Nutritional assessment of rural villages and estates in peninsular Malaysia: total blood cholesterol values in children, adolescents and adults
The present study is unique in the Malaysian context on two counts; first, it employs for the first time a functional group approach (groups based on occupational or economic activity) in the assessment of community nutritional status. Second, the study provides on a nationwide-sampling basis, infor...
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Blackwell Publishing
2001
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author | Wai, Tony Ng Kock Lin, Khor Geok Siong, Tee E. Hashim, Normah |
author_facet | Wai, Tony Ng Kock Lin, Khor Geok Siong, Tee E. Hashim, Normah |
author_sort | Wai, Tony Ng Kock |
collection | UPM |
description | The present study is unique in the Malaysian context on two counts; first, it employs for the first time a functional group approach (groups based on occupational or economic activity) in the assessment of community nutritional status. Second, the study provides on a nationwide-sampling basis, information on total blood cholesterol (TC) levels in rural children (7.0-12.9 years; n = 1921) and adolescents (13.0-17.9 years; n = 753) which were hitherto unavailable. Total blood cholesterol measurements were performed on 7184 subjects ranging from 7 to 75-years-old (males = 3151; females = 4033) from households in 69 rural villages and seven estates in peninsular Malaysia, which were based on selected multistage random sampling according to the household's involvement in the following economic activities: rice farming, rubber smallholding, coconut smallholding, fishing and employment in estates. In all functional groups, TC values increased with age and there was a distinct gender effect, namely females had higher TC values than males throughout the age spectrum analyzed. Mean TC levels for children and adolescents were in the range 3.85-4.37 mmol/L, rising markedly during adulthood to an overall mean of 4.91 ± 1.13 mmol/L for men and 5.17 ± 1.11 mmol/L for women. In adults (≥ 18.0 years), there was marked disparity in mean TC values among the functional groups; males and females from rice households had the lowest mean TC values (4.58 and 4.99 mmol/L, respectively). Individuals at 'high risk' (TC > 6.20 mmol/L) averaged 16.0% in women and 11.6% in men, with women from the fishing, rubber and coconut households particularly affected (17.1-21.1%). When compared to earlier rural TC data reported for closely similar rural communities in the peninsula, the present findings suggest a 'hypercholesterolemic shift' approximating 0.39 mmol/L (15 mg/dL) in the adult population; however, this was not apparent in the children and adolescents from these rural communities. |
first_indexed | 2025-02-19T02:51:39Z |
format | Article |
id | upm.eprints-115011 |
institution | Universiti Putra Malaysia |
last_indexed | 2025-02-19T02:51:39Z |
publishDate | 2001 |
publisher | Blackwell Publishing |
record_format | dspace |
spelling | upm.eprints-1150112025-02-14T07:17:14Z http://psasir.upm.edu.my/id/eprint/115011/ Nutritional assessment of rural villages and estates in peninsular Malaysia: total blood cholesterol values in children, adolescents and adults Wai, Tony Ng Kock Lin, Khor Geok Siong, Tee E. Hashim, Normah The present study is unique in the Malaysian context on two counts; first, it employs for the first time a functional group approach (groups based on occupational or economic activity) in the assessment of community nutritional status. Second, the study provides on a nationwide-sampling basis, information on total blood cholesterol (TC) levels in rural children (7.0-12.9 years; n = 1921) and adolescents (13.0-17.9 years; n = 753) which were hitherto unavailable. Total blood cholesterol measurements were performed on 7184 subjects ranging from 7 to 75-years-old (males = 3151; females = 4033) from households in 69 rural villages and seven estates in peninsular Malaysia, which were based on selected multistage random sampling according to the household's involvement in the following economic activities: rice farming, rubber smallholding, coconut smallholding, fishing and employment in estates. In all functional groups, TC values increased with age and there was a distinct gender effect, namely females had higher TC values than males throughout the age spectrum analyzed. Mean TC levels for children and adolescents were in the range 3.85-4.37 mmol/L, rising markedly during adulthood to an overall mean of 4.91 ± 1.13 mmol/L for men and 5.17 ± 1.11 mmol/L for women. In adults (≥ 18.0 years), there was marked disparity in mean TC values among the functional groups; males and females from rice households had the lowest mean TC values (4.58 and 4.99 mmol/L, respectively). Individuals at 'high risk' (TC > 6.20 mmol/L) averaged 16.0% in women and 11.6% in men, with women from the fishing, rubber and coconut households particularly affected (17.1-21.1%). When compared to earlier rural TC data reported for closely similar rural communities in the peninsula, the present findings suggest a 'hypercholesterolemic shift' approximating 0.39 mmol/L (15 mg/dL) in the adult population; however, this was not apparent in the children and adolescents from these rural communities. Blackwell Publishing 2001-12 Article PeerReviewed Wai, Tony Ng Kock and Lin, Khor Geok and Siong, Tee E. and Hashim, Normah (2001) Nutritional assessment of rural villages and estates in peninsular Malaysia: total blood cholesterol values in children, adolescents and adults. Asia Pacific Journal of Clinical Nutrition, 9 (2). pp. 115-121. ISSN 0964-7058; eISSN: 0964-7058 https://onlinelibrary.wiley.com/doi/10.1046/j.1440-6047.2000.00141.x 10.1046/j.1440-6047.2000.00141.x |
spellingShingle | Wai, Tony Ng Kock Lin, Khor Geok Siong, Tee E. Hashim, Normah Nutritional assessment of rural villages and estates in peninsular Malaysia: total blood cholesterol values in children, adolescents and adults |
title | Nutritional assessment of rural villages and estates in peninsular Malaysia: total blood cholesterol values in children, adolescents and adults |
title_full | Nutritional assessment of rural villages and estates in peninsular Malaysia: total blood cholesterol values in children, adolescents and adults |
title_fullStr | Nutritional assessment of rural villages and estates in peninsular Malaysia: total blood cholesterol values in children, adolescents and adults |
title_full_unstemmed | Nutritional assessment of rural villages and estates in peninsular Malaysia: total blood cholesterol values in children, adolescents and adults |
title_short | Nutritional assessment of rural villages and estates in peninsular Malaysia: total blood cholesterol values in children, adolescents and adults |
title_sort | nutritional assessment of rural villages and estates in peninsular malaysia total blood cholesterol values in children adolescents and adults |
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