Factors associated with disordered eating among primary school children in Selangor, Malaysia

The prevalence of disordered eating is on the rise among children. This study aimed to determine the prevalence of disordered eating and the associations between sociodemographic characteristics, pubertal development, body weight status, psychological factors, socio-cultural factors and behavioral f...

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Main Author:	Chong, Lin Siew
Format:	Thesis
Language:	English
Published:	2016
Subjects:	Eating disorders in children - Malaysia Eating disorders Child
Online Access:	http://psasir.upm.edu.my/id/eprint/75288/1/FPSK%28M%29%202016%2019%20IR.pdf
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id	my-upm-ir.75288
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spelling	my-upm-ir.752882019-10-17T07:59:40Z Factors associated with disordered eating among primary school children in Selangor, Malaysia 2016-01 Chong, Lin Siew The prevalence of disordered eating is on the rise among children. This study aimed to determine the prevalence of disordered eating and the associations between sociodemographic characteristics, pubertal development, body weight status, psychological factors, socio-cultural factors and behavioral factors with disordered eating among primary school children (aged 10 to 11 years) in Selangor. A total of 816 children (35.1% males and 64.9% females) from 12 randomly selected primary schools involved in this cross-sectional study. Children completed a set of selfadministered questionnaire on disordered eating, socio-demographic characteristics (sex, ethnicity, parental monthly income, parental education level), pubertal development, psychological factors (self-esteem, depression, health specific selfefficacy, body size satisfaction), socio-cultural factors (perceived pressure to lose weight, gain weight and increase muscle tone from parents, peers and media) and behavioral factors (meal skipping behaviors, snacking behaviors, fast food consumption, dietary intake, physical activity level). Their body weight and height were measured and body weight status was categorized based on WHO Growth Reference (2007). Multivariate logistic regression analysis was conducted to determine factors associated with disordered eating among the children. The prevalence of disordered eating was 30.8% [Males: 32.8% (95% CI: 27.3, 38.8); Females: 29.7% (95% CI: 25.8, 33.9)]. Older age children (10.7; 95% CI: 10.7, 10.8) reported higher prevalence of disordered eating than younger age children (10.5; 95% CI: 10.5, 10.6). Indian (39.9%; 95% CI: 29.3, 51.40) showed the highest prevalence of disordered eating, followed by Malay (33.6%; 95% CI: 29.7, 37.8) and Chinese (17.0%; 95% CI: 11.8, 23.8). Children who were in advanced and post-pubertal stage had the highest prevalence of disordered eating (44.6%; 95% CI: 33.0, 56.7). Those who consumed fast food at least once a week showed the highest prevalence of disordered eating (38.4%; 95% CI: 32.6, 44.5). Socio-cultural pressures to lose weight among children with disordered eating (32.4; 95% CI: 31.0, 33.8) was higher than those without disordered eating (27.6; 95% CI: 26.7, 28.4). No associations were found between sex, parental monthly income, parental education level, body weight status, self-esteem, depression, health specific self-efficacy, body size satisfaction, meal skipping behaviors, snacking behaviors, energy and macronutrient intakes, energy expenditure and physical activity level with disordered eating of the children. Factors that associated with disordered eating were being an Indian (OR = 2.048; 95% CI: 1.050, 3.995), perceived pressure to lose weight from parents, peers and media (OR = 1.035; 95% CI: 1.017, 1.053) and fast food consumption at least once a week (OR = 1.540; 95% CI: 1.098, 2.162) after age was controlled. In conclusion, one third of the children had disordered eating. After controlling for age, factors of disordered eating in both males and females were being an Indian, perceived pressure to lose weight from parents, peers and media and fast food consumption at least once a week. Future ethnic specific intervention programs on the prevention of disordered eating should be taken consideration of age, socio-cultural factors and fast food consumption. Eating disorders in children - Malaysia Eating disorders Child 2016-01 Thesis http://psasir.upm.edu.my/id/eprint/75288/ http://psasir.upm.edu.my/id/eprint/75288/1/FPSK%28M%29%202016%2019%20IR.pdf text en public masters Universiti Putra Malaysia Eating disorders in children - Malaysia Eating disorders Child
institution	Universiti Putra Malaysia
collection	PSAS Institutional Repository
