Author: "Ahmad Ali Zainuddin" - Searchworks@Jio Institute Digital Library Search Results

23 results on '"Ahmad Ali Zainuddin"'

1. OPTIMAL BMI CUT-OFF VALUES FOR PREDICTING DIABETES, HYPERTENSION AND HYPERCHOLESTEROLEMIA AMONG MALAYSIAN ADULTS’ POPULATION: REVISITING A DECADE OF OLD VALUES

Author: Azli Baharudin, Jayvikramjit Singh Manjit Singh, Chan Ying Ying, Kee Chee Cheong, Suhaila Abdul Ghaffar, Syafinaz Mohd Sallehuddin, Cheong Siew Man, Hasimah Ismail, Ruhaya Salleh, Evi Diana Omar, and Ahmad Ali Zainuddin
Subjects: optimal bmi cut-off, obesity, diabetes, hypertension, hypercholesterolemia., Science, Science (General), Q1-390
Abstract: Background: Body Mass Index (BMI) can be used to determine bodyweight categories. This study aimed to re-examine the previous optimal BMI cut-offs in identifying the Non-Communicable Diseases (NCDs) among the Malaysian adults’ population. Data were obtained from the National Health and Morbidity Survey (NHMS) 2019. Methods: It was a cross-sectional, population-based survey that employed a two-stage stratified random sampling design. A total of 10,472 adults aged 18 years and above participated in this survey throughout Malaysia, with the majority aged between 31 to 59 years. Results: The optimal BMI cut-off values for identifying diabetes, hypertension, hypercholesterolemia, and at least one NCD ranged from 22.92 to 24.81 kg/m2 for males. The highest optimal BMI cut-off value for at least one NCD in females was 26.29 kg/m2, while the lowest optimal BMI cut-off value was for hypercholesterolemia in females, which was 22.63 kg/m2. Our study has produced a more reliable and revised BMI cut-off point that can detect NCD at a lower BMI compared to available BMI classification. Conclusion: The findings highlight the importance of recognizing the issue of BMI and obesity to tackle NCD. A new set of modified BMI which is very useful for tertiary care, demonstrates the potential benefit of early detection and intervention in preventing morbidity and mortality. Hence, it would lessen the length and impact of the disease on a person’s quality of life and also reduce complications and lower the mortality rates of certain diseases because early treatment is often the most effective.
Published: 2021
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2. CHILDHOOD OVERWEIGHT AMONG UNDER FIVE IN PUTRAJAYA, MALAYSIA: THE CONTRIBUTING FACTORS

Author: Azli Baharudin, Cheong Siew Man, Syafinaz Mohd Sallehuddin, Megat Rusydi Megat Radzi, Mohamad Hasnan Ahmad, Nur Shahida Abdul Aziz, Lalitha Palaniveloo, Ruhaya Salleh, Ahmad Ali Zainuddin, and Noor Ani Ahmad
Abstract: Being overweight and obese during childhood increases the potential of becoming obese adults later in life. Therefore, this study aims to determine the factors associated with overweight (including obesity) among children under five years of age in Putrajaya, Malaysia. A total of 211 children with overweight cases were successfully recruited in this case-control study. The same number for control group which was normal children also being recruited by matching according to sex and age group with the case group. Data collection was performed by four approaches such as face-to-face interview, anthropometric measurements, finger prick for haemoglobin level and self-administered 3-day food diary. WHO Anthro software was used to determine the nutritional status of children. Descriptive statistic and logistic regression were performed to determine risk factors that contributed to overweight. Multiple logistic regressions showed overweight or obese father was 1.88 times more likely to have overweight children compared to normal BMI father. Mothers who had gestational diabetes mellitus (GDM) were 2.93 times more likely to have overweight children compared to those with no complication during pregnancy. Pregnant women who attended antenatal visits for less than 9 times were 3.33 times more likely to have overweight children compared to pregnant women who attended 9 to 14 times of antenatal visits. Children with fewer siblings were 2.10 times more likely to be overweight compared to children with four or more siblings. These findings indicated related risks factors contributing to childhood overweight from the early stages including maternal and paternal factors. Early life intervention especially during pregnancy stages which include antenatal care and antenatal intervention on dietary and physical activity during peri-conception period is seen to be important to prevent adverse pregnancy outcomes and further improve maternal and child’s health. Hence it would be more effective to prevent childhood overweight or obesity in later age and its long-term consequences.
Published: 2021
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3. Assessing of HIV Knowledge among Young Adolescents in Malaysia: Findings of National Health Morbidity Survey in 2020

Author: Mohd Hazrin Hasim, Shaiful Azlan, Fazila Haryati Ahmad, Norhafizah Sahril, Chan Ying Ying, Chan Yee Mang, Nur Liana Majid, Syamlina Che Abdul Rahim, Mohd Ruhaizie Riyadzi, Ahmad Ali Zainuddin, Mohamad Aznuddin Abd Razak, and Anita Suleiman
Abstract: Introduction: Human Immunodeficiency Virus (HIV) is a retrovirus that targets the CD4+ of human T-lymphocyte cells of the immune system. The weakening immune system causes susceptibility to multiple infective diseases and cancers. This study is aimed to determinant the knowledge regarding HIV/AIDS and to identify the associated factors of the HIV/AIDS knowledge among the urban and rural Malaysian young people. Methods: Data was collected using Computer Assisted Telephone Interviewing (CATI) method. HIV knowledge was assessed using the UNGASS indicators, which contain five questions on HIV prevention and transmission. There were two questions regarding the association between HIV transmission with sexual practice and behaviour. The remainder was one question, each related to insect bite, meal sharing, and knowledge about the physical appearance of someone with HIV infection. Respondents who correctly answer all five questions were considered to have adequate knowledge about HIV/AIDS. Results: The result from a questionnaire revealed the prevalence of the young people HIV/AIDS knowledge in urban area was 14.7% (95% CI: 9.96, 21.28) whereas in rural area was 10.9% (95% CI: 6.83, 16.89) in 2020. The results revealed significant difference of misconceptions on healthy-looking person have HIV where urban was 71.7% (95% CI: 66.46, 76.37) and rural was 59.8% (95% CI: 56.05, 63.41). Furthermore, there are significant difference of misconceptions on person get HIV by sharing food with someone who is infected where as urban was 64.8% (95% CI: 60.48, 68.98) while rural was 52.6% (95% CI: 48.67, 56.50). Conclusion: The findings from this survey have important implications for the development of primary HIV/AIDS prevention programs and HIV educational campaigns to increase knowledge and dispel misconceptions about HIV.
Published: 2022
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4. Nutritional and Non-Communicable Disease (NCD) Status Association with Fall among Older Persons in Malaysia: Findings from National Health and Morbidity Survey (NHMS) Malaysia 2018

Author: Ahmad Ali Zainuddin, Lalita Palineveloo, Mohamad Fuad Mohamad Anuar, Azli Baharudin, Nur Hamizah Nasaruddin, Syafinaz Mohd Sallehuddin, Cheong Siew Man, Munawara Pardi, Jayvikramjit Vikram Singh, Suhaila Abdul Ghaffar, Sector for Biostatistics, Norsyamlina Che Abdul Rahim, and Nur Shahida Abd Aziz
Subjects: Response rate (survey), medicine.medical_specialty, business.industry, Public health, Incidence (epidemiology), Odds ratio, Non-communicable disease, medicine.disease, Logistic regression, Obesity, Malnutrition, Environmental health, medicine, business
Abstract: ntroduction Fall is a health problem for older persons. This study investigates the potential factors of concern: the nutritional status of the elderly and non-communicable disease association with incidents of falls. Methods and Materials This study used data from NHMS 2018, a cross-sectional design, applied two-stage stratified cluster sampling. Descriptive statistics such as the percentage of each variable were done. Factors associated with falls were determined at both univariate and multivariable levels using simple logistic regression and multiple logistic regression. The data were presented as standard values for each analysis and adjusted odds ratios with 95% CI with p values (
Published: 2021
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5. Malaysian Healthy Diet Online Survey (MHDOS): Study rationale and methodology.

