Evidence map›Paper›PMID 41513420›Full record

ArticleBMJ open2026

Associations between food-related behaviours, nutrient intake and nutritional status through Structural Equation Model (SEM) among clients undergoing Community-Based Treatment and Rehabilitation (CBTaR): A cross-sectional study in Kelantan, Malaysia.

Arif Sabta Aji, Abdul Jalil Rohana, Oui Peik Geik, Wahyu Rafdinal, Wan Mohd Zahiruddin Wan Mohammad, Mohd Azhar Mohd Yasin, Tengku Alina Tengku Ismail, Divya Vanoh, Nur Nadia Mohamed

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Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Arif Sabta AjiDepartment of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia.ORCID http://orcid.org/0000-0001-6952-0010
Abdul Jalil RohanaDepartment of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia rohanajalil@usm.my.
Oui Peik GeikDepartment of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia.
Wahyu RafdinalDepartment of Commerce Administration, Politeknik Negeri Bandung, Bandung, West Java, Indonesia.
Wan Mohd Zahiruddin Wan MohammadDepartment of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia.
Mohd Azhar Mohd YasinDepartment of Psychiatry, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia.
Tengku Alina Tengku IsmailDepartment of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia.ORCID http://orcid.org/0000-0003-0754-7933
Divya VanohDietetics Programme, School of Health Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia.
Nur Nadia MohamedDietetics Programme, School of Health Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the associations between food-related behaviours and nutrient intake on nutritional status among clients undergoing Community-Based Treatment and Rehabilitation (CBTaR) in Kelantan, Malaysia.

designCross-sectional analytical study.

settingSeven CBTaR centres (n=7) across the state of Kelantan, Malaysia.

participantsA total of 393 adult clients (aged 18 years and above) enrolled in CBTaR programmes between June and December 2022 were selected through stratified random sampling. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was nutritional status, assessed using body mass index. Secondary outcomes included nutrient intake (macronutrients and micronutrients) and food-related behaviours (emotional eating, external eating, restrained eating and food addiction), measured through Bahasa Malaysia validated questionnaires and 24-hour dietary recalls. All variables were introduced into the structural equation modelling to examine the associations among these variables and their association with nutritional status.

resultsThe results revealed that food-related behaviour was significantly associated with the nutrient intake (β=-0.524, p≤0.001). Additionally, the drug use profile significantly determined the food-related behaviour (β=-0.129, p=0.006) and nutritional status (β=-0.134, p=0.007). Nutrient intake was found to be a significant predictor of nutritional status (β=-0.213, p≤0.001). Sociodemographic and drug use profiles were significantly correlated with nutritional outcomes through behavioural and dietary associations. Importance-performance map analysis identified nutrient intake as the most impactful variable, highlighting the need for urgent intervention (R

conclusionsThis study highlights that nutrient intake is a significant predictor associated with food-related behaviours on nutritional status among individuals with substance use disorder. Integrating nutrition counselling and behavioural interventions into CBTaR services may improve recovery and long-term health outcomes.

Indexed as

Feeding BehaviorNutritional StatusAdultBody Mass IndexCross-Sectional StudiesFemaleFood AddictionHumansLatent Class AnalysisMalaysiaMaleMiddle AgedSurveys and QuestionnairesYoung AdultBehaviorCommunity-Based Participatory ResearchEating disordersNUTRITION & DIETETICSSubstance misuse

Identifiers

PMID41513420
PMCPMC12815129

What Socratic holds

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LicenceCC BY-NC
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.