ORCID Profile
0000-0002-9144-9190
Current Organisation
Universiti Putra Malaysia
Does something not look right? The information on this page has been harvested from data sources that may not be up to date. We continue to work with information providers to improve coverage and quality. To report an issue, use the Feedback Form.
Publisher: Nutrition Society of Malaysia
Date: 03-08-2020
Publisher: MDPI AG
Date: 27-01-2022
DOI: 10.3390/NU14030548
Abstract: Background: Weight loss is well-known among head and neck (HNC) patients during radiotherapy and could continue after the treatment is completed. Weight monitoring is essential for treatment outcomes and cancer surveillance. The purpose of the study is to evaluate the weight loss during and post-treatment among HNC patients. Methods: A total of 45 out of 50 patients post-treatment were included in this secondary treatment. Data were collected at baseline, at the completion of radiotherapy and one month after completion of radiotherapy. Results: The mean weight loss was 4.53 ± 2.87 kg (7.4%) during treatment and 1.38 ± 2.65 kg (2.1%) post-treatment. There were significant improvements one month after completion of radiotherapy in Patient-Generated Subjective Global Assessment (PGSGA), muscle mass, nutrition impact symptoms (NIS) score, energy and protein from oral intake (p 0.0001). Energy and protein from oral nutritional supplements (ONS) decreased significantly (p 0.0001). Conclusions: The results of this study underline the importance of early identification and monitoring post-treatment in HNC patients. The post-treatment recovery stage is very important for HNC patients to ensure a healing process.
Publisher: MDPI AG
Date: 05-01-2022
DOI: 10.3390/NU14010222
Abstract: Sufficient postoperative dietary intake is crucial for ensuring a better surgical outcome. This study aimed to investigate the postoperative dietary intake achievement and predictors of postoperative dietary intake among gynecologic cancer patients. A total of 118 participants were included in this secondary analysis. Postoperative dietary data was pooled and re-classified into early postoperative dietary intake achievement (EDIA) (daily energy intake (DEI) ≥ 75% from the estimated energy requirement (EER)) and delay dietary intake achievement (DDIA) (DEI 75% EER) There was a significant difference in postoperative changes in weight (p = 0.002), muscle mass (p = 0.018), and handgrip strength (p = 0.010) between the groups. Postoperative daily energy and protein intake in the EDIA was significantly greater than DDIA from operation day to discharged (p = 0.000 and p = 0.036). Four significant independent postoperative dietary intake predictors were found: preoperative whey protein-infused carbohydrate loading (p = 0.000), postoperative nausea vomiting (p = 0.001), age (p = 0.010), and time to tolerate clear fluid (p = 0.016). The multilinear regression model significantly predicted postoperative dietary intake, F (4, 116) = 68.013, p = 0.000, adj. R2 = 0.698. With the four predictors’ recognition, the integration of a more specific and comprehensive dietitian-led supportive care with in idualized nutrition intervention ought to be considered to promote functional recovery.
Publisher: MDPI AG
Date: 26-04-2020
DOI: 10.3390/NU12051225
Abstract: Background: The purpose of this study is to evaluate changes in nutrition impact symptoms (NIS) and nutritional and functional status that occur throughout radiotherapy in head and neck cancer (HNC) patients. Methods: A prospective observational study of HNC inpatients who underwent radiotherapy with or without chemotherapy were recruited to participate. Fifty patients were followed for the periods before, in the middle and at the end of radiotherapy. Nutritional parameters were collected throughout radiotherapy. Results: According to Patient-Generated Subjective Global Assessment (PG-SGA), there was an increase from a baseline of 56% malnourished HNC patients to 100% malnourished with mean weight loss of 4.53 ± 0.41kg (7.39%) at the end of radiotherapy. Nutritional parameters such as muscle mass, fat mass, body mass index, dietary energy and protein intake decrease significantly (p 0.0001) while NIS score, energy and protein intake from oral nutritional supplements (ONS) increased significantly (p 0.0001). Hand grip strength did not differ significantly. All HNC patients experienced taste changes and dry mouth that required ONS at the end of treatment. ONS compliance affected the percentage of weight loss (p = 0.013). Conclusions: The intensive nutritional care time point was the middle of RT. The PG-SGA and NIS checklist are useful for monitoring nutrition for HNC patients.
Publisher: Elsevier BV
Date: 06-2021
DOI: 10.1016/J.CLNU.2021.01.008
Abstract: Malnutrition is common among cancer patients regardless of stage of cancer. Given the strong association between malnutrition with prolonged hospitalization, delayed recovery and even higher post-operative complications among gynaecologic cancer (GC) patients, it is important to understand its predictive factors. The current study aimed to determine malnutrition predictors among GC patients before elective operation. A cross-sectional study was conducted among surgical GC patients who were admitted for elective surgery. Data on socio-demographic characteristics, clinical status (diagnosis, the staging of cancer, comorbidities and family history on cancer), anthropometric measures [ Body Mass Index (BMI), weight changes, the percentage of weight loss past one month, muscle mass, fat mass, fat-free mass and mid-upper arm circumference (MUAC)], biochemical profiles [C-reactive protein, albumin and C-reactive protein (CRP) to albumin ratio (CAR)], handgrip strength, total daily energy and protein intake, and malnutrition status [scored Patient Generated-Subjective Global Assessment (PG-SGA)] were assessed during admission. Study recruited 124 participants and 57.2% (n = 71) were malnourished. Mean for age, weight changes past one month, handgrip strength, total daily energy and protein intake, PG-SGA score and CAR of participants were 49.9 ± 12.5 years, -4.9 ± 7.2%, 15.6 ± 6.2 kg, 25±7 kcal/kg/day, 1.0 ± 0.3 g/kg/day, 6.5 ± 5.4 and 0.7 ± 1.9, respectively. Multiple linear regression test revealed that the percentage of weight loss past one month, haemoglobin, CRP and handgrip strength were the significant predictors of malnutrition. Malnutrition is common among GC patient even before elective operation. The early malnutrition screening following with proper nutritional intervention is crucial to optimize nutritional status among GC patients before elective operation.
