Nutritional status and dietary intakes of children aged 6 months to 12 years: findings of the Nutrition Survey of Malaysian Children (SEANUTS Malaysia)

Poh, Bee Koon; Ng, Boon Koon; Haslinda, Mohd Din Siti; Shanita, S. Nik; Wong, Jyh Eiin; Budin, Siti Balkis; Ruzita, A. T.; Ng, Alvin Lai Oon; Khouw, Ilse; Norimah, A. K.

doi:10.1017/s0007114513002092

Cited by 140 publications

(196 citation statements)

References 49 publications

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“…(12) SEANUTS is a multi-centre study carried out among 16,744 children aged 0.5-12 years, across four countries. (13) The FFQ study was conducted prior to data collection for SEANUTS and was divided into three phases: development study (Phase 1), validation study (Phase 2) and the reproducibility study (Phase 3).…”

Section: Methodsmentioning

confidence: 99%

Development and validation of a food frequency questionnaire for dietary intake assessment among multi-ethic primary school-aged children

Fatihah¹,

Bk²,

Hazwanie³

et al. 2015

smedj

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INTRODUCTIONThis study aimed to develop and validate a food frequency questionnaire (FFQ) to assess habitual diets of multi-ethnic Malaysian children aged 7-12 years.METHODS A total of 236 primary school children participated in the development of the FFQ and 209 subjects participated in the validation study, with a subsample of 30 subjects participating in the reproducibility study. The FFQ, consisting of 94 food items from 12 food groups, was compared with a three-day dietary record (3DR) as the reference method. The reproducibility of the FFQ was assessed through repeat administration (FFQ2), seven days after the fi rst administration (FFQ1). RESULTSThe results of the validation study demonstrated good acceptance of the FFQ. Mean intake of macronutrients in FFQ1 and 3DR correlated well, although the FFQ intake data tended to be higher. Cross-classifi cation of nutrient intake between the two methods showed that < 7% of subjects were grossly misclassifi ed. Moderate correlations noted between the two methods ranged from r = 0.310 (p < 0.001) for fat to r = 0.497 (p < 0.001) for energy. The reproducibility of the FFQ, as assessed by Cronbach's alpha, ranged from 0.61 (protein) to 0.70 (energy, carbohydrates and fat). Spearman's correlations between FFQ1 and FFQ2 ranged from rho = 0.333 (p = 0.072) for protein to rho = 0.479 (p < 0.01) for fat.CONCLUSION These fi ndings indicate that the FFQ is valid and reliable for measuring the average intake of energy and macronutrients in a population of multi-ethnic children aged 7-12 years in Malaysia.

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Section: Methodsmentioning

confidence: 99%

Development and validation of a food frequency questionnaire for dietary intake assessment among multi-ethic primary school-aged children

Fatihah¹,

Bk²,

Hazwanie³

et al. 2015

smedj

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“…The sampling procedures followed in each one of the four SEANUTS countries are described in detail elsewhere (17,(19)(20)(21)(22) . In brief, both Indonesia and Thailand used population-based sampling approaches, whereas Malaysia and Vietnam performed their sampling in nurseries, kindergartens and primary schools.…”

Section: Samplingmentioning

confidence: 99%

Length and height percentiles for children in the South-East Asian Nutrition Surveys (SEANUTS)

Rojroongwasinkul¹,

Bao²,

Sandjaja³

et al. 2015

Public Health Nutr.