Author: Jyh Eiin Wong, Fui Chee Woon, Yit Siew Chin, Wai Siew Teh, Rusidah Selamat, Ahmad Ali Zainuddin, Hendrie, Gilly A., and Tee, E. Siong
Abstract: Introduction: Access to accurate and timely dietary information is of paramount importance in evaluating and developing well-targeted public health nutrition interventions. However, nationwide nutrition surveys are conducted infrequently because they are very costly to design, conduct and analyse. Dietary assessment tools, which are quick and cost- effective, are needed for population research and regular monitoring of Malaysians' dietary habits. This paper describes the rationale and methodology of the Malaysian Healthy Diet Online Survey (MHDOS) project, which aims to bridge this knowledge gap on dietary intake of Malaysian adults. The main objective of the two-year project is to develop MHDOS as a valid tool to measure compliance with the Malaysian Dietary Guidelines 2020. Methods: The MHDOS project has three study phases, namely (i) adaptation of an online survey and established diet quality scoring system for Malaysia, (ii) usability, validity and reliability testing of the online survey; and (iii) online survey administration in a nationwide study. The survey will be administered to approximately 10,000 Malaysian adults aged 18-59 years. Discussion: MHDOS consists of 38 questions that measures the quantity, quality and variety of foods consumed. Individuals will receive a diet quality score that reflects their overall compliance with the Malaysian Dietary Guidelines and feedback on how to improve their scores. The findings of the online survey, which serve to complement information between larger surveys, will be useful to measure compliance of Malaysians to national dietary guidelines and inform public health interventions. [ABSTRACT FROM AUTHOR]
Published: 2023
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6. Prevalence of Obesity and Its Associated Factors Among Malaysian Adults: Finding From the National Health and Morbidity Survey 2019

Author: Chean Tat Chong, Wai Kent Lai, Ahmad Ali Zainuddin, Munawara Pardi, Syafinaz Mohd Sallehuddin, and Shubash Shander Ganapathy
Subjects: Adult, Surveys and Questionnaires, Public Health, Environmental and Occupational Health, Prevalence, Malaysia, Humans, Female, Obesity, Morbidity, Health Surveys
Abstract: In 2016, World Health Organization (WHO) estimated more than 650 million obese adults, resulting in a country’s health burden. This study aims to determine the prevalence of obesity and its associated factors among Malaysian adults. A total of 5820 respondents, aged 18 to 59 years, from the National Health and Morbidity Survey 2019, were included for the data analysis. The prevalence of obesity was described and multivariate analyses were conducted to determine the factors associated with obesity. The prevalence of obesity among Malaysian adults was 20.1%, based on the findings from this study. Multivariate analyses showed that women, being Malays, Indians, and other Bumiputeras, were significantly associated with a higher risk of obesity. Besides, those diagnosed with diabetes mellitus and hypertension were also significantly associated with greater risk of obesity. This information is crucial for policy makers in formulating effective strategies or targeted programs in preventing obesity among Malaysian adults.
Published: 2022

7. Analysis of Available Nutrition Recommendations to Combat COVID-19: A Scoping Review

Author: Munawara Pardi, Ruhaya Salleh, Jayvikramjit Singh Manjit Singh, Norsyamlina Che Abdul Rahim, and Ahmad Ali Zainuddin
Subjects: medicine.medical_specialty, 2019-20 coronavirus outbreak, Coronavirus disease 2019 (COVID-19), business.industry, pandemic, nutrition recommendation, nutrition prevention, Pseudoscience, COVID-19, Healthy eating, Review Article, General Medicine, Disease, nutrition intervention, Family medicine, Pandemic, medicine, Fake news, business, Inclusion (education)
Abstract: The current COVID-19 pandemic remains severe. There is no doubt that the COVID-19 pandemic is affecting every aspect of our lives. Currently, the spread of inaccurate information or fake news on the internet to the public is causing the community to panic. Thus, this study aims to obtain available information on food and nutrition related to the prevention and treatment of COVID-19 from various sources. A scoping review framework was used to chart the evidence on nutritional recommendations to prevent COVID-19 based on the preferred method in reporting systematic review and meta-analysis extension for scoping reviews (PRISMA-ScR). The articles were categorised into three main groups: i) general dietary recommendations; ii) supplementation with specific micronutrients and iii) their mixtures and supplementation with traditional herbs and miscellaneous foods. A total of 60 articles met the inclusion criteria and were used in the review. This scoping review demonstrates that there is no miracle cure, food or supplement that can cure or prevent COVID-19. Currently, there is no confirmed treatment or vaccine for the disease. Practicing healthy eating habits is the best nutritional recommendation during the pandemic. Hence, this review hopefully will provide evidence-based nutrition recommendations that are available for current COVID-19 treatment. We hope that the authorities can inform the public and media to stop the spread of nutrition pseudoscience in the wake of the COVID-19 pandemic.
Published: 2021
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8. Factors associated with sugar-sweetened beverages consumption among Malaysian adolescents: findings from the Adolescent Nutrition Survey 2017

Author: Siew Man Cheong, Lalitha Palaniveloo, Azli Baharudin, Norazizah Ibrahim Wong, Ahmad Ali Zainuddin, Safiah Md. Yusof, Mohamad Hasnan Admad, Ruhaya Salleh, and Nur Shahida Abd Aziz
Subjects: Consumption (economics), stomatognathic diseases, Nutrition and Dietetics, business.industry, Environmental health, Medicine, Nutrition survey, business, Sugar, Food Science
Abstract: Introduction: Childhood obesity is a public health problem in Malaysia. Intake of sugar-sweetened beverages (SSB) is associated with obesity in children. There is a lack of studies on factors associated with SSB consumption in Malaysia. This study aimed to determine the sociodemographic factors associated with SSB consumption among Malaysian adolescents. Methods: Data of 2,021 students, aged 10-17 years on sociodemographic, SSB intake and anthropometrics were drawn from the school-based Adolescent Nutrition Survey 2017. A multistage stratified cluster sampling was used to obtain a nationally representative sample of primary and secondary school students. Body mass index (BMI)-for-age status was determined based on calculated z-score using the World Health Organization 2007 reference. SSB consumption was obtained from a food frequency questionnaire. Results: The prevalence of overweight and obesity among Malaysian adolescents were 16.6% and 14.7%, respectively. Malaysian adolescents consumed 1.4 cups of SSB per day. Rural children had a significantly higher SSB intake (1.5 cups) than urban (1.3 cups) children, while males (1.5 cups) had a significantly higher intake than females (1.3 cups). There were no significant differences in SSB consumption between thin, normal, overweight and obese adolescents. Conclusion: Almost all Malaysian adolescents consumed SSB during one month prior to the survey and the average amount consumed was 1.4 cups per day. Rural locality and male were associated with higher SSB consumption. There were differences in SSB consumption between Chinese and Malays, between Chinese and Indians, and between Chinese and Bumiputra Sarawak. There were no differences in consumption between the different BMI-for-age categories.
Published: 2021
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9. Factors contributing to food insecurity among older persons in Malaysia: Findings from the National Health and Morbidity Survey ( <scp>NHMS</scp> ) 2018

Author: Ruhaya Salleh, Cheong Siew Man, Mohamad Hasnan Ahmad, Lalitha Palaniveloo, Norlida Zulkafly, Siti Adibah Ab.Halim, Azli Baharudin@Shaharuddin, Norhasmah Sulaiman, Norsyamlina Che Abdul Rahim, Nur Shahida Abdul Aziz, Syafinaz Mohd Sallehuddin, Munawara Pardi, Ahmad Ali Zainuddin, Suhaila Abdul Ghaffar, Suzana Shahar, Rusidah Selamat, and Norazizah Ibrahim Wong
Subjects: Male, Nutritional Status, Logistic regression, 03 medical and health sciences, Social support, 0302 clinical medicine, Risk Factors, 030502 gerontology, Environmental health, Prevalence, Humans, Medicine, Poverty, Aged, Aged, 80 and over, National health, business.industry, Malnutrition, Malaysia, medicine.disease, Health Surveys, Stratified sampling, Food insecurity, Voucher, Food Insecurity, Cross-Sectional Studies, Socioeconomic Factors, Income, Female, Morbidity, Rural area, 0305 other medical science, business, 030217 neurology & neurosurgery
Abstract: Aim Older persons are vulnerable to food insecurity. Therefore, this study aimed to determine the prevalence of food insecurity and associated factors among older persons in Malaysia. Methods This is a cross-sectional study with two-stage stratified random sampling. In total, 3977 older persons participated in this study. Face-to-face interviews were conducted using a mobile device to obtain information about socio-demographic background, food insecurity, non-communicable diseases, social support and living arrangements. Descriptive and multiple complex sample logistic regression analyses were performed for data analysis. Results The overall prevalence of food insecurity among older persons was 10.4%. Older persons from rural areas with no or only primary and secondary education, income less than RM 2000 (USD 477.57), at risk of malnutrition and not receiving very high social support were more likely to be food-insecure. Conclusion Approximately, one-tenth of Malaysian older adults were classified as food-insecure; particularly those living in rural areas from lower socio-economic status, not receiving very high social support and malnourished were more likely to be at risk. A specific nutrition program, such as meals on wheels and food vouchers, should be targeted toward older persons who are at risk to improve their malnutrition status. Geriatr Gerontol Int 2020; 20: 73-78.
Published: 2020
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10. FOOD INSECURITY SITUATION IN MALAYSIA: FINDINGS FROM MALAYSIAN ADULT NUTRITION SURVEY (MANS) 2014

