In Malaysia, breakfast is the most frequently skipped meal. Skipping breakfast has been
associated with an increased risk of childhood obesity. However, this relationship has not been
investigated widely among preschoolers in Malaysia. Hence, this cross-sectional study aimed to
determine the association between breakfast intake and Body Mass Index (BMI) among
preschoolers in Taska Permata Keluarga (TPK), Kuala Nerus. A total of 131 Malays preschoolers
aged four to six years old were recruited from nine TPK using convenience sampling method.
Information on sociodemographic, breakfast intake pattern and anthropometric measurements
(weight and height) were obtained. Respondents consisted of 74 (56.5%) boys and 57 (43.5%)
girls. Anthropometric results showed that 8.4% preschoolers were overweight and obese. Among
the preschoolers, 22.1% of them were breakfast skippers. In terms of gender breakdown, 20.3%
boys and 24.6% girls skipped breakfast. There was a significant association between breakfast
intake and BMI status among preschoolers (p = 0.003). This indicated that preschoolers that
skipped breakfast were associated with overweight or obese compared to those who consumed
breakfast daily. Breakfast consumption is a marker of a healthy lifestyle which can reduce the risk
of childhood obesity. This habit should be inculcated during this critical period of life in which
parents play a vital role in promoting breakfast consumption among preschoolers.
Complementary Alternative Medicine (CAM) is broadly used as an adjunct treatment for patients to treat various kinds of disease, prevent disease and to sustain and enhance quality of life of the users. The study is aimed to investigate the association between CAM uses, Health-Related Quality of Life (HRQoL) and anthropometric indices among workers or staffs in Universiti Sultan Zainal Abidin (UniSZA) Gong Badak Campus, Kuala Terengganu. A total of 300 subjects participated in this study and completed the malay version of modified HRQol (SF-12) questionnaires. Anthropometric measurements among the subjects were done. Independent t-test, One-way ANOVA and Pearson correlation were used to test the association and the hypotheses. The prevalence of CAM users was 37.3%. The results showed that bodily pain score domain was significantly higher among non-CAM users. Overall, male had higher Mental Health Composite Score (MCS) score than female. Physical Health Composite Score (PCS) was only correlated negatively with BMI among non-CAM users but negative correlated with body fat percentage in both CAM and non-CAM users. As conclusion, HRQoL had significant negative correlation with body fat percentage among CAM users. No association was found between CAM use and HRQoL scores.
Obese children had impaired psychosocial status as they generally tend to be socially isolated, have poor self-esteem, anxiety, mood disorder (depression and bipolar disorder) and eating disorder. The aim of this study was to investigate the child-report and parent-report of HRQoL among 9-11 years old obese school children in Malaysia and to determine the associated factors of HRQoL among obese children in Malaysia. This study was a cross-sectional study involving 101 obese Malay primary school children aged 9-11 years old from eleven primary schools in Kuala Terengganu which were selected via convenience sampling. Height and weight of the respondents were measured and their BMI was calculated. Health-related quality of life (HRQoL) was measured using PedsQL version 4.0. The mean age of the respondents was 10.02 ± 0.82 years old with mean BMI z-score was 3.01 ± 0.60. There were significance differences between boys and girls in; 1) emotional domain score for child-report QoL (p=0.019) using paired t-test and 2) psychosocial domain score for parent-report QoL (p=0.025). Regression analysis found that age and gender were the associated factors for Psychological Health for obese children (p<0.005). Being obese had negative effects on children’s quality of life. Various strategies interventions should be done to improve the HRQoL of these obese children. A multidisciplinary approach in schools must be organized to encourage a healthy lifestyle as part of routine among the school children.