language	English
topic	Eating disorders in children - Malaysia Eating disorders Child
spellingShingle	Eating disorders in children - Malaysia Eating disorders Child Chong, Lin Siew Factors associated with disordered eating among primary school children in Selangor, Malaysia
description	The prevalence of disordered eating is on the rise among children. This study aimed to determine the prevalence of disordered eating and the associations between sociodemographic characteristics, pubertal development, body weight status, psychological factors, socio-cultural factors and behavioral factors with disordered eating among primary school children (aged 10 to 11 years) in Selangor. A total of 816 children (35.1% males and 64.9% females) from 12 randomly selected primary schools involved in this cross-sectional study. Children completed a set of selfadministered questionnaire on disordered eating, socio-demographic characteristics (sex, ethnicity, parental monthly income, parental education level), pubertal development, psychological factors (self-esteem, depression, health specific selfefficacy, body size satisfaction), socio-cultural factors (perceived pressure to lose weight, gain weight and increase muscle tone from parents, peers and media) and behavioral factors (meal skipping behaviors, snacking behaviors, fast food consumption, dietary intake, physical activity level). Their body weight and height were measured and body weight status was categorized based on WHO Growth Reference (2007). Multivariate logistic regression analysis was conducted to determine factors associated with disordered eating among the children. The prevalence of disordered eating was 30.8% [Males: 32.8% (95% CI: 27.3, 38.8); Females: 29.7% (95% CI: 25.8, 33.9)]. Older age children (10.7; 95% CI: 10.7, 10.8) reported higher prevalence of disordered eating than younger age children (10.5; 95% CI: 10.5, 10.6). Indian (39.9%; 95% CI: 29.3, 51.40) showed the highest prevalence of disordered eating, followed by Malay (33.6%; 95% CI: 29.7, 37.8) and Chinese (17.0%; 95% CI: 11.8, 23.8). Children who were in advanced and post-pubertal stage had the highest prevalence of disordered eating (44.6%; 95% CI: 33.0, 56.7). Those who consumed fast food at least once a week showed the highest prevalence of disordered eating (38.4%; 95% CI: 32.6, 44.5). Socio-cultural pressures to lose weight among children with disordered eating (32.4; 95% CI: 31.0, 33.8) was higher than those without disordered eating (27.6; 95% CI: 26.7, 28.4). No associations were found between sex, parental monthly income, parental education level, body weight status, self-esteem, depression, health specific self-efficacy, body size satisfaction, meal skipping behaviors, snacking behaviors, energy and macronutrient intakes, energy expenditure and physical activity level with disordered eating of the children. Factors that associated with disordered eating were being an Indian (OR = 2.048; 95% CI: 1.050, 3.995), perceived pressure to lose weight from parents, peers and media (OR = 1.035; 95% CI: 1.017, 1.053) and fast food consumption at least once a week (OR = 1.540; 95% CI: 1.098, 2.162) after age was controlled. In conclusion, one third of the children had disordered eating. After controlling for age, factors of disordered eating in both males and females were being an Indian, perceived pressure to lose weight from parents, peers and media and fast food consumption at least once a week. Future ethnic specific intervention programs on the prevention of disordered eating should be taken consideration of age, socio-cultural factors and fast food consumption.
format	Thesis
qualification_level	Master's degree
author	Chong, Lin Siew
author_facet	Chong, Lin Siew
author_sort	Chong, Lin Siew
title	Factors associated with disordered eating among primary school children in Selangor, Malaysia
title_short	Factors associated with disordered eating among primary school children in Selangor, Malaysia
title_full	Factors associated with disordered eating among primary school children in Selangor, Malaysia
title_fullStr	Factors associated with disordered eating among primary school children in Selangor, Malaysia
title_full_unstemmed	Factors associated with disordered eating among primary school children in Selangor, Malaysia
title_sort	factors associated with disordered eating among primary school children in selangor, malaysia
granting_institution	Universiti Putra Malaysia
publishDate	2016
url	http://psasir.upm.edu.my/id/eprint/75288/1/FPSK%28M%29%202016%2019%20IR.pdf
_version_	1747813025110294528

Factors associated with disordered eating among primary school children in Selangor, Malaysia

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