Malaysian Family Physician最新文献

{"title":"Disordered eating behaviours and their associated factors in adults with type 2 diabetes: A multicentre cross-sectional study.","authors":"Yong Xian Goo, Cheau Foong Fam, Vithiyasri Nithiyanandan, Siti Noorul Ain Abdul Jalil, Norshafika Norlaili, Khausar Hazman, Yen Sue Quay, Subashini Ambigapathy, Siew Mooi Ching, Hooi Min Lim","doi":"10.51866/oa.1158","DOIUrl":"10.51866/oa.1158","url":null,"abstract":"<p><strong>Introduction: </strong>Dietary and weight control in type 2 diabetes (T2D) can place psychological strain on patients, increasing the risk of disordered eating behaviours (DEBs). This study aimed to determine the level of DEBs using the validated Eating Disorder Examination Questionnaire (EDE-Q) and its associated sociodemographic, clinical and mental health factors in adults with type 2 diabetes in Malaysia.</p><p><strong>Methods: </strong>We conducted a multicentre cross-sectional study in four government primary care clinics among 412 patients with T2D. DEBs were assessed using the Malay EDE-Q 6.0, while depression and anxiety were evaluated using the Patient Health Questionnaire-9 and Generalised Anxiety Disorder-7 (GAD-7), respectively. Multivariable linear regression was performed on the square-root transformed EDE-Q global score to identify independent associated factors.</p><p><strong>Results: </strong>The mean EDE-Q global score was 1.01±1.09, with shape concern being the highest- scoring subscale. Higher DEB levels were associated with younger age (B=-0.01, 95% confidence interval [CI]=-0.02 to -0.01, P<0.001), higher body mass index (BMI) (B=0.02, 95% CI=0.02 to 0.03, P<0.001), higher GAD-7 score (B=0.05, 95% CI=0.03 to 0.08, P<0.001) and higher educational level (secondary [B=0.21, 95% CI=0.07 to 0.35, P=0.003] and tertiary education [B=0.31, 95% CI=0.13 to 0.48, P<0.001]). The Chinese participants had lower EDE-Q scores than the Malay participants (B=-0.18, 95% CI=-0.31 to -0.04, P=0.012).</p><p><strong>Conclusion: </strong>Overall DEB level is low, however, risks are higher among patients who are younger, are more educated, have a higher BMI and have greater anxiety. Targeted identification of these high-risk groups facilitates early interventions to prevent adverse complications.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"38"},"PeriodicalIF":1.2,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13477599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When a family physician grieves: Facing loss as a daughter who is a doctor.","authors":"Ilham Ameera Ismail","doi":"10.51866/mol.1178","DOIUrl":"10.51866/mol.1178","url":null,"abstract":"","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"39"},"PeriodicalIF":1.2,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13477602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond patient education: Caregiver and family education on improving post-stroke quality of life.","authors":"Ebru Kübra Taşpolat, Evrim Coşkun","doi":"10.51866/lte.1183","DOIUrl":"10.51866/lte.1183","url":null,"abstract":"","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"37"},"PeriodicalIF":1.2,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13477598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abnormal platelet function in a patient with transient eosinophilia: A case-based discussion.","authors":"Cicelia Thomas, Fatma Basyira Jamallodin, Shafini Mohamed Yusoff, Wan Suriana Wan Ab Rahman, Mohd Nazri Hassan, Zefarina Zulkafli, Salfarina Iberahim, Noor Haslina Mohd Noor, Marne Abdullah, Rosnah Bahar, Marini Ramli","doi":"10.51866/cr.1092","DOIUrl":"10.51866/cr.1092","url":null,"abstract":"<p><p>Eosinophilia is commonly associated with parasitic infections, allergic disorders and haematological conditions. Although bleeding in patients with eosinophilia is rare, platelet dysfunction may contribute, even when platelet counts are normal. We report the case of a 7-year-old boy with glucose-6-phosphate dehydrogenase deficiency who presented with recurrent spontaneous bruising over 6 months. Physical examination revealed multiple ecchymoses over the lower limbs, with no organomegaly or lymphadenopathy. Laboratory investigations revealed a normal platelet count, marked eosinophilia and prolonged bleeding time. Platelet function testing using whole blood impedance aggregometry (Chrono-Log) demonstrated reduced aggregation in response to multiple agonists, consistent with a selective impairment of aggregation to adenosine diphosphate and collagen. The patient was treated with anthelminthics, resulting in a significant reduction in the eosinophil count and resolution of bleeding symptoms. This case highlights that eosinophilia may be associated with acquired platelet dysfunction, even in the presence of normal platelet counts. Clinicians should consider platelet function testing in patients with unexplained bleeding and eosinophilia, as timely treatment of the underlying cause can lead to clinical improvement.