Alice Chen, Nur Batrisyia Rafiz Azuan, Nur’Ain Mardhiyah Harun, Yasmin Beng Houi Ooi, Ban-Hock Khor
{"title":"沙巴州低收入家庭儿童的营养状况和膳食脂肪酸摄入量：横断面研究","authors":"Alice Chen, Nur Batrisyia Rafiz Azuan, Nur’Ain Mardhiyah Harun, Yasmin Beng Houi Ooi, Ban-Hock Khor","doi":"10.1016/j.hnm.2024.200260","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><p>This study aimed to assess the nutritional status and dietary fatty acid intake among children from low-income households in Sabah, Malaysia.</p></div><div><h3>Methods</h3><p>This cross-sectional study was conducted from December 2022 to February 2023 in Kota Kinabalu and Tawau. A total of 182 children aged 5–12 years from low-income households (less than RM 4850 per month) were recruited. Anthropometric measurements included body weight, height, and body mass index. Dietary intakes were assessed using a 24-h diet recall and the fatty acid (FA) intakes were analyzed using a database with FA content for local foods.</p></div><div><h3>Results</h3><p>The mean age of children was 8.8 ± 1.8 years, with a majority being girls (53.8%) and of Bajau ethnicity (53.3%). Based on the anthropometric measurements, 16.5% of children were stunted, 7.1% were thin, and 21.4% were overweight or obese. Intakes of total fat, saturated fatty acids (SFA), monounsaturated fatty acids (MUFA), polyunsaturated fatty acids (PUFA), and <em>trans</em> fatty acids as a percentage of total energy were 29.3%, 12.3%, 12.6%, 4.0%, and 0.05%, respectively. 77.5% of children exceeded the recommendation for SFA and 63.2% of children did not meet the recommendation for <em>n</em>-3 PUFA. All children did not meet the recommendation for ⍺-linolenic. Children from Tawau had greater consumption of <em>n</em>-3 PUFA (<em>p</em> < 0.001) while children from Kota Kinabalu had greater intakes of total fat (<em>p</em> = 0.020), MUFA (<em>p</em> = 0.005), <em>n</em>-6 PUFA (<em>p</em> = 0.015), and <em>trans</em> fatty acid (<em>p</em> = 0.001). None of the dietary fatty acids was associated with anthropometric indices.</p></div><div><h3>Conclusions</h3><p>There was a high prevalence of stunting and overweight or obesity among children from low-income households in Sabah. Most of the children failed to meet the recommendations for SFA and <em>n</em>-3 PUFAs. These findings indicate a compelling need for the implementation of nutritional strategies to enhance adherence to dietary recommendations for fatty acids.</p></div>","PeriodicalId":36125,"journal":{"name":"Human Nutrition and Metabolism","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666149724000227/pdfft?md5=0ecd4807c8f338c5c3bce59d848ba9fb&pid=1-s2.0-S2666149724000227-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Nutritional status and dietary fatty acid intake among children from low-income households in Sabah: A cross-sectional study\",\"authors\":\"Alice Chen, Nur Batrisyia Rafiz Azuan, Nur’Ain Mardhiyah Harun, Yasmin Beng Houi Ooi, Ban-Hock Khor\",\"doi\":\"10.1016/j.hnm.2024.200260\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><p>This study aimed to assess the nutritional status and dietary fatty acid intake among children from low-income households in Sabah, Malaysia.</p></div><div><h3>Methods</h3><p>This cross-sectional study was conducted from December 2022 to February 2023 in Kota Kinabalu and Tawau. A total of 182 children aged 5–12 years from low-income households (less than RM 4850 per month) were recruited. Anthropometric measurements included body weight, height, and body mass index. Dietary intakes were assessed using a 24-h diet recall and the fatty acid (FA) intakes were analyzed using a database with FA content for local foods.</p></div><div><h3>Results</h3><p>The mean age of children was 8.8 ± 1.8 years, with a majority being girls (53.8%) and of Bajau ethnicity (53.3%). Based on the anthropometric measurements, 16.5% of children were stunted, 7.1% were thin, and 21.4% were overweight or obese. Intakes of total fat, saturated fatty acids (SFA), monounsaturated fatty acids (MUFA), polyunsaturated fatty acids (PUFA), and <em>trans</em> fatty acids as a percentage of total energy were 29.3%, 12.3%, 12.6%, 4.0%, and 0.05%, respectively. 