1.Malnutrition among Malaysian Adolescents: Findings from National Health and Morbidity Survey (NHMS) 2011
Azli Baharudin ; Ahmad Ali Zainuddin ; Rusidah Selamat ; Suhaila Abdul Ghaffar ; Khor Geok Lin ; Poh Bee Koon ; Norimah Abd Karim ; Kee Chee Cheong ; Ng Chee Kai ; Noor Ani Ahmad ; Syafinaz Mohd Sallehuddin ; Tahir Aris
International Journal of Public Health Research 2013;3(2):282-289
Malnutrition can be associated as one of the factors which affect health status. The term is used to describe imbalance of nutrients either over- or under-nourished, resulting in measurable adverse effects on body composition, function and clinical outcome. The National Health And Morbidity Survey (NHMS) 2011 assessed 4304 individuals aged 10-17 years old through a household survey of Malaysian population. Thinness and obesity are the malnutrition indicators based on Centre for Disease Control (CDC) 2000 classification as recommended by WHO (2007). The findings of the survey showed that the national prevalence of thinness (BMI for age <-2SD), was 9.7% (95% Confidence Interval: 8.4-11.2). The state of Sabah/Labuan had the highest thinness of prevalence, 17.0% (11.1-25.2) and lowest in Penang at 5.3% (2.7-10.0). The prevalence of thinness was higher in urban areas than in rural areas at 10.3% (8.5-12.3). Meanwhile; national prevalence of obesity (BMI for age ≥+2SD) was only 5.7% (4.9-6.7). The state of Perak had the highest obesity prevalence 10.0% (6.2-15.8) and lowest in Sabah/Labuan at 2.4% (1.4-4.1). The obesity prevalence was higher among adolescents in urban areas at 6.3% (5.2-7.6) than in rural areas. Thinness as a form of malnutrition is more prevalent than obesity. Even though the prevalence of obesity is low, the impact affects not only the adolescents, but also the family, the society and the nation in the future. The increasing prevalence of obesity will have significant public health implication related to non-communicable diseases.
Obesity
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Thinness
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Adolescent
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Malaysia
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Malnutrition
2.Factors Influencing Malnutrition among Young Children in a Rural Community of Sarawak
Eunice MJ ; Cheah W L ; Lee P Y
Malaysian Journal of Nutrition 2014;20(2):145-164
Introduction: This study aimed to determine the prevalence of malnutrition and factors influencing malnutrition among children aged five years and below in Serian District of Sarawak, a district where the majority of people are indigenous. Methods: Using a cross-sectional method, a total of 177 children were randomly selected and assessed, and their mothers or caregivers were interviewed. Data were collected using a pretested questionnaire; anthropometric measurements were also taken. Data were analysed using SPSS version 17.0. Results: The prevalence of underweight, stunting and wasting in children aged five years and below was 20.9%, 11.9% and 10.2% respectively. The results suggest that the significant factors contributing to underweight are birth weight, frequency of child visit to the clinic, and individual insecurity. Only age, when complementary diet was introduced, was found to be significantly associated with stunting. For wasting, individual insecurity, duration of family planning and met
recommended protein intake per day were found to be significant factors. Conclusion: The prevalence of malnutrition in children 5 years and below in
Serian District of Sarawak is high compared to state figures. The major contributing factors were found to be manifested at the individual and family level. There is a need for appropriate public health promotion and socioeconomic improvement interventions towards improving the nutritional status and health of children in Serian District.
Child Nutrition Disorders, Malnutrition
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Thinness
3.Nutrition status of children under 5 years old and some influence factors in Kontum province, 2001
Journal of Preventive Medicine 2004;14(1):71-76
A cross-sectional study was carried out on 1,500 subjects at 30 communes collected randomly (investigated 50 children and 50 mothers per commune) about nutrition status of children under 5 years old and some influenced factors in Kontum province, in 2001. The results: the percentage of malnutrition was high level according to WHO criteria, underweight was 36.9%, stunting was 46.3%, and wasting was 8.3%. The malnutrition rates of boys and girls were significant difference (P>0.05). The children of ethnic minorities were higher about the malnutrition rates than children of Kinh people. The malnutrition rates in the child of illiterate mothers was the highest
Nutritional Status
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child
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Malnutrition
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standards
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Thinness
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epidemiology
4.Prevalence of Underweight and Effect of Nutritional Status on Academic Performance of Primary School Children in Chapainawabganj District, Bangladesh
Md Golam ; Md Saimul ; Kazi Enamul H ; Md Ashraful ; Mamun ASMA ; Kamruzzaman M ; Saw A
Malaysian Journal of Nutrition 2014;20(1):71-81
The high prevalence of underweight among children is a serious health concern in Bangladesh. Nutritional status influences students' academic performance directly or indirectly. This study aimed to determine factors that affect the academic performance of students in primary schools. Methods: Data were collected from several schools and madrasahs in Chapainawabganj district, Bangladesh using multistage stratified sampling with proportional allocation technique. Results: The prevalence of underweight children was 32.3%, with 43.0% of them being girls and 21.4% boys. Multiple logistic regression analysis demonstrated that normal weight children were more likely (p<0.05) to obtain good results (GPA >3.50) than underweight children. Children with gestational age of 39 to 41 weeks were more likely to obtain good results than those whose gestational age was 37 and 38 weeks. Children who were breastfed for <24 months were less likely (p<0.01) to perform well academically (GPA>3.50) compared to their counterparts. Children whose parents had a higher income or higher education had a significantly better chance of obtaining good results compared to their counterparts. Conclusion: These results suggest that childhood nutritional status, parents' education and economic level are significant common factors which affect children's academic performance. Consequently, under-nutrition and poverty can be considered as the major problems for good academic performance of Bangladeshi children and requires attention
Thinness
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Nutritional Status
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Schools
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Child
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Bangladesh
5.Novel Balance Tests for Assessing Functional Ankle Instability: Relationships with BMI and Gender.
