Page 65 - 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
PH009
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.
Prevalence Of Adults Aged 50 and Above Undergoing Medical Check-­‐Up
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N. N. , Kamaruddin, H. , Norshamsul, N. I. , Azizul, N. H.
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Abdul Mutalib, N. E. , Jawahir, S. , Amer Nordin, A. , Tan, Y. R. , Ab Rahim, I. , Mohd Noh, S. N. ,
1 Centre for Health Communications and Informatics Research, Institute for Health Behaviour Research, National
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Manual, A. , Ab Hamid, J.
Institutes of Health
2 1 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
Malaysia is progressing steadily towards an aging nation and by 2030, it is estimated that elderly will
Weight loss is a natural process of weight management in life but the process and effectiveness varies
make up 16% of the population. The implication is higher likelihood of becoming unwell and
from individual to individual. This study attempts to assess the effectiveness of an Islamic approach of
requiring health examinations. This applies not only to elderly or “older adults” (aged ≥60), but also
the sunnah fasting (Mondays and Thursday) combined with healthy plating as part of a weight loss
“pre-­‐old” (adults aged 50-­‐59). The aim of this study was to describe the prevalence of adults aged 50
intervention through the views of the participants.
and older in Malaysia undergoing medical check-­‐up.
Method
Methods
This qualitative study takes on exploratory approach in obtaining feedback from selected participants
Secondary data analysis of adults aged 50 and older from the National Health and Morbidity Survey
of the intervention. Four groups of participants (two successful and two unsuccessful) were invited in
2019 was performed using STATA 14. Medical check-­‐up referred to health screening such as blood
separate Focus Group Discussions (FGD) to give their experiential feedback after completing the
tests, urine tests and x-­‐rays within 12 months prior to the survey. Sampling weight was applied.
intervention. FGDs were recorded verbatim and transcribed. Data was blind and axial coded before
thematically analyzed.
Results
Result was no significant difference in the prevalence of adults aged 50 and above having medical
There
check-­‐up among the three ethnicities [Malay -­‐ 51.5% (95% CI: 48.12, 54.86), Chinese -­‐ 49.1% (95% CI:
In total 21 participants were interviewed. Four themes emerged -­‐ efficacy towards intervention,
43.52, 55.79), and Indian -­‐ 55.5% (95% CI: 48.45, 62.29)]. By age group, similar findings were
barriers and facilitators to success, support and sustainability. Participants who were success attributed
observed across the three ethnicities, with exception for Indian, where aged 70-­‐79 showed higher
having a strong support system at home or at work and the sense of competitiveness as the main key
prevalence (64.0%, 95% CI: 44.55, 79.59), and ≥80 showed lower prevalence (28.9%, 95% CI: 8.32,
to who were successful. Similarly, the same attributes are also the reason to those who did not
64.60). Public healthcare facilities were the preferred type of facility among adults aged 50 and
succeed in losing the prescribed weight. Most suffered difficulty of at least one month to adapt to the
above from the three ethnicities.
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
Prevalence of adults aged 50 and above undergoing medical check-­‐up was similar by ethnicity, with
Islamic fasting is perceived to be a viable intervention to weight loss and its success is driven both by
some difference by age group among Indian ethnicity, while there was preference for public
individual motivation and a strong support system to be sustainable.
healthcare facilities over private facilities. As the population of “pre-­‐old” and “old” age groups grows
in Malaysia, elucidating factors associated with having medical check-­‐up in this population group can
Keywords: weight loss, Islamic fasting, qualitative, effectiveness, sustainability
be impactful in providing healthcare services that are more person-­‐centred.

Keywords: Elderly, medical check-­‐up, ethnic, Malaysia

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