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MDG 2020_Whats New_MDG 2020_Overview.pptx
1. Introduction to
MALAYSIAN DIETARY GUIDELINES (MDG) 2020
Emeritus Prof. Dr. Mohd Ismail Noor (UKM)
Chairman, TWG Nutritional Guidelines
National Coordinating Committee on Food and Nutrition, MOH
What’s New ?, Key Message 1 and Malaysian Food Pyramid 2020
2. SCOPE OF PRESENTATION
Introduction
Nutrition scenario and trends in last few decades
Evolution of MDGs in Malaysia
Development of MDG 2020
Differences between MDG 2010 and MDG 2020 – What’s
New?
Issues and Challenges
Acknowledgements
3. INTRODUCTION
Since food can provide most if not all of our nutrient needs, the
basic assumption of the dietary guidelines is that nutrient
needs should be met primarily through food consumption
We now have a fair knowledge of nutritive value of different
foods available (FCTs) and also a good understanding of the
requirements of different nutrients for the maintenance of good
health and prevention of disease (RNIs).
It is envisage that if implemented as a whole, the dietary
guidelines should encourage Malaysians to consume less
calories, be more active and make wiser food choices.
4. DEFINITION
Dietary guidelines are sets of advisory statements that give dietary
advice for the population to promote overall nutritional well-being
and relate to all diet-related conditions.
Dietary guidelines differ from RNI in that the advice is more
provisional, being based on science, including direct and indirect
evidence about the complex relationship of food components with
health and with diseases - some of which have long incubation
periods.
Dietary guidelines are broad targets for which people can aim
while RNI indicate what should be consumed on the average every
day.
6. Available calories for various food in Malaysia
20
510
60
53
28
245
4
15
731
383
372
45
41
280
8
82
3
103
7
4
1167
324
202
18
0 200 400 600 800 1000 1200 1400
Animal fat
Animal product
Cereal
Fruit
Marine fish
Meat
Oat
Potato
Rice
Sugar &sweetener
Vegetable oil
Vegetable
1969 kcal/d 2009 kcal/d
FAO 2013. Food and Agricultural Organization of the United Nations. Food balance sheets. Available at
http://faostat3.fao.org/home/index.html#DOWNLOAD. Accessed July 2013.
7. Millennium era
1970 era
Lack of supportive
environment for
healthy eating
TRIPLE BURDEN
OF MALNUTRITION
NUTRITION SCENE IN MALAYSIA
Food
Culture
Poor Dietary Practices
New phenomena of food
intake
IN PLACE TO TACKLE
MALNUTRITION PROBLEM
AMONG MALAYSIAN
8. LOW intake of milk
and dairy products
among adults
LOW intake of
fruits and
vegetables among
adults
1 in 2
HIGH intake
of sodium among
adults
(>2000mg/day)
1 in 2
HIGH intake
of fat among
adults
School children consumed
fast foods at least once a
week in the past 7 days
46%
94% 76%
Poor Dietary Habits and
Practices Among
Malaysian
16. Global
Nutrition
Target 2025
ICN2, Rome
Declaration on
Nutrition & FFA
NPANM III
2016-2025
The formulation of this guidelines was in accordance with
the latest scientific findings, nutritional status of Malaysian
population, as well as nutrition commitments and targets
at international regional and national level
The Malaysia Dietary Guidelines (MDG) 2020 is a
comprehensive national nutritional guidelines to
promote healthy eating and lifestyles.
The recommendations contained in the MDG
2020 are in line with the objectives of National
Plan of Action for Nutrition of Malaysia III (2016 -
2025)
19. CHALLENGES OF MDG 2010
Overall Challenges:
• MDG is not prioritize as one of main references in planning and forecasting food supply
and import.
• Lack of understanding on certain terminologies such as number of servings, serving size
and etc.
• Difficulty in understanding some key words and long key messages. Thus, health or
nutrition messages need to be presented in simple, short and food based messages to
ensure that the population at large will have a better understanding of the newly updated
MDG (Norimah et al., 2010)
20. Food culture
• Malaysia is a food haven
• Malaysian culture – multi ethnicity
celebrations/functions
New phenomena of food intake
Social media viral posts on
unhealthy foods
THE
CHALLENGES….
