The association of eating behaviour on the growth of children from the interior districts of Sabah, Malaysia

Background: The double burden of malnutrition among children is an emerging public health problem, especially in developing countries. Eating behaviours have been hypothesised to contribute to both being underweight and overweight in children and adults. The objective of this study was to examine th...

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Main Authors: Chee, Eric How Tan, Richard Avoi, Fredie Robinson, Mohammad Saffree Jeffree, Syed Sharizman Syed Abdul Rahim, Mohd Yusof Ibrahim, Aza Sherin Mohd Yusuff, Khamisah Awang Lukman
Format: Article
Language:English
English
Published: Dove Medical Press 2022
Subjects:
Online Access:https://eprints.ums.edu.my/id/eprint/33728/1/The%20association%20of%20eating%20behaviour%20on%20the%20growth%20of%20children%20from%20the%20interior%20districts%20of%20Sabah%2C%20Malaysia.pdf
https://eprints.ums.edu.my/id/eprint/33728/2/The%20association%20of%20eating%20behaviour%20on%20the%20growth%20of%20children%20from%20the%20interior%20districts%20of%20Sabah%2C%20Malaysia%20_ABSTRACT.pdf
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author Chee, Eric How Tan
Richard Avoi
Fredie Robinson
Mohammad Saffree Jeffree
Syed Sharizman Syed Abdul Rahim
Mohd Yusof Ibrahim
Aza Sherin Mohd Yusuff
Khamisah Awang Lukman
author_facet Chee, Eric How Tan
Richard Avoi
Fredie Robinson
Mohammad Saffree Jeffree
Syed Sharizman Syed Abdul Rahim
Mohd Yusof Ibrahim
Aza Sherin Mohd Yusuff
Khamisah Awang Lukman
author_sort Chee, Eric How Tan
collection UMS
description Background: The double burden of malnutrition among children is an emerging public health problem, especially in developing countries. Eating behaviours have been hypothesised to contribute to both being underweight and overweight in children and adults. The objective of this study was to examine the association between the Child Eating Behaviour Questionnaire (CEBQ) subscale scores and body mass index (BMI) z-scores among Malaysian children under-5 years. Methods: This was a cross-sectional study conducted in 2020 by recruiting a sample of 500 children aged 24–59 months old from clinics located in the interior districts of Sabah, Malaysia. The CEBQ was completed by the mothers on behalf of the child to assess their eating behaviour traits. The height and weight of the child were measured using standardised instrument. The BMI-for-age percentile, z-scores for BMI-for-age, height-for-age and weight-for-age were determined and classified using World Health Organization AnthroPlus software. The relationship between the CEBQ subscale scores and BMI z-scores were evaluated using multiple linear regression models adjusting for potential confounders. Results: The prevalence of underweight, stunting and wasting were 20.2%, 29.2% and 5.6%, respectively, whereas the prevalence of overweight and obese was 5.0%. There were significant positive association between Food responsiveness, Emotional overeating, Enjoyment of food with BMI z-scores (p<0.05; unstandardised regression coefficient: 0.17 to 0.38). In contrast, there were significant negative association between Satiety responsiveness, Slowness of eating, Food fussiness with BMI z-scores (p<0.01; unstandardised regression coefficient: −0.35 to −0.36). Conclusion: These findings show that specific eating behaviours can influence the growth of children under-5 years. Therefore, policymakers should formulate a nutrition policy that incorporates behavioural assessment and behavioural intervention in the prevention and management of malnutrition among children in Malaysia.