Author: Tahir Aris, Rusidah Selamat, Muhamad Hasnan Ahmad, Nur Liyana Abdul Majid, Wan Azdie Mohd Abu Bakar, Ruhaya Salleh, and Ahmad Ali Zainuddin
Subjects: 0301 basic medicine, Meal, Government, 030109 nutrition & dietetics, Food security, digestive, oral, and skin physiology, Public Health, Environmental and Occupational Health, Odds ratio, Logistic regression, Food insecurity, 03 medical and health sciences, 0302 clinical medicine, Environmental health, Nutrition survey, Household income, 030212 general & internal medicine, Business
Abstract: Food insecurity affects food intake, and it could prevent an individual from consuming enough nutritious food to support and maintain health. The aim of this paper is to determine the prevalence and factors influencing food insecurity among Malaysian households. In 2014, the Malaysian Adult Nutrition Survey (MANS) was carried out, and one of the components measured was food insecurity. Six out of sixteen questions from the food security core-module questionnaire were adopted and answered by 2962 adults. The results showed that about 25.0% adult experienced food quantity insufficiency, 25.5% had food variety insufficiency, 21.9% practised reduced size of the meal, and 15.2% skipped main meal due to lack of money to spend on. For the parents, 23.7% only rely on cheap food to feed children, and 20.8% could not afford to purchase various foods to feed their children. Location, strata, race, level of education, working status and household income shows significant difference while none of the nutritional status components found to be difference in all six parameters of food insecurity measured. Logistic regression with adjusted odds ratios discovered race, education level and household income were related to risk to all six parameters of food insecurity. In conclusion, food insecurity can be a serious problem in Malaysia. An effective and comprehensive effort by the government in terms of policy solution is required to increase education level and ensure an adequate income for every household. Therefore, future research should focus on some of those promising policy solutions and at the same time, study the other possible underlying factors that may lead to food insecurity.
Published: 2020
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11. Factors Influencing the Levels of Awareness on Malaysian Healthy Plate Concept among Rural Adults in Malaysia

Author: Norsyamlina Che Abdul Rahim, Mohamad Hasnan Ahmad, Cheong Siew Man, Ahmad Ali Zainuddin, Wan Shakira Rodzlan Hasani, Shubash Shander Ganapathy, and Noor Ani Ahmad
Subjects: Adult, Male, Rural Population, Adolescent, Health, Toxicology and Mutagenesis, Health Status, Public Health, Environmental and Occupational Health, Malaysia, level of awareness, Malaysian Healthy Plate, rural, adult, Middle Aged, Health Surveys, Cross-Sectional Studies, Humans, Female
Abstract: Malaysian Healthy Plate was launched in 2017 as a vital component of the Malaysian Ministry of Health’s “Quarter-Quarter-Half” program. It is predicted that this concept will bring positive change to the citizen’s dietary habits; however, the residents in rural areas may experience less exposure to this campaign, or lack of understanding to the concept of Malaysian Healthy Plate. Hence, this study aims to assess factors affecting the campaign’s awareness among the rural population in Malaysia. The National Health and Morbidity Survey (NHMS) 2019 focused on Non-Communicable Diseases (NCDs). Data collection was carried out from July to September 2019. Questionnaires that pertained to awareness, knowledge, and practice were included in this nationwide survey. Data collected from adults in rural areas aged 18 years old and above were used as respondents for the statistical analysis. Complex sample multiple logistic regression analysis was conducted to determine the association between the independent variables and awareness of the Malaysian Healthy Plate concept. About four fifths (83.2%) of rural adults in Malaysia were unaware of the Malaysian Healthy Plate concept after three years of implementation. The unawareness was significantly higher in males (91.3%), adults aged above 60 years old (91.8%), adults of others ethnicity (88.5%), those without formal education (95.2%), widows/widowers/divorcees (88.1%), retirees/adults who were not working (88.4%), and household income at the bottom 40% (B40) (85.0%). Unawareness of this concept was significantly associated with male gender (aOR = 4.12; 95% CI: 3.06–5.56); age, 40–59 years (aOR = 1.46; 95% CI:1.08–1.97); without formal education (aOR = 3.47; 95% CI:1.34–9.01); working in private sector (aOR = 2.75; 95% CI: 1.59–4.77); self-employed (aOR = 2.78; 95% CI: 1.58–4.87); retirees (aOR = 2.32; 95% CI: 1.23–4.36); and unpaid workers (aOR = 2.61; 95% CI: 1.51–4.51). Awareness of the Malaysian Healthy Plate concept is associated with rural adults being males, with older age, with lower socio-economic status, without partner, and without job. This study suggests that a more effective strategy is needed to increase the awareness of the Malaysian Healthy Plate concept among rural adults.
Published: 2022

12. Changes in energy and nutrient intakes among Malaysian adults: findings from the Malaysian Adult Nutrition Survey (MANS) 2003 and 2014

Author: Adriana Irawati Nur Ibrahim, Ahmad Ali Zainuddin, Safiah Md. Yusof, Norazmir Md Nor, Tahir Aris, and Leng Huat Foo
Subjects: Nutrition and Dietetics, Nutrient, business.industry, Environmental health, Medicine, Nutrition survey, business, Food Science
Published: 2019
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13. Under-reporting of energy and nutrient intake is a persistent issue in the Malaysian Adult Nutrition Surveys

Author: Safiah Md. Yusof, Tahir Aris, Ahmad Ali Zainuddin, Leng Huat Foo, Norazmir Md Nor, and Adriana Irawati Nur Ibrahim
Subjects: education.field_of_study, Nutrition and Dietetics, business.industry, Primary schooling, Energy (esotericism), Population, Nutrient intake, Micronutrient, Under-reporting, Medicine, Energy intakes, education, business, Body mass index, Food Science, Demography
Abstract: Introduction: Under-reporting of energy intake is a common cause of bias in nutritional studies. This study was aimed at examining the extent of underreporting of energy intake and its related characteristics among respondents in the Malaysian Adult Nutrition Survey (MANS) 2003 and MANS 2014. Methods: The present study analysed energy intakes of 9,624 adults aged 18-59 years from the MANS in year 2014 (2,890 respondents) and 2003 (6,734 respondents) using a single 24-hour diet recall. Basal metabolic rates (BMR) were calculated from the age- and gender-specific equations of Schofield. Under-reporting was defined as an energy intake:BMR ratio of
Published: 2019
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14. Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight

