Triple burden of malnutrition among Malaysian children aged 6 months to 12 years: current findings from SEANUTS II Malaysia

Poh, Bee Koon; Wong, Jyh Eiin; Lee, Shoo Thien; Chia, Jasmine Siew Min; Yeo, Giin Shang; Sharif, Razinah; Safii, Nik Shanita; Jamil, Nor Aini; Chan, Caryn Mei Hsien; Farah, Nor MF; Sameeha, Mohd Jamil; Koh, Denise; Saat, Nur Zakiah Mohd; Lim, See Meng; Norimah, A Karim; Ruzita, Abd Talib; Budin, Siti Balkis; Wee, Lei Hum; Tang, Swee Fong; Khouw, Ilse

doi:10.1017/s1368980023002239

Cited by 7 publications

(2 citation statements)

References 25 publications

(51 reference statements)

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“…The findings of the study are consistent with the double burden of malnutrition in other Malaysian population studies [17][18][19][20][21][22][23][24][25]. From this study, overweight and obesity as a form of malnutrition are more prevalent than thinness and stunting among children and adolescents aged 5 to 17 years in Malaysia.…”

Section: Discussionsupporting

confidence: 89%

Double burden of malnutrition and its socio-demographic determinants among children and adolescents in Malaysia: National Health And Morbidity Survey 2019

Lai,

Palaniveloo,

Mohd Sallehuddin

et al. 2024

J Health Popul Nutr

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Introduction Malaysia faces the threat of a double burden of malnutrition where undernutrition and overweight (including obesity) coexist in the same population. This study aimed to determine the anthropometric assessment among children and adolescents aged 5 to 17 years and its association with socio-demographic factors. Methods Data were extracted from the National Health and Morbidity Survey conducted in 2019. This cross-sectional survey applied a two-stage stratified sampling design. Socio-demographic characteristics were obtained. Weight and height were measured, age- and sex-specific standard scores for height and BMI were calculated to establish individual’s anthropometric assessment. Having either stunting or thinness was considered undernutrition, while being overweight (including obesity) was considered overnutrition. If someone had undernutrition and/or overnutrition, they were classified as having malnutrition. The prevalence was determined using complex sampling analysis, while the association was assessed through logistic regression. The analysis included a total of 3,185 respondents. Results The prevalence of stunting, thinness, overweight and obesity among the respondents aged 5 to 17 years was 12.7%, 10.0%, 15.0% and 14.8%, respectively. The overall prevalence of malnutrition was 48.3%. Respondents residing in rural had 1.35 times more likelihood of experiencing undernutrition [AOR = 1.35, 95% CI (1.04, 1.77)] compared to their urban counterparts. Boys exhibited a greater likelihood of being overweight and obese than girls [AOR = 1.40, 95% CI (1.13, 1.73)]. Respondents aged 10 to 14 years were 1.37 times more likely to be overnutrition than those aged 5 to 9 years old [AOR = 1.37, 95% CI (1.09, 1.73)]. Conclusion There is growing evidence of the increasing prevalence of coexistence of undernutrition along with overweight and obesity among children and adolescents in Malaysia. Moving forward, greater initiatives and efforts are required to formulate strategies for planning and implementing programs and policies to expedite progress in improving nutrition.

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Section: Discussionsupporting

confidence: 89%

Double burden of malnutrition and its socio-demographic determinants among children and adolescents in Malaysia: National Health And Morbidity Survey 2019

Lai,

Palaniveloo,

Mohd Sallehuddin

et al. 2024

J Health Popul Nutr

View full text Add to dashboard Cite

show abstract

“…The ndings of the study are consistent with the double burden of malnutrition in other Malaysian population studies [14][15][16][17][18][19][20][21][22]. From this study, overweight and obesity as a form of malnutrition are more prevalent than thinness and stunting among children and adolescents aged ve to 17 years in Malaysia.…”

Section: Discussionsupporting

confidence: 89%

Double Burden of Malnutrition and its Socio-Demographic Determinants among Children and Adolescents in Malaysia: National Health and Morbidity Survey 2019