Complexity of interaction
between social, cultural,
environmental factors, political
will and enforcement issues
Uncontrolled
selling of
unhealthy
food &
beverages
outside
school
premise
Lack of supportive environment for healthy eating
Uncontrolled
of unhealthy
food &
beverages
advertisement
in all media
Abundant
supplies
of
processed
foods in
the
market
24 hours
food outlets
and
fast food
restaurants
are
everywhere
21. Members of the TWG Nutritional Guidelines, NCCFN
(2019-2020)
Chairman: Emeritus Prof. Dr. Mohd Ismail Noor
Secretary: Ms. Rozalina Ismail
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Ms. Rusidah Selamat
Dr. Faridah Abu Bakar
Dr. A’aishah bt Senin
Ms. Norhidayah Othman
Ms. Jamilah Ahmad
Cik Ruffina Dallis Jimen
Prof. Dr. Poh Bee Kon
Prof. Dr. Winnie Chee Siew Wee
Prof. Dr Hamid Jan Jan Mohammad
Prof. Dr. Chan Yoke Mun
Assoc. Prof. Dr. Mahenderan
Appukutty
Dr. Yasmin Ooi Beng Hui
Dr. Tee Siong
Dr. Zaitun Yassin
Bahagian Pemakanan, KKM
Bahagian Pembangunan dan Kesihatan Keluarga, KKM
Bahagian Kawalan Penyakit
Bahagian Keselamatan dan Kualiti Makanan, KKM
JKN Melaka
Bahagian Pendidikan Kesihatan
UKM
IMU
USM Kubang Kerian, Kelantan
UPM
UITM Shah Alam
UMS, Sabah
NSM
NSM
5/3/2024 TWG NUTRITION GUIDELINES 22112019 21
22. TWG Nutritional Guidelines
(Term of Reference)
1. To review and update Malaysian Dietary Guidelines (2010) and Recommended
Nutrient Intakes (2017) as and when needed.
2. To develop new dietary guidelines according to age-group and selected
vulnerable groups
3. To discuss, provide technical input and recommendations on issues related to
the Nutrition Guidelines
5/3/2024 TWG NUTRITION GUIDELINES 22112019 22
23.
24. Reviewing
and
planning
• Formation of Technical Working Group on Nutritional Guidelines under NCCFN
• Appointment of Key Writers for MDG 2020
• Review of 14 key messages, key recommendations and how to achieve (HTA)
Drafting
• Drafting of MDG 2020 (full manuscripts) by assigned writers
• Focus Group Discussion of 14 key messages, key recommendations & HTA
• Cross-check on key recommendations and HTA by the main Technical Working Group
Consensus
with other
stakeholders
• Finalised MDG 2020 by the main Technical working group
• Presentation of proposed MDG 2020 in a National Consensus Meeting (22-24 July 2020)
Finalised the
draft
• Post- Consensus revision and editing of MDG 2020 (full manuscript)
• Finalised the draft by Key writers
Editorial
• To harmonise writing format for all 14 Key Messages
MDG 2020 (Development Process)
1
.
2
.
3
.
4
.
5
.
