Ahmad Aryati, Zulaily Nurzaime, Abdul Manan Nor Saidah, Shahril Mohd Razif, Syed Saadun Tarek Wafa Sharifah Wajihah Wafa, Mohd Amin Rahmah, Syed Abdullah Engku Fadzli Hasan, Ahmed Amran
Institute for Community Development & Quality of Life, Universiti Sultan Zainal Abidin, Gong Badak Campus, 21300, Kuala Nerus, Terengganu, Malaysia.
Faculty of Informatics & Computing, Universiti Sultan Zainal Abidin, Tembila Campus, 22200, Besut, Terengganu, Malaysia.
BMC Public Health. 2017 Jan 5;17(1):9. doi: 10.1186/s12889-016-3911-2.
Body weight is highly associated with overall health status. Being severely thin or obese may impose the risk of many health problems. Early detection of body mass index (BMI) status may help to reduce the associated comorbidities. Although many studies in the literature have investigated the BMI of school adolescents in Malaysia, the data on status of body weight among school adolescents in suburban states like Terengganu is limited. This study aimed to describe the body weight status of the whole population of school adolescents in all seven districts in Terengganu, Malaysia.
Using a cross-sectional study design, body weight and height were measured, and BMI was calculated and classified using WHO BMI-for-age Z-score. Data was obtained using the National Fitness Standard (SEGAK) assessment, which was uploaded in a specific Health Monitoring System (HEMS).
From a total of 62,567 school adolescents, 50.7% were boys and 49.3% were girls. Girls had significantly higher BMI than boys in age groups of 13 to 15 and 16 to 17 years old. Among boys and girls, there were significant differences in mean BMI of school adolescents between rural and urban school locations in all age groups (p < 0.001). There were also significant differences in BMI between boys and girls in all districts in Terengganu, except Kemaman and Kuala Terengganu, for all age groups (p < 0.001). Overall, the prevalence of thinness, normal, overweight and obesity were 8.4, 64.6, 15.0 and 12.0%, respectively. There were significant differences between BMI categories and genders in total participants, and within rural and urban school locations (p < 0.05). In all districts except Marang and Dungun, significant difference was also found between BMI categories and genders.
The prevalence of thinness, overweight and obesity in Terengganu were substantial. In this study, BMI category was associated with gender, age, school location and district. However, the actual effects of these factors on the prevalence of thinness and obesity among this population demand further investigation.
体重与整体健康状况高度相关。身体极瘦或肥胖可能会带来许多健康问题的风险。早期发现体重指数（BMI）状况可能有助于减少相关的合并症。尽管文献中有许多研究调查了马来西亚在校青少年的BMI，但关于登嘉楼等郊区州在校青少年体重状况的数据有限。本研究旨在描述马来西亚登嘉楼所有七个区的在校青少年总体人群的体重状况。
采用横断面研究设计，测量体重和身高，并使用世界卫生组织年龄别BMI Z评分计算和分类BMI。数据通过国家体质标准（SEGAK）评估获得，该评估上传至特定的健康监测系统（HEMS）。
在总共62567名在校青少年中，50.7%为男孩，49.3%为女孩。在13至15岁和16至17岁年龄组中，女孩的BMI显著高于男孩。在所有年龄组中，无论男孩还是女孩，农村和城市学校地点的在校青少年平均BMI存在显著差异（p<0.001）。在登嘉楼的所有区中，除了甘马挽和瓜拉登嘉楼，所有年龄组的男孩和女孩之间BMI也存在显著差异（p<0.001）。总体而言，消瘦、正常、超重和肥胖的患病率分别为8.4%、64.6%、15.0%和12.0%。在总参与者中，以及在农村和城市学校地点内，BMI类别与性别之间存在显著差异（p<0.05）。在除了马江和栋贡之外的所有区中，BMI类别与性别之间也发现了显著差异。
登嘉楼消瘦、超重和肥胖的患病率相当高。在本研究中，BMI类别与性别、年龄、学校地点和区有关。然而，这些因素对该人群消瘦和肥胖患病率的实际影响需要进一步调查。
