TY - JOUR
T1 - Dietary intake, obesity, and metabolic risk factors among children and adolescents in the SEACO-CH20 cross-sectional study
AU - Ramadas, Amutha
AU - Rizal, Hussein
AU - Rajakumar, Sutha
AU - Mariapun, Jeevitha
AU - Yasin, Mohamed Shajahan
AU - Armstrong, Miranda E.G.
AU - Su, Tin Tin
N1 - Funding Information:
The Ministry of Higher Education/UK-MY Joint Partnership on Non-Communicable Diseases (2019/MR/T018984/) and the Medical Research Council (MR/T018984/1), both provided funding in support of this research. The SEACO health and demographic surveillance system is supported by Monash University. The study\u2019s funders played no part in the study\u2019s planning, gathering, analyzing, or interpreting data, or in the report\u2019s preparation. The National Institute for Health and Care Research Bristol Biomedical Research Centre also funds the study\u2019s co-authors\u00A0(MEGA).\u00A0The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. The authors also would like to express their appreciation to the SEACO Field Teams and survey participants. The South East Asia Community Observatory (SEACO, https://www.monash.edu.my/seaco) funded the research detailed in this paper. The authors\u2019 opinions, however, are their own, and there is no real or implied sponsorship from SEACO.
Funding Information:
The Ministry of Higher Education/UK-MY Joint Partnership on Non-Communicable Diseases (2019/MR/T018984/) and the Medical Research Council (MR/T018984/1), both provided funding in support of this research. The SEACO health and demographic surveillance system is supported by Monash University. The study\u2019s funders played no part in the study\u2019s planning, gathering, analyzing, or interpreting data, or in the report\u2019s preparation. The National Institute for Health and Care Research Bristol Biomedical Research Centre also funds the study\u2019s co-authors (MEGA). The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. The authors also would like to express their appreciation to the SEACO Field Teams and survey participants. The South East Asia Community Observatory (SEACO, https://www.monash.edu.my/seaco ) funded the research detailed in this paper. The authors\u2019 opinions, however, are their own, and there is no real or implied sponsorship from SEACO.
Publisher Copyright:
© The Author(s) 2024.
PY - 2024/5/17
Y1 - 2024/5/17
N2 - We investigated the association between dietary intake and metabolic risk factors in children and adolescents within a semi-rural Malaysian community. Using an interviewer-led questionnaire, we surveyed 623 participants aged 7–18 from the South East Asia Community Observatory (SEACO). Anthropometric and blood pressure data were collected from all participants, while a subset (n = 162) provided blood samples for biomarker analysis, including fasting blood glucose (FBG), total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C). Metabolic syndrome was determined using the International Diabetes Federation’s Definition of Metabolic Syndrome in Children and Adolescents. Most participants were Malay (66.8%), with a median household income of MYR1,500 and a balanced sex distribution. Cereals, processed foods, beverages, fruits, and vegetables were commonly consumed. Obesity and abdominal obesity were prevalent, affecting more than a third of participants. Adherence to dietary recommendations was generally poor (ranging from 19.9 to 58.1%) and varied across age, sex, and ethnicity. Notably, some food groups displayed unexpected associations with health markers; for instance, fruit consumption was linked to abdominal obesity in children (abdominal obesity vs. normal: 2.4 servings/day vs. 1.6 servings/day). These findings emphasise the necessity of longitudinal studies to explore the complex relationship between diet and long-term health outcomes, including cardiometabolic diseases, while acknowledging the unique challenges posed by the COVID-19 pandemic on data collection and analysis.
AB - We investigated the association between dietary intake and metabolic risk factors in children and adolescents within a semi-rural Malaysian community. Using an interviewer-led questionnaire, we surveyed 623 participants aged 7–18 from the South East Asia Community Observatory (SEACO). Anthropometric and blood pressure data were collected from all participants, while a subset (n = 162) provided blood samples for biomarker analysis, including fasting blood glucose (FBG), total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C). Metabolic syndrome was determined using the International Diabetes Federation’s Definition of Metabolic Syndrome in Children and Adolescents. Most participants were Malay (66.8%), with a median household income of MYR1,500 and a balanced sex distribution. Cereals, processed foods, beverages, fruits, and vegetables were commonly consumed. Obesity and abdominal obesity were prevalent, affecting more than a third of participants. Adherence to dietary recommendations was generally poor (ranging from 19.9 to 58.1%) and varied across age, sex, and ethnicity. Notably, some food groups displayed unexpected associations with health markers; for instance, fruit consumption was linked to abdominal obesity in children (abdominal obesity vs. normal: 2.4 servings/day vs. 1.6 servings/day). These findings emphasise the necessity of longitudinal studies to explore the complex relationship between diet and long-term health outcomes, including cardiometabolic diseases, while acknowledging the unique challenges posed by the COVID-19 pandemic on data collection and analysis.
UR - http://www.scopus.com/inward/record.url?scp=85193536521&partnerID=8YFLogxK
U2 - 10.1038/s41598-024-61090-7
DO - 10.1038/s41598-024-61090-7
M3 - Article
C2 - 38760446
AN - SCOPUS:85193536521
SN - 2045-2322
VL - 14
JO - Scientific Reports
JF - Scientific Reports
IS - 1
M1 - 11265
ER -