26. Key Messages and Writers for MDG 2020
(MDG 2010)
Key
Message
1
1) Prof. Dr. Norimah A Karim, UKM (Ketua)
2) Ms. Rusidah Selamat, Bhg.Pemakanan,KKM
3) Assoc. Dr. Chan Yoke Mun, UPM
4) Assoc. Prof. Dr. Nor Azwani Mohd Shukri, UIAM
5) Dr. Sameeha Mohd Jamil, UKM
6) Ms. Khairul Zarina Mohd Yusop, KKM
7) Ms. Rohida Salleh Hudin, JKN Kedah
8) Ms. Teh Wai Siew, KKM
Eat a variety of foods
within the recommended
servings
KM 1: Eat a variety of
foods within the
recommended intake
Key
Message
2
Achieve and maintain a
healthy body weight range
KM 2: Maintain body
weight in a healthy range
1) Assoc. Prof. Dr. Mahenderan Appukutty, UiTM (Ketua)
2) Emeritus Prof. Dr. Mohd Ismail Noor, UKM
3) Assoc. Prof. Dr Chin Yit Siew, UPM
4) Assoc. Prof. Dr. Serene Tung En Hui, UCSI University
5) Dr. Roseline Yap Wai Kuan, NSM
6) Ms. Noor Faezah Abdul Jalil, Bhg.Pemakanan, KKM
27. Key Messages and Writers for MDG 2020
(MDG 2010)
Key
Message
3
1) Prof. Dr. Poh Bee Koon, UKM (Ketua)
2) Assoc. Prof. Dr. Hazizi Abu Saad, UPM
3) Dr. Denise Koh Choon Lian, UKM
4) Dr. Wee Bee Suan, UniSZA
5) Ms. Rosne Rafidah Binti Abdul Rani, Bhg. Pendidikan
Kesihatan
6) Ms. Inin Roslyza Binti Rosli, Bhg. Pendidikan Kesihatan
Be physically active every
day
KM 3: (same)
Key
Message
4
(New)
Cook nutritious foods at home
more often and choose
healthier options when eating
out
(Replace KM12 on
Breastfeeding)
1) Prof. Dr. Winnie Chee Siew Swee, IMU (Ketua)
2) Dr. Yang Wai Yew, IMU
3) Ms. Siti Shuhailah Shaikh Abd Rahim, Bhg. Pemakanan,
KKM
4) Ms. Ruhaya Salleh, IKU
28. Key Messages and Writers for MDG 2020
(MDG 2010)
Key
Message
5
1) Dr. Yasmin Ooi Beng Houi, UMS (Ketua)
2) Dr. Gan Wan Ying, UPM
3) Dr. Aryati Ahmad, UniSZA
4) Dr. Foo Leng Huat, USM
5) Ms. Aznita Izma Mohd Arif, Bhg. Pemakanan,
KKM
Eat plenty of vegetables
and fruits everyday
KM 5: Eat plenty of fruits
and vegetables everyday
Key
Message
6
Eat adequate amount of rice, other
cereals, wholegrain cereal-based
products and tubers
KM4 Eat adequate amount of rice,
other cereal products (preferably
whole grain) and tubers
1) Assoc. Prof. Dr. Nik Shanita Safii, UKM
(Ketua)
2) Assoc. Prof. Dr. Barakatun Nisak Mohd Yusof,
UPM
3) Dr. Wan Azdie Mohd Abu Bakar, UIAM
4) Dr. Sharifah Wajihah Wafa Syed Saadun Tarek
Wafa, UniSZA
5) Dr. Wong Jyn Eiin, UKM
6) Mr. Khairul Hasnan bin Amali, JKN Selangor
29. Key Messages and Writers for MDG 2020
(MDG 2010)
Key
Message
7
1) Assoc. Prof. Dr. Cheah Whye Lian, UniMAS
(Ketua)
2) Assoc. Prof. Dr. Chin Yit Siew, UPM
3) Assoc. Dr. Geeta Appannah, UPM
4) Dr. Megan Chong Hueh Zan, IMU
5) Ms. Siti Adibah Halim, Bhg. Pemakanan, KKM
Consume moderate amount of
fish, meat, poultry, egg, legumes
and nuts
KM 6 (Same)
Key
Message
8
Consume adequate
amounts of milk and milk
products
KM 7 (Same)
1) Prof. Dr. Hamid Jan Jan Mohamed, USM
(Ketua)
2) Prof. Dr. Winnie Chee Siew Swee, IMU
3) Dr. Satvider Kaur D/O Nachatar Singh, UCSI
University
4) Ms. Nur Shafawati Mohd Ghazali, Bhg.
