Page 63 - JOURNAL OF HEALTH MANAGEMENT SUPPLEMENT: SEPTEMBER 2021

SEPTEMBER 2021, SUPPLEMENT, JOURNAL OF HEALTH MANAGEMENT
SEPTEMBER 2021, SUPPLEMENT, JOURNAL OF HEALTH MANAGEMENT
e-­‐poster
BM108 e-­‐Poster
PH007
Abstract Category: Biomedical Science
Abstract Category: Public Health
Islamic Fasting Approach on Weight Loss Intervention – Experience Through the Lens of Participants
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Johari, M. Z. , Sulaiman, N. S. , Abdullah, S. R. , Khalil, M. K. N. , Wan Mohd Zin, R. M. , Mohd Yunus, S.
Portrait of Malaysia’s Young Informal Caregivers: 2019
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N. N. , Kamaruddin, H. , Norshamsul, N. I. , Azizul, N. H.
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Kong, Y. L. , Jailani, A. S. , Jawahir, S. , Sararaks, S.
1 Centre for Health Communications and Informatics Research, Institute for Health Behaviour Research, National
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Centre for Health
Institutes of Health Outcomes Research, Institute for Health Systems Research, National Institutes of Health
22 Nutrition, Metabolism & Cardiovascular Research Centre, Institute for Medical Research, National Institutes of
Centre for Health Equity Research, Institute for Health Systems Research, National Institutes of Health
Health
Introduction
Introduction
Informal caregivers provide unpaid assistance to those with health conditions and includes youths.
Weight loss is a natural process of weight management in life but the process and effectiveness varies
Younger caregivers may provide different facets of care compared with older caregivers. This study
from individual to individual. This study attempts to assess the effectiveness of an Islamic approach of
reports the patterns of young informal caregivers in Malaysia.
the sunnah fasting (Mondays and Thursday) combined with healthy plating as part of a weight loss
intervention through the views of the participants.
Methods
This study used the National Health Morbidity Survey 2019 data on those 40 years or younger, based
Method
on The National Youth Development Policy of Malaysia. There were 6,434 respondents aged 13-­‐40
This qualitative study takes on exploratory approach in obtaining feedback from selected participants
years old, categorised into adolescents (13-­‐17), younger (18-­‐24), older (25-­‐30) and mature youth
of the intervention. Four groups of participants (two successful and two unsuccessful) were invited in
(31-­‐40). We analysed types of care provided, time spent on care and how long had they been
separate Focus Group Discussions (FGD) to give their experiential feedback after completing the
providing care, with survey weights applied in STATA version 12.
intervention. FGDs were recorded verbatim and transcribed. Data was blind and axial coded before
thematically analyzed.
Results
Overall, 4.9% (95% CI: 4.1 -­‐ 5.8) aged 13-­‐40 provided informal care. There were higher rates of
Result
informal care among mature youth (6.7%, 95% CI: 5.3-­‐8.4), compared with adolescents (3.3%, 95%
In total 21 participants were interviewed. Four themes emerged -­‐ efficacy towards intervention,
CI: 2.0-­‐5.2). Mature youth had highest rates of providing both health and personal care (66.2%, 95%
barriers and facilitators to success, support and sustainability. Participants who were success attributed
CI: 53.4 -­‐ 77.0), whereas adolescent caregivers had highest rates of providing personal care only
having a strong support system at home or at work and the sense of competitiveness as the main key
(46.0%, 95% CI: 29.6 -­‐ 63.3). Younger youths spent the most time in caregiving (median=20
to who were successful. Similarly, the same attributes are also the reason to those who did not
hours/week, IQR:6 -­‐ 77) compared with adolescent (median=12, IQR: 4 -­‐ 24), older youth
succeed in losing the prescribed weight. Most suffered difficulty of at least one month to adapt to the
(median=14, IQR: 4 -­‐ 28) or mature youth (median=8, IQR: 5 -­‐ 24).
intervention. Sporadically in both groups stated the intervention is sustainable for a long period.
Individual motivation plays a strong role in the success or failure in weight loss.
Discussion
Discussion
One in 20 youths in Malaysia was an informal caregiver, and rates increases with age. These youths
Islamic fasting is perceived to be a viable intervention to weight loss and its success is driven both by
spend almost 2 hours a day providing health and personal care. This data is important in formulating
individual motivation and a strong support system to be sustainable.
support for young informal caregivers.
Keywords: weight loss, Islamic fasting, qualitative, effectiveness, sustainability
Keywords: Youth; informal Caregivers; community Survey; Malaysia

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