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"35"},"PeriodicalIF":1.2,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13477601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148766197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and associated factors of disordered eating among university and college students: A systematic review of Malaysian studies.","authors":"Cheong Lieng Teng, Mohamed Abdelwahab Eltanahy, Paramannantha Veloo Tesini, Hui Chii Voon, Sherreen Elhariri","doi":"10.51866/rv.1019","DOIUrl":"10.51866/rv.1019","url":null,"abstract":"<p><strong>Introduction: </strong>University education is a stressful period in young adults' lives, and the emergence of disordered eating during this time adds to the psychological morbidity that university students often experience and may need early identification and appropriate management. This systematic review of relevant Malaysian studies aimed to determine the pooled prevalence of disordered eating among university and college students and assess the associated factors.</p><p><strong>Methods: </strong>A comprehensive search for Malaysian studies using the Eating Attitudes Test (EAT- 26) was conducted using several bibliographic databases (PubMed, Scopus and Google Scholar). Relevant literature was systematically selected; pertinent data were extracted; and data on disordered eating (EAT-26 score of ≥20) and its associated factors were synthesised.</p><p><strong>Results: </strong>Twenty-one Malaysian cross-sectional studies that measured disordered eating using the EAT-26 were included. The pooled prevalence of disordered eating was 16.45% (random effects model, 95% CI=13.86-19.22), with a significantly higher odds ratio in female students (1.45, 95% CI=1.28-1.65). Various body image measures were assessed in nine studies, five of which reported a positive association between disordered eating and body dissatisfaction.</p><p><strong>Conclusion: </strong>One in six Malaysian university or college students, especially female students, may be affected by disordered eating, and many of them may also have body image concerns and body dissatisfaction. Disordered eating is a rising public health concern in the student population of colleges and universities and deserves further exploration of its potential adverse health outcomes.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"34"},"PeriodicalIF":1.2,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13477600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148766192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SARC-F score compared with hand grip strength for screening possible sarcopaenia among community-dwelling older adults: A multi-centre cross-sectional study in Malaysia.","authors":"Chai Li Tay, Chai Chen Ng, Chee Cheong Kee, Nor Faizah Ghazali, Zaleha Jusoh, Thenmoli Palaniyappan, Sie Zin Kong, Boon Kiew Lee, Lorna Kin Tze Chin, Ai Lee Ding, Khalilati Barizah Md Salimun, Srinevasarao Ramanaidu","doi":"10.51866/oa.1109","DOIUrl":"10.51866/oa.1109","url":null,"abstract":"<p><strong>Introduction: </strong>Sarcopaenia is underdiagnosed in primary care due to limitations in available tools. The SARC-F questionnaire is a recommended screening tool, but its diagnostic accuracy among Malaysian community-dwelling older adults is not well established. This study aimed to determine the diagnostic accuracy of the SARC-F score against hand grip strength (HGS) for identifying possible sarcopaenia among community-dwelling older adults.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from January to November 2024 across 11 public health clinics. Community-dwelling older adults aged ≥60 years were recruited. Sarcopaenia risk was assessed using the SARC-F questionnaire, with scores of ≥4 indicating a high risk. HGS was measured using a Jamar dynamometer, with possible sarcopaenia defined according to the Asian Working Group for Sarcopenia 2019 criteria (<28 kg for men, <18 kg for women). Statistical analysis included the Mann-Whitney U test to compare mean rank distributions of HGS between SARC-F risk groups and Cohen's kappa to assess the agreement between the SARC-F score- and HGS-based classifications. Receiver operating characteristic (ROC) curve analysis was performed to evaluate the discriminatory performance of the SARC-F score in identifying possible sarcopaenia, using HGS as the reference standard.