Factors associated with body weight status among secondary school children in Hulu Langat District, Selangor, Malaysia
This cross sectional study was conducted to determine the predictors of body weight status among secondary school students in Hulu Langat District of Selangor. A total of 455 adolescents from five secondary schools aged 13-16 years old were recruited through random cluster sampling. Socio-demogra...
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| Format: | Thesis |
| Language: | English |
| Published: |
2017
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| Subjects: | |
| Online Access: | http://psasir.upm.edu.my/id/eprint/84226/1/FPSK%20%28m%29%202019%2057%20UPM%20IR.pdf |
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| Summary: | This cross sectional study was conducted to determine the predictors of body
weight status among secondary school students in Hulu Langat District of
Selangor. A total of 455 adolescents from five secondary schools aged 13-16
years old were recruited through random cluster sampling. Socio-demographic
status (age, gender, ethnicity, religion, parent’s income) were collected. Dietary
intakes were measured using a 24-hour diet recall and total energy and
macronutrient were compared with Recommended Nutrient Intake (RNI) value.
Body weight and height were measured and BMI-for-age was calculated. A set
of self-administered questionnaires of Physical Activity Questionnaire for
Adolescents (PAQ-A), Perceived Stress Scale (PSS), Perception of Teasing
Scale (POTS), Secondary School Stressor Questionnaire (SSSQ), Parental
Authority Questionnaire (PAQ), Rosenberg Self-Esteem Scale (RSE) and
Children Depression Inventory (CDI) were used to measure physical activity,
perceived stress, weight teasing, secondary school stressor, parenting style,
self-esteem and depression respectively. The mean age of the subjects was
14.33 ± 1.23 years old in which the percentage of males and females was
14.33 ± 1.23 years old in which the percentage of males and females was
50.3% and 49.7% respectively. More than half of the subjects were Malays
(69.9%), followed by Chinese (17.1%), Indian (12.5%) and others (0.4%).
Majority of the subjects (64.4%) having a normal body weight status, while
6.0% and 30% were severe thinness/thinness and overweight/obese
respectively. Compared with RNI value, 92.3% (n=420) and 48.6% (n=221) of
subjects had low total energy and protein intake respectively. Body weight
status was only correlated with perceived stress (r=-0.097, p=0.04), weight
teasing (r=0.514, p<0.000), academic related stressor (r=-0.095, p=0.043) and
females adolescent’s permissive parenting style (r=-0.154, p=0.021), however
not significantly correlated with physical activity(r=0.041, p=0.381) and
depression (r=-0.030, p=0.527). Meanwhile, there was a significant difference in total energy (t=4.555, p=0.000), carbohydrate (t=3.781, p=0.000), protein
(t=3.846, p=0.000) and fat intake (t=4.153, p=0.000) between
overweight/obese and non-obese subjects. In addition, Stepwise Multiple
Linear Regression (MLR) analysis was performed and results showed only age
(ß=-0.153, p<0.05), weight-related teasing (ß=0.113, p<0.05) and carbohydrate
intake (ß=- 0.048, p<0.05) significantly predict of body weight status, R2 =
0.749, ∆R2 = 0.746, F (4, 450) = 334.94, p<0.001. In term of Logistic
Regression (LR) analysis, only one factor that significantly predict body weight
status which was weight-related teasing (high weight-related teasing: OR 0.12;
95% CI 0.07, 0.21). Thus, these findings can contribute for future intervention
programmes among school-aged students in order to curb the overweight and
obesity among adolescents. |
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