Page 73 - Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022

Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022
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14 MOH-AMM Scientific Meeting 2022 in conjunction with 23 NIH Scientific Conference Abstract Book
th
INTRODUCTION: Medical Nutrition Therapy provided by a dietitian improves patient
outcomes, quality of life and lowers health-care costs. The aim of this study was the
determine the distribution of patients seen by dietitian in primary healthcare clinics in Klang,
Selangor.
METHODS: This was a retrospective cohort study conducted based on data that was retrieved
from Public Health Dietetic Service Information System. This data was extracted from January
until June 2018, from 6 clinics in Klang District, Selangor. Descriptive analysis was done to
determine the distribution of patients seen by dietitian according to gender, ethnicity, body
mass index (BMI), diagnosis, types of diet prescribed and types of counselling given either
group or individual diet consultation. The nutritional status of the patients was characterized
by Body Mass Index category (WHO 2004 for BMI). Patients were referred to a dietitian by
Medical Officers using the Out-patient Dietetic Referral form and were given appointment by
dietitian.
RESULTS: Total of 1019 patients were seen by dietitian in this study. Overall, the highest
proportion seen by dietitian was gestational diabetes mellitus (70.9%), Malay ethnicity
(66.3%) and female patients (88.2%). Of the 1019 patients, 38.7% were obese and 32.7% were
overweight. Diabetic diet counselling was the main Medical Nutrition Therapy provided to the
patients via group counselling session (74.5%).
DISCUSSION/CONCLUSION: This study showed majority of dietetics referrals in Klang district
health clinic were gestational diabetes mellitus. Therefore, it is strongly suggested to review
the dietary management for GDM to enhanced practice for better healthcare outcome.

ID 57 CALCIUM SUPPLEMENTATION AND OCCURRENCE OF HYPERTENSIVE DISORDERS IN
PREGNANCY: A RETROSPECTIVE STUDY

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Chua Chew Huey , Renugah Selvarajah , Nur Afiqah Binti Mohamad Salam , Nor Farah Hanis Binti Zaidi , Teoh
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Jia Wen
1 Pharmacy Department, Hospital Pakar Sultanah Fatimah (HPSF), Muar, Johor

INTRODUCTION: Prevalence of hypertensive disorders in pregnancy (HDP) has been
increasing in trend and its management with calcium supplementation is controversial across
countries. This study focuses on investigating the effect of calcium dose and frequency on
HDP.
METHODS: This cross-sectional retrospective study was conducted in a Malaysian district
hospital. Data collection form was used to record demographic and clinical characteristics of
study samples. Non-parametric test like Spearman’s correlation, Mann Whitney and Kruskal-
Wallis were used to analyse relationship between demographic and calcium supplement with
blood pressure. Whereas calcium dose and frequency with types of HDP were analysed using
Chi Square test.
RESULTS: A total of 62 study samples with median age of 36 years old were included in this
study. Majority of them were Malay, obese and had minimum two pregnancies. More than
half of them had chronic hypertension and 25.9% had pre-eclampsia with median blood
pressure of 139/76mmHg. 71% of the patients took ≥1g of total calcium dose during
pregnancy while others took 500mg per day. Calcium frequency taken among 43.5% of
patients were either once or twice daily while 56.5% had taken thrice daily. Occurrence of
pre-eclampsia were significantly associated with body mass index, p=0.035 and calcium dose,
p=0.028. Moreover, blood pressure of patients on calcium were significantly associated with

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