A Nutrition Education Module to Modify Sugar Consumptions Among Individuals With Cardio Metabolic Risks

Candidates will be screened for: Cardiometabolic risk factors (waist circumference, blood pressure, fasting blood glucose, triglyceride and high-density lipoprotein cholesterol) Pregnancy or breast feeding Mental health status Daily total sugar intake Inclusion Criteria: Malaysian citizen patients in Teaching Hospital of Universiti Putra Malaysia aged 18-65 years old; able to read, write and communicate either in Malay or English education level of secondary school and above able to use computer or gadgets (self-reported) with internet access at home presence with cardiometabolic risk, defines as at least any three out of five risk factors based on:- waist circumference (men: ≥90cm, women: ≥80 cm) or; blood pressure (≥130/85 mmHg) or; having diabetes mellitus or fasting blood sugar (≥5.6mmol/L) or; triglyceride (≥1.7 mmol/L) or; high-density lipoprotein (men: <1.03 mmol/L, women: <1.3 mmol/L) If on medication, on stabilised dose for at least 2 months before recruitment to the study Daily free sugar intake ≥5% of the daily energy intake Exclusion Criteria: Diagnosed with mental illness (depression, bipolar disorder, schizophrenia, dementia) Uncontrolled type 2 diabetes defines as HbA1c of more than 8% or hypertriglyceridemia of >10 mmol/L Presence of chronic diseases-related complications such as liver disease or stage 3 chronic kidney disease Reported abnormal thyroid-stimulating hormones On cancer therapy Having lower limb disabilities Breastfeeding, pregnancy, or the desire to become pregnant in the next 3 months