</p><p><strong>Results: </strong>Among 578 participants, the median HGS was significantly lower in the high-risk SARC-F group for both men (19.0 kg vs 28.0 kg, P<0.001) and women (14.0 kg vs 18.0 kg, P<0.001). The agreement between the SARC-F score- and HGS-based classifications was poor to fair (kappa=0.219). The SARC-F score demonstrated low sensitivity (34.7%) but high specificity (87.5%); it showed poor discriminative ability in detecting possible sarcopaenia (area under the ROC curve=0.67; 95% confidence interval=0.622-0.710; P<0.001). The positive predictive value was 74.6%; negative predictive value, 55.9%; and overall accuracy, 60.4%.</p><p><strong>Conclusion: </strong>While a high SARC-F score is significantly associated with low HGS, the low sensitivity of the SARC-F score limits its use as a standalone screening tool in primary care. A two-step approach, using the SARC-F questionnaire followed by objective HGS measurement, may enhance early detection efforts in primary care.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"33"},"PeriodicalIF":1.2,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13355861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Teaching family medicine: The National Postgraduate Medical Curriculum Training the Trainers over the years.","authors":"Farnaza Ariffin","doi":"10.51866/mol.1154","DOIUrl":"https://doi.org/10.51866/mol.1154","url":null,"abstract":"","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"28"},"PeriodicalIF":1.2,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13355862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Narrative review of the development of an ischaemic heart disease prognostic scoring tool (i-IHD score) among patients with type 2 diabetes mellitus in Malaysia.","authors":"Muhammad Muzzammil Mohamad Salleh, Sazzli Shahlan Kasim, Tajul Rosli Razak, Nazar Mohd Azahar, Mohamad Rodi Isa","doi":"10.51866/rv.1027","DOIUrl":"10.51866/rv.1027","url":null,"abstract":"<p><strong>Introduction: </strong>Ischaemic heart disease (IHD) remains a major cause of mortality among individuals with type 2 diabetes mellitus (T2DM) in Malaysia. Conventional cardiovascular risk models, such as the Framingham risk score, often show limited calibration in Asian populations. Artificial intelligence (Al)-calibrated models have emerged as potential alternatives, yet their generalisability and clinical utility across different populations remain uncertain. This narrative review aimed to summarise existing prognostic models for IHD in patients with T2DM and identify methodological gaps relevant to the development of a locally calibrated model.</p><p><strong>Methods: </strong>This narrative review employed a structured search strategy guided by PRISMA principles but was not conducted as a full systematic review. We synthesised evidence from epidemiological and prognostic research. Studies comparing conventional statistical approaches (e.g. logistic regression and Cox models) with AI-calibrated models such as extreme gradient boosting, random forest and support vector machines were reviewed.</p><p><strong>Results: </strong>Eleven studies met the inclusion criteria; four used conventional statistical methods, and seven applied AI or machine learning algorithms. The reported discrimination (area under the curve=0.66-0.94) varied widely. Conventional models commonly lacked external validation and demonstrated restricted applicability beyond their original cohorts. AI-calibrated models showed promising discrimination in some datasets but similarly experienced limited validation and lacked benchmarking against traditional statistical methods. Across the studies, limited calibration and validation reduced generalisability to heterogeneous Malaysian populations.</p><p><strong>Conclusion: </strong>Developing a locally AI-calibrated i-IHD score could enable early risk identification, guide targeted interventions and support national health initiatives, including the Health White Paper 2023 and 13th Malaysia Plan.