scholarly journals The Nutrition Transition in Malaysia; Key Drivers and Recommendations for Improved Health Outcomes

2020 ◽  
Author(s):  
Ee Von Goh ◽  
Susan Azam-Ali ◽  
Fiona McCullough ◽  
Soma Mitra

Abstract Background : The main purpose of this paper is to understand the multidimensional phenomenon of the nutrition transition in Malaysia, from 1980 to 2014, to inform future policies for a healthier nation. Methods : Food and health data were obtained through Food Balance Sheets, Malaysian Adult Nutrition Survey (MANS) and National Health and Morbidity Surveys (NHMS) for year-to-year review. Interaction between changes in food supplies and dietary trends and the progression of diet-related diseases and risk factors in tandem with demographic and socioeconomic transitions were observed using quasi-historical approach. Results : The period-under-review has seen Malaysia becoming more affluent, urbanised and modernised. Energy supply for Malaysian population remained consistently in excess of average calorie needs by a minimum of 30%. There were significant signs of shifting food trends, particularly in the supply of wheat (+56.5%), rice (-23.7%), sugar and sweeteners (+23.9%), meat (+49.3%), fish and seafood (+38.7%), and eggs (+55.7%). The plant/animal protein ratio has decreased over time. Prevalence of NCD and associated risk factors has increased rapidly, some as high as 170%, despite various policy efforts to reduce them. Conclusion : The study highlights the importance of policymakers taking a relook into its policies and strategies, and formulate sustainable, comprehensive and multifaceted actions together with all relevant stakeholders to ensure a conducive, healthy and nutritious food systems and environment for its population.

2020 ◽  
Author(s):  
Ee Von Goh ◽  
Susan Azam-Ali ◽  
Fiona McCullough ◽  
Soma Mitra

Abstract Background: The main purpose of this paper is to understand the multidimensional phenomenon of the nutrition transition in Malaysia, from 1980 to 2014, to inform future policies for a healthier nation. Methods: Data were obtained through Food Balance Sheets, Malaysian Adult Nutrition Survey (MANS) and National Health and Morbidity Surveys (NHMS) for year-to-year review. Interaction between changes in food supplies and dietary trends and the progression of diet-related diseases and risk factors were observed using quasi-historical approach.Results: Energy supply for Malaysian population remained consistently in excess of average calorie needs by a minimum of 30%. There were significant signs of shifting food trends, particularly in the supply of wheat (+56.5%), rice (-23.7%), sugar and sweeteners (+23.9%), meat (+49.3%), fish and seafood (+38.7%), and eggs (+55.7%). The plant/animal protein ratio has decreased over time. Prevalence of NCD and associated risk factors has increased rapidly, some as high as 170%, despite various policy efforts to reduce them. Conclusion: The study highlights the importance of policymakers taking a relook into its policies and strategies, and formulate sustainable, comprehensive and multifaceted actions together with all relevant stakeholders to ensure a conducive, healthy and nutritious food systems and environment for its population.


2019 ◽  
Author(s):  
Ee Von Goh ◽  
Susan Azam-Ali ◽  
Fiona McCullough ◽  
Soma Mitra

Abstract The main purpose of this paper is to understand the multidimensional phenomenon of the nutrition transition in Malaysia, from 1980 to 2014. Primary and secondary data sets were obtained through Food Balance Sheets, Malaysian Adult Nutrition Survey (MANS) and National Health and Morbidity Surveys (NHMS) for year‐to‐year review. It was found that the energy supply for Malaysian population remained consistently in excess of average calorie needs by a minimum of 30%. There were significant signs of shifting food trends, particularly in the supply of wheat (+56.5%), rice (‐23.7%), sugar and sweeteners (+23.9%), meat (+49.3%), fish and seafood (+38.7%), and eggs (+55.7%). The plant/animal protein ratio has decreased over time. Demographics and NHMS data series suggested the coexistence of undernutrition, overnutrition and “hidden hunger”. Prevalence of NCDs and associated risk factors has increased rapidly, some as high as 170%, in the recent 20 years. This situation clearly indicates a failure to provide the right foods to those who need it when they need it. Overabundance of food is one of the contributing factors to the obesity epidemic. Apart from increasing the healthcare burden, the continued over‐consumption of animal products and refined and processed food will have a major impact on national food and nutritional security. The intensive nature of production systems to produce these commodities poses threats to sustainability, with consequences for food and nutritional security and climate inequity. The multiple concurrent transitions as described highlight the importance of establishing a dietary model that matches nutritional requirements with environment preservation. The role of a sustainable food system in eradicating malnutrition and its cost deserves more attention and recognition from policymakers.


2016 ◽  
Author(s):  
Swati Waghdhare ◽  
Neelam Kaushal ◽  
Rajinder K Jalali ◽  
Divya Vohora ◽  
Sujeet Jha

Author(s):  
Md Sheikh ◽  
Manahel Alotaibi ◽  
Nouf Almutairi ◽  
Eid Aljohani ◽  
Omar Alruwaili ◽  
...  

2021 ◽  
Author(s):  
Ekaterina Mosolova ◽  
Dmitry Sosin ◽  
Sergey Mosolov

During the COVID-19 pandemic, healthcare workers (HCWs) have been subject to increased workload while also exposed to many psychosocial stressors. In a systematic review we analyze the impact that the pandemic has had on HCWs mental state and associated risk factors. Most studies reported high levels of depression and anxiety among HCWs worldwide, however, due to a wide range of assessment tools, cut-off scores, and number of frontline participants in the studies, results were difficult to compare. Our study is based on two online surveys of 2195 HCWs from different regions of Russia during spring and autumn epidemic outbreaks revealed the rates of anxiety, stress, depression, emotional exhaustion and depersonalization and perceived stress as 32.3%, 31.1%, 45.5%, 74.2%, 37.7% ,67.8%, respectively. Moreover, 2.4% of HCWs reported suicidal thoughts. The most common risk factors include: female gender, nurse as an occupation, younger age, working for over 6 months, chronic diseases, smoking, high working demands, lack of personal protective equipment, low salary, lack of social support, isolation from families, the fear of relatives getting infected. These results demonstrate the need for urgent supportive programs for HCWs fighting COVID-19 that fall into higher risk factors groups.


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