a local demonstrative study performed among 1993 Malaysian older people for discovering risk factors regarding cognitive impairment ( Figure 2 shows the UI of the 10 guides for memory enhancement). 19 …”

Section: Methodsmentioning

confidence: 99%

Development and assessment of a web-based intervention for educating older people on strategies promoting healthy cognition

Vanoh¹,

Ishak²,

Shahar³

et al. 2018

CIA

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BackgroundThe increase in the population of aging people has increased the occurrence of cognitive decline leading to predemented stage of dementia, ie, mild cognitive impairment (MCI). The cognitive tools that are web-based have been proven to be useful in decreasing the risk of MCI. Thus, in the present study, an education tool that is web-based, called WESIHAT 2.0©, had been created to educate elderly people about precautionary strategies against MCI.MethodologyWESIHAT 2.0 was devised in a senior-friendly style, which includes touch screen, greater font size, larger icons, and employed multimedia components of text, images, and videos. The components employed in WESIHAT 2.0 were a screening tool called TUA-WELLNESS, 10 guides for memory improvement, health diary, and guide for a healthy menu. This application assessed a group of 73 candidates consisting of elderly people, health professionals, caregivers, and information technology (IT) professionals for 1 month.ResultsAll the elderly people, caregivers, and 75% of IT and health professionals were satisfied with the subject matter of WESIHAT 2.0. About more than half of the elderly people, caregivers, and IT and health professionals had given a consensus on the comprehensive ease of the terminologies, sentences, images, table, and advice related to diet included in the web application. Proposals for improvements of the web portal included suggestions such as using smaller sentences, using greater font size, adding more images, and avoiding the use of unfamiliar terminologies.ConclusionWESIHAT 2.0 is a suitable tool for educating older people about the lifestyle modification strategies to slower progression to cognitive impairment, with regard to the significance of expert advice.

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“…Amongst the Malaysian community dwelling older population, the prevalence of frailty and pre-frailty was reported to be 8.9 and 61.7%, respectively (11), whereas MCI is prevalent at 16% (12). Prevalence of frailty and pre-frailty has been reported to be much higher amongst institutionalized older persons at 40.7 and 56.6%, respectively, with cognitive impairment as a predictor (13).…”

Section: Introductionmentioning

confidence: 99%

A Multi-Domain Intervention Protocol for the Potential Reversal of Cognitive Frailty: “WE-RISE” Randomized Controlled Trial

Murukesu

Singh

Shahar

et al. 2020

Front. Public Health

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Following the rapid increase of the aging population, health promotion and prevention of physical disability and dementia in older persons are essential for healthy aging. For example, there may be a potential to prevent or reverse cognitive frailty, the coexistence of both physical frailty and cognitive impairment in older persons. However, evidence-based interventions targeting the prevention or potential reversibility of cognitive frailty among community dwelling older adults are scarce. In this paper, we described the rationale, development and delivery of a multi-domain intervention comprising multi-component physical exercise prescription, cognitive training, dietary counseling and promotion of psychosocial support, called the WE-RISE trial. The aim of WE-RISE intervention is to potentially reverse cognitive frailty. This is a two-armed, single blinded, randomized controlled trial conducted over a duration of 6 months, at senior citizen activity centers within the Klang Valley, Malaysia. Ambulating, community dwelling older adults aged 60 years and above with cognitive frailty are randomized into two groups; (1) intervention group: which receives an instructor based "WE-RISE" intervention for the first 3 months, and then a home-based "WE-RISE at Home" intervention for the following 3 months; (2) control group: usual care with no modifications to their daily routine. Primary outcome is cognitive frailty status and secondary outcome include physical function, cognitive performance, nutritional status, psychosocial status and quality of life which are obtained during baseline screening and subsequent follow ups at 3rd and 6th month. Description of the intervention is done using the template for intervention description and replication (TIDieR) checklist. This trial protocol has received approval from Research Ethics Committee of Universiti Kebangsaan Malaysia (UKM PPI/111/8/JEP-2018-558) and the Department of Social Welfare Malaysia (MyResearch Reference: JKMM 100/12/5/2: 2018/405). Trial registration number: ACTRN12619001055190.

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Predictors of poor cognitive status among older Malaysian adults: baseline findings from the LRGS TUA cohort study

Abstract: This study will be a stepping stone for future researchers to develop intervention strategies to prevent cognitive decline.

Cited by 34 publications

References 33 publications

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

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

Development and assessment of a web-based intervention for educating older people on strategies promoting healthy cognition

A Multi-Domain Intervention Protocol for the Potential Reversal of Cognitive Frailty: “WE-RISE” Randomized Controlled Trial

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