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 5–1...

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Main Authors: Alice Chen, Nur Batrisyia Rafiz Azuan, Nur’Ain Mardhiyah Harun, Yasmin Beng Houi Ooi, Ban-Hock Khor
Format: Article
Language:English
Published: Elsevier 2024-06-01
Series:Human Nutrition & Metabolism
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666149724000227
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author Alice Chen
Nur Batrisyia Rafiz Azuan
Nur’Ain Mardhiyah Harun
Yasmin Beng Houi Ooi
Ban-Hock Khor
author_facet Alice Chen
Nur Batrisyia Rafiz Azuan
Nur’Ain Mardhiyah Harun
Yasmin Beng Houi Ooi
Ban-Hock Khor
author_sort Alice Chen
collection DOAJ
description 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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spelling doaj.art-c94c5046cde346509a6a0ebafc56291d2024-03-24T07:01:42ZengElsevierHuman Nutrition & Metabolism2666-14972024-06-0136200260Nutritional status and dietary fatty acid intake among children from low-income households in Sabah: A cross-sectional studyAlice Chen0Nur Batrisyia Rafiz Azuan1Nur’Ain Mardhiyah Harun2Yasmin Beng Houi Ooi3Ban-Hock Khor4Nutrition Program, Faculty of Food Science and Nutrition, Universiti Malaysia Sabah, 88400, Kota Kinabalu, MalaysiaNutrition Program, Faculty of Food Science and Nutrition, Universiti Malaysia Sabah, 88400, Kota Kinabalu, MalaysiaNutrition Program, Faculty of Food Science and Nutrition, Universiti Malaysia Sabah, 88400, Kota Kinabalu, MalaysiaNutrition Program, Faculty of Food Science and Nutrition, Universiti Malaysia Sabah, 88400, Kota Kinabalu, MalaysiaCorresponding author. Faculty of Food Science and Nutrition, Universiti Malaysia Sabah, Jalan UMS, 88400 Kota Kinabalu, Sabah, Malaysia.; Nutrition Program, Faculty of Food Science and Nutrition, Universiti Malaysia Sabah, 88400, Kota Kinabalu, MalaysiaObjectives: 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.http://www.sciencedirect.com/science/article/pii/S2666149724000227ChildrenLow-income householdsNutritional statusDietary fat intakeFatty acidsObesity
spellingShingle Alice Chen
Nur Batrisyia Rafiz Azuan
Nur’Ain Mardhiyah Harun
Yasmin Beng Houi Ooi
Ban-Hock Khor
Nutritional status and dietary fatty acid intake among children from low-income households in Sabah: A cross-sectional study
Human Nutrition & Metabolism
Children
Low-income households
Nutritional status
Dietary fat intake
Fatty acids
Obesity
title Nutritional status and dietary fatty acid intake among children from low-income households in Sabah: A cross-sectional study
title_full Nutritional status and dietary fatty acid intake among children from low-income households in Sabah: A cross-sectional study
title_fullStr Nutritional status and dietary fatty acid intake among children from low-income households in Sabah: A cross-sectional study
title_full_unstemmed Nutritional status and dietary fatty acid intake among children from low-income households in Sabah: A cross-sectional study
title_short Nutritional status and dietary fatty acid intake among children from low-income households in Sabah: A cross-sectional study
title_sort nutritional status and dietary fatty acid intake among children from low income households in sabah a cross sectional study
topic Children
Low-income households
Nutritional status
Dietary fat intake
Fatty acids
Obesity
url http://www.sciencedirect.com/science/article/pii/S2666149724000227
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