Thinness, overweight and obesity among 6-to 17-year-old Malaysians: secular trends and sociodemographic determinants from 2006 to 2015

被引:6
|
作者
Mohamad, Maria S. [1 ]
Naidu, Balkish Mahadir [2 ]
Kaltiala, Riittakerttu [3 ]
Virtanen, Suvi M. [1 ,4 ,5 ,6 ]
Lehtinen-Jacks, Susanna [1 ,7 ]
机构
[1] Tampere Univ, Fac Social Sci, Unit Hlth Sci, Arvo Ylpon Katu 34, Tampere 33520, Finland
[2] Dept Stat Malaysia, Res & Methodol Unit, Putrajaya, Malaysia
[3] Tampere Univ, Fac Med & Hlth Technol, Dept Adolescent Psychiat, Tampere, Finland
[4] Finnish Inst Hlth & Welf, Hlth & Well Being Promot Unit, Helsinki, Finland
[5] Tampere Univ, Tampere Univ Hosp, Ctr Child Hlth Res, Tampere, Finland
[6] Sci Ctr Pirkanmaa Hosp Dist, Tampere, Finland
[7] Malardalen Univ, Sch Hlth Care & Social Welf, Div Publ Hlth Sci, Vasteras, Sweden
关键词
Child; Malaysia; Overweight; Thinness; Trends; BODY-MASS INDEX; CHILDHOOD OBESITY; CHILDREN; MALNUTRITION; ADOLESCENTS; DIET; PREVALENCE; GROWTH;
D O I
10.1017/S1368980021003190
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
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.
引用
收藏
页码:6309 / 6322
页数:14
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