High prevalence of malnutrition and vitamin A deficiency among schoolchildren of rural areas in Malaysia using a multi-school assessment approach
Childhood malnutrition is known as a public health concern globally. The present study aims to assess the anthropometry and blood biochemical status of rural primary schoolchildren in Malaysia. A total of 776 children (7-11 years old) from ten rural primary schools from five states were included in...
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Cambridge University Press
2022
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my.unimas.ir.420492023-06-23T02:51:10Z http://ir.unimas.my/id/eprint/42049/ High prevalence of malnutrition and vitamin A deficiency among schoolchildren of rural areas in Malaysia using a multi-school assessment approach Pei, Yee Tan Syahirah Nadiah, Mohd Johari Teng, Kim Tiu Radhika, Loganathan Soo, Ching Lee Romano, Ngui Kanga Rani, Selvaduray Ai, Yvonne Lian Lim R Medicine (General) Childhood malnutrition is known as a public health concern globally. The present study aims to assess the anthropometry and blood biochemical status of rural primary schoolchildren in Malaysia. A total of 776 children (7-11 years old) from ten rural primary schools from five states were included in this study. Nutritional outcomes were assessed based on sex, age group and school categories among the children (median age: 9 years (P25:8, P75:10)). The overall prevalence of malnutrition was 53·4 %. Vitamin A deficiency (VAD) was recorded at 20·6 and 39·8 % based on retinol and retinol-binding protein (RBP) levels, respectively. Anaemia, iron deficiency (ID), iron-deficiency anaemia (IDA) and elevated inflammation were found at 14·9, 17·9, 9·1 and 11·5 %, respectively. Malnutrition, VAD, anaemia, ID, IDA and elevated inflammation were more prevalent among Orang Asli (OA) schoolchildren compared with Non-Orang Asli schoolchildren. Higher occurrences of VAD and anaemia were also found among children aged <10 years. Retinol, RBP, α-carotene, ferritin and haemoglobin levels were lower among undernourished children. Besides, overweight/obese children exhibited a higher level of high-sensitivity C-reactive protein. Multivariate analysis demonstrated that OA school children (adjusted OR (AOR): 6·1; 95 % CI 4·1, 9·0) and IDA (AOR: 3·6; 95 % CI 1·9, 6·6) were associated with stunting among this population. The present study revealed that malnutrition, micronutrient deficiencies and anaemia are prevalent among rural primary schoolchildren in Malaysia, especially those from OA schools and younger age children (<10 years). Hence, more appropriate and targeted measures are needed to improve the nutritional status of these children. Cambridge University Press 2022 Article PeerReviewed text en http://ir.unimas.my/id/eprint/42049/1/High%20prevalence%20of%20malnutrition.pdf Pei, Yee Tan and Syahirah Nadiah, Mohd Johari and Teng, Kim Tiu and Radhika, Loganathan and Soo, Ching Lee and Romano, Ngui and Kanga Rani, Selvaduray and Ai, Yvonne Lian Lim (2022) High prevalence of malnutrition and vitamin A deficiency among schoolchildren of rural areas in Malaysia using a multi-school assessment approach. British Journal of Nutrition, 129 (3). pp. 454-467. https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/abs/high-prevalence-of-malnutrition-and-vitamin-a-deficiency-among-schoolchildren-of-rural-areas-in-malaysia-using-a-multischool-assessment-approach/A8DD7DDA55636E83F54309DC8FE66969 10.1017/S0007114522001398 |
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R Medicine (General) Pei, Yee Tan Syahirah Nadiah, Mohd Johari Teng, Kim Tiu Radhika, Loganathan Soo, Ching Lee Romano, Ngui Kanga Rani, Selvaduray Ai, Yvonne Lian Lim High prevalence of malnutrition and vitamin A deficiency among schoolchildren of rural areas in Malaysia using a multi-school assessment approach |
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Childhood malnutrition is known as a public health concern globally. The present study aims to assess the anthropometry and blood biochemical status of rural primary schoolchildren in Malaysia. A total of 776 children (7-11 years old) from ten rural primary schools from five states were included in this study. Nutritional outcomes were assessed based on sex, age group and school categories among the children (median age: 9 years (P25:8, P75:10)). The overall prevalence of malnutrition was 53·4 %. Vitamin A deficiency (VAD) was recorded at 20·6 and 39·8 % based on retinol and retinol-binding protein (RBP) levels, respectively. Anaemia, iron deficiency (ID), iron-deficiency anaemia (IDA) and elevated inflammation were found at 14·9, 17·9, 9·1 and 11·5 %, respectively. Malnutrition, VAD, anaemia, ID, IDA and elevated inflammation were more prevalent among Orang Asli (OA) schoolchildren compared with Non-Orang Asli schoolchildren. Higher occurrences of VAD and anaemia were also found among children aged <10 years. Retinol, RBP, α-carotene, ferritin and haemoglobin levels were lower among undernourished children. Besides, overweight/obese children exhibited a higher level of high-sensitivity C-reactive protein. Multivariate analysis demonstrated that OA school children (adjusted OR (AOR): 6·1; 95 % CI 4·1, 9·0) and IDA (AOR: 3·6; 95 % CI 1·9, 6·6) were associated with stunting among this population. The present study revealed that malnutrition, micronutrient deficiencies and anaemia are prevalent among rural primary schoolchildren in Malaysia, especially those from OA schools and younger age children (<10 years). Hence, more appropriate and targeted measures are needed to improve the nutritional status of these children. |
format |
Article |
author |
Pei, Yee Tan Syahirah Nadiah, Mohd Johari Teng, Kim Tiu Radhika, Loganathan Soo, Ching Lee Romano, Ngui Kanga Rani, Selvaduray Ai, Yvonne Lian Lim |
author_facet |
Pei, Yee Tan Syahirah Nadiah, Mohd Johari Teng, Kim Tiu Radhika, Loganathan Soo, Ching Lee Romano, Ngui Kanga Rani, Selvaduray Ai, Yvonne Lian Lim |
author_sort |
Pei, Yee Tan |
title |
High prevalence of malnutrition and vitamin A deficiency among schoolchildren of rural areas in Malaysia using a multi-school assessment approach |
title_short |
High prevalence of malnutrition and vitamin A deficiency among schoolchildren of rural areas in Malaysia using a multi-school assessment approach |
title_full |
High prevalence of malnutrition and vitamin A deficiency among schoolchildren of rural areas in Malaysia using a multi-school assessment approach |
title_fullStr |
High prevalence of malnutrition and vitamin A deficiency among schoolchildren of rural areas in Malaysia using a multi-school assessment approach |
title_full_unstemmed |
High prevalence of malnutrition and vitamin A deficiency among schoolchildren of rural areas in Malaysia using a multi-school assessment approach |
title_sort |
high prevalence of malnutrition and vitamin a deficiency among schoolchildren of rural areas in malaysia using a multi-school assessment approach |
publisher |
Cambridge University Press |
publishDate |
2022 |
url |
http://ir.unimas.my/id/eprint/42049/1/High%20prevalence%20of%20malnutrition.pdf http://ir.unimas.my/id/eprint/42049/ https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/abs/high-prevalence-of-malnutrition-and-vitamin-a-deficiency-among-schoolchildren-of-rural-areas-in-malaysia-using-a-multischool-assessment-approach/A8DD7DDA55636E83F54309DC8FE66969 |
_version_ |
1769847694145093632 |
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13.160551 |