1.Association Between Ready-to-Eat Cereal Consumption and Anthropometric Status Among Primary School Children in Kuala Lumpur, Malaysia
Koo HC ; Suriyani MY ; Ruzita AT
Malaysian Journal of Nutrition 2014;20(3):367-375
Introduction: The consumption of ready-to-eat cereals (RTECs) has been associated with lower anthropometric status as well as a lower risk of childhood obesity. This relationship has not been investigated among school children in Malaysia. This study aimed to determine the association between consumption of RTECs and anthropometric status among primary school children in Kuala Lumpur.
Method: In this cross-sectional study, a total of 208 school children aged 10 and 11 years were recruited from Kuala Lumpur, Malaysia. Information on socio-demographics, RTECs consumption and anthropometric measurements (height, weight and waist circumference) were obtained.
Results: The overall median body mass index (BMI) and waist circumference (WC) were 17.95(IqR 6.45) kg/ m2 and 57.35 (IqR 13.00) cm, respectively. The majority of the children (73%) consumed RTECs. The prevalence of obesity was 23.1%, with more boys (31%) than girls (17.4%) being obese. Meanwhile, 16.8% of the children were overweight. BMI (U=3335.50, z=-2.278, p=0.023) and WC (U=3273.50, z=-2.440, p=0.015) of those who consumed RTECs were significantly lower than those who did not consume RTECs. Meanwhile, children who did not consume RTECs were significantly more likely to develop abdominal adiposity than those who consumed RTECS, x2(2, N=208) =7.61, p=0.022.
Conclusion: Children who consumed RTECs have significantly lower BMI and WC, as well as a lower chance of developing abdominal adiposity. Consumption of RTECs indicates an overall healthy lifestyle with an excellent nutritional profile to promote healthy body weight in children and decreased risk of childhood obesity.
2.Which is a Better Anthropometric Indicator of Cardiovascular Risk Factors in Type 2 Diabetes Mellitus Patients? Waist Hip Ratio or Body Mass Index?
Koo HC ; Daniel Robert S ; Hamid Jan JM
Malaysian Journal of Nutrition 2013;19(2):163-172
Introduction: The increasing prevalence of adiposity is associated with the
development of type 2 diabetes mellitus (T2DM). The two most popular methods
to measure adiposity are body mass index (BMI) and waist-hip-ratio (WHR),
which measure the overall and abdominal adiposity, respectively. The aim of
this study was to determine whether BMI or WHR was more strongly associated
with macronutrient intakes and lipid profiles in T2DM patients. Methods: In this
cross-sectional study, a total of 210 T2DM patients, mean age of 56.73(SD 10.23)
years, were recruited from Penang. Information on socio-demographic, body
measurements (height, weight, waist circumference and hip circumference)and
macronutrient intakes (three 24-hour dietary recalls) were recorded. Routine
laboratory tests (fasting blood glucose, HbA1c, LDL, HDL, triglyceride and total
cholesterol) were performed according to standard procedure. Results:Among
the respondents, 84% had abdominal and 63% had overall adiposity
respectively.There was a significant correlation between WHR and the total
calorie(r=0.27; p<0.001), carbohydrate (r=0.30; p<0.001) and protein intakes(r=0.18;
p=0.009). WHR was significantly associated with serum triglycerides(r=0.18;
p=0.011) and the HDL levels (r=-0.20; p=0.003). On the other hand, neither lipid
profiles nor dietary intakes showed significant correlation with BMI. Conclusion:
In T2DM, WHR is more strongly associated with macronutrient intakes, HDL
and triglyceride compared with BMI. Hence, WHR is a better anthropometric
indicator of plasma lipids in T2DM.