Body weight status of school adolescents in Terengganu, Malaysia: a population baseline studyReport as inadecuate

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BMC Public Health

, 17:9

Chronic Disease epidemiology


BackgroundBody weight is highly associated with overall health status. Being severely thin or obese may impose the risk of many health problems. Early detection of body mass index BMI status may help to reduce the associated comorbidities. Although many studies in the literature have investigated the BMI of school adolescents in Malaysia, the data on status of body weight among school adolescents in suburban states like Terengganu is limited. This study aimed to describe the body weight status of the whole population of school adolescents in all seven districts in Terengganu, Malaysia.

MethodsUsing a cross-sectional study design, body weight and height were measured, and BMI was calculated and classified using WHO BMI-for-age Z-score. Data was obtained using the National Fitness Standard SEGAK assessment, which was uploaded in a specific Health Monitoring System HEMS.

ResultsFrom a total of 62,567 school adolescents, 50.7% were boys and 49.3% were girls. Girls had significantly higher BMI than boys in age groups of 13 to 15 and 16 to 17 years old. Among boys and girls, there were significant differences in mean BMI of school adolescents between rural and urban school locations in all age groups p < 0.001. There were also significant differences in BMI between boys and girls in all districts in Terengganu, except Kemaman and Kuala Terengganu, for all age groups p < 0.001. Overall, the prevalence of thinness, normal, overweight and obesity were 8.4, 64.6, 15.0 and 12.0%, respectively. There were significant differences between BMI categories and genders in total participants, and within rural and urban school locations p < 0.05. In all districts except Marang and Dungun, significant difference was also found between BMI categories and genders.

ConclusionThe prevalence of thinness, overweight and obesity in Terengganu were substantial. In this study, BMI category was associated with gender, age, school location and district. However, the actual effects of these factors on the prevalence of thinness and obesity among this population demand further investigation.

KeywordsBody weight status School adolescents Terengganu Malaysia AbbreviationsANOVAAnalysis of variance

BMIBody mass index

HATsHealth of adolescents in terengganu study

HEMSHealth monitoring System

JPNTTerengganu State Education Department


mMetre squared

MOEMinistry of Education

NHANESNational Health and Nutrition Examination Survey

NHMSNational Health Morbidity Survey

PEPhysical-health Education

SDStandard deviation

SEANUTSSouth East Asia Nutrition Survey

SEGAKNational fitness standard

SPSSStatistical package for the social sciences

UHRECUniversiti Sultan Zainal Abidin Human Research Ethics Committee

WHOWorld Health Organization

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Author: Aryati Ahmad - Nurzaime Zulaily - Nor Saidah Abdul Manan - Mohd Razif Shahril - Sharifah Wajihah Wafa Syed Saadun Tarek W


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