Yang Wai Yew, Burrows Tracy, MacDonald-Wicks Lesley, Williams Lauren T, Collins Clare E, Chee Winnie Siew Swee, Colyvas Kim
School of Health Sciences, Faculty of Health and Medicine, and Priority Research Centre in Physical Activity and Nutrition, The University of Newcastle, Callaghan, NSW 2308, Australia.
Division of Nutrition and Dietetics, School of Health Sciences, Faculty of Medicine and Health, International Medical University, Kuala Lumpur 57000, Malaysia.
Children (Basel). 2017 Jan 20;4(1):5. doi: 10.3390/children4010005.
Malaysia is experiencing a rise in the prevalence of childhood obesity. Evidence for the relationship between dietary intake and body weight among Malaysian children is limited, with the impact of energy intake misreporting rarely being considered. This paper describes the dietary intakes of urban Malay children in comparison to national recommendations and by weight status. This cross-sectional Family Diet Study ( = 236) was conducted in five national primary schools in Malaysia (August 2013-October 2014). Data on socio-demographics, anthropometrics, 24-h dietary recalls, and food habits were collected from Malay families, consisting of a child aged 8 to 12 years and their main caregiver(s). Multivariable analyses were used to assess dietary intake-body weight relationships. The plausibility of energy intake was determined using the Black and Cole method. Approximately three in 10 Malay children were found to be overweight or obese. The majority reported dietary intakes less than national recommendations. Children with obesity had the lowest energy intakes relative to body weight (kcal/kg) compared to children in other weight categories (F = 36.21, < 0.001). A positive moderate correlation between energy intake and weight status was identified ( = 0.53, < 0.001) after excluding energy intake mis-reporters ( = 95), highlighting the need for the validation of dietary assessment in obesity-related dietary research in Malaysia.
马来西亚儿童肥胖症的患病率正在上升。马来西亚儿童饮食摄入与体重之间关系的证据有限，很少有人考虑能量摄入误报的影响。本文描述了城市马来儿童的饮食摄入量，并与国家建议以及体重状况进行了比较。这项横断面家庭饮食研究（n = 236）于马来西亚的五所国立小学开展（2013年8月至2014年10月）。从马来家庭收集了社会人口统计学、人体测量学、24小时饮食回忆和饮食习惯的数据，这些家庭由一名8至12岁的儿童及其主要照顾者组成。采用多变量分析来评估饮食摄入与体重的关系。使用布莱克和科尔方法确定能量摄入的合理性。大约十分之三的马来儿童被发现超重或肥胖。大多数儿童报告的饮食摄入量低于国家建议。与其他体重类别的儿童相比，肥胖儿童相对于体重（千卡/千克）的能量摄入量最低（F = 36.21，P < 0.001）。在排除能量摄入误报者（n = 95）后，发现能量摄入与体重状况之间存在中度正相关（r = 0.53，P < 0.001），这突出表明在马来西亚与肥胖相关的饮食研究中需要对饮食评估进行验证。