77.5% of children exceeded the recommendation for SFA and 63.2% of children did not meet the recommendation for <em>n</em>-3 PUFA. All children did not meet the recommendation for ⍺-linolenic. Children from Tawau had greater consumption of <em>n</em>-3 PUFA (<em>p</em> < 0.001) while children from Kota Kinabalu had greater intakes of total fat (<em>p</em> = 0.020), MUFA (<em>p</em> = 0.005), <em>n</em>-6 PUFA (<em>p</em> = 0.015), and <em>trans</em> fatty acid (<em>p</em> = 0.001). None of the dietary fatty acids was associated with anthropometric indices.</p></div><div><h3>Conclusions</h3><p>There was a high prevalence of stunting and overweight or obesity among children from low-income households in Sabah. Most of the children failed to meet the recommendations for SFA and <em>n</em>-3 PUFAs. These findings indicate a compelling need for the implementation of nutritional strategies to enhance adherence to dietary recommendations for fatty acids.</p></div>\",\"PeriodicalId\":36125,\"journal\":{\"name\":\"Human Nutrition and Metabolism\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-03-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2666149724000227/pdfft?md5=0ecd4807c8f338c5c3bce59d848ba9fb&pid=1-s2.0-S2666149724000227-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Human Nutrition and Metabolism\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2666149724000227\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ENDOCRINOLOGY & METABOLISM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Human Nutrition and Metabolism","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666149724000227","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
Nutritional status and dietary fatty acid intake among children from low-income households in Sabah: A cross-sectional study
Objectives
This study aimed to assess the nutritional status and dietary fatty acid intake among children from low-income households in Sabah, Malaysia.
Methods
This cross-sectional study was conducted from December 2022 to February 2023 in Kota Kinabalu and Tawau. A total of 182 children aged 5–12 years from low-income households (less than RM 4850 per month) were recruited. Anthropometric measurements included body weight, height, and body mass index. Dietary intakes were assessed using a 24-h diet recall and the fatty acid (FA) intakes were analyzed using a database with FA content for local foods.
Results
The mean age of children was 8.8 ± 1.8 years, with a majority being girls (53.8%) and of Bajau ethnicity (53.3%). Based on the anthropometric measurements, 16.5% of children were stunted, 7.1% were thin, and 21.4% were overweight or obese. Intakes of total fat, saturated fatty acids (SFA), monounsaturated fatty acids (MUFA), polyunsaturated fatty acids (PUFA), and trans fatty acids as a percentage of total energy were 29.3%, 12.3%, 12.6%, 4.0%, and 0.05%, respectively. 77.5% of children exceeded the recommendation for SFA and 63.2% of children did not meet the recommendation for n-3 PUFA. All children did not meet the recommendation for ⍺-linolenic. Children from Tawau had greater consumption of n-3 PUFA (p < 0.001) while children from Kota Kinabalu had greater intakes of total fat (p = 0.020), MUFA (p = 0.005), n-6 PUFA (p = 0.015), and trans fatty acid (p = 0.001). None of the dietary fatty acids was associated with anthropometric indices.
Conclusions
There was a high prevalence of stunting and overweight or obesity among children from low-income households in Sabah. Most of the children failed to meet the recommendations for SFA and n-3 PUFAs. These findings indicate a compelling need for the implementation of nutritional strategies to enhance adherence to dietary recommendations for fatty acids.
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