Risk factors for undernutrition in children under five years of age in Tenom, Sabah, Malaysia

ABSTRACT Undernutrition is the result of complex interplay of factors such as household food security, childcare, feeding practices, nutrition and sanitation. Therefore, this study aimed to determine the prevalence of stunting, wasting, underweight based on WHO child growth standards 2006 and under...

Full description

Bibliographic Details
Main Authors: Eric Tan Chee How, Suzana Shahar, Fredie Robinson, Abdul Marsudi bin Manah, Mohd Yusof Ibrahim, Mohammad Saffree Jeffree, Syed Sharizman Syed Abdul Rahim, Aza Sherin binti Mohd Yusuff
Format: Article
Language:English
English
Published: 2020
Subjects:
Online Access:https://eprints.ums.edu.my/id/eprint/25975/1/Risk%20factors%20for%20undernutrition%20in%20children%20under%20five%20years%20of%20age%20in%20Tenom%2C%20Sabah%2C%20Malaysia.pdf
https://eprints.ums.edu.my/id/eprint/25975/2/Risk%20factors%20for%20undernutrition%20in%20children%20under%20five%20years%20of%20age%20in%20Tenom%2C%20Sabah%2C%20Malaysia1.pdf
_version_ 1796910445180747776
author Eric Tan Chee How
Suzana Shahar
Fredie Robinson
Abdul Marsudi bin Manah
Mohd Yusof Ibrahim
Mohammad Saffree Jeffree
Syed Sharizman Syed Abdul Rahim
Aza Sherin binti Mohd Yusuff
author_facet Eric Tan Chee How
Suzana Shahar
Fredie Robinson
Abdul Marsudi bin Manah
Mohd Yusof Ibrahim
Mohammad Saffree Jeffree
Syed Sharizman Syed Abdul Rahim
Aza Sherin binti Mohd Yusuff
author_sort Eric Tan Chee How
collection UMS
description ABSTRACT Undernutrition is the result of complex interplay of factors such as household food security, childcare, feeding practices, nutrition and sanitation. Therefore, this study aimed to determine the prevalence of stunting, wasting, underweight based on WHO child growth standards 2006 and undernutrition based on Composite Index Anthropometric Failure (CIAF) and its association with the biological, behavioural, socio-economic and physical environment factors among children under-5 years. This was a cross sectional study involving children aged between 6 and 59 months recruited through stratified random sampling from the Tenom district. Sociodemographic background was obtained from mothers via a questionnaire. Height and weight measurements were measured using standardised instrument. The height-for-age, weight-for-age and BMI-for-age were classified according to the WHO Child Growth Standard 2006. Bivariate analysis and multivariate logistic regression analysis were conducted. The prevalence of undernutrition based on CIAF was 42.3%, underweight 34.7%, stunting 33.3% and wasting 10.0%. After adjusting for all confounders, childhood undernutrition was significantly associated with unimproved sanitation (adjusted OR 2.98, 95% CI: 1.082 to 8.225) and frequent illness (adjusted OR 2.07, 95% CI: 1.015 to 3.274). These findings support the association of biological and physical environmental factors with the nutritional status of children under-5 years old.
first_indexed 2024-03-06T03:04:34Z
format Article
id ums.eprints-25975
institution Universiti Malaysia Sabah
language English
English
last_indexed 2024-03-06T03:04:34Z
publishDate 2020
record_format dspace
spelling ums.eprints-259752021-03-15T01:20:34Z https://eprints.ums.edu.my/id/eprint/25975/ Risk factors for undernutrition in children under five years of age in Tenom, Sabah, Malaysia Eric Tan Chee How Suzana Shahar Fredie Robinson Abdul Marsudi bin Manah Mohd Yusof Ibrahim Mohammad Saffree Jeffree Syed Sharizman Syed Abdul Rahim Aza Sherin binti Mohd Yusuff R Medicine (General) RA Public aspects of medicine ABSTRACT Undernutrition is the result of complex interplay of factors such as household food security, childcare, feeding practices, nutrition and sanitation. Therefore, this study aimed to determine the prevalence of stunting, wasting, underweight based on WHO child growth standards 2006 and undernutrition based on Composite Index Anthropometric Failure (CIAF) and its association with the