Pemakanan, KKM
30. Key Messages and Writers for MDG 2020
(MDG 2010)
Key
Message
9
1) Prof. Tilakavathi Karupiah, Taylor’s University
(Ketua)
2) Dr. Mohd Razif Shahril, UniSZA
3) Dr. Zulfitri Azuan Mat Daud, UPM
4) Dr. Shanthi A/P Krishnasamy, UKM
5) Ms. Nur Amalina Muhamad, Bhg. Pemakanan,
KKM
6) Mr. Khor Ban Hock, UKM
Reduce intake of foods high in
fat and limit saturated fat intake
KM 8. Limit intake of foods high
in fats and minimise fats and oils
in food preparation
Key
Message
10
Choose and prepare foods with
less salt, sauces and flavour
enhancers
Km 9: Choose and prepare foods
with less salt and sauces
1) Prof. Dr. Suzana Shahar, UKM (Ketua)
2) Assoc. Prof. Dr. Zahara Abdul Manaf, UKM
3) Ms. Viola Micheal, Bhg. Kawalan Penyakit
4) Ms. Ainan Nasrina Ismail, Bhg. Pemakanan, KKM
31. Key Messages and Writers for MDG 2020
(MDG 2010)
Key
Message
11
1) Prof. Dr. Ruzita Abd Talib, UKM (Ketua)
2) Dr. Hanapi Mat Jusoh, UIAM
3) Dr. Siti Sabariah Buhari, UiTM
4) Ms. Tan Yee Nee, Bhg. Pemakanan, KKM
Limit sugar intake in foods
and beverages
KM 10: Consume foods
and beverages low in
sugar
Key
Message
12
Drink plenty of water daily
KM 11: Same
1) Assoc. Prof. Dr. Loh Su Peng, UPM (Ketua)
2) Dr. Haji Razali Mohamed Salleh, UiTM
3) Dr. Nor Baizura Md Yusop, UPM
4) Dr. Zaitun Md Yassin, NSM
5) Ms. Norashikin Ramlan, Bhg. Pemakanan, KKM
32. Key Messages and Writers for MDG 2020
(MDG 2010)
Key
Message
13
1) Assoc. Prof. Dr. Hasnah Haron, UKM (Ketua)
2) Dr. Nurul Huda Razalli, UKM
3) Dr. Fadhilah Jailani, UiTM
4) Ms. Norhidayah Othman, BKKM
Consume safe and clean
foods and beverages
KM13: Same
Key
Message
14
Make effective use of nutrition
information on food labels
KM 14: Same
1) Dr. Tee E Siong, NSM (Ketua)
2) Ms. Fatimah Sulong, Bhg. Pemakanan, KKM
3) Ms. Maizatul Azlina Che Din, BKKM
4) Mr. Leong Han Yin, Bhg. Pemakanan, KKM
33. Focus Group Discussion (FGD) for MDG 2020
(Moderators)
Puan Ruhaya Salleh Pegawai Sains Pemakanan Institut Kesihatan Umum
Encik Azli b Baharuddin Pegawai Sains Pemakanan Institut Kesihatan Umum
Encik Ahmad Ali Zainuddin Pegawai Sains Pemakanan Institut Kesihatan Umum
Puan Suhaila Abdul Ghaffar Pegawai Sains Pemakanan Institut Kesihatan Umum
Puan Norsyamlina Che Abdul
Rahim
Pegawai Sains Pemakanan Institut Kesihatan Umum
Puan Cheong Siew Man Pegawai Sains Pemakanan Institut Kesihatan Umum
Encik Mohamad Hasnan
Ahmad
Pegawai Sains Pemakanan Institut Kesihatan Umum
34. Puan Norlailie Jasman Pegawai Pendidikan Kesihatan Institut Penyelidikan
Tingkahlaku Kesihatan
Encik Kamarul Zaman Salleh Pegawai Pendidikan Kesihatan Institut Penyelidikan
Tingkahlaku Kesihatan
Dr. Normawati Ahmad Pegawai Pendidikan Kesihatan Institut Penyelidikan
Tingkahlaku Kesihatan
Puan Komathi Perialathan Pegawai Pendidikan Kesihatan Institut Penyelidikan
Tingkahlaku Kesihatan
Puan Masitah Ahmad Pegawai Pendidikan Kesihatan Institut Penyelidikan
Tingkahlaku Kesihatan
Puan Siti Nur Farhana Harun Pegawai Pendidikan Kesihatan Institut Penyelidikan
Tingkahlaku Kesihatan
Focus Group Discussion (FGD) for MDG 2020 (cont…)
(Moderators)
35. List of participant of
Focus Group Discussion MDG 2020
Kedah
Dr. Faris Anwar Sajath bin
Sajath Ahmad
