Kimin Lily Shuzeen, Liew Sat Lin Constance, Avoi Richard, Hayati Firdaus, Mohd Daud Mohd Nazri, Mandrinos Symeon, Payus Alvin Oliver
Hospital Kuala Penyu, WDT No 35, 89740, Kuala Penyu, Sabah, Malaysia.
Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah (UMS), Jalan UMS, 88400, Kota Kinabalu, Sabah, Malaysia.
Ann Med Surg (Lond). 2022 Nov 13;84:104890. doi: 10.1016/j.amsu.2022.104890. eCollection 2022 Dec.
Childhood obesity has become a major global health concern and has been increasing dramatically over the years. Previous study has shown that specific eating behaviours may have been associated with obesity especially under-responsiveness to internal satiety cues and over-responsiveness to external food cues such as the taste, smell, availability and emotions. However, there is still inadequate number of studies present to describe the association between the children's body mass index (BMI) and their eating behaviours, especially in Sabah, Malaysia. Therefore, the objective of this study is to established the association between the children's eating behaviours with their nutritional status based on their body mass index.
A cross-sectional study involving 484 children aged 6-12 years old was conducted in Kota Kinabalu, which is a developing urban area in Sabah. The children were recruited from five primary schools that were selected based on multistage stratified and convenience sampling method. Sociodemographic details and anthropometric measures both parents and children, and eating behaviours of children were assessed using Children Eating Behaviour Questionnaires (CEBQ). Age-adjusted BMI z-scores were then calculated according to the World Health Organization recommendations to assess nutritional status.
The prevalence of childhood obesity among children aged 6-12 years old is 13.2%. The mean scores of 'Food Approach' subscales from the CEBQ showed higher mean score in overweight and obese groups as compared to the mean score in normal weight group. The mean scores of 'Food Avoidance' subscales showed lower mean score in overweight and obese groups as compared to mean score in normal weight group.
This study provides evidence that childhood obesity is yet to be a prevalent health problem in a developing urban area considering the "Food approach" subscales were positively associated with the excess weight in children.
儿童肥胖已成为全球主要的健康问题，并且多年来一直在急剧增加。先前的研究表明，特定的饮食行为可能与肥胖有关，尤其是对内部饱腹感线索反应不足以及对外部食物线索（如味道、气味、可得性和情绪）反应过度。然而，目前仍有数量不足的研究来描述儿童体重指数（BMI）与他们的饮食行为之间的关联，特别是在马来西亚沙巴州。因此，本研究的目的是基于儿童的体重指数确定他们的饮食行为与营养状况之间的关联。
在沙巴州一个发展中的城市地区哥打基纳巴卢进行了一项横断面研究，涉及484名6至12岁的儿童。这些儿童是从五所小学招募的，这些小学是根据多阶段分层和便利抽样方法选择的。使用儿童饮食行为问卷（CEBQ）评估了社会人口统计学细节、父母和儿童的人体测量指标以及儿童的饮食行为。然后根据世界卫生组织的建议计算年龄调整后的BMI z评分，以评估营养状况。
6至12岁儿童中儿童肥胖的患病率为13.2%。CEBQ中“对食物的趋近”子量表的平均得分显示，超重和肥胖组的平均得分高于正常体重组。“对食物的回避”子量表的平均得分显示，超重和肥胖组的平均得分低于正常体重组。
本研究提供了证据，考虑到“对食物的趋近”子量表与儿童超重呈正相关，在一个发展中的城市地区，儿童肥胖尚未成为一个普遍的健康问题。
