Seasonal variation in food security, lifestyle, nutritional status and its associated factors of the urban poor adolescents in Kuala Lumpur, Malaysia: research protocol of a prospective cohort study
Abstract Background Climate change, obesity and undernutrition have now become a worldwide syndemic that threatens most people’s health and natural systems in the twenty-first century. Adolescent malnutrition appears to be a matter of concern in Malaysia, and this is particularly relevant among the...
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| Format: | Article |
| Language: | English |
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BMC
2023-02-01
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| Series: | BMC Nutrition |
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| Online Access: | https://doi.org/10.1186/s40795-023-00680-6 |
| _version_ | 1811171824429432832 |
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| author | Janice Ee Fang Tay Serene En Hui Tung Satvinder Kaur Wan Ying Gan Nik Norasma Che’Ya Choon Hui Tan |
| author_facet | Janice Ee Fang Tay Serene En Hui Tung Satvinder Kaur Wan Ying Gan Nik Norasma Che’Ya Choon Hui Tan |
| author_sort | Janice Ee Fang Tay |
| collection | DOAJ |
| description | Abstract Background Climate change, obesity and undernutrition have now become a worldwide syndemic that threatens most people’s health and natural systems in the twenty-first century. Adolescent malnutrition appears to be a matter of concern in Malaysia, and this is particularly relevant among the urban poor population. Mounting evidence points to the fact that underlying factors of malnutrition are subject to climate variability and profoundly affect nutritional outcomes. Hence, it is interesting to examine seasonal variation in nutritional status and its associated factors of urban poor adolescents in Malaysia. Methods This is a prospective cohort study following urban poor adolescents aged 10–17 years living in low-cost high-rise flats in Kuala Lumpur, Malaysia, across two monsoon seasons. The baseline assessment will be conducted during the onset of the Northeast Monsoon and followed up during Southwest Monsoon. Climate data will be collected by obtaining the climatological data (rainfall, temperature, and relative humidity) from Malaysia Meteorological Department. Geospatial data for food accessibility and availability, and also built (recreational facilities) environments, will be analyzed using the QGIS 3.4 Madeira software. Information on socio-demographic data, food security, lifestyle (diet and physical activity), and neighbourhood environment (food and built environment) will be collected using a self-administrative questionnaire. Anthropometric measurements, including weight, height, and waist circumference, will be conducted following WHO standardized protocol. WHO Anthro Plus was used to determine the height-for-age (HAZ) and BMI-for-age (BAZ). Anaemic status through biochemical analyses will be taken using HemoCue 201+® haemoglobinometer. Discussion The study will provide insights into the seasonal effects in nutritional status and its associated factors of urban poor adolescents. These findings can be useful for relevant stakeholders, including policymakers and the government sector, in seizing context-specific strategies and policy opportunities that are seasonally sensitive, effective, and sustainable in addressing multiple challenges to combat all forms of malnutrition, especially among urban poor communities. Trial registration The protocol for this review has not been registered. |
| first_indexed | 2024-04-10T17:20:35Z |
| format | Article |
| id | doaj.art-77fcc89cbd224c639efdad034efd65d9 |
| institution | Directory Open Access Journal |
| issn | 2055-0928 |
| language | English |
| last_indexed | 2024-04-10T17:20:35Z |
| publishDate | 2023-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nutrition |
| spelling | doaj.art-77fcc89cbd224c639efdad034efd65d92023-02-05T12:06:38ZengBMCBMC Nutrition2055-09282023-02-019111310.1186/s40795-023-00680-6Seasonal variation in food security, lifestyle, nutritional status and its associated factors of the urban poor adolescents in Kuala Lumpur, Malaysia: research protocol of a prospective cohort studyJanice Ee Fang Tay0Serene En Hui Tung1Satvinder Kaur2Wan Ying Gan3Nik Norasma Che’Ya4Choon Hui Tan5Department of Food Science and Nutrition, Faculty of Applied Sciences, UCSI UniversityDivision of Nutrition and Dietetics, School of Health Sciences, International Medical UniversityDepartment of Food Science and Nutrition, Faculty of Applied Sciences, UCSI UniversityDepartment