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Mazri FH, Manaf ZA, Shahar S, Mat Ludin AF, Karim NA. Improvement in chrono-nutrition is associated with robust weight loss outcomes: An extension of the feasibility study. Chronobiol Int 2023; 40:272-283. [PMID: 36803265 DOI: 10.1080/07420528.2023.2165092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2023]
Abstract
Previously we had demonstrated the development and feasibility of an integrated chrono-nutrition weight reduction program among non-shift workers with morning and evening chronotypes. In this current paper, we described the association between the changes in chrono-nutrition practice and weight loss outcomes upon completing the weight reduction program. A total of 91 overweight/obese non-shift workers participated in the 12-week integrated chrono-nutrition weight reduction program (Age: 39.6 ± 6.3 y; 74.7% women; BMI: 31.2 ± 4.5 kg/m2). All the assessments including anthropometry, dietary, sleep habits, physical activity, and process of change were measured during pre- and post-intervention. Participants who had lost ≥3% of their body weight were categorized as satisfactory weight loss outcome, and those who did not achieve 3% weight loss were categorized as unsatisfactory weight loss. The satisfactory weight loss had greater daily percent energy intake during earlier in the day from protein (Mean difference (MD): +3.2%, 95% CI: 1.6, 4.9, p < .001) and smaller intake from fat during later in the day (MD: -2.6%, 95% CI: -5.1, -0.1, p = .045), earlier last mealtime (MD: -49.5 min, 95% CI: -86.5, -12.6, p = .009) and midpoint of eating (MD: -27.3 min, 95% CI: -46.3, -8.2, p = .006), shorter eating window (-0.8 h, 95% CI: -1.4, -0.1, p = .031) and greater reduction in night eating syndrome score (MD: -2.4, 95% CI: -4.3, -0.5, p = .015) compared to unsatisfactory weight loss outcome. After accounting for potential confounders, the temporal pattern of energy, protein, and fat intake were associated with greater odds of achieving a satisfactory weight loss. The findings suggest a promising role of chrono-nutrition as one of the strategies in weight reduction intervention.
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Affiliation(s)
- F H Mazri
- Dietetic Program and Centre for Healthy Aging and Wellness, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Z A Manaf
- Dietetic Program and Centre for Healthy Aging and Wellness, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - S Shahar
- Dietetic Program and Centre for Healthy Aging and Wellness, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - A F Mat Ludin
- Biomedical Science Program and Centre for Healthy Aging and Wellness, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - N A Karim
- Department of Biochemistry, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
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Lau H, Shahar S, Hussin N, Kamarudin MZ, Hamid TA, Mukari SZM, Rajab NF, Din NC, Omar A, Singh DK, Haron H, Sharif R, Yahya HM, Fitri A, Manaf ZA, Mohammed Z, Ishak WS. Methodology approaches and challenges in population-based longitudinal study of a neuroprotective model for healthy longevity. Geriatr Gerontol Int 2019; 19:233-239. [PMID: 30618211 DOI: 10.1111/ggi.13598] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2018] [Revised: 11/09/2018] [Accepted: 12/04/2018] [Indexed: 11/30/2022]
Abstract
AIM The 36-month Long-Term Research Grant Scheme project: Towards Usual Aging - Neuroprotective Model for Healthy Longevity among Malaysian Elderly was designed to address multidimensional aspects including psychosocial, biophysical health, nutrition and dietary pattern, and auditory and visual function to highlight the magnitude of these associations in a single study. METHODS A total of 2322 respondents aged ≥60 years were recruited at baseline using the multistage sampling method, followed up at 18 months and 36 months. RESULTS Response rates at baseline, 18 months and 36 months were 87.8%, 77.3% and 67.1%, respectively. At baseline, the prevalence of successful aging, usual aging and mild cognitive impairment was 11%, 73% and 16%, respectively. The prevalence of single and multimorbidity at baseline were 25.9% and 50.3%, respectively. The incidence rates of mild cognitive impairment at 18 months and 36 months were 6.5 and 5.6 per 100 person-years. The incidence rates of multimorbidity at 18 months and 36 months were 23.7 and 21.5 per 100 person-years, respectively. CONCLUSIONS The Long-Term Research Grant Scheme project: Towards Usual Aging study provides an opportunity to investigate the interactions between wide ranges of aspects of the older population in a nationally representative sample of the older population. Geriatr Gerontol Int 2019; 19: 233-239.