Author: Maryam Sharafkhah, Emanuel Zitt, Majid Ezzati, Luxia Zhang, Young-Ho Khang, Ellina Rakhimova, Kairit Mikkel, Tiina Vlasoff, Eruke E. Egbagbe, Sidsel Graff-Iversen, Ilona Nenko, Magdalena Klimek, Mathilde Savy, Sanjib Kumar Sharma, Alfonso Siani, Luís Lopes, Vanina Bongard, Gregor Jurak, Jacqueline F. Price, Christina-Paulina Lambrinou, Maria Lc Iurilli, Rainford J. Wilks, Bontha V. Babu, Fereidoun Azizi, Harunobu Nakamura, Marialaura Bonaccio, Angela Döring, Zhenyu Zhang, Naser Ahmadi, Jolanta Słowikowska-Hilczer, Ana Paula Carlos Cândido, Clive Osmond, Thirunavukkarasu Sathish, Robert J. Adams, Themistoklis Tzotzas, Reina Engle-Stone, Atul Trivedi, Shoichiro Tsugane, Niels Møller, Jorge Bezerra, Dénes Molnár, Muhammad Fadhli Mohd Yusoff, Badreya Al-Lahou, J. Jaime Miranda, Bahram Mohajer, Sigmund A. Anderssen, Lital Keinan Boker, Eero Kajantie, Martin Gulliford, Maties Torrent, Sumit Bharadwaj, Toshiharu Ninomiya, Zbigniew Gaciong, Nayu Ikeda, Li Juan Wu, Adrian Richter, Licia Iacoviello, Marc J. Gunter, Wenbin Wei, Norsyamlina Che Abdul Rahim, Eman Aly, Ambady Ramachandran, Nils Lehmann, Soile E. Puhakka, Giovanni Veronesi, Hongsheng Bi, Eiji Oda, Jia Li Duan, Per Tynelius, José María Huerta, Janne Schurmann Tolstrup, Rodrigo M. Carrillo-Larco, Rosangela Fernandes Lucena Batista, Victoria E Soto-Rojas, Hanno Ulmer, Shukri F. Mohamed, Anthony Kafatos, Suyeon Park, Mohsen Ibrahim, Hamed Pouraram, Bin Zhou, May Soe Aung, Lars Bo Andersen, Erfan Ghasemi, René Charles Sylva, Himanshu K. Chaturvedi, Luc Dauchet, Ahmad Ali Zainuddin, Angela Chetrit, Dan Zhu, Valérie Deschamps, Ko Ko Zaw, Peter Vollenweider, Tomas Vega, Yves Martin-Prével, Mahfuzar Rahman, Dorja Vočanec, Roman Topor-Madry, Vinay Nangia, Herculina S. Kruger, Asher Fawwad, Emily Sonestedt, Elena Pahomova, Aleksander Giwercman, Elżbieta Dziankowska-Zaborszczyk, Cecilia Björkelund, Tatjana Hejgaard, Maria Puiu, Maria Benedetta Donati, Andrew Wong, Carlos P. Boissonnet, Santosh K. Bhargava, Patrick Kolsteren, Dermot O'Reilly, Bahareh Kheiri, Wolfgang Kratzer, Susanne R. de Rooij, H. Bas Bueno-de-Mesquita, Günther Fink, José R. Banegas, Michele Monroy-Valle, Drude Molbo, Mahmudur Rahman, Hynek Pikhart, Rafael N. Pichardo, Massimo Salvetti, Hui Cai, Sarah Filippi, Georg Posch, Hung-Kwan So, Yonghua Hu, Katsuyasu Kouda, Joana Carvalho, Gailute Bernotiene, Hannu Uusitalo, Thein Thein Htay, Felix Kaducu, Maigeng Zhou, Lars Ängquist, Thi Tuyet-Hanh Tran, Charles Lunogelo, Michel Joffres, Sabina Zambon, Ronald D. Gregor, Vayia Rarra, Seyed Mohammad Hashemi-Shahri, Loreto Santa Marina, Galina Obreja, Rudolf Kaaks, Aya Mostafa, Maria do Carmo Franco, Beata Gurzkowska, Chien-Jen Chen, Marie Moitry, Nizal Sarrafzadegan, Xiangjun Wang, Diego Giulliano Destro Christofaro, Imperia Brajkovich, Fangfang Chen, Francesco Panza, Ling Yang, Holly E. Syddall, Cecily Kelleher, Michael Tornaritis, Ningli Wang, Lutgarde Thijs, Marjolein Visser, Angelika Schaffrath Rosario, María José Tormo, Jostein Steene-Johannessen, Norbert Amougou, Emmanuella Magriplis, Mar Alvarez-Pedrerol, Jingli Gao, Stig E. Bojesen, Giuseppe Grosso, Seongjun Ha, Lauren Lissner, Mikhail Benet, Anastasia Markaki, Sanjay Rampal, Antônio Augusto Moura da Silva, Maria Lorenza Muiesan, Angelique Chan, Yvonne T. van der Schouw, Annamari Lundqvist, Philippe Amouyel, Kristyna Zejglicova, Charalambos Hadjigeorgiou, João Breda, Jørgen Meisfjord, Fatima Zahra Laamiri, Carl Lachat, Kai-Uwe Saum, Vilma Irazola, Leng Huat Foo, Óscar Lopes, Dickman Gareta, Flavio Nervi, Imre Janszky, Ruzena Kubinova, Terho Lehtimäki, Mario V. Capanzana, Moyses Szklo, Ramfis Nieto-Martínez, Viswanathan Mohan, Shuohua Chen, Arvind Pandey, Luigi Palmieri, Roya Kelishadi, Srinivasan Kannan, Jie Mi, Robert Beaglehole, Liliana Dacica, Jyrki K. Virtanen, Mohan Deepa, Peter Ueda, Isti Ilmiati Fujiati, Hermann Pohlabeln, Morten Sodemann, Jytte Halkjær, Zbigniew Kułaga, Sophie Visvikis-Siest, Farshad Farzadfar, Mohsen Azimi-Nezhad, Henry Völzke, Karolina Milkowska, Zahra Mohammadi, Belgin Ünal, Magda Gasull, George S. Stergiou, Marshall K. Tulloch-Reid, Seppo Koskinen, James E. Bennett, Marcela González-Gross, Virginija Dulskiene, Idris Guessous, Assembekov Batyrbek, Kamarul Imran Musa, Jeannette Lee, Josep Redon, Bihungum Bista, Luisa M Macieira, Johan Sundström, Andres Metspalu, Lariane M Ono, Flora A. Ukoli, Salar Rahimikazerooni, Andrea Gualtieri, Trevor S. Ferguson, Félicité Tchibindat, Eliza Cinteza, Ha Tp Do, Tajana Zeljkovic Vrkic, Tuyen D Le, Alison J. Hayes, Abdul Basit, Chandini Nekkantti, Teresa Norat, Eunice Ugel, Gulmira Aitmurzaeva, Mariachiara Di Cesare, Abdul Hamid Zargar, Vincenzo Solfrizzi, Garry L. Jennings, Aline Meirhaeghe, Kaare Christensen, Päivi Mäki, Xu Lin, Ali Esmaeili, Joanna Baran, Aneta Grajda, Renata Cifkova, Alexandre C. Pereira, Martin Bobak, Iuliia A Rusakova, Keiu Nelis, Damian K Francis, Guansheng Ma, Axel C. Carlsson, Alejandro Diaz, Alireza Ansari-Moghaddam, N Capkova, Zumin Shi, Maria Turley, Imelda A. Agdeppa, Helena I. S. 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Patel, Reynaldo Martorell, Ching-Yu Cheng, Stine Schramm, Hana Shimizu-Furusawa, Jacek Jóźwiak, Radwan Qasrawi, Herman Borghs, Zhanna Kalmatayeva, Heidi Klakk, Akram Pourshams, Naomi S. Levitt, Son Thai Pham, Simona Giampaoli, Dong Zhao, Indah Suci Widyahening, Merete Osler, Paula Margozzini, Silvia Bel-Serrat, Dora Romaguera, Monira Alarouj, Winsome R. Parnell, Marloes Cardol, Giota Touloumi, Janice Luisa Lukrafka, Adela Chirita-Emandi, Maryam Kavousi, Sanja Musić Milanović, Jean-Michel Gaspoz, Jalila El Ati, Sauli Herrala, Liang Xu, Pilar Guallar-Castillón, Bee Koon Poh, Luis Serra-Majem, Jonathan E. Shaw, Belong Cho, Daphne Mirkopoulou, Salvador Villalpando, Yuki Fujita, Tiffany K. Gill, Nish Chaturvedi, Erkin M. Mirrakhimov, Günay Can, Mark Woodward, Esther Lopez-Garcia, Mauro Virgílio Gomes de Barros, Ahmed A. Madar, Shoaib Afzal, Melanie J. Cowan, Gareth Stratton, Eduardo Salazar Martinez, Sameer Narake, Norie Sawada, Deepak Amarapurkar, Deepa Weerasekera, Diana A. Santos, Marjeta Majer, Herman Schargrodsky, Bruna Gonçalves Cordeiro da Silva, Ebrahim Eftekhar, Jesús Vioque, Marisa K. Sophiea, Teresa Shamah-Levy, María Dolores Chirlaque, Mohd Azahadi Omar, Stefan Söderberg, Isabel O. Oliveira, Joanne Katz, Xingwang Ye, Christophe Tzourio, Marie Zins, Aneta Weres, Ulrich Keil, Haiquan Xu, Akihiro Yoshihara, Rachel Dankner, Gabriella Gruden, Maroje Sorić, Hanspeter Stamm, Kim Overvad, Yanping Li, Carsten Oliver Schmidt, Christa L. Lilly, Veikko Salomaa, Gilad Twig, Senthil K Vasan, Qian Wang, Liufu Cui, Andrzej Galbarczyk, Sylvain Sebert, Wilma M. Hopman, Karl-Heinz Jöckel, Ari Voutilainen, Peter Schnohr, Jerzy Chudek, Katia Vergetti Bloch, Vincenzo Capuano, Jyh Eiin Wong, Torben Jørgensen, Anja Schienkiewitz, Nader Saki, Carolina Tarqui-Mamani, Maria Cecília Formoso Assunção, Kazi M. Jamil, Juraci Almeida Cesar, Pedro J Ortiz, Delphine De Smedt, Luciana Zaccagni, Lynne M. 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Günay Can , Ana Paula C Cândido , Felicia Cañete , Mario V Capanzana , Nadežda Capková , Eduardo Capuano , Vincenzo Capuano , Marloes Cardol , Viviane C Cardoso , Axel C Carlsson , Esteban Carmuega , Joana Carvalho , José A Casajús , Felipe F Casanueva , Ertugrul Celikcan , Laura Censi , Marvin Cervantes-Loaiza , Juraci A Cesar , Snehalatha Chamukuttan , Angelique W Chan , Queenie Chan , Himanshu K Chaturvedi , Nish Chaturvedi , Norsyamlina Che Abdul Rahim , Miao Li Chee , Chien-Jen Chen , Fangfang Chen , Huashuai Chen , Shuohua Chen , Zhengming Chen , Ching-Yu Cheng , Bahman Cheraghian , Angela Chetrit , Ekaterina Chikova-Iscener , Arnaud Chiolero , Shu-Ti Chiou , María-Dolores Chirlaque , Belong Cho , Kaare Christensen , Diego G Christofaro , Jerzy Chudek , Renata Cifkova , Michelle Cilia , Eliza Cinteza , Frank Claessens , Janine Clarke , Els Clays , Emmanuel Cohen , Hans Concin , Susana C Confortin , Cyrus Cooper , Tara C Coppinger , Eva Corpeleijn , Simona Costanzo , Dominique Cottel , Chris Cowell , Cora L Craig , Amelia C Crampin , Ana B Crujeiras , Semánová Csilla , Alexandra M Cucu , Liufu Cui , Felipe V Cureau , Ewelina Czenczek-Lewandowska , Graziella D'Arrigo , Eleonora d'Orsi , Liliana Dacica , María Ángeles Dal Re Saavedra , Jean Dallongeville , Camilla T Damsgaard , Rachel Dankner , Thomas M Dantoft , Parasmani Dasgupta , Saeed Dastgiri , Luc Dauchet , Kairat Davletov , Guy De Backer , Dirk De Bacquer , Giovanni de Gaetano , Stefaan De Henauw , Paula Duarte de Oliveira , David De Ridder , Karin De Ridder , Susanne R de Rooij , Delphine De Smedt , Mohan Deepa , Alexander D Deev , Vincent Jr DeGennaro , Abbas Dehghan , Hélène Delisle , Francis Delpeuch , Stefaan Demarest , Elaine Dennison , Katarzyna Dereń , Valérie Deschamps , Meghnath Dhimal , Augusto F Di Castelnuovo , Juvenal Soares Dias-da-Costa , María Elena Díaz-Sánchez , Alejandro Diaz , Zivka Dika , Shirin Djalalinia , Visnja Djordjic , Ha Tp Do , Annette J Dobson , Maria Benedetta Donati , 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, Daniel Fernández-Bergés , Daniel Ferrante , Thomas Ferrao , Marika Ferrari , Marco M Ferrario , Catterina Ferreccio , Eldridge Ferrer , Jean Ferrieres , Thamara Hubler Figueiró , Anna Fijalkowska , Günther Fink , Krista Fischer , Leng Huat Foo , Maria Forsner , Heba M Fouad , Damian K Francis , Maria do Carmo Franco , Ruth Frikke-Schmidt , Guillermo Frontera , Flavio D Fuchs , Sandra C Fuchs , Isti I Fujiati , Yuki Fujita , Matsuda Fumihiko , Takuro Furusawa , Zbigniew Gaciong , Mihai Gafencu , Andrzej Galbarczyk , Henrike Galenkamp , Daniela Galeone , Myriam Galfo , Fabio Galvano , Jingli Gao , Manoli Garcia-de-la-Hera , Marta García-Solano , Dickman Gareta , Sarah P Garnett , Jean-Michel Gaspoz , Magda Gasull , Adroaldo Cesar Araujo Gaya , Anelise Reis Gaya , Andrea Gazzinelli , Ulrike Gehring , Harald Geiger , Johanna M Geleijnse , Ali Ghanbari , Erfan Ghasemi , Oana-Florentina Gheorghe-Fronea , Simona Giampaoli , Francesco Gianfagna , Tiffany K Gill , Jonathan Giovannelli , Glen 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, Zhanna Kalmatayeva , Ofra Kalter-Leibovici , Yves Kameli , Freja B Kampmann , Kodanda R Kanala , Srinivasan Kannan , Efthymios Kapantais , Argyro Karakosta , Line L Kårhus , Khem B Karki , Marzieh Katibeh , Joanne Katz , Peter T Katzmarzyk , Jussi Kauhanen , Prabhdeep Kaur , Maryam Kavousi , Gyulli M Kazakbaeva , Ulrich Keil , Lital Keinan Boker , Sirkka Keinänen-Kiukaanniemi , Roya Kelishadi , Cecily Kelleher , Han Cg Kemper , Andre P Kengne , Maryam Keramati , Alina Kerimkulova , Mathilde Kersting , Timothy Key , Yousef Saleh Khader , Davood Khalili , Kay-Tee Khaw , Bahareh Kheiri , Motahareh Kheradmand , Alireza Khosravi , Ilse Msl Khouw , Ursula Kiechl-Kohlendorfer , Stefan Kiechl , Japhet Killewo , Dong Wook Kim , Hyeon Chang Kim , Jeongseon Kim , Jenny M Kindblom , Heidi Klakk , Magdalena Klimek , Jeannette Klimont , Jurate Klumbiene , Michael Knoflach , Bhawesh Koirala , Elin Kolle , Patrick Kolsteren , Jürgen König , Raija Korpelainen , Paul Korrovits , Magdalena Korzycka , 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Van Schoor , Irene Gm van Valkengoed , Dirk Vanderschueren , Diego Vanuzzo , Anette Varbo , Gregorio Varela-Moreiras , Patricia Varona-Pérez , Senthil K Vasan , Tomas Vega , Toomas Veidebaum , Gustavo Velasquez-Melendez , Biruta Velika , Giovanni Veronesi , Wm Monique Verschuren , Cesar G Victora , Giovanni Viegi , Lucie Viet , Salvador Villalpando , Paolo Vineis , Jesus Vioque , Jyrki K Virtanen , Marjolein Visser , Sophie Visvikis-Siest , Bharathi Viswanathan , Mihaela Vladulescu , Tiina Vlasoff , Dorja Vocanec , Peter Vollenweider , Henry Völzke , Ari Voutilainen , Sari Voutilainen , Martine Vrijheid , Tanja Gm Vrijkotte , Alisha N Wade , Aline Wagner , Thomas Waldhör , Janette Walton , Elvis Oa Wambiya , Wan Mohamad Wan Bebakar , Wan Nazaimoon Wan Mohamud , Rildo de Souza Wanderley Júnior , Ming-Dong Wang , Ningli Wang , Qian Wang , Xiangjun Wang , Ya Xing Wang , Ying-Wei Wang , S Goya Wannamethee , Nicholas Wareham , Adelheid Weber , Niels Wedderkopp , Deepa Weerasekera , Daniel Weghuber , Wenbin Wei , Aneta Weres , Bo Werner , Peter H Whincup , Kurt Widhalm , Indah S Widyahening , Andrzej Wiecek , Rainford J Wilks , Johann Willeit , Peter Willeit , Julianne Williams , Tom Wilsgaard , Bogdan Wojtyniak , Roy A Wong-McClure , Andrew Wong , Jyh Eiin Wong , Tien Yin Wong , Jean Woo , Mark Woodward , Frederick C Wu , Jianfeng Wu , Li Juan Wu , Shouling Wu , Haiquan Xu , Liang Xu , Nor Azwany Yaacob , Uruwan Yamborisut , Weili Yan , Ling Yang , Xiaoguang Yang , Yang Yang , Nazan Yardim , Mehdi Yaseri , Tabara Yasuharu , Xingwang Ye , Panayiotis K Yiallouros , Moein Yoosefi , Akihiro Yoshihara , Qi Sheng You , San-Lin You , Novie O Younger-Coleman , Safiah Md Yusof , Ahmad Faudzi Yusoff , Luciana Zaccagni , Vassilis Zafiropulos , Ahmad A Zainuddin , Seyed Rasoul Zakavi , Farhad Zamani , Sabina Zambon , Antonis Zampelas , Hana Zamrazilová , Maria Elisa Zapata , Abdul Hamid Zargar , Ko Ko Zaw , Tomasz Zdrojewski , Kristyna Zejglicova , Tajana Zeljkovic Vrkic , Yi Zeng 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Versailles Saint-Quentin-en-Yvelines (UVSQ)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay-Université Paris Cité (UPCité), Université Paris Cité (UPCité), Centre International de Hautes Études Agronomiques Méditerranéennes (CIHEAM)-Centre International de Hautes Études Agronomiques Méditerranéennes (CIHEAM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)-Institut Agro - Montpellier SupAgro, and Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro)-Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro)
Subjects: Population -- Health aspects, Leanness, Baixo peso/Underweight, none, Double burden, alipainoisuus, tulotaso, global health, systematic analysis, Sedentary behaviors, RC1200, Prospective associations, 0302 clinical medicine, underweight, nälänhätä, Biology (General), skin and connective tissue diseases, Children, ComputingMilieux_MISCELLANEOUS, Body mass index, Human Nutrition & Health, education.field_of_study, Humane Voeding & Gezondheid, ylipaino, General Medicine, kansainvälinen vertailu, 3. Good health, World health, Medicine, A100 Pre-clinical Medicine, Population distribution, medicine.medical_specialty, QH301-705.5, Science, Socio-culturale, Nursing, Social sciences, General Biochemistry, Genetics and Molecular Biology, 03 medical and health sciences, Thinness, SDG 3 - Good Health and Well-being, BMI, epidemiology, obesity, None, Humans, Obesidade/Obesity, SDG 2 - Zero Hunger, education, VLAG, US adults, Omvårdnad, body mass index, malnutrition, obesity, underweight, nutritional and metabolic diseases, medicine.disease, terveellisyys, Obesity, Faculdade de Ciências Sociais, Body Mass Index, Prevalence, Risk Factors, General Biochemistry, WIAS, lihavuus, RA, Demography, N.A, double burden, Settore MED/09 - Medicina Interna, alueelliset erot, Nutrition and Disease, Animal Nutrition, [SDV]Life Sciences [q-bio], Medizin, 030204 cardiovascular system & hematology, 0601 Biochemistry and Cell Biology, Change distribution of body mass index, RA0421, Voeding en Ziekte, Epidemiology, Medicine and Health Sciences, Global health, Índice de massa corporal/Body Mass Index, 030212 general & internal medicine, Underweight, painoindeksi, 2. Zero hunger, General Neuroscience, aliravitsemus, elintarvikkeet, health, Public Health, Global Health, Social Medicine and Epidemiology, Diervoeding, 3142 Public health care science, environmental and occupational health, purl.org/pe-repo/ocde/ford#3.01.03 [https], Chinese adults, pooled analysis, medicine.symptom, Diet quality, B120 Physiology, Research Article, trends, purl.org/pe-repo/ocde/ford#1.06.03 [https], prevalence, Population, Mothers, Genetics and Molecular Biology, 3121 Internal medicine, medicine, Life Science, ddc:610, 3125 Otorhinolaryngology, ophthalmology, kehonkoostumus, Nutrition, Australian adults, General Immunology and Microbiology, purl.org/pe-repo/ocde/ford#3.01.04 [https], Ciências sociais, Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi, Malnutrition, Epidemiology and Global Health, sense organs, Estilos de Vida e Impacto na Saúde
Abstract: From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in different regions using data from 2896 population-based studies with 187 million participants. Changes in the prevalence of underweight and total obesity, and to a lesser extent severe obesity, are largely driven by shifts in the distribution of BMI, with smaller contributions from changes in the shape of the distribution. In East and Southeast Asia and sub-Saharan Africa, the underweight tail of the BMI distribution was left behind as the distribution shifted. There is a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory restrictions., Wellcome Trust, Medical Research Council, peer-reviewed
Published: 2021
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15. Author response: Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight

