PMID- 34348828
OWN - NLM
STAT- MEDLINE
DCOM- 20220323
LR  - 20220323
IS  - 1475-2727 (Electronic)
IS  - 1368-9800 (Linking)
VI  - 24
IP  - 18
DP  - 2021 Dec
TI  - Thinness, overweight and obesity among 6- to 17-year-old Malaysians: secular 
      trends and sociodemographic determinants from 2006 to 2015.
PG  - 6309-6322
LID - 10.1017/S1368980021003190 [doi]
AB  - 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.
FAU - Mohamad, Maria S
AU  - Mohamad MS
AUID- ORCID: 0000-0003-4777-2852
AD  - Unit of Health Sciences, Faculty of Social Sciences, Tampere University, Arvo 
      Ylpon Katu 34, Tampere33520, Finland.
FAU - Mahadir Naidu, Balkish
AU  - Mahadir Naidu B
AD  - Research and Methodology Unit, Department of Statistics Malaysia, Putrajaya, 
      Malaysia.
FAU - Kaltiala, Riittakerttu
AU  - Kaltiala R
AD  - Department of Adolescent Psychiatry, Faculty of Medicine and Health Technology, 
      Tampere University, Tampere, Finland.
FAU - Virtanen, Suvi M
AU  - Virtanen SM
AD  - Unit of Health Sciences, Faculty of Social Sciences, Tampere University, Arvo 
      Ylpon Katu 34, Tampere33520, Finland.
AD  - Health and Well-Being Promotion Unit, Finnish Institute for Health and Welfare, 
      Helsinki, Finland.
AD  - Center for Child Health Research, Tampere University, Tampere University 
      Hospital, Tampere, Finland.
AD  - The Science Center of Pirkanmaa Hospital District, Tampere, Finland.
FAU - Lehtinen-Jacks, Susanna
AU  - Lehtinen-Jacks S
AD  - Unit of Health Sciences, Faculty of Social Sciences, Tampere University, Arvo 
      Ylpon Katu 34, Tampere33520, Finland.
AD  - Division of Public Health Sciences, School of Health, Care and Social Welfare, 
      Malardalen University, Vasteras, Sweden.
LA  - eng
PT  - Journal Article
DEP - 20210805
PL  - England
TA  - Public Health Nutr
JT  - Public health nutrition
JID - 9808463
SB  - IM
MH  - Adolescent
MH  - Body Mass Index
MH  - Child
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - Male
MH  - Obesity/epidemiology
MH  - *Overweight/epidemiology
MH  - Prevalence
MH  - *Thinness/epidemiology
OTO - NOTNLM
OT  - Child
OT  - Malaysia
OT  - Overweight
OT  - Thinness
OT  - Trends
EDAT- 2021/08/06 06:00
MHDA- 2022/03/24 06:00
CRDT- 2021/08/05 05:39
PHST- 2021/08/06 06:00 [pubmed]
PHST- 2022/03/24 06:00 [medline]
PHST- 2021/08/05 05:39 [entrez]
AID - S1368980021003190 [pii]
AID - 10.1017/S1368980021003190 [doi]
PST - ppublish
SO  - Public Health Nutr. 2021 Dec;24(18):6309-6322. doi: 10.1017/S1368980021003190. 
      Epub 2021 Aug 5.