ORCID Profile
0000-0003-1253-1426
Current Organisation
Nanyang Technological University
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Publisher: MDPI AG
Date: 30-08-2022
DOI: 10.3390/HEALTHCARE10091653
Abstract: Demographically and socio-culturally appropriate care is critical for empowering people with metabolic syndrome (MetS) to self-manage their condition. This focus group study aimed to explore the understanding of nutrition and lifestyle behaviors (NLBs) of Malaysians with MetS. Adults with MetS (N = 21) participated in four focus groups at a university’s research clinic in Malaysia. A thematic framework analysis approach was applied to the focus group data using an initial coding framework developed from the Health Belief Model. Six main themes were identified on perceived motivations, barriers, and threats toward healthy NLBs. Motivations to adopt healthy NLBs were body image, personal experience of adverse complications, and family and social support. The perception that healthcare is a business model, the idea that changes in NLBs are difficult and expensive, and cultural influence on food intake were identified as barriers to healthy NLBs. Inadequate knowledge of MetS was identified as a subtheme in this study. Health education and health promotion activities that aim to modify the NLBs of people with MetS should consider the community’s perception of motivation and barriers to change. Addressing these aspects in the development of programs can potentially increase program adoption and adherence, ensuring the success of community-based lifestyle interventions.
Publisher: S. Karger AG
Date: 2019
DOI: 10.1159/000501751
Publisher: MDPI AG
Date: 12-04-2020
Abstract: Metabolic Syndrome (MetS) is a cluster of risk factors that increases the risk for diabetes and cardiovascular diseases. Lifestyle intervention is the gold standard of MetS management and prevention. Despite the growing positive influence of peer support-based interventions on management of various chronic diseases, its potential among adults with MetS has not been elucidated. We describe the development and process evaluation of a nutrition and lifestyle behavior “PEeR SUpport program for ADults with mEtabolic syndrome” (PERSUADE) using a systematic five-step approach—(i) review of evidence (ii) focus group discussions (iii) behavioral matrix development (iv) module development and (v) feasibility and process evaluation. High program adherence was recorded with 81.3% of participants attending all peer sessions. Participants’ content satisfaction score was high (93.3%) while peer leadership score was satisfactory (70.0%). There were significant reductions in all anthropometric and metabolic parameters assessed post intervention, except for diastolic blood pressure. Significant correlations were found between reductions in body fat and triglyceride, and content satisfaction. Peer leadership was only significantly correlated with reduction in triglyceride. Future studies can explore aspects of module interactivity, use of social media, and other means to stimulate consistent engagement of participants, as well as extending the implementations to other lifestyle-related diseases.
Publisher: JMIR Publications Inc.
Date: 21-08-2023
DOI: 10.2196/52036
Publisher: JMIR Publications Inc.
Date: 04-01-2023
Publisher: BMJ
Date: 29-09-2022
Publisher: MDPI AG
Date: 28-10-2021
Abstract: Background and Objectives: Group-based lifestyle interventions reap social support benefits and have been implemented among in iduals with various chronic diseases. However, there is a lack of consolidated evidence on its approaches to prevent or manage metabolic syndrome (MetS). This scoping review aims to assess the group-based lifestyle interventional strategies for MetS and provide a strategic framework for future research in this area. Materials and Methods: Scholarly databases (OVID Medline, SCOPUS, PUBMED, PsycINFO, EMBASE, and Cochrane Central Register of Controlled Trials) and reference lists of included publications were systematically searched using appropriate keywords and MeSH terms. Peer-reviewed articles published from the start of indexing to 31 December 2020 focused on in iduals with or at risk for MetS were included. Results: Thirteen interventions were identified, with seven conducted among adults with MetS and six in the population at risk for MetS. Three study designs were reported—randomised controlled trials (RCTs), pre–post interventions, and quasi-experiments. Most of the interventions were based in the community or community organisations, multifaceted, led by a multidisciplinary healthcare team, and assisted by peer educators. Waist circumference showed the most promising MetS-related improvement, followed by blood pressure. Conclusions: There is growing evidence supporting group-based lifestyle interventions to improve MetS-related risk factors. In summary, four strategies are recommended for future research to facilitate group-based interventions in preventing and managing MetS.