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spelling ums.eprints-337282022-08-11T06:50:56Z https://eprints.ums.edu.my/id/eprint/33728/ The association of eating behaviour on the growth of children from the interior districts of Sabah, Malaysia Chee, Eric How Tan Richard Avoi Fredie Robinson Mohammad Saffree Jeffree Syed Sharizman Syed Abdul Rahim Mohd Yusof Ibrahim Aza Sherin Mohd Yusuff Khamisah Awang Lukman RJ206-235 Nutrition and feeding of children and adolescents Background: The double burden of malnutrition among children is an emerging public health problem, especially in developing countries. Eating behaviours have been hypothesised to contribute to both being underweight and overweight in children and adults. The objective of this study was to examine the association between the Child Eating Behaviour Questionnaire (CEBQ) subscale scores and body mass index (BMI) z-scores among Malaysian children under-5 years. Methods: This was a cross-sectional study conducted in 2020 by recruiting a sample of 500 children aged 24–59 months old from clinics located in the interior districts of Sabah, Malaysia. The CEBQ was completed by the mothers on behalf of the child to assess their eating behaviour traits. The height and weight of the child were measured using standardised instrument. The BMI-for-age percentile, z-scores for BMI-for-age, height-for-age and weight-for-age were determined and classified using World Health Organization AnthroPlus software. The relationship between the CEBQ subscale scores and BMI z-scores were evaluated using multiple linear regression models adjusting for potential confounders. Results: The prevalence of underweight, stunting and wasting were 20.2%, 29.2% and 5.6%, respectively, whereas the prevalence of overweight and obese was 5.0%. There were significant positive association between Food responsiveness, Emotional overeating, Enjoyment of food with BMI z-scores (p<0.05; unstandardised regression coefficient: 0.17 to 0.38). In contrast, there were significant negative association between Satiety responsiveness, Slowness of eating, Food fussiness with BMI z-scores (p<0.01; unstandardised regression coefficient: −0.35 to −0.36). Conclusion: These findings show that specific eating behaviours can influence the growth of children under-5 years. Therefore, policymakers should formulate a nutrition policy that incorporates behavioural assessment and behavioural intervention in the prevention and management of malnutrition among children in Malaysia. Dove Medical Press 2022 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/33728/1/The%20association%20of%20eating%20behaviour%20on%20the%20growth%20of%20children%20from%20the%20interior%20districts%20of%20Sabah%2C%20Malaysia.pdf text en https://eprints.ums.edu.my/id/eprint/33728/2/The%20association%20of%20eating%20behaviour%20on%20the%20growth%20of%20children%20from%20the%20interior%20districts%20of%20Sabah%2C%20Malaysia%20_ABSTRACT.pdf Chee, Eric How Tan and Richard Avoi and Fredie Robinson and Mohammad Saffree Jeffree and Syed Sharizman Syed Abdul Rahim and Mohd Yusof Ibrahim and Aza Sherin Mohd Yusuff and Khamisah Awang Lukman (2022) The association of eating behaviour on the growth of children from the interior districts of Sabah, Malaysia. Risk Management and Healthcare Policy, 2022. pp. 563-570. ISSN 1179-1594 https://www.dovepress.com/getfile.php?fileID=79568 https://doi.org/10.2147/RMHP.S330358 https://doi.org/10.2147/RMHP.S330358
spellingShingle RJ206-235 Nutrition and feeding of children and adolescents
Chee, Eric How Tan
Richard Avoi
Fredie Robinson
Mohammad Saffree Jeffree
Syed Sharizman Syed Abdul Rahim
Mohd Yusof Ibrahim
Aza Sherin Mohd Yusuff
Khamisah Awang Lukman
The association of eating behaviour on the growth of children from the interior districts of Sabah, Malaysia
title The association of eating behaviour on the growth of children from the interior districts of Sabah, Malaysia
title_full The association of eating behaviour on the growth of children from the interior districts of Sabah, Malaysia
title_fullStr The association of eating behaviour on the growth of children from the interior districts of Sabah, Malaysia
title_full_unstemmed The association of eating behaviour on the growth of children from the interior districts of Sabah, Malaysia
title_short The association of eating behaviour on the growth of children from the interior districts of Sabah, Malaysia
title_sort association of eating behaviour on the growth of children from the interior districts of sabah malaysia
topic RJ206-235 Nutrition and feeding of children and adolescents
url https://eprints.ums.edu.my/id/eprint/33728/1/The%20association%20of%20eating%20behaviour%20on%20the%20growth%20of%20children%20from%20the%20interior%20districts%20of%20Sabah%2C%20Malaysia.pdf
https://eprints.ums.edu.my/id/eprint/33728/2/The%20association%20of%20eating%20behaviour%20on%20the%20growth%20of%20children%20from%20the%20interior%20districts%20of%20Sabah%2C%20Malaysia%20_ABSTRACT.pdf
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