Malnutrition and its associated factors among children under 5 years old in Putrajaya: a study protocol
https://doi.org/10.31246/mjn-2020-0075
- Author:
Mohamad Hasnan Ahmad
1
;
Nor Azian Mohd Zaki
1
;
Fatimah Othman
1
;
Azli Baharudin
1
;
Ruhaya Salleh
1
;
Cheong Siew Man
1
;
Adibah Huda Mohd Zainul Arifien
1
;
Nurin Iman Ahmad Kamal
1
;
Noor Ani Ahmad
1
;
Hazizi Abu Saad
2
;
Poh Bee Koon
3
;
Mohd Azahadi Omar
1
,
4
;
Tahir Aris
1
,
5
Author Information
1. Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Jalan Setia Murni U13/52, Seksyen U13, 40170 Shah Alam, Selangor, Malaysia&
2. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 UPM Serdang, Selangor, Malaysia
3. Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz,50300 Kuala Lumpur, Malaysia
4. Sector of Biostatistics and Data Repository, National Institutes of Health, Ministry of Health Malaysia, Jalan Setia Murni U13/52, Seksyen U13, 40170 Shah Alam, Selangor, Malaysia
5. Institute for Medical Research, National Institutes of Health, Ministry of Health Malaysia, Jalan Setia Murni U13/52, Seksyen U13, 40170 Shah Alam, Selangor, Malaysia
- Publication Type:Review
- Keywords:
Malnourished children, children under five, study protocol, case-control, Putrajaya
- From:
Malaysian Journal of Nutrition
2021;27(No.1):141-151
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Prevalence of malnourished children in Putrajaya was unexpectedly
high in 2016. This paper describes the study protocol for a case-control study
conducted to identify the associated factors of malnutrition among children under
5 years old in Putrajaya. Methods: This study involved two phases. Phase I
was ‘screening’ where all children aged 6-59 months in 118 preschools and four
government health clinics were measured for their weight and height. The World
Health Organization Anthro software was used to determine the nutritional status
of these children. Phase II was the ‘interview’ where children from screening were
sampled into four pairs of case and control. The optimum sample size for the case
of stunted, wasted, underweight, and overweight were 380, 335, 318, and 308,
respectively. The same number of controls were recruited. Parents/caregivers of
selected children were approached to obtain data on parental factors, children factors,
food intake factors, and environmental factors that contributed to malnutrition.
Data analysis was performed by multiple logistic regression in SPSS version 26.
Results: Screening phase successfully measured 8,261 (50.1%) children from an
estimated 16,500 children under 5 years old in Putrajaya. The number of children
who were stunted, wasted, underweight, and overweight were 2,105 (25.5%), 512
(6.2%), 1,516 (18.4%), and 248 (3.0%), respectively. As overweight was undersampled, the number of controls for overweight was doubled to increase the power
of the study. Parents/caregivers of selected cases and controls were interviewed in
their household or any other venues at their convenience. Conclusion: This protocol
promises beneficial outputs to stakeholders and policy makers that can be used for
combating malnutrition in children.
- Full text:4.2021my0530.pdf
