PMID- 36389377
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20221119
IS  - 2296-2360 (Print)
IS  - 2296-2360 (Electronic)
IS  - 2296-2360 (Linking)
VI  - 10
DP  - 2022
TI  - Lifestyle indices of body composition and obesity risk and prevalence among 
      multi-ethnic adolescents in Malaysia.
PG  - 899014
LID - 10.3389/fped.2022.899014 [doi]
LID - 899014
AB  - The prevalence of childhood obesity in Malaysia has doubled in less than a 
      decade. Moreover, being overweight and obese have been associated with immediate 
      and later comorbidities, thus emphasizing the need to prevent obesity from an 
      early age. This cross-sectional study involved 923 multi-ethnic Malaysian 
      adolescents aged between 15 and 17 years old. Body composition was estimated 
      using bioelectrical impedance analysis. Body mass index (BMI) classification was 
      based on the World Health Organization (WHO) growth reference and the 
      International Obesity Task Force (IOTF) cut-off. Meanwhile, the Child Growth 
      Foundation (CGF) body fat reference was used to classify adolescents' adiposity. 
      Lifestyle indices including physical activity, sedentary behavior, supplement 
      intake, smoking and alcohol status were assessed via questionnaires. A high 
      prevalence of overweight/obesity among the adolescents was observed according to 
      the CGF (26%), followed by that of the WHO (24%) and then the IOTF (23%) cut-off, 
      with high concordance values between each pair. After adjustment, a significant 
      association was found between physical activity (PAQ score) and lean mass 
      (p = 0.027). No lifestyle determinant was found to be a significant predictor of 
      fat percentage. A high sedentary level increased the likelihood of obesity (OR 
      3.0, p < 0.01), while antioxidant-rich supplements were found to protect against 
      obesity (OR 0.4, p < 0.05). The lifestyle predictors identified in this study may 
      be considered when designing interventions that integrate lifestyle modifications 
      targeting adolescents.
CI  - (c) 2022 Zulfarina, Sharif, Mokhtar, Shuid and Naina-Mohamed.
FAU - Zulfarina, Mohamed S
AU  - Zulfarina MS
AD  - Pharmacoepidemiology and Drug Safety Unit, Department of Pharmacology, Faculty of 
      Medicine, Universiti Kebangsaan Malaysia Medical Centre, Cheras, Malaysia.
FAU - Sharif, Razinah
AU  - Sharif R
AD  - Nutritional Science Program and Centre for Healthy Ageing and Wellness, Faculty 
      of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
FAU - Mokhtar, Sabarul Afian
AU  - Mokhtar SA
AD  - Pro Vice-Chancellor's Office, Health Campus, Cheras, Malaysia.
FAU - Shuid, Ahmad Nazrun
AU  - Shuid AN
AD  - Department of Pharmacology, Faculty of Medicine, Universiti Teknologi MARA, 
      Sungai Buloh, Malaysia.
FAU - Naina-Mohamed, Isa
AU  - Naina-Mohamed I
AD  - Pharmacoepidemiology and Drug Safety Unit, Department of Pharmacology, Faculty of 
      Medicine, Universiti Kebangsaan Malaysia Medical Centre, Cheras, Malaysia.
LA  - eng
PT  - Journal Article
DEP - 20221101
PL  - Switzerland
TA  - Front Pediatr
JT  - Frontiers in pediatrics
JID - 101615492
PMC - PMC9663460
OTO - NOTNLM
OT  - LEAN MASS
OT  - antioxidants
OT  - body fat
OT  - obese
OT  - physical activity
OT  - sedentary behavior
COIS- The authors declare that the research was conducted in the absence of any 
      commercial or financial relationships that could be construed as a potential 
      conflict of interest.
EDAT- 2022/11/18 06:00
MHDA- 2022/11/18 06:01
PMCR- 2022/11/01
CRDT- 2022/11/17 12:36
PHST- 2022/08/17 00:00 [received]
PHST- 2022/10/10 00:00 [accepted]
PHST- 2022/11/17 12:36 [entrez]
PHST- 2022/11/18 06:00 [pubmed]
PHST- 2022/11/18 06:01 [medline]
PHST- 2022/11/01 00:00 [pmc-release]
AID - 10.3389/fped.2022.899014 [doi]
PST - epublish
SO  - Front Pediatr. 2022 Nov 1;10:899014. doi: 10.3389/fped.2022.899014. eCollection 
      2022.