Publisher: MDPI AG
Date: 15-04-2020
DOI: 10.3390/NU12041091
Abstract: Background: While peer support interventions have shown to benefit adults with certain chronic conditions, there is limited evidence on its feasibility and effectiveness among people with metabolic syndrome (MetS). This paper describes the outcomes of a pre-post feasibility trial of “PEeR SUpport program for ADults with mEtabolic syndrome” (PERSUADE), an evidence-based and community-specific nutrition and lifestyle behavior peer support program for Malaysian adults with MetS. Methods: We recruited 48 peers (median age: 46 (IQR = 11) years old) into four peer groups, who underwent 3 months of PERSUADE, followed by 3 months of follow-up period. Statistical analyses were conducted at post-intervention and post-follow-up to assess the changes in nutrition intake, anthropometry, and metabolic parameters. Results: Although there were significant overall increases in total carbohydrate intake and glycemic load (both p 0.001), we noted significant reductions in the intakes of total energy and fat (both p 0.001). Physical activity (total METS/week) also showed a significant improvement (p 0.001). Overall, significant but marginal improvements in anthropometric and vital metabolic parameters were also observed. Conclusions: The feasibility trial supported the adoption of PERSUADE, though there is a need to assess the long-term impact of the peer support program in local community settings.
Publisher: SAGE Publications
Date: 2018
Abstract: The differentiation between a pseudo-pneumoperitoneum and true pneumoperitoneum on an initial chest radiograph is challenging but essential to clinical practice. The former is managed conservatively whereas the latter may require surgical intervention. Chilaiditi’s sign describes a rare incidental radiological finding of gas filled bowel interpositioned between the right hemi-diaphragm and the liver, which is visible on a plain abdominal or chest radiograph. It is often misdiagnosed as a pneumoperitoneum. Correct diagnosis of Chilaiditi’s sign in an asymptomatic patient can prevent unnecessary procedures. We have reported one incidental chest radiograph with Chilaiditi’s sign in a patient presenting and treated for pneumonia. The report aims to illustrate the diagnostic dilemma experienced by clinicians in distinguishing a true versus pseudo-pneumoperitoneum on a chest radiograph.
Publisher: JMIR Publications Inc.
Date: 21-08-2023
Abstract: iabetic foot ulcers (DFUs) cause significant morbidity affecting 15% to 25% people living with diabetes Mellitus (DM). DFUs not only impair quality of life but also pose serious risks, including the impact on mortality rates. Diabetes and foot care education has proven to impact health outcomes. New technologies, including mHealth interventions such as health apps bring the potential for more cost-effective and scalable interventions. he study aims to examine the feasibility and usability of a newly developed mHealth app, Well Feet. Well Feet is a diabetes and foot care education app for in iduals living with DM and exposed to the risk of developing DFU. his mixed method approach uses a series of validated questionnaires and focus group discussions and aims at evaluating the feasibility and usability of Well Feet among the study participants. The utilization of both quantitative and qualitative measures enhances the depth and breadth of insights gained from this evaluation. The findings from this study will play a dual role: refining and enhancing the features of the Well Feet app based on user feedback, and shaping the procedural framework for a subsequent controlled trial. atient recruitment began in July 2023, the intervention and data collection will be completed by the end of September 2023. hrough this feasibility study, the Well Feet mHealth education app will undergo a comprehensive quantitative and qualitative evaluation. By focusing on foot care knowledge and skills, the app addresses a critical aspect of DM management. The assessment of usability and acceptance not only provides valuable guidance for potential improvements but also contributes to the knowledge base available to other researchers working in the field of DFU management interventions. Ultimately, this study bridges the gap between cutting-edge technology and the pressing healthcare needs of in iduals with DM, potentially paving the way for more effective and accessible interventions in the future.
Publisher: JMIR Publications Inc.
Date: 18-09-2023
DOI: 10.2196/45490
Location: Malaysia
No related grants have been discovered for MUHAMMAD DANIEL AZLAN MAHADZIR.