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Affiliation(s)
- Huijin Lau
- Faculty of Health Sciences, Center for Healthy Aging and Wellness, National University of Malaysia, Kuala Lumpur, Malaysia
| | - Suzana Shahar
- Faculty of Health Sciences, Center for Healthy Aging and Wellness, National University of Malaysia, Kuala Lumpur, Malaysia
| | - Norlela Hussin
- Faculty of Health Sciences, Center for Healthy Aging and Wellness, National University of Malaysia, Kuala Lumpur, Malaysia
| | - Mohd Za Kamarudin
- Faculty of Health Sciences, Center for Healthy Aging and Wellness, National University of Malaysia, Kuala Lumpur, Malaysia
| | - Tengku At Hamid
- Institute of Gerontology, University Putra Malaysia, Serdang, Malaysia
| | - Siti Z-Ms Mukari
- Institute of Ear, Hearing and Speech, National University of Malaysia, Kuala Lumpur, Malaysia
| | - Nor F Rajab
- Faculty of Health Sciences, Center for Healthy Aging and Wellness, National University of Malaysia, Kuala Lumpur, Malaysia.,Faculty of Health Sciences, Center of Diagnostic and Applied Science, National University of Malaysia, Kuala Lumpur, Malaysia
| | - Normah C Din
- Faculty of Health Sciences, Center for Healthy Aging and Wellness, National University of Malaysia, Kuala Lumpur, Malaysia.,Faculty of Health Sciences, Center of Healthcare Sciences, National University of Malaysia, Kuala Lumpur, Malaysia
| | - Azahadi Omar
- Institute of Public Health, Ministry of Health, Kuala Lumpur, Malaysia
| | - Devinder Ka Singh
- Faculty of Health Sciences, Center for Rehabilitation and Special Needs, National University of Malaysia, Kuala Lumpur, Malaysia
| | - Hasnah Haron
- Faculty of Health Sciences, Center of Healthcare Sciences, National University of Malaysia, Kuala Lumpur, Malaysia
| | - Razinah Sharif
- Faculty of Health Sciences, Center of Healthcare Sciences, National University of Malaysia, Kuala Lumpur, Malaysia
| | - Hanis M Yahya
- Faculty of Health Sciences, Center for Healthy Aging and Wellness, National University of Malaysia, Kuala Lumpur, Malaysia
| | - Arimi Fitri
- Faculty of Health Sciences, Center of Diagnostic and Applied Science, National University of Malaysia, Kuala Lumpur, Malaysia
| | - Zahara A Manaf
- Faculty of Health Sciences, Center of Healthcare Sciences, National University of Malaysia, Kuala Lumpur, Malaysia
| | - Zainora Mohammed
- Faculty of Health Sciences, Center of Healthcare Sciences, National University of Malaysia, Kuala Lumpur, Malaysia
| | - Wan S Ishak
- Institute of Ear, Hearing and Speech, National University of Malaysia, Kuala Lumpur, Malaysia
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Singh DKA, Manaf ZA, Yusoff NAM, Muhammad NA, Phan MF, Shahar S. Correlation between nutritional status and comprehensive physical performance measures among older adults with undernourishment in residential institutions. Clin Interv Aging 2014; 9:1415-23. [PMID: 25187701 PMCID: PMC4149334 DOI: 10.2147/cia.s64997] [Citation(s) in RCA: 57] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
PURPOSE The consequences of combined undernourishment and decreased physical performance in older adults are debilitating and increases cost of care. To date, the information regarding the association between nutritional status and physical performance does not provide a complete picture. Most studies used limited or self-reported measures to evaluate physical performance. The objective of this study was to examine the correlation between nutritional status and comprehensive physical performance measures among undernourished older adults who reside in residential institutions. METHODS Forty-seven older adults (26 males, 21 females) aged ≥ 60 (69.23 ± 8.63) years who were identified as undernourished from two residential institutions participated in this study. A battery of physical performance tests (10 m gait speed test, dominant hand grip strength test, timed five-repetition sit-to-stand test, ten step test, arm curl test, scratch test, and respiratory muscle strength test), biochemical profiles (serum albumin, hemoglobin, serum ferritin, and prealbumin levels), and falls risk using the short-form Physiological Profile Approach were performed. The Functional Ability Questionnaire and Geriatric Depression Scale were also administered. RESULTS The results demonstrated that generally older adults with undernourishment scored poorly on the physical performance tests, had depression, and a high risk of falls. Biochemical results demonstrated that 10.9% of the participants were anemic, 63% had hypoalbuminemia (<3.5 g/dL), and 21.7% were at risk of protein energy malnutrition with prealbumin level (100-170 mg/L). A significant correlation (P<0.05) was demonstrated between hand grip strength and ferritin, between self-reported mobility dependence and prealbumin levels, and between self-reported mobility tiredness and body mass index. CONCLUSION These results confirm that older adults with undernutrition have poor physical function, higher falls risk, and depression. Clinically, overall health that includes nutritional status, physical function, and depression level should be taken into consideration in the assessment and treatment of older adults residing at residential institutions.
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Affiliation(s)
- Devinder K A Singh
- Physiotherapy Program, School of Rehabilitation Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Zahara A Manaf
- Nutrition and Dietetics Program, School of Health Care Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | | | - Nur A Muhammad
- Nutrition and Dietetics Program, School of Health Care Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Mei Fang Phan
- Physiotherapy Program, School of Rehabilitation Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Suzana Shahar
- Nutrition and Dietetics Program, School of Health Care Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
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