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Geleijnse, Elysée Claude Bika Lele, Yannis Manios, Jorge Escobedo-de la Peña, Yufang Bi, Chinh Nguyen Huu, Sibel Gogen, Viviane Cunha Cardoso, Kristine H. Allin, Ana Azevedo, Line Tang Møllehave, Vincent Jr DeGennaro, Novie O. Younger-Coleman, Gretchen A Stevens, Dickman Gareta, Holger Theobald, Anja Schienkiewitz, Bekbolat Zholdin, Janice Luisa Lukrafka, Adela Chirita-Emandi, Ulla Roggenbuck, Kenisha Russell Jonsson, Robespierre Ribeiro, Gabriele Eiben, Eero Kajantie, Sounnia Mediene Benchekor, Fariborz Mansour-Ghanaei, Mary Simon, Prakash C. Gupta, Mohammad Esmaeel Motlagh, Emanuela Gualdi-Russo, María Elena Díaz-Sánchez, Pilar Guallar-Castillón, Bee Koon Poh, Cristina Padez, Azaliia M Tuliakova, Sarah P. Garnett, William R. Tebar, Yingfeng Zheng, Suhad Bahijri, Christina Mavrogianni, Mihaela Vladulescu, Jan A. Staessen, Paula Duarte de Oliveira, Rui Ornelas, Michael Sjöström, Charles Agyemang, Slawomir Koziel, Shohreh Naderimagham, Jari Jokelainen, Stephen T. McGarvey, Patrick Pasquet, Farnam Mohebi, Nader Saki, Aida Pilav, Azim Nejatizadeh, Marianna Noale, Habiba Ben Romdhane, Luís B. Sardinha, Laura Lauria, Jun Hata, Kodanda R Kanala, Gert B. M. Mensink, Nils Lehmann, Elio Riboli, Carolina Tarqui-Mamani, Rodrigo M. Carrillo-Larco, Rosangela Fernandes Lucena Batista, Victoria E Soto-Rojas, Luis Serra-Majem, Martina Müller-Nurasyid, Felipe Vogt Cureau, Lekhraj Rampal, Zhamilya Battakova, Ludmila Sevcikova, Suhaila Abdul Ghaffar, Fikru Tullu, Aung Soe Htet, Angel R. Gonzalez, Annette J. Dobson, Kavumpurathu Raman Thankappan, Hélène Delisle, Francisco J. Félix-Redondo, Ramón Suárez-Medina, Annika Rosengren, Sania Nishtar, Tanja G. M. Vrijkotte, Wolfgang Ahrens, Osvaldo Santos, Maria Cecília Formoso Assunção, Kazi M. Jamil, Stefano Marventano, Wenbin Wei, Norsyamlina Che Abdul Rahim, Shukri F. Mohamed, Bente Sparboe-Nilsen, Soon-Woo Park, Ana Isabel Rito, David Goltzman, W. M. 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Levitt, Miquel Porta, Vesna Jureša, Alexander D. Deev, Son Thai Pham, Paula Margozzini, Silvia Bel-Serrat, Dora Romaguera, Monira Alarouj, Winsome R. Parnell, Marloes Cardol, David Faeh, Antonio Bernabe-Ortiz, Giota Touloumi, Maryam Kavousi, Sanja Musić Milanović, Jalila El Ati, Sauli Herrala, Liang Xu, Sirkka Keinänen-Kiukaanniemi, Ian Hambleton, Stefan Savin, Andre Pascal Kengne, R. Krishna Kumar, Kurt Widhalm, Marco M Ferrario, Parisa Amiri, Yi Song, Jianfeng Wu, Jeannette Klimont, Jean Ferrières, Farhad Zamani, Shina Avi, Luis Paulo Gomes Mascarenhas, Aluísio J D Barros, Reecha Sofat, Koen Van Herck, Hoang Van Minh, Enrique Gutiérrez-González, Martine Vrijheid, Susana Cararo Confortin, Antonis Zampelas, Bogdan Wojtyniak, Ausra Petrauskiene, Juha Auvinen, Maryam Sharafkhah, Emanuel Zitt, Majid Ezzati, Young-Ho Khang, Ellina Rakhimova, Magdalena Klimek, Luís Lopes, Erkin M. Mirrakhimov, Maria Lc Iurilli, Günay Can, Mark Woodward, Esther Lopez-Garcia, Mauro Virgílio Gomes de Barros, Ahmed A. Madar, Rainford J. Wilks, Shoaib Afzal, Melanie J. Cowan, Gareth Stratton, Eduardo Salazar Martinez, Sameer Narake, Norie Sawada, Li Juan Wu, Adrian Richter, Licia Iacoviello, Hanno Ulmer, Deepak Amarapurkar, Mohsen Ibrahim, Hamed Pouraram, Massimo Salvetti, Hung-Kwan So, Yonghua Hu, Lars Ängquist, Thi Tuyet-Hanh Tran, Charles Lunogelo, Sabina Zambon, Angelika Schaffrath Rosario, Lauren Lissner, Kamarul Imran Musa, Deepa Weerasekera, Bihungum Bista, Takafumi Ishida, Ekaterina Chikova-Iscener, Mirjam M. Heinen, Tazeen H. Jafar, Semánová Csilla, Raija Korpelainen, Edward W. Gregg, Laura Gutierrez, Victor M. Herrera, Aristides M. Machado-Rodrigues, Fatemeh Malekzadeh, Shouling Wu, Jennifer L. Baker, Clicerio González-Villalpando, Irene G. M. van Valkengoed, Anna Fijałkowska, Meghnath Dhimal, Murat Topbaş, George Moschonis, Robert Eggertsen, Quang Ngoc Nguyen, Janette Walton, Elnaz Faramarzi, Nasheeta Peer, Radka Taxová Braunerová, Harald Geiger, Morteza Shamshirgaran, Lela Shengelia, María Ángeles Dal Re Saavedra, Khem Bahadur Karki, Timothy J. Key, Maria G. Grammatikopoulou, Susana Vale, Bernhard O. Boehm, Songhomitra Panda-Jonas, Iveta Pudule, Elisabete Ramos, Lacramioara Aurelia Brinduse, Paul H. Lee, Terence W O'Neill, Javad Aghazadeh-Attari, Margus Punab, Bojan Jelaković, Eliza Cinteza, Ha Tp Do, and Alison J. Hayes
Subjects: education.field_of_study, business.industry, Population, Distribution (economics), medicine.disease, Obesity, Geography, medicine, Underweight, medicine.symptom, education, business, Body mass index, Demography
Published: 2020
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16. Socio-Demographic Distribution of Vegetarians in Malaysia

