PDF(Pubmed)
Abstract：
BACKGROUND: Malaysia faces the threat of a double burden of malnutrition where undernutrition and overweight (including obesity) coexist in the same population. This study aimed to determine the anthropometric assessment among children and adolescents aged 5 to 17 years and its association with socio-demographic factors.
METHODS: Data were extracted from the National Health and Morbidity Survey conducted in 2019. This cross-sectional survey applied a two-stage stratified sampling design. Socio-demographic characteristics were obtained. Weight and height were measured, age- and sex-specific standard scores for height and BMI were calculated to establish individual\'s anthropometric assessment. Having either stunting or thinness was considered undernutrition, while being overweight (including obesity) was considered overnutrition. If someone had undernutrition and/or overnutrition, they were classified as having malnutrition. The prevalence was determined using complex sampling analysis, while the association was assessed through logistic regression. The analysis included a total of 3,185 respondents.
RESULTS: The prevalence of stunting, thinness, overweight and obesity among the respondents aged 5 to 17 years was 12.7%, 10.0%, 15.0% and 14.8%, respectively. The overall prevalence of malnutrition was 48.3%. Respondents residing in rural had 1.35 times more likelihood of experiencing undernutrition [AOR = 1.35, 95% CI (1.04, 1.77)] compared to their urban counterparts. Boys exhibited a greater likelihood of being overweight and obese than girls [AOR = 1.40, 95% CI (1.13, 1.73)]. Respondents aged 10 to 14 years were 1.37 times more likely to be overnutrition than those aged 5 to 9 years old [AOR = 1.37, 95% CI (1.09, 1.73)].
CONCLUSIONS: There is growing evidence of the increasing prevalence of coexistence of undernutrition along with overweight and obesity among children and adolescents in Malaysia. Moving forward, greater initiatives and efforts are required to formulate strategies for planning and implementing programs and policies to expedite progress in improving nutrition.
METHODS: Data were extracted from the National Health and Morbidity Survey conducted in 2019. This cross-sectional survey applied a two-stage stratified sampling design. Socio-demographic characteristics were obtained. Weight and height were measured, age- and sex-specific standard scores for height and BMI were calculated to establish individual\'s anthropometric assessment. Having either stunting or thinness was considered undernutrition, while being overweight (including obesity) was considered overnutrition. If someone had undernutrition and/or overnutrition, they were classified as having malnutrition. The prevalence was determined using complex sampling analysis, while the association was assessed through logistic regression. The analysis included a total of 3,185 respondents.
RESULTS: The prevalence of stunting, thinness, overweight and obesity among the respondents aged 5 to 17 years was 12.7%, 10.0%, 15.0% and 14.8%, respectively. The overall prevalence of malnutrition was 48.3%. Respondents residing in rural had 1.35 times more likelihood of experiencing undernutrition [AOR = 1.35, 95% CI (1.04, 1.77)] compared to their urban counterparts. Boys exhibited a greater likelihood of being overweight and obese than girls [AOR = 1.40, 95% CI (1.13, 1.73)]. Respondents aged 10 to 14 years were 1.37 times more likely to be overnutrition than those aged 5 to 9 years old [AOR = 1.37, 95% CI (1.09, 1.73)].
CONCLUSIONS: There is growing evidence of the increasing prevalence of coexistence of undernutrition along with overweight and obesity among children and adolescents in Malaysia. Moving forward, greater initiatives and efforts are required to formulate strategies for planning and implementing programs and policies to expedite progress in improving nutrition.
摘要：
背景：马来西亚面临营养不良的双重负担的威胁，在同一人群中营养不良和超重（包括肥胖）并存。这项研究旨在确定5至17岁儿童和青少年的人体测量学评估及其与社会人口统计学因素的关系。
方法：数据来自2019年进行的全国健康和发病率调查。这项横断面调查采用了两阶段分层抽样设计。获得了社会人口统计学特征。测量体重和身高，计算年龄和性别的身高和BMI标准评分,以建立个体的人体测量评估.发育迟缓或瘦弱被认为营养不良，而超重（包括肥胖）被认为是营养过剩。如果有人营养不良和/或营养过剩，他们被归类为营养不良。患病率是使用复杂的抽样分析确定的，而这种关联是通过逻辑回归进行评估的。该分析共包括3185名受访者。
结果：发育迟缓的患病率，薄度，5至17岁受访者的超重和肥胖比例为12.7%，10.0%,15.0%和14.8%，分别。营养不良的总患病率为48.3%。与城市受访者相比，居住在农村的受访者出现营养不良的可能性是城市受访者的1.35倍[AOR=1.35，95％CI（1.04，1.77）]。男孩表现出超重和肥胖的可能性大于女孩[AOR=1.40,95%CI(1.13,1.73)]。10至14岁受访者的营养过剩可能性是5至9岁受访者的1.37倍[AOR=1.37,95%CI(1.09,1.73)]。
结论：越来越多的证据表明，在马来西亚儿童和青少年中，营养不良与超重和肥胖并存的患病率越来越高。往前走,需要采取更大的举措和努力来制定计划和实施计划和政策的战略，以加快改善营养方面的进展。
方法：数据来自2019年进行的全国健康和发病率调查。这项横断面调查采用了两阶段分层抽样设计。获得了社会人口统计学特征。测量体重和身高，计算年龄和性别的身高和BMI标准评分,以建立个体的人体测量评估.发育迟缓或瘦弱被认为营养不良，而超重（包括肥胖）被认为是营养过剩。如果有人营养不良和/或营养过剩，他们被归类为营养不良。患病率是使用复杂的抽样分析确定的，而这种关联是通过逻辑回归进行评估的。该分析共包括3185名受访者。
结果：发育迟缓的患病率，薄度，5至17岁受访者的超重和肥胖比例为12.7%，10.0%,15.0%和14.8%，分别。营养不良的总患病率为48.3%。与城市受访者相比，居住在农村的受访者出现营养不良的可能性是城市受访者的1.35倍[AOR=1.35，95％CI（1.04，1.77）]。男孩表现出超重和肥胖的可能性大于女孩[AOR=1.40,95%CI(1.13,1.73)]。10至14岁受访者的营养过剩可能性是5至9岁受访者的1.37倍[AOR=1.37,95%CI(1.09,1.73)]。
结论：越来越多的证据表明，在马来西亚儿童和青少年中，营养不良与超重和肥胖并存的患病率越来越高。往前走,需要采取更大的举措和努力来制定计划和实施计划和政策的战略，以加快改善营养方面的进展。
