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Thinness, overweight and obesity among 6- to 17-year-old Malaysians: secular trends and sociodemographic determinants from 2006 to 2015
- Source :
- Public Health Nutrition. 24:6309-6322
- Publication Year :
- 2021
- Publisher :
- Cambridge University Press (CUP), 2021.
-
Abstract
- Objective:To examine secular trends and sociodemographic determinants of thinness, overweight and obesity among Malaysian children and adolescents from 2006 to 2015.Design:We used cross-sectional data from the National Health and Morbidity Surveys 2006, 2011 and 2015. Individuals were classified into pre- (6–9 years), early (10–13 years) and mid- (14–17 years) adolescence. BMI status was determined according to the International Obesity Task Force (IOTF) and WHO criteria, using measured height and weight. We analysed trends using log-binomial regression, by sex-age groups, stratified by sociodemographic factors (ethnicity, residential area, household size and household income), and accounting for the complex survey design. Associations between sociodemographic factors and prevalence of thinness and overweight (obesity included) in 2015 were assessed using log-Poisson regression.Setting:Nationwide population-based surveys, Malaysia.Participants:Eligible 6–17-year-olds from urban and rural residential areas (n 28 094).Results:The prevalence of thinness decreased from 2006 to 2015 (IOTF: boys from 22 % to 18 %, girls from 23 % to 19 %; WHO: boys from 9 % to 7 %, girls from 8 % to 6 %), while the prevalence of overweight increased (IOTF: boys from 20 % to 26 %, girls from 19 % to 24 %; WHO: boys from 25 % to 31 %, girls from 22 % to 27 %). These changes were statistically significant in most sex-age groups. Thinness and overweight co-existed in all sociodemographic subgroups, with variation in the prevalence estimates, but similar secular changes in most subgroups.Conclusions:Malaysia is facing a double burden of malnutrition at population level with a secular increase in overweight and obesity and a gradual decrease in thinness among 6–17-year-olds from varying sociodemographic backgrounds.
- Subjects :
- Male
Adolescent
Double burden
Population
Ethnic group
Medicine (miscellaneous)
Overweight
3124 Neurology and psychiatry
Body Mass Index
Thinness
Prevalence
medicine
Humans
Obesity
Child
education
education.field_of_study
Nutrition and Dietetics
business.industry
Public Health, Environmental and Occupational Health
medicine.disease
Secular variation
3141 Health care science
Malnutrition
Cross-Sectional Studies
Household income
Female
medicine.symptom
business
Demography
Subjects
Details
- ISSN :
- 14752727 and 13689800
- Volume :
- 24
- Database :
- OpenAIRE
- Journal :
- Public Health Nutrition
- Accession number :
- edsair.doi.dedup.....360355884bf0abf74872033199cfb439