Author: Siew Man Cheong, Ruhaya Salleh Ruhaya, Evi Diana, Lalitha Palaniveloo, Mohamad Hasnan Ahmad, Ahmad Ali Zainuddin, Jayvikramjit Singh Manjit Singh, Nor Syamlina Che Abdul Rahim, Syafinaz Mohd Sallehuddin, Nur Shahida Abdul Aziz, Suhaila Abdul Ghaffar, Munawara Pardi, Azli Baharudin, and Siti Balkhis binti Shafie
Subjects: Malaysia, Socia-Demographic, Vegetarians
Abstract: IntroductionVegetarian diet has been practiced in many countries in the world. There are growing evidence that vegetarian diet helps to maintain better health status compared to non-vegetarian diet. In Malaysia, there are adults practice vegetarian diet due to different reasons. This study aims to determine the overall prevalence of adults practicing vegetarian diet and to investigate the sociodemographic distribution of vegetarians among adults in Malaysia. Methods1. Secondary data from the population representative cross-sectional survey, National Health and Morbidity Survey (NHMS) 2019 was analysed. 2. A two-stage stratified cluster sampling design was used in NHMS 2019. 3. Information on socio-demographic background was obtained from a face-toface interview conducted by trained research team members. 4. Vegetarian was defined as respondent who reported practising vegetarian since one month ago during the home visit. 5. Data from 10,419 respondents who were aged 18 years and above, were selected to conduct descriptive analysis and Rao-Scott chi-square test using SPSS software. Results[Refer to Poster]. DiscussionOverall, the prevalence of adults practising vegetarian diet was 4.9%. This prevalence is comparable with the findings in the United State (5.0%) 3 . 2. There was no significant difference between location, marital status, education level, and household income among vegetarians. 3. The gender difference of practicing vegetarian diet in this study maybe be as results of different level of adherence to meat intake among males and females4 . 4. The findings of this study will help to alert the government agencies that the population prevalence of adults practicing vegetarian diet with the basic socio-demographic characteristics distribution in the country ConclusionIn conclusion, only one in twenty adults in Malaysia were vegetarians. Sex and ethnicity are the factors for vegetarian practice in Malaysia. Future study is suggested to investigate the health status and dietary quality of vegetarians in Malaysia.
Published: 2020
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17. Risk Factors For Underweight Children Under Five Years Old: Evidence From A Case-Control Study In Putrajaya, Malaysia