Harshad P PATANKAR ; Eui Dong YEO ; Seung Joo KIM ; Hong Chul LIM ; Myong Hoi HWANG ; Sehyun PARK ; Hak Jun KIM
Journal of Korean Foot and Ankle Society 2012;16(2):128-134
PURPOSE: To design novel balance tests to assess FAI and evaluate whether these tests are affected by BMI or gender, with the goal of developing reliable FAI assessment tests that are not influenced by these factors. MATERIALS AND METHODS: Participants included 20 young, healthy volunteers, 12 males and 8 females, with a mean age of 24+/-4 years and a mean BMI of 23+/-2.28. None of the subjects had known ankle instability. The following tests were assessed in each participant: single leg balance (SLB), percentage of leg press (PLP), single leg cycling (SLC), one leg squat (OLS), multiple direction reach-front/back/side (MDR-F/B/S), single leg hop (SLH), two leg jump (TLJ) and side step (SS). Data were analyzed using the SPSS 12.0 software program with ANOVA and t-test used. RESULTS: When grouped by BMI, we found that despite differences in BMI, the performances of all subjects were equivalent except for the one-leg-squat test, for which the mean ratios for underweight (1.69+/-0), normal weight (1.05+/-0.19), and overweight (0.93+/-0.30) individuals were significantly different (p=0.02); ratios for SLB (p=0.273), SLC (p=0.903), PLP (p=0.664), MDR-F/B/S (p=0.498, 0.908, and 0.503, respectively), SLH (p=0.332) were not significantly different. When calculated according to gender, we found that the OLS (p=0.013) and MDRS (p=0.034) were significantly different, while parameters for all the remaining tests were not affected. CONCLUSION: We found that the SLB, PLP, SLC, MDR-F/B, and SLH ratios were unaffected by BMI or sex and, therefore, are reliable parameters for assessing ankle instability.
Animals
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Ankle
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Female
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Humans
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Humulus
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Leg
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Male
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Overweight
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Thinness
6.The trial status and expectation degree on internet diet program by female university students : Focused on trial status.
UnJae CHANG ; JuYeon HA ; WanSoo HONG
Journal of the Korean Dietetic Association 2004;10(3):356-363
This study was to investigate the trial status of weight control with internet. A survey was carried out by self-questionnaires with 500 female university students in Seoul. The average height, weight, and PIBW(Percentage of Ideal Body Weight) of subjects were 162.2+/-4.8cm, 51.9+/-6.1kg and 93.7+/-11.0%. It appeared that 50.6% of subjects were abnormal range of body weight : in particular 43.4% of the subjects were underweight. While 80.7% of subjects have deeply interested in weight control, 63.4% of them have attempted diet. It showed that 92.9% of subjects used internet, 54.3 % of them knew internet diet site, however only 39 of subjects used internet diet program. Most subjects used internet diet program in order to acquire diet information. According to PIBW, the overweight group is higher frequency of joining internet diet program than the others group. Therefore, education of weight control was needed with internet in abnormal weight group.
Body Weight
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Diet*
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Education
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Female*
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Humans
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Internet*
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Overweight
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Seoul
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Thinness
7.A study on nutrition knowledge and dietary behavior of elementary school children in Seoul.
Eun Suil CHOI ; Na Ri SHIN ; Eun Im JUNG ; Hae Ryun PARK ; Hong Mie LEE ; Kyung Hee SONG
Nutrition Research and Practice 2008;2(4):308-316
The purpose of this study was to investigate the nutrition and diet related knowledge, attitude, and behavior of elementary school children in Seoul. The subjects included were 439 (male 236, female 203) elementary school children in the 4th to the 6th grades. The statistical analysis was conducted using SPSS 12.0 program. The average obesity index (OI) was 104.98 and 99.82 for male and female subjects, respectively. The average percentage of underweight, normal, overweight and obese of subjects was 33.7%, 32.8%, 12.3%, and 19.4%, respectively. The percentage of the underweight group of female subjects was higher than that of the male subjects. The percentage of the obese group of male subjects was higher than that of the female subjects. The average score of nutrition knowledge, nutrition attitude and dietary behavior was 6.8, 7.44, and 7.34, respectively. Dietary behavior of male subjects was positively correlated with parents' education levels, monthly household income and nutrition attitude. Dietary behavior of female subjects was positively correlated with monthly household income, nutrition knowledge and nutrition attitude. Dietary behavior of female subjects was positively correlated with obesity index (OI). Proper nutrition education and intervention are required for the improvement of elementary school children's nutrition knowledge, nutrition attitudes and dietary behaviors.