Lai,

Palanivello,

Sallehuddin

et al. 2024

Preprint

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Introduction Malaysia faces the threat of a double burden of malnutrition where undernutrition and overweight (including obesity) coexist in the same population. This study aimed to determine the nutritional status among children and adolescents aged 5 to 17 years and its association with socio-demographic factors. Methods Data were extracted from the National Health and Morbidity Survey conducted in 2019. This cross-sectional survey applied a two-stage stratified sampling design. Socio-demographic characteristics were obtained. Weight and height were assessed, age- and sex-specific standard scores for height and BMI were calculated to establish individual’s body weight status. The prevalence was determined using complex sampling analysis, while the association was assessed through logistic regression. The analysis included a total of 3,185 respondents. Results The prevalence of stunting, thinness, overweight and obesity among the respondents aged five to 17 years was 12.7%, 10.0%, 15.0% and 14.8%, respectively. The overall prevalence of malnutrition was 48.3%. Respondents residing in rural had 1.35 times more likelihood of experiencing undernutrition compared to their urban counterparts. Boys exhibited a greater likelihood of being overweight and obese than girls. Respondents aged 10 to 14 years were 1.37 times more likely to be overnutrition than those aged five to nine years old. Conclusion There is growing evidence of the increasing prevalence of coexistence of undernutrition along with overweight and obesity among children and adolescents in Malaysia. Moving forward, greater initiatives and efforts are required to formulate strategies for planning and implementing programs and policies to expedite progress in improving nutrition.

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Association between adherence to 24‐h movement guidelines and sociodemographic factors among Malaysian preschoolers: Findings from SEANUTS II Malaysia

Joan,

Koh,

Wong

et al. 2024

American J Hum Biol

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BackgroundAdhering to 24‐h movement guidelines (24‐hMG) have health benefits for young children; yet research on Malaysian preschoolers' movement behaviors is limited. This study investigates the association between adherence to 24‐hMG and sociodemographic factors of Malaysian preschoolers.MethodsData from 939 preschoolers aged 3–6 years (mean age = 4.83 ± 0.04 years, 53.7% boys) from the Second South East Asian Nutrition Surveys (SEANUTS II) Malaysia study was analyzed. Socio‐demography, physical activity, sedentary behaviors, and sleep were parent‐reported via questionnaire. Associations between adherence of 24‐hMG and sociodemographic factors were analyzed using complex samples logistic regression.ResultsOnly 12.1% of preschoolers adhered to the overall 24‐hMG, and 67.1%, 54.7%, and 42.7% of preschoolers adhered to physical activity, sleep, and sedentary behavior guidelines, respectively; while 6.8% did not meet any guidelines. Compared to 3–4‐year olds, preschoolers aged 5–6 years had higher odds of adhering to physical activity guidelines, sedentary behavior guidelines, and overall 24‐hMG, but lower odds of adhering to sleep guidelines. Chinese and Indian preschoolers were more likely to adhere to sedentary behavior guidelines than Malay preschoolers; however, Chinese preschoolers had lower odds of adhering to physical activity guidelines. Paternal tertiary education was associated with a higher likelihood of adherence to sleep guidelines.ConclusionOur findings suggest that adherence to 24‐hMG among Malaysian preschoolers is associated with age, ethnicity, and paternal education level. This underscores the importance of targeted interventions and health awareness program to promote healthy movement behaviors, particularly among children under 5, ethnic minorities, and educationally disadvantaged families.

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Triple burden of malnutrition among Malaysian children aged 6 months to 12 years: current findings from SEANUTS II Malaysia

Cited by 7 publications

References 25 publications

Double burden of malnutrition and its socio-demographic determinants among children and adolescents in Malaysia: National Health And Morbidity Survey 2019

Double burden of malnutrition and its socio-demographic determinants among children and adolescents in Malaysia: National Health And Morbidity Survey 2019

Double Burden of Malnutrition and its Socio-Demographic Determinants among Children and Adolescents in Malaysia: National Health and Morbidity Survey 2019

Association between adherence to 24‐h movement guidelines and sociodemographic factors among Malaysian preschoolers: Findings from SEANUTS II Malaysia

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