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An update of the general health status in the indigenous populations of Malaysia

Objective. Health scenarios are constantly evolving, particularly in developing countries but little is known regarding the health status of indigenous groups in Malaysia. This study aims to elucidate the current health status in four indigenous populations in the country, who by and large been left...

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Main Authors:	Timothy Adrian, Jinam, Maude Elvira, Phipps, Mathavan, Indran, Umah Rani, Kuppusamy, Abdulla Ameen, Mahmood, Hong, Lih Chun, Juli, Edo
Format:	Article
Language:	English
Published:	Taylor & Francis Group 2008
Subjects:	RA0421 Public health. Hygiene. Preventive Medicine
Online Access:	http://ir.unimas.my/id/eprint/42240/3/An%20update.pdf http://ir.unimas.my/id/eprint/42240/ https://www.tandfonline.com/doi/abs/10.1080/13557850801930478?journalCode=ceth20
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record_format	eprints
spelling	my.unimas.ir.422402023-07-12T07:10:00Z http://ir.unimas.my/id/eprint/42240/ An update of the general health status in the indigenous populations of Malaysia Timothy Adrian, Jinam Maude Elvira, Phipps Mathavan, Indran Umah Rani, Kuppusamy Abdulla Ameen, Mahmood Hong, Lih Chun Juli, Edo RA0421 Public health. Hygiene. Preventive Medicine Objective. Health scenarios are constantly evolving, particularly in developing countries but little is known regarding the health status of indigenous groups in Malaysia. This study aims to elucidate the current health status in four indigenous populations in the country, who by and large been left out of mainstream healthcare developments. Methods. Participants were recruited from the Temuan, Jehai, Kensiu and Bidayuh indigenous groups throughout Peninsula Malaysia and Sarawak. Health parameters including body mass index (BMI), blood pressure, casual blood glucose and, total cholesterol levels were measured using established methods. Malondialdehyde (MDA) and ferric-reducing antioxidant power (FRAP) levels were measured to assess oxidative stress status. Blood films were screened for evidence of microbial or parasitic infections and leukocyte differential counting was performed. Results. The Temuan and Bidayuh who are more urbanized, had significantly higher mean body weight, BMI, total cholesterol (pB0.05) and higher prevalence of obesity and hypercholesterolemia. Low cholesterol levels, elevated eosinophil counts and increased total IgE, indicative of immune responses to infection or allergy, were recorded in the rural Kensiu and Jehai. The Kensiu had higher levels of FRAP and lower levels of MDA, whereas the reverse was found in the Temuan. This suggests reduced oxidative stress in the Kensiu compared to the Temuan. Expected correlations between FRAP and MDA levels with age, were evident in Jehai. Conclusions. Our findings reflect a shifting health burden and an epidemiological transition, particularly in the Temuan and Bidayuh. These changes could be attributed to dietary habits, lifestyles and socio-economic factors brought about by urbanization. Taylor & Francis Group 2008 Article PeerReviewed text en http://ir.unimas.my/id/eprint/42240/3/An%20update.pdf Timothy Adrian, Jinam and Maude Elvira, Phipps and Mathavan, Indran and Umah Rani, Kuppusamy and Abdulla Ameen, Mahmood and Hong, Lih Chun and Juli, Edo (2008) An update of the general health status in the indigenous populations of Malaysia. Ethnicity & Health, 13 (3). pp. 277-287. ISSN 1355-7858 https://www.tandfonline.com/doi/abs/10.1080/13557850801930478?journalCode=ceth20 doi: 10.1080/13557850801930478
institution	Universiti Malaysia Sarawak
building	Centre for Academic Information Services (CAIS)
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Malaysia Sarawak
content_source	UNIMAS Institutional Repository
url_provider	http://ir.unimas.my/
language	English
topic	RA0421 Public health. Hygiene. Preventive Medicine
spellingShingle	RA0421 Public health. Hygiene. Preventive Medicine Timothy Adrian, Jinam Maude Elvira, Phipps Mathavan, Indran Umah Rani, Kuppusamy Abdulla Ameen, Mahmood Hong, Lih Chun Juli, Edo An update of the general health status in the indigenous populations of Malaysia
description	Objective. Health scenarios are constantly evolving, particularly in developing countries but little is known regarding the health status of indigenous groups in Malaysia. This study aims to elucidate the current health status in four indigenous populations in the country, who by and large been left out of mainstream healthcare developments. Methods. Participants were recruited from the Temuan, Jehai, Kensiu and Bidayuh indigenous groups throughout Peninsula Malaysia and Sarawak. Health parameters including body mass index (BMI), blood pressure, casual blood glucose and, total cholesterol levels were measured using established methods. Malondialdehyde (MDA) and ferric-reducing antioxidant power (FRAP) levels were measured to assess oxidative stress status. Blood films were screened for evidence of microbial or parasitic infections and leukocyte differential counting was performed. Results. The Temuan and Bidayuh who are more urbanized, had significantly higher mean body weight, BMI, total cholesterol (pB0.05) and higher prevalence of obesity and hypercholesterolemia. Low cholesterol levels, elevated eosinophil counts and increased total IgE, indicative of immune responses to infection or allergy, were recorded in the rural Kensiu and Jehai. The Kensiu had higher levels of FRAP and lower levels of MDA, whereas the reverse was found in the Temuan. This suggests reduced oxidative stress in the Kensiu compared to the Temuan. Expected correlations between FRAP and MDA levels with age, were evident in Jehai. Conclusions. Our findings reflect a shifting health burden and an epidemiological transition, particularly in the Temuan and Bidayuh. These changes could be attributed to dietary habits, lifestyles and socio-economic factors brought about by urbanization.
format	Article
author	Timothy Adrian, Jinam Maude Elvira, Phipps Mathavan, Indran Umah Rani, Kuppusamy Abdulla Ameen, Mahmood Hong, Lih Chun Juli, Edo
author_facet	Timothy Adrian, Jinam Maude Elvira, Phipps Mathavan, Indran Umah Rani, Kuppusamy Abdulla Ameen, Mahmood Hong, Lih Chun Juli, Edo
author_sort	Timothy Adrian, Jinam
title	An update of the general health status in the indigenous populations of Malaysia
title_short	An update of the general health status in the indigenous populations of Malaysia
title_full	An update of the general health status in the indigenous populations of Malaysia
title_fullStr	An update of the general health status in the indigenous populations of Malaysia
title_full_unstemmed	An update of the general health status in the indigenous populations of Malaysia
title_sort	update of the general health status in the indigenous populations of malaysia
publisher	Taylor & Francis Group
publishDate	2008
url	http://ir.unimas.my/id/eprint/42240/3/An%20update.pdf http://ir.unimas.my/id/eprint/42240/ https://www.tandfonline.com/doi/abs/10.1080/13557850801930478?journalCode=ceth20
_version_	1772816307459194880
score	13.211869

An update of the general health status in the indigenous populations of Malaysia

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