biological, behavioural, socio-economic and physical environment factors among children under-5 years. This was a cross sectional study involving children aged between 6 and 59 months recruited through stratified random sampling from the Tenom district. Sociodemographic background was obtained from mothers via a questionnaire. Height and weight measurements were measured using standardised instrument. The height-for-age, weight-for-age and BMI-for-age were classified according to the WHO Child Growth Standard 2006. Bivariate analysis and multivariate logistic regression analysis were conducted. The prevalence of undernutrition based on CIAF was 42.3%, underweight 34.7%, stunting 33.3% and wasting 10.0%. After adjusting for all confounders, childhood undernutrition was significantly associated with unimproved sanitation (adjusted OR 2.98, 95% CI: 1.082 to 8.225) and frequent illness (adjusted OR 2.07, 95% CI: 1.015 to 3.274). These findings support the association of biological and physical environmental factors with the nutritional status of children under-5 years old. 2020 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/25975/1/Risk%20factors%20for%20undernutrition%20in%20children%20under%20five%20years%20of%20age%20in%20Tenom%2C%20Sabah%2C%20Malaysia.pdf text en https://eprints.ums.edu.my/id/eprint/25975/2/Risk%20factors%20for%20undernutrition%20in%20children%20under%20five%20years%20of%20age%20in%20Tenom%2C%20Sabah%2C%20Malaysia1.pdf Eric Tan Chee How and Suzana Shahar and Fredie Robinson and Abdul Marsudi bin Manah and Mohd Yusof Ibrahim and Mohammad Saffree Jeffree and Syed Sharizman Syed Abdul Rahim and Aza Sherin binti Mohd Yusuff (2020) Risk factors for undernutrition in children under five years of age in Tenom, Sabah, Malaysia. Malaysian Journal of Public Health Medicine, 20 (1). pp. 71-81.
spellingShingle R Medicine (General)
RA Public aspects of medicine
Eric Tan Chee How
Suzana Shahar
Fredie Robinson
Abdul Marsudi bin Manah
Mohd Yusof Ibrahim
Mohammad Saffree Jeffree
Syed Sharizman Syed Abdul Rahim
Aza Sherin binti Mohd Yusuff
Risk factors for undernutrition in children under five years of age in Tenom, Sabah, Malaysia
title Risk factors for undernutrition in children under five years of age in Tenom, Sabah, Malaysia
title_full Risk factors for undernutrition in children under five years of age in Tenom, Sabah, Malaysia
title_fullStr Risk factors for undernutrition in children under five years of age in Tenom, Sabah, Malaysia
title_full_unstemmed Risk factors for undernutrition in children under five years of age in Tenom, Sabah, Malaysia
title_short Risk factors for undernutrition in children under five years of age in Tenom, Sabah, Malaysia
title_sort risk factors for undernutrition in children under five years of age in tenom sabah malaysia
topic R Medicine (General)
RA Public aspects of medicine
url https://eprints.ums.edu.my/id/eprint/25975/1/Risk%20factors%20for%20undernutrition%20in%20children%20under%20five%20years%20of%20age%20in%20Tenom%2C%20Sabah%2C%20Malaysia.pdf
https://eprints.ums.edu.my/id/eprint/25975/2/Risk%20factors%20for%20undernutrition%20in%20children%20under%20five%20years%20of%20age%20in%20Tenom%2C%20Sabah%2C%20Malaysia1.pdf
work_keys_str_mv AT erictancheehow riskfactorsforundernutritioninchildrenunderfiveyearsofageintenomsabahmalaysia
AT suzanashahar riskfactorsforundernutritioninchildrenunderfiveyearsofageintenomsabahmalaysia
AT fredierobinson riskfactorsforundernutritioninchildrenunderfiveyearsofageintenomsabahmalaysia
AT abdulmarsudibinmanah riskfactorsforundernutritioninchildrenunderfiveyearsofageintenomsabahmalaysia
AT mohdyusofibrahim riskfactorsforundernutritioninchildrenunderfiveyearsofageintenomsabahmalaysia
AT mohammadsaffreejeffree riskfactorsforundernutritioninchildrenunderfiveyearsofageintenomsabahmalaysia
AT syedsharizmansyedabdulrahim riskfactorsforundernutritioninchildrenunderfiveyearsofageintenomsabahmalaysia
AT azasherinbintimohdyusuff riskfactorsforundernutritioninchildrenunderfiveyearsofageintenomsabahmalaysia