of Nutrition, Faculty of Medicine and Health Sciences, Universiti Putra MalaysiaDepartment of Agriculture Technology, Faculty of Agriculture, Universiti Putra MalaysiaDepartment of Food Science and Nutrition, Faculty of Applied Sciences, UCSI UniversityAbstract Background Climate change, obesity and undernutrition have now become a worldwide syndemic that threatens most people’s health and natural systems in the twenty-first century. Adolescent malnutrition appears to be a matter of concern in Malaysia, and this is particularly relevant among the urban poor population. Mounting evidence points to the fact that underlying factors of malnutrition are subject to climate variability and profoundly affect nutritional outcomes. Hence, it is interesting to examine seasonal variation in nutritional status and its associated factors of urban poor adolescents in Malaysia. Methods This is a prospective cohort study following urban poor adolescents aged 10–17 years living in low-cost high-rise flats in Kuala Lumpur, Malaysia, across two monsoon seasons. The baseline assessment will be conducted during the onset of the Northeast Monsoon and followed up during Southwest Monsoon. Climate data will be collected by obtaining the climatological data (rainfall, temperature, and relative humidity) from Malaysia Meteorological Department. Geospatial data for food accessibility and availability, and also built (recreational facilities) environments, will be analyzed using the QGIS 3.4 Madeira software. Information on socio-demographic data, food security, lifestyle (diet and physical activity), and neighbourhood environment (food and built environment) will be collected using a self-administrative questionnaire. Anthropometric measurements, including weight, height, and waist circumference, will be conducted following WHO standardized protocol. WHO Anthro Plus was used to determine the height-for-age (HAZ) and BMI-for-age (BAZ). Anaemic status through biochemical analyses will be taken using HemoCue 201+® haemoglobinometer. Discussion The study will provide insights into the seasonal effects in nutritional status and its associated factors of urban poor adolescents. These findings can be useful for relevant stakeholders, including policymakers and the government sector, in seizing context-specific strategies and policy opportunities that are seasonally sensitive, effective, and sustainable in addressing multiple challenges to combat all forms of malnutrition, especially among urban poor communities. Trial registration The protocol for this review has not been registered.https://doi.org/10.1186/s40795-023-00680-6Food securityUrban poor adolescentsHealthy lifestyleClimate changeMonsoon season |
| spellingShingle | Janice Ee Fang Tay Serene En Hui Tung Satvinder Kaur Wan Ying Gan Nik Norasma Che’Ya Choon Hui Tan Seasonal variation in food security, lifestyle, nutritional status and its associated factors of the urban poor adolescents in Kuala Lumpur, Malaysia: research protocol of a prospective cohort study BMC Nutrition Food security Urban poor adolescents Healthy lifestyle Climate change Monsoon season |
| title | Seasonal variation in food security, lifestyle, nutritional status and its associated factors of the urban poor adolescents in Kuala Lumpur, Malaysia: research protocol of a prospective cohort study |
| title_full | Seasonal variation in food security, lifestyle, nutritional status and its associated factors of the urban poor adolescents in Kuala Lumpur, Malaysia: research protocol of a prospective cohort study |
| title_fullStr | Seasonal variation in food security, lifestyle, nutritional status and its associated factors of the urban poor adolescents in Kuala Lumpur, Malaysia: research protocol of a prospective cohort study |
| title_full_unstemmed | Seasonal variation in food security, lifestyle, nutritional status and its associated factors of the urban poor adolescents in Kuala Lumpur, Malaysia: research protocol of a prospective cohort study |
| title_short | Seasonal variation in food security, lifestyle, nutritional status and its associated factors of the urban poor adolescents in Kuala Lumpur, Malaysia: research protocol of a prospective cohort study |
| title_sort | seasonal variation in food security lifestyle nutritional status and its associated factors of the urban poor adolescents in kuala lumpur malaysia research protocol of a prospective cohort study |
| topic | Food security Urban poor adolescents Healthy lifestyle Climate change Monsoon season |
| url | https://doi.org/10.1186/s40795-023-00680-6 |
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