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"26"},"PeriodicalIF":1.2,"publicationDate":"2026-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13355864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Menopause matters: A community-based cross-sectional online survey among midlife women in Malaysia.","authors":"Rara Merinda Puspitasari, Azizatul Munirah Zaini, Zaswiza Mohamad Noor, Syarifah Syamimi Putri Adiba Syed Putera","doi":"10.51866/oa.1006","DOIUrl":"10.51866/oa.1006","url":null,"abstract":"<p><strong>Introduction: </strong>Menopause is a substantial life transition for women, signifying the end of reproductive capability, with implications for symptoms, long-term health and well-being. Women's experiences during menopause can differ widely, affecting their attitudes towards this transition. This study aimed to investigate knowledge and attitudes towards menopause among midlife women in Malaysia.</p><p><strong>Methods: </strong>A community-based cross-sectional online survey using non-probability sampling was conducted among Malaysian women aged 40-60 years residing in an urban setting. A validated online questionnaire was used to assess the study parameters. Knowledge and attitudes were quantified, and associations with sociodemographic factors were examined using the Kruskal-Wallis test. Descriptive statistics and Spearman's correlation analysis were performed using the IBM Statistical Package for the Social Sciences Statistics version 26.0.</p><p><strong>Results: </strong>Of the 300 respondents, the majority were Malay (94.7%), married (85.3%) and aged 55-60 years (27.3%). Over half (52.0%; mean score=12.98±6.77 [22 max score]) demonstrated poor knowledge, while 45.3% held negative attitudes towards menopause. The average attitude score was 33.48±6.58 [56 max score], indicating a generally negative orientation towards menopause. A weak but significant positive correlation was observed between knowledge and attitudes (r=0.249, P<0.01).</p><p><strong>Conclusion: </strong>Targeted educational initiatives may be beneficial in enhancing menopause-related knowledge and fostering more positive attitudes among midlife Malaysian women. Future research should rigorously assess changes in knowledge, attitudes and related clinical behaviours after such interventions to inform policy and practice.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"32"},"PeriodicalIF":1.2,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13355863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and trend of anaemia and haemoglobinopathy among pregnant indigenous women in Kuala Kangsar, Perak: A retrospective observational study.","authors":"Jazlan Jamaluddin, Thenmoli Palaniyappan, Sofiah Zainal Abidin, Gayathri Kathitasapathy, Mohamad Zikri Mohamad Isa, Paream Kaur, Husna Maizura Ahmad Mahir","doi":"10.51866/oa.1049","DOIUrl":"10.51866/oa.1049","url":null,"abstract":"<p><strong>Introduction: </strong>Anaemia during pregnancy is a global health concern, particularly among indigenous populations such as the Orang Asli (OA) in Malaysia. Haemoglobinopathies further exacerbate this issue. This study aimed to examine the prevalence of anaemia and haemoglobinopathy and its associated factors among pregnant OA women.</p><p><strong>Methods: </strong>A retrospective observational study was conducted among pregnant OA women in Kuala Kangsar, Malaysia. Medical records from 2018 to 2022 were reviewed using a standardised data collection form. Women who were lost to follow-up, had transferred care or had pregnancies ending at or before 24 weeks of gestation were excluded. Descriptive analysis, trend analysis and multivariable logistic regression were performed.</p><p><strong>Results: </strong>A total of 766 women were included. The prevalence of anaemia during pregnancy was 44.6%, with 9.4% of the cases occurring before delivery. Haemoglobinopathy was identified in 22.7% of the cohort, with a significant increase observed over 5 years. The most common haemoglobinopathy was heterozygous haemoglobin E (HbE) (14.2%), followed by homozygous HbE (6.5%). HbE homozygous status and parenteral iron dextran use were significantly associated with anaemia before delivery.</p><p><strong>Conclusion: </strong>Anaemia and haemoglobinopathy are highly prevalent among pregnant OA women. Identifying their associated factors is crucial for the development of early screening programmes and appropriate management strategies to improve maternal and foetal health outcomes.</p>","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"21 ","pages":"27"},"PeriodicalIF":1.2,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13242592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}