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Objective: Health and nutritional information for many countries in the South-East Asian region is either lacking or no longer up to date. The present study aimed to calculate length/height percentile values for the South-East Asian Nutrition Survey (SEANUTS) populations aged 0·5-12 years, examine the appropriateness of pooling SEANUTS data for calculating common length/height percentile values for all SEANUTS countries and whether these values differ from the WHO growth references. Design: Data on length/height-for-age percentile values were collected. The LMS method was used for calculating smoothened percentile values. Standardized site effects (SSE) were used for identifying large or unacceptable differences (i.e. j SSE j > 0·5) between the pooled SEANUTS sample (including all countries) and the remaining pooled SEANUTS samples (including three countries) after weighting sample sizes and excluding one single country each time, as well as with WHO growth references. Setting: Malaysia, Thailand, Vietnam and Indonesia. Subjects: Data from 14 202 eligible children were used. Results: From pair-wise comparisons of percentile values between the pooled SEANUTS sample and the remaining pooled SEANUTS samples, the vast majority of differences were acceptable (i.e. j SSE j ≤ 0·5). In contrast, pair-wise comparisons of percentile values between the pooled SEANUTS sample and WHO revealed large differences. Conclusions: The current study calculated length/height percentile values for South East Asian children aged 0·5-12 years and supported the appropriateness of using pooled SEANUTS length/height percentile values for assessing children's growth instead of country-specific ones. Pooled SEANUTS percentile values were found to differ from the WHO growth references and therefore this should be kept in mind when using WHO growth curves to assess length/height in these populations. KeywordsNutrition Survey Length/height Percentiles Children SEANUTSThe economic transition due to rapid industrialization observed over the last decades in South-East Asian countries has coincided with marked changes in dietary habits and lifestyle patterns that may have a significant impact on several health indices in these populations (1)(2)(3)(4) . Because of these lifestyle changes, growth and physical development in infants, children and adolescents can be influenced and this is reflected mainly in changes recorded over time in certain anthropometric indicators, namely body weight, stature (or recumbent length in infants) and BMI. In this context, according to data from the WHO (5,6) , the decreasing trend in the prevalence of stunting (by 43·4 million) and underweight (by 35·6 million) and the increasing prevalence of overweight and obesity (by 4·4 million) observed over the last two decades among children in South-East Asia (including Thailand, Indonesia and Malaysia) provide a strong indication of this impact.

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“…In Malaysia, the prevalence of overweight and obesity in children was reported to have increased from 20.7% in 2002 to 26.5% in 2008 1 and to 28.9% in 2013 1,2 . Focusing on dietary intake of growing children is vital with more emphasis given to the basics of nutrition such as hydration 3 .…”

Section: Introductionmentioning

confidence: 99%

The association of the hydration status and parental knowledge on fluid consumption with children’s weight status in Malaysia

Kaur

Tung

Maykanathan

et al. 2017

Sri Lanka J Child Health

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Introduction: Hydration and obesity play an important role in body weight regulation.Objective: To determine the association of hydration status and parental knowledge on fluid intake with the children's weight status in Muar, Johor, Malaysia.Method: A total of 207 children, 7-13 years of age, and their parents participated in this crosssectional study. Parental fluid consumption knowledge questionnaire and beverage questionnaire were used to assess parent's knowledge on fluid consumption and children's fluid intake consumption, respectively. Body weight and height were measured and body mass index (BMI) was calculated.Results: A total of 24.7% of the children were overweight. Majority (78.7%) of the children were insufficiently hydrated while 78.7% parents had poor fluid consumption knowledge. Parental fluid consumption knowledge was associated with children's hydration status (χ 2 =47.788; p<0.001) as significantly more parents had good knowledge on fluid consumption when children were sufficiently hydrated (59%) compared to insufficiently hydrated (11%). Similarly, hydration status was associated with children's BMI (χ 2 =9.065; p=0.011) where significantly more overweight children were insufficiently hydrated (88.5%) compared to sufficiently hydrated children. _______________________________________

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Nutritional status and dietary intakes of children aged 6 months to 12 years: findings of the Nutrition Survey of Malaysian Children (SEANUTS Malaysia)

Cited by 140 publications

References 49 publications

Development and validation of a food frequency questionnaire for dietary intake assessment among multi-ethic primary school-aged children

Development and validation of a food frequency questionnaire for dietary intake assessment among multi-ethic primary school-aged children

Length and height percentiles for children in the South-East Asian Nutrition Surveys (SEANUTS)

The association of the hydration status and parental knowledge on fluid consumption with children’s weight status in Malaysia

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