Exploring Malaysia's expanding waistlines: the role of dietary public health messages and guidelines in tackling overweight and obesity issues

Overweight and obesity in Malaysia pose serious threats to health. Prevalence has escalated to alarming levels in recent decades despite a multitude of dietary public health messages geared toward obesity prevention and health promotion. Gaps between health messages, messengers, and the public must be identified and closed to effectively combat obesity and overweight. This review article aims to examine dietary public health messages, guidelines, and programmes for the prevention of obesity in Malaysia, and explore potential reasons for the continued rise in prevalence. Dietary public health communication in Malaysia has progressed and improved substantially over the years. However, most messages have been designed for a general audience, with little consideration of differences in physical, social, cultural, and environment backgrounds, and varying levels of comprehension. We offer several recommendations to increase the effectiveness of dietary public health messages in fighting the obesity epidemic, based on a cross-sectoral, place-based approach that recognizes the complexity of underlying causes of obesity.

[1]  J. Ungemack,et al.  The impact of junk food marketing regulations on food sales: an ecological study , 2018, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[2]  H. Hyun,et al.  Associations between working environment and weight control efforts among workers with obesity in Korea , 2018, The Journal of international medical research.

[3]  D. Mozaffarian,et al.  Dietary guidelines and health—is nutrition science up to the task? , 2018, British Medical Journal.

[4]  Leanne Johnstone,et al.  The sustainability‐age dilemma: A theory of (un)planned behaviour via influencers , 2018 .

[5]  L. Gostin.  Tackling Obesity and Disease: The Culprit Is Sugar; the Response Is Legal Regulation. , 2018, The Hastings Center report.

[6]  J. Kearney,et al.  The Role of Influencer Marketing and Social Influencers in Public Health , 2017, Proceedings of the Nutrition Society.

[7]  Raymond L. M. Lee.  Malaysian Identities and Mélange Food Cultures , 2017 .

[8]  J. Baker,et al.  Evidence from prospective cohort studies does not support current dietary fat guidelines: a systematic review and meta-analysis , 2016, British Journal of Sports Medicine.

[9]  Barry Newell,et al.  A role for low-order system dynamics models in urban health policy making. , 2016, Environment international.

[10]  L. Foo,et al.  Ethnic Differences in the Food Intake Patterns and Its Association Factors of Adolescents in Malaysia , 2016 .

[11]  Michael P Kelly,et al.  Why is changing health-related behaviour so difficult? , 2016, Public health.

[12]  G. Khor,et al.  Intake of added sugar in Malaysia: a review. , 2016, Asia Pacific journal of clinical nutrition.

[13]  Tarra L. Penney,et al.  The Health at Every Size paradigm and obesity: missing empirical evidence may help push the reframing obesity debate forward. , 2015, American journal of public health.

[14]  Soonman Kwon,et al.  The effects of community environmental factors on obesity among Korean adults: a multilevel analysis , 2014, Epidemiology and health.

[15]  R. Mattes,et al.  Food environment and obesity , 2014, Obesity.

[16]  J. Gittelsohn,et al.  Changing the Food Environment for Obesity Prevention: Key Gaps and Future Directions , 2014, Current Obesity Reports.

[17]  S. Friel,et al.  Processed foods and the nutrition transition: evidence from Asia , 2014, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[18]  E. García‐Fuentes,et al.  White rice consumption and risk of type 2 diabetes. , 2013, Clinical nutrition.

[19]  S. Kumanyika,et al.  Strategic Action to Combat the Obesity Epidemic , 2013 .

[20]  K. Brownell,et al.  Role of Policy and Government in the Obesity Epidemic , 2012, Circulation.

[21]  F. Booth,et al.  Lack of exercise is a major cause of chronic diseases. , 2012, Comprehensive Physiology.

[22]  E-Siong Tee.  Development and promotion of Malaysian Dietary Guidelines. , 2011, Asia Pacific journal of clinical nutrition.

[23]  C. Hawkes,et al.  Regulating the commercial promotion of food to children: a survey of actions worldwide. , 2011, International journal of pediatric obesity : IJPO : an official journal of the International Association for the Study of Obesity.

[24]  K. Brownell,et al.  The perils of ignoring history: Big Tobacco played dirty and millions died. How similar is Big Food? , 2009, The Milbank quarterly.

[25]  D. Cohen,et al.  Obesity and the built environment: changes in environmental cues cause energy imbalances , 2008, International Journal of Obesity.

[26]  Pamela S. Wigington.  Clear messages for effective communication. , 2008, Journal of environmental health.

[27]  Corby K. Martin,et al.  Effect of Calorie Restriction on Resting Metabolic Rate and Spontaneous Physical Activity , 2007, Obesity.

[28]  J. Flier,et al.  What fuels fat. , 2007, Scientific American.

[29]  John C Peters.  Combating obesity: challenges and choices. , 2003, Obesity research.

[30]  M. Crossley.  Resistance to health promotion: a preliminary comparative investigation of British and Australian students , 2002 .

[31]  J. Peters,et al.  Environmental contributions to the obesity epidemic. , 1998, Science.

[32]  Lynn Westbrook,et al.  Utilization-focused evaluation , 1998 .

[33]  J. Muthukannan,et al.  The Food Guide Pyramid , 1995 .