Author: Ruhaya Salleh, Mohamad Hasnan Ahmad, Cheong Siew Man, Lalitha Palaniveloo, Azli Baharudin, Nur Shahida Abdul Aziz, Syafinaz Mohd Sallehuddin, Ahmad Ali Zainuddin, Munawara Pardi, Norsyamlina Che Abdul Rahim, Suhaila Abdul Ghaffar, Mohd Azahadi Omar, and Norazizah Ibrahim Wong
Subjects: Risk Factors, Five-Years-Old, Case-Control Study, Putrajaya, Malaysia, Underweight, Children, Evidence
Abstract: IntroductionUndernutrition remains to be the underlying cause to the mortality and morbidity of children globally despite being preventable Underweight, also known as low weight for age, is one of the indicators of malnutrition. Approximately, 10.9 million children under five died in developing countries each year and 60% of the deaths directly or indirectly due to malnutrition. This study aimed to determine the risk factors for underweight among children under five years old in Putrajaya. MethodologyA case-control study with a one-to-one ratio between underweight and normal weight children. total of 364 children with underweight and 364 children with normal weight were successfully recruited in this study. The sample was recruited from all government health clinics and preschools in Putrajaya. Data collection was performed by four approaches, face to face interview, anthropometric measurements, finger prick for assessment of hemoglobin level and self-administered 3-days food diary. WHO Anthro software was used to determine the nutritional status of children in this study. Descriptive statistical analysis and logistic regression were performed to determine risk factors that contributed to underweight. Results[Refer to Poster]. Discussion and ConclusionLow birth-weight is the strongest risk factor of underweight. Children with short stature parent three times more likely to become underweight compared to the children with parents height more than 160cm. This indicated that there was a significant association between the care of babysitters and underweight children. Low household income and monthly expenditure for childcare less than RM1000 was associated with underweight children. Anaemia was one of the significant factors related to underweight among children in Putrajaya. This study suggests early pregnancy intervention among mothers to improve foetus nutrition and health status during pregnancy. &nbsp
Published: 2020
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18. Exploration of the Principal Component Analysis (PCA) Approach in Synthesizing the Diet Quality of the Malaysian Population

Author: Asma’ Ali, Ahmad Ali Zainuddin, and Barrie Margetts
Subjects: Adult, Dietary Fiber, Male, 0301 basic medicine, Adolescent, Population, lcsh:TX341-641, 030209 endocrinology & metabolism, Sample (statistics), Biology, Malaysian population, Article, Correlation, Eating, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Nutrient, Asian People, Environmental health, parasitic diseases, Humans, education, Factor analysis, Principal Component Analysis, education.field_of_study, 030109 nutrition & dietetics, Nutrition and Dietetics, Descriptive statistics, Malaysia, Reproducibility of Results, diet quality, Nutrients, Middle Aged, Diet, traditional diet, Principal component analysis, Female, Energy Intake, lcsh:Nutrition. Foods and food supply, Food Science
Abstract: (1) Background: One of the most main dietary assessments is through a posteriori application. Although extensive research has incorporated dietary assessment of a population through a posteriori application, this study is the first to examine the Malaysian population and use an a posteriori method and principal component analysis (PCA) to assess the dietary patterns of the Malaysian population. The correlation between all dietary patterns derived via PCA and selected nutrient intake were determined in this sample of study, (2) Methods: A total of 3063 respondents (18 to 59 years old) covering Peninsular Malaysia, Sabah, and Sarawak, participated in this study. PCA was applied on the food frequency questionnaire collected from the respondents, and descriptive statistics and PCA were performed using SPSS version 21, (3) Results: Six patterns were identified: "traditional", " prudent", " modern", "western", "Chinese", and "combination" diets. All together, these six patterns were able to explain 45.9% of the total variability. Few components derived from the factor loadings showed positive association with several nutrient markers. The traditional dietary pattern showed a moderate, positive correlation with total protein and total sugar intake, there was a significant moderate correlation between the prudent dietary pattern and dietary fibre, and there was a moderate positive association between the Chinese dietary pattern and total energy, and (4) Conclusions: The exploration of the PCA approach above may provide justification for assessment of dietary patterns rather than reliance on single nutrients or foods to identify potential connections to overall nutritional wellbeing as well as to explore the diet&ndash, disease relationship. However, study of pattern analysis must be conducted among the Malaysian population to produce validity and reproducibility for this dietary approach in light of the numerous methodological issues that arise when performing PCA.
Published: 2020
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19. Self-Perception of Body Weight Status and Weight Control Practices Among Adolescents in Malaysia

Author: Ahmad Ali Zainuddin, Mala A. Manickam, Suhaila Abdul Ghaffar, Azahadi Omar, Siew Man Cheong, Rashidah Ambak, Azli Baharudin, and Mohamad Hasnan Ahmad
Subjects: Male, medicine.medical_specialty, Adolescent, Weight Perception, Overweight, Body Mass Index, Sex Factors, Body Image, medicine, Humans, Child, Response rate (survey), business.industry, Body Weight, Malaysia, Public Health, Environmental and Occupational Health, Reproducibility of Results, Anthropometry, medicine.disease, Obesity, Self Concept, Cross-Sectional Studies, Physical therapy, Female, Underweight, medicine.symptom, business, human activities, Body mass index, Weight gain, Demography
Abstract: The prevalence of overweight and obesity among adolescents is rising rapidly in many countries, including Malaysia. This article aims to present the associations between body mass index–based body weight status, body weight perception, and weight control practices among adolescents in Malaysia. The Malaysia School Based Nutrition Survey 2012, which included a body weight perception questionnaire and anthropometric measurements, was conducted on a representative sample of 40 011 students from Standard 4 until Form 5, with a 90.5% response rate. Comparing actual and perceived body weight status, the findings show that 13.8% of adolescents underestimated their weight, 35.0% overestimated, and 51.2% correctly judged their own weight. Significantly more normal weight girls felt they were overweight, whereas significantly more overweight boys perceived themselves as underweight. The overall appropriateness of weight control practices to body weight was 72.6%. Adolescents attempting to lose or gain weight need to have better understanding toward desirable behavioral changes.
Published: 2014
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20. Factors Associated With Physical Inactivity Among School-Going Adolescents

Author: Ahmad Ali Zainuddin, Chan Ying Ying, Azli Baharudin, Hazizi Abu Saad, Rashidah Ambak, Noor Ani Ahmad, Balkish Mahadir Naidu, Siew Man Cheong, Mala A. Manickam, and Mohamad Hasnan Ahmad
Subjects: Male, medicine.medical_specialty, Adolescent, education, Poison control, Motor Activity, Suicide prevention, Occupational safety and health, Risk Factors, Injury prevention, medicine, Cluster Analysis, Humans, Child, Students, Schools, business.industry, Malaysia, Public Health, Environmental and Occupational Health, Odds ratio, Nutrition Surveys, Confidence interval, Physical therapy, Female, Sedentary Behavior, Underweight, medicine.symptom, business, Body mass index, Demography
Abstract: The importance of physical activity to health is well recognized. Good health habits should begin from a young age. This article aims to explore physical activity among Malaysian school adolescents and factors associated with it. Data from the Malaysian School-Based Nutrition Survey (MSNS), comprising a nationally representative sample of school-going children aged 10 to 17 years, were used. The overall prevalence of physically inactive adolescents was 57.3%. Age in years (adjusted odds ratio = 1.2; 95% confidence interval = 1.16-1.23), gender - females (adjusted odds ratio = 2.9; 95% confidence interval = 2.66-3.10), afternoon school session, breakfast consumption (no breakfast and irregular breakfast), body mass index status (obese and underweight), and body weight perception (underweight perceivers) were significant factors associated with physical inactivity among Malaysian adolescents. Thus, there is evidence that programs to promote physical activity in this group should consider the combination of the aforementioned factors at the household, school, and community levels.
Published: 2014
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21. Optimal waist circumference cut-off values for predicting cardiovascular risk factors in a multi-ethnic Malaysian population