Pegawai Perubatan Klinik Kesihatan Bandar Alor
Setar
Encik Ho Boon Keat Pegawai Sains (Pemakanan) Klinik Kesihatan Datuk Kumbar
Puan Faezah binti Abu Hasan Pegawai Dietetik Klinik Kesihatan Datuk Kumbar
Puan Norejan binti Nordin Pegawai Pendidikan Kesihatan Unit Promosi Kesihatan
Encik Mohd Faidzal bin Mohd
Ashraf
Pembantu Pegawai Perubatan Klinik Kesihatan Kuala Kedah
Puan Ng Poh Yoke Jururawat Terlatih Klinik Kesihatan Simpang
Empat
Puan Norhamiza binti Admi Jururawat Masyarakat Klinik Kesihatan Jalan Putra
36. Jabatan Kesihatan Wilayah Persekutuan Kuala Lumpur & Putrajaya
Puan Siti Shazwani bt Ibrahim Pegawai Perubatan Cawangan Kesihatan Primer
Puan Nadrah binti Mohamad
Hafizoo
Pegawai Sains (Pemakanan) JKWPKL
Puan Nurshazliza binti Zakaria Pegawai Dietetik U44 Hospital Putrajaya
Encik Nazrie bin Saini Pegawai Pendidikan Kesihatan JKWPKL&P
Encik Mohd Yusman bin Mohd
Yusof
Pembantu Pegawai Perubatan KK Cheras Baru
Puan Kerrynjit A/P Beluan Singh Jururawat terlatih KK Salak Selatan
Puan Nor Azlina bt Yahaya Jururawat Masyarakat KKIA Pasar Moden Gombak
List of participant of
Focus Group Discussion MDG 2020 (cont…)
37. Jabatan Kesihatan Negeri Kelantan
Dr. Tiong Wen Ning Pegawai Perubatan PKD Machang
Puan Nurulashikin binti Mohd
Ariffin
Pegawai Sains (Pemakanan) KK Kuala Krai, PKD Kuala
Krai
Puan Atiah Mastura binti Ahmad
Fuad
Pegawai Dietetik KK Bandar Guar Musang,
PKD Gua Musang
Puan Zanzalina binti Omar Pegawai Pendidikan
Kesihatan
Cawangan Pendidikan
Kesihatan
Puan Nur Fadhilah binti Mohd
Yusoff
Pembantu Pegawai Perubatan KK Bandar Guar Musang,
PKD Gua Musang
Puan Norhidayati binti Husin Jururawat Terlatih KK Pengkalan Chepa
Puan Mani A/P Eh Bok Jururawat Masyarakat KK Telok Renjuna, PKD
Tumpat
List of participant of
Focus Group Discussion MDG 2020 (cont…)
38. Jabatan Kesihatan Negeri Melaka
Encik Haja Mohaideen bin Myden
Kather
Pegawai Sains Pemakanan Unit Pemakanan
Puan Rafinah binti Muhammad
Rapi
Pegawai Pendidikan Kesihatan Unit Pendidikan Kesihatan
Encik Mohd Irwan bin Abd Razak Penolong Pegawai Perubatan KK Ayer Keroh
Puan Norihan binti Jalil Jururawat Terlatih KK Jasin
Puan Sarina binti Awang Jururawat Masyarakat KK Bemban
List of participant of
Focus Group Discussion MDG 2020 (cont…)
39. MDG 2010 MDG 2020
1 The focus group is from the age of 2 years
upward
The focus groups is from 18 to 59 years old
(Adult)
2 Recommended serving size is based on 1500 kcal,
2000 kcal and 2500 kcal
Recommended serving size is based on 1500
kcal,1800 kcal and 2000 kcal
3 The Food pyramid (bottom level) comprise of rice,
other cereals, cereal based products (preferably
whole grains) and tubers
The Food pyramid (bottom level) comprise of
vegetables and fruits
4 It have 14 Key Messages:
- Including Key Message 12: Breastfeeding
It have14 Key Messages:
Key Message 12 : Breastfeeding has been
removed and replaced with
Key Message 4: Cook Nutritious Food at
Home More Often and Choose Healthier
Options When Eating Out
5 MDG 2010 contain:
- 14 Key Messages
- 56 Key Recommendations and
- 189 How to Achieve
MDG 2020 contain:
- 14 Key Messages
- 54 Key Recommendations and
- 244 How to Achieve
Differences between MDG 2010 and 2020
40.