Publisher: Springer Science and Business Media LLC
Date: 16-06-2020
DOI: 10.1186/S13063-020-04462-4
Abstract: There has been growing evidence on the favourable outcomes of fast-track-recovery (FTR) surgery to expedite recovery, minimise complications, and reduce the length of hospital stay for surgical patients. However, there is lack of evidence on the effectiveness of FTR in surgical gynaecological cancer (GC) patients. Most of the previous studies did not focus on feeding composition in the FTR surgery protocol. This study aims to determine the effectiveness of FTR feeding with a whey-protein-infused carbohydrate-loading drink pre-operatively and early oral feeding post-operatively on post-operative outcomes among surgical GC patients. This open-labelled, randomised controlled trial (RCT) will randomly allocate patients into intervention and control groups. Ambulated Malaysian aged over 18 years and scheduled for elective surgery for (suspected) GC, will be included in this study. The intervention group will be given whey-protein-infused carbohydrate-loading drinks on the evening before their operation and 3 h before their operation as well as started on early oral feeding 4 h post-operatively. The control group will be fasted overnight pre-operation and only allowed plain water, and return to a normal diet is allowed when bowel sounds return post-operatively. The primary outcomes of study are length of post-operative hospital stay, length of clear-fluid tolerance, solid-food tolerance and bowel function. Additional outcome measures are changes in nutritional status, biochemical profile and functional status . Data will be analysed on an intention-to-treat basis. ClinicalTrials.gov , ID: NCT03667755 . Retrospectively registered on 12 September 2018 Protocol version : v ersion 3 dated 27 September 2017.
Publisher: MDPI AG
Date: 20-01-2020
DOI: 10.3390/NU12010264
Abstract: Enhanced Recovery after Surgery (ERAS) with sole carbohydrate (CHO) loading and postoperative early oral feeding (POEOF) shortened the length of postoperative (PO) hospital stays (LPOHS) without increasing complications. This study aimed to examine the impact of ERAS with preoperative whey protein-infused CHO loading and POEOF among surgical gynecologic cancer (GC) patients. There were 62 subjects in the intervention group (CHO-P), which received preoperative whey protein-infused CHO loading and POEOF and 56 subjects formed the control group (CO), which was given usual care. The mean age was 49.5 ± 12.2 years (CHO-P) and 51.2 ± 11.9 years (CO). The trial found significant positive results which included shorter LPOHS (78.13 ± 33.05 vs. 99.49 ± 22.54 h) a lower readmission rate within one month PO (6% vs. 16%) lower weight loss (−0.3 ± 2.3 kg vs. −2.1 ± 2.3 kg) a lower C-reactive protein–albumin ratio (0.3 ± 1.2 vs. 1.1 ± 2.6) preserved muscle mass (0.4 ± 1.7 kg vs. −0.7 ± 2.6 kg) and better handgrip strength (0.6 ± 4.3 kg vs. −1.9 ± 4.7 kg) among CHO-P as compared with CO. However, there was no significant difference in mid-upper arm circumference and serum albumin level upon discharge. ERAS with preoperative whey protein-infused CHO loading and POEOF assured better PO outcomes.
Publisher: JMIR Publications Inc.
Date: 07-05-2022
Abstract: ietary, physical activity and behaviour modifications are the first line treatment for obesity in any weight management programme. Uncertain situations, such as the COVID-19 pandemic, has allowed online nutrition counselling telemedicine usage to rapidly proliferate due to social immobility. Educational materials that are provided during nutritional counselling are important to enhance children’s understanding of nutrition information. he study aims to evaluate the effectiveness of Stage-based Nutrition Education Package for the Management of Childhood Obesity (ST-NEPCO), which integrated Trans-theoretical Model (TTM) for behavioural changes in the development of contents that consists of a series of infographics to enhance nutritional counselling. two-armed randomized controlled trial (RCT) of parallel design will be used to determine the effectiveness of ST-NEPCO. Based on purposive s ling, parents, or caregivers of obese children will be approached via the online platform. All participants will be randomly assigned to either the intervention group (IG) (received the ST-NEPCO) or control group (CG) (received routine care for the management of childhood obesity). The intervention will be conducted for a duration of 24 weeks. Anthropometric and body composition measurements will be conducted physically at baseline, at 12 weeks and at 24 weeks. Meanwhile, information on physical activity and dietary intake will be captured and the questionnaires will be delivered to the participants via online platform for every visit. n intention-to-treat (ITT) analysis will be performed by including all randomized participants into the analysis. General Linear Model (GLM) for repeated measure procedures will be carried out to determine the effects of intervention between treatment groups on the main and specific outcomes. he expected result of this study will provide an evidence-based educational package that can be specifically designed to augment the management of childhood obesity. he study protocol has been registered in the ClinicalTrials.gov website (REGISTRATION NUMBER: NCT04884451).
Publisher: Nutrition Society of Malaysia
Date: 23-07-2020
Location: Malaysia
No related grants have been discovered for Nor Baizura Md. Yusop.