Author: Amal Nasir Mustafa, Khor Geok Lin, Chan Y. Ying, Ahmad Ali Zainuddin, Jamaiyah Haniff, Ahmad Faudzi Yusoff, Jamalludin Ab Rahman, Lim Kuang Hock, Kee C. Cheong, Sumarni Mohd Ghazali, Sharmini Selvarajah, and Suzana Shahar
Subjects: Adult, Male, medicine.medical_specialty, Waist, Adolescent, Endocrinology, Diabetes and Metabolism, Hypercholesterolemia, Logistic regression, Sensitivity and Specificity, Body Mass Index, Predictive Value of Tests, Reference Values, Risk Factors, Diabetes mellitus, Weight management, Ethnicity, Odds Ratio, medicine, Humans, Abdominal obesity, Aged, Nutrition and Dietetics, business.industry, Malaysia, Odds ratio, Middle Aged, medicine.disease, Diabetes Mellitus, Type 2, ROC Curve, Cardiovascular Diseases, Obesity, Abdominal, Predictive value of tests, Hypertension, Physical therapy, Female, Waist Circumference, medicine.symptom, business, Body mass index, Demography
Abstract: Summary Introduction Previous studies have proposed the lower waist circumference (WC) cutoffs be used for defining abdominal obesity in Asian populations. Objective To determine the optimal cut-offs of waist circumference (WC) in predicting cardiovascular (CV) risk factors in the multi-ethnic Malaysian population. Methods We analysed data from 32,703 respondents (14,980 men and 17,723 women) aged 18 years and above who participated in the Third National Health and Morbidity Survey in 2006. Gender-specific logistic regression analyses were used to examine associations between WC and three CV risk factors (diabetes mellitus, hypertension, and hypercholesterolemia). The Receiver Operating Characteristic (ROC) curves were used to determine the cut-off values of WC with optimum sensitivity and specificity for detecting these CV risk factors. Results The odds ratio for having diabetes mellitus, hypertension, and hypercholesterolemia, or at least one of these risks, increased significantly as the WC cut-off point increased. Optimal WC cut-off values for predicting the presence of diabetes mellitus, hypertension, hypercholesterolemia and at least one of the three CV risk factors varied from 81.4 to 85.5 cm for men and 79.8 to 80.7 cm for women. Conclusions Our findings indicate that WC cut-offs of 81 cm for men and 80 cm for women are appropriate for defining abdominal obesity and for recommendation to undergo cardiovascular risk screening and weight management in the Malaysian adult population.
Published: 2014
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22. Optimal BMI cut-off values for predicting diabetes, hypertension and hypercholesterolaemia in a multi-ethnic population

Author: Amal Nasir Mustafa, Ahmad Faudzi Yusoff, Geok Lin Khor, Jamalludin Abd Rahman, Sumarni Mohd Ghazali, Ahmad Ali Zainuddin, Sharmini Selvarajah, Suzana Shahar, Kee Chee Cheong, Kuang H Lim, and Jamaiyah Haniff
Subjects: Adult, Male, medicine.medical_specialty, Adolescent, Population, Hypercholesterolemia, Medicine (miscellaneous), Overweight, Body Mass Index, Sex Factors, Asian People, Reference Values, Risk Factors, Internal medicine, Diabetes mellitus, Assessment and Methodology, Weight management, medicine, Diabetes Mellitus, Ethnicity, Odds Ratio, Humans, Obesity, Risk factor, education, education.field_of_study, Nutrition and Dietetics, business.industry, Public Health, Environmental and Occupational Health, Malaysia, Odds ratio, medicine.disease, Logistic Models, Cardiovascular Diseases, Hypertension, Physical therapy, Female, medicine.symptom, business, Body mass index
Abstract: ObjectiveTo determine the optimal cut-offs of BMI for Malaysian adults.DesignPopulation-based, cross-sectional study. Receiver operating characteristic curves were used to determine the cut-off values of BMI with optimum sensitivity and specificity for the detection of three cardiovascular risk factors: diabetes mellitus, hypertension and hypercholesterolaemia. Gender-specific logistic regression analyses were used to examine the association between BMI and these cardiovascular risk factors.SettingAll fourteen states in Malaysia.SubjectsMalaysian adults aged ≥18 years (n 32 703) who participated in the Third National Health and Morbidity Survey in 2006.ResultsThe optimal BMI cut-off value for predicting the presence of diabetes mellitus, hypertension, hypercholesterolaemia or at least one of these cardiovascular risk factors varied from 23·3 to 24·1 kg/m2 for men and from 24·0 to 25·4 kg/m2 for women. In men and women, the odds ratio for having diabetes mellitus, hypertension, hypercholesterolaemia or at least one cardiovascular risk factor increased significantly as BMI cut-off point increased.ConclusionsOur findings indicate that BMI cut-offs of 23·0 kg/m2 in men and 24·0 kg/m2 in women are appropriate for classification of overweight. We suggest that these cut-offs can be used by health professionals to identify individuals for cardiovascular risk screening and weight management programmes.
Published: 2012

23. Iodine deficiency status and iodised salt consumption in Malaysia: findings from a national iodine deficiency disorders survey

Author: Rusidah, Selamat, Wan Nazaimoon Wan, Mohamud, Ahmad Ali, Zainuddin, Nor Syamlina Che Abdul, Rahim, Suhaila Abdul, Ghaffar, and Tahir, Aris
Subjects: Male, Rural Population, Urban Population, Goiter, Malnutrition, Malaysia, Nutrition Surveys, Cross-Sectional Studies, Prevalence, Humans, Female, Sodium Chloride, Dietary, Child, Iodine
Abstract: A nationwide cross-sectional school-based survey was undertaken among children aged 8-10 years old to determine the current iodine deficiency status in the country. Determination of urinary iodine (UI) and palpation of the thyroid gland were carried out among 18,012 and 18,078 children respectively while iodine test of the salt samples was done using Rapid Test Kits and the iodometric method. The results showed that based on WHO/ ICCIDD/UNICEF criteria, the national median UI was 109 μg/L [25th, 75th percentile (67, 166)] showing borderline adequacy. The overall national prevalence of iodine deficiency disorders (IDD) with UI100 μg/L was 48.2% (95% CI: 46.0, 50.4), higher among children residing in rural areas than in urban areas. The highest prevalence of UI100 μg/L was noted among the aborigines [(81.4% (95% CI: 75.1, 86.4)]. The national total goitre rate (grade 1 and grade 2 goitre) was 2.1%. Of 17,888 salt samples brought by the school children, 28.2% (95% CI: 26.4, 30.2) were found to have iodine content. However, the overall proportion of the households in Malaysia using adequately iodised salt as recommended by Malaysian Food Act 1983 of 20-30 ppm was only 6.8% (95% CI: 5.1, 9.0). In conclusion, although a goitre endemic was not present in Malaysia, almost half of the states in Peninsular Malaysia still have large proportion of UI level100 μg/L and warrant immediate action. The findings of this survey suggest that there is a need for review on the current approach of the national IDD prevention and control programme.
Published: 2010

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23 results on '"Ahmad Ali Zainuddin"'

1. OPTIMAL BMI CUT-OFF VALUES FOR PREDICTING DIABETES, HYPERTENSION AND HYPERCHOLESTEROLEMIA AMONG MALAYSIAN ADULTS’ POPULATION: REVISITING A DECADE OF OLD VALUES

2. CHILDHOOD OVERWEIGHT AMONG UNDER FIVE IN PUTRAJAYA, MALAYSIA: THE CONTRIBUTING FACTORS

3. Assessing of HIV Knowledge among Young Adolescents in Malaysia: Findings of National Health Morbidity Survey in 2020

4. Nutritional and Non-Communicable Disease (NCD) Status Association with Fall among Older Persons in Malaysia: Findings from National Health and Morbidity Survey (NHMS) Malaysia 2018

5. Malaysian Healthy Diet Online Survey (MHDOS): Study rationale and methodology.

6. Prevalence of Obesity and Its Associated Factors Among Malaysian Adults: Finding From the National Health and Morbidity Survey 2019

7. Analysis of Available Nutrition Recommendations to Combat COVID-19: A Scoping Review

8. Factors associated with sugar-sweetened beverages consumption among Malaysian adolescents: findings from the Adolescent Nutrition Survey 2017

9. Factors contributing to food insecurity among older persons in Malaysia: Findings from the National Health and Morbidity Survey ( <scp>NHMS</scp> ) 2018

10. FOOD INSECURITY SITUATION IN MALAYSIA: FINDINGS FROM MALAYSIAN ADULT NUTRITION SURVEY (MANS) 2014

11. Factors Influencing the Levels of Awareness on Malaysian Healthy Plate Concept among Rural Adults in Malaysia

12. Changes in energy and nutrient intakes among Malaysian adults: findings from the Malaysian Adult Nutrition Survey (MANS) 2003 and 2014

13. Under-reporting of energy and nutrient intake is a persistent issue in the Malaysian Adult Nutrition Surveys

14. Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight

15. Author response: Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight

16. Socio-Demographic Distribution of Vegetarians in Malaysia

17. Risk Factors For Underweight Children Under Five Years Old: Evidence From A Case-Control Study In Putrajaya, Malaysia

18. Exploration of the Principal Component Analysis (PCA) Approach in Synthesizing the Diet Quality of the Malaysian Population

19. Self-Perception of Body Weight Status and Weight Control Practices Among Adolescents in Malaysia

20. Factors Associated With Physical Inactivity Among School-Going Adolescents

21. Optimal waist circumference cut-off values for predicting cardiovascular risk factors in a multi-ethnic Malaysian population

22. Optimal BMI cut-off values for predicting diabetes, hypertension and hypercholesterolaemia in a multi-ethnic population

23. Iodine deficiency status and iodised salt consumption in Malaysia: findings from a national iodine deficiency disorders survey

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