41. Participants by institution
No Institution No of participant
1 Ministry of Health (MOH) (including secretariat, rapporteur and others team members) 41
2 Ministry of Agriculture and Food Industries (MAFI) 6
3 Ministry of Youth and Sports (KBS) 2
4 Federal Agricultural Marketing Authority (FAMA) 1
5 Malaysian Investment Development Authority (MIDA) 1
6 Malaysian Agricultural Research and Development Institute (MARDI) 1
7 Ministry of Domestic Trade and Consumer Affairs (KPDNHEP) 1
8 Malaysia Palm Oil Board (MPOB) 1
9 Federation of Livestock Farmer’s Association of Malaysia 1
10 Federation of Malaysian Consumers Associations (FOMCA) 1
11 Federation of Malaysian Manufacturers (FMM-MAFMAG) 2
12 Nutrition Society of Malaysia 1
13 Diabetes Malaysia 1
14 Higher Learning Institution (IPTA and IPTS) 7
15 Presenter (UKM, UPM,USM, UNIMAS, UMS and IMU) 14
Total 81
42. Malaysian Dietary Guidelines 2020
Consensus Meeting
Objectives
To review and discuss the proposed 14 key messages,
54 key recommendations and how to achieve
To review and discuss the Malaysian Food Pyramid 2020
To provide suggestions/comments to further improve the proposed
Malaysian Dietary Guidelines 2020 and Malaysian Food Pyramid 2020
To adopt the proposed Malaysian Dietary Guidelines 2020 and
Malaysian Food Pyramid 2020
43. MDG 2020 – Future Activities
Massive advocacy of MDG 2020 to all relevant stakeholders and
public.
Continuous training to all health professionals as educators of MDG
2020.
Incorporate and update the relevant curriculum of :
- In-service training of health care professionals (e.g. nurses and medical
doctors) and other health-related profession.
- Under-graduate and post-graduate syllabus.
- Pre-school, primary and secondary school syllabus.
44. Update all related IEC materials including guidelines, policies and
training module.
Update and advocate food industries and food operators.
Identify the Impact & Process indicators
Establish mechanism for periodic monitoring
Collate feedbacks from users to help improve future guidelines.
MDG 2020 – Future Activities
45. Acknowledgements
Ministry of Health Malaysia
Nutrition Division and the Secretariat MDG 2020
Universities and Research Institutions
TWG members and all contributors to the working papers
Focus Group Discussion team (Institute of Public Health and
Editorial Board members of MDG 2020
Participants of the Consensus Meeting on MDG 2020
Editor's Notes
Almost half (46%) of adults were found exceeded the intake of salt, same goes to fat intake about half of Malaysian adults exceeded the recommended fat contribution to total energy intake according to the Malaysian RNI 2005.
2ND BULLET Complexity in gaining the political will, higher level management attention intra an inter agencies, collaboration and commitment from various sectors, enforcement issues, How to get support and commitment on nutrition concerns from various level of people (politician, decision makers and focal person from intra and inter agencies, local authorities, other profession in health sector at different level). In attention to get…
Political support
Higher level agenda (nutrition issues/concerns)
Smart-Partnership/Collaborations/CSR
Cooperation and support from various sectors
Cooperation and commitment from other profession in health sectors in delivering nutrition services at different level.
Creating healthy food systems is key to overcoming obesity problem in Malaysia. Current food systems are not delivering well on ensuring healthy diets for all. We have to fix the problem. The most efficient and sustainable approach will be to reshape and strengthen food systems that support healthy diets for all. This needs support from all sectors especially food and beverages industry.
Issues of availability, accessibility & affordability of healthy foods
Nutrition is beyond health sector, to mobilise multi-& trans-sectoral commitment in supporting healthy eating practices