Child
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Diet
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Family Characteristics
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Female
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Humans
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Male
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Obesity
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Overweight
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Thinness
8.Comparison of the Body Mass Index of Women with Hypo- and Macro-mastia-MDbP303.
Journal of Breast Cancer 2008;11(1):45-48
PURPOSE: This study was conducted to determine if the body shape of women with small breasts differed from that of women with large breasts. METHODS: Between January 2002 and June 2006, 461 patients with hypomastia and 104 patients with macromastia, who had visited the M.D. Clinic, Seoul, Korea, were evaluated. These two groups were further divided into three groups (Group 1; underweight BMI<18.5, Group 2; normal BMI 18.5-22.9, Group 3; overweight BMI> or =23) according to Body mass index (BMI). RESULTS: The average age of women with hypomastia and macromastia was 32 and 34.5 respectively. The average BMI was 18.88 in the hypomastia group and 22.19 in the macromastia group (p<0.001). In the hypomastia group, the distribution of BMI was as follows: group 1, 44.5% (n=205); group 2, 53.8% (n=248); group 3, 1.7% (n=8). However, in the macromastia group, a higher proportion of overweight individuals were observed, as shown by the following distribution pattern: group 1, 7.7% (n=8); group 2, 71.1% (n=32); group 3, 27.3% (n=3). In the hypomastia group, the proportion of group 3 were 0% in their 20s, 0.9% (n=2) in their 30s, 6% (n=3) in their 40s and 27.3% (n=3) in their 50s, but in the macromastia group, the proportion of group 3 were 17.8% (n=8) in 20s, 32% (n=8) in 30s, 50% (n=12) in 40s and 100% (n=10) in 50s. CONCLUSION: The BMI of women with macromastia was significantly higher than that of women with hypomastia. In addition, although BMI was found to increase as age advanced for both groups, women with macromastia appear to have a strong tendency to become overweight with age.
Body Mass Index
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Breast
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Female
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Humans
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Hypertrophy
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Korea
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Overweight
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Thinness
9.High participation in the Posyandu nutrition program improved children nutritional status.
Faisal ANWAR ; Ali KHOMSAN ; Dadang SUKANDAR ; Hadi RIYADI ; Eddy S MUDJAJANTO
Nutrition Research and Practice 2010;4(3):208-214
The objective of this research was to analyze nutritional status and food consumption of children participating in the Posyandu nutrition program. A total sample of 300 children under five years had been drawn. Sample was divided into two categories namely high participation and low participation in the Posyandu nutrition program. The sample was selected from two sub districts of Cianjur District, West Java. The districts were areas with a high proportion of poor people and many of them take the benefits of Posyandu nutrition program conducted by the government. The participation of children (under five years old) in visiting Posyandus was relatively good, namely, 92.4% (for the high participation group). However, for the low participation group, the number of participating children was relatively low (28.3%). The average consumption of energy for children under five years old was still below the recommended dietary allowance < 80% of RDA, whereas the protein consumption was already above the RDA. The prevalence of underweight, stunting, and wasting among children were respectively 30.0%, 43.7%, and 12.3%. The activities at Posyandus had a positive impact on the nutritional status of children under five years olds, measured in terms of weight for age (W/A) and weight for height (W/H). The more frequent the visit to Posyandus, the better the nutritional statuses would be.
Child
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Humans
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Indonesia
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Nutrition Policy
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Nutritional Status
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Prevalence
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Thinness
10.Various appearances of rib companion shadow mimicking a pathologic condition.
Ye Won CHOI ; Shi Joon YOO ; Jung Gi IM
Journal of the Korean Radiological Society 1992;28(1):78-83
We have observed that the companion shadow of the upper rib may be misinterpreted as a small pnemothorax or pleural plaque associated with asbestosis. To observe the radiographic characteristics of the normal companion shadow, we analyzed, on the posteroanterior(PA) chest radiographs, the companion shadow of 50 normal cases. Factors such as occurrence on each rib, the sharpness of the margin, the relative position to the rib, the shape and the thickness were observed. Also, we analyzed the displaced pleura of 4 pneumothorax cases to differentiate their frndings from the findings of normal companion shadows. On 50 normal chest radiographs, 192 compaion shadows were observed on the first to fourth ribs. In 173 of those shadows, the visceral margin of the companion shadow on the second rib simulated pneumothorax more closely than those on any othe rivs due to its apical location and thinness. In six of 50 normal cases, the companion shadow on the first or second rib showed an inw rdly convex lower margin, mimicking pleural plaque. The compaion shadow was suggested on the plain chest radiograph by the following characteristics imultiplicity(47/50), thicker than normal pleura(3/4), persistent on serial filma with the same shape and specific location(4/4).
Asbestosis
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Friends*
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Humans
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Pleura
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Pneumothorax
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Radiography, Thoracic
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Ribs*
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Thinness