Autor: |
Mohamed NN; Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Malaysia., Rohana AJ; Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Malaysia.; The Global Nutrition and Epidemiologic Transition Initiative (GNET), Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02118, USA., Hamid NAA; Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Malaysia.; The Global Nutrition and Epidemiologic Transition Initiative (GNET), Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02118, USA., Hu FB; The Global Nutrition and Epidemiologic Transition Initiative (GNET), Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02118, USA.; Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA., Malik VS; The Global Nutrition and Epidemiologic Transition Initiative (GNET), Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02118, USA.; Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.; Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A1, Canada., Mohd Yusoff MF; Institute for Public Health, Ministry of Health Malaysia, Blok B5 & B6, Kompleks NIH, No.1, Jalan Setia Murni U13/52, Seksyen U13, Bandar Setia Alam, Shah Alam 40170, Malaysia., Aris T; Institute of Medical Research, Ministry of Health Malaysia, Jalan Pahang, Kuala Lumpur 50588, Malaysia., The Global Nutrition And Epidemiologic Transition Initiative Gnet |
Abstrakt: |
Along with the increasing overweight and obesity trends among adults and children globally, numerous studies have suggested a strong association between maternal overweight and obesity among their offspring. We sought to report the prevalence and associated factors of intergenerational overweight and obesity among mother-child pairs in Malaysia from 2006 to 2015. Data were analysed from three waves of the Malaysian National Health and Morbidity Survey, a population-based cross-sectional study conducted in 2006, 2011 and 2015. A mother and the youngest child from each household formed 'mother-child pairs' and were grouped according to their body mass index categories. A multivariable logistic regression model was performed to determine the factors associated with overweight mother/overweight child pairs (OWM/OWC), with normal weight mother/normal weight child pairs (NWM/NWC) as the reference group. The prevalence of OWM/OWC increased from 15.3% to 21.7%, while the prevalence of NWM/NWC decreased from 28.4% to 23.8% between 2006 and 2015. Older maternal age and having primary and secondary education levels were positively associated with OWM/OWC. Conversely, older child age, Chinese ethnicity, large household size and low-income households were inversely associated with OWM/OWC. In conclusion, intergenerational weight gain is a worrisome trend in Malaysia. These findings may help in guiding priority setting for obesity prevention strategies in Malaysia. |