PREVALENCE AND FACTORS ASSOCIATED WITH OBESITY AMONG ADULT AT THE KAMPUNG KOLAM, EAST COAST MALAYSIAN PENINSULA-A CROSS SECTIONAL STUDY
Objective: This study assesses the prevalence of obesity and its associated factors among adults aged 18 y and above at the Kampaung kolam, Kuala Terengganu, Malaysia.
Methods: This cross-sectional survey comprised of a semi-structured face to face interview questionnaire and collected anthropometric measurements and sex specific waist circumference in cm. The study population was 70 in total with 21 (30%) males and 49 (70%) females aged 18 y and above were selected by universal sampling. Body mass index (BMI) was used for weight status and sex specific waist circumference (WC) in cm was used for assessment of abdominal or central obesity at risk of metabolic complications associated with obesity.
Results: Among men, the prevalence of underweight was 9.5%, normal weight 57.1%, overweight 14.3% and obesity 19.1%, while among women, the prevalence of underweight was 12.2%, normal weight 53.1%, overweight 14.3% and obesity 20.4%. Overall, 18 (25.7%) was obese and 52 (74.3%) was non-obese while sex specific WC in cm 19 (27.1%) was abdominal obese who were at risk of metabolic complication associated with obesity and 51 (72.9%) was not at risk. In chi-square association tests revealed that among respondents, currently married, unemployed and having family history with obesity were associated with generalized obesity while respondents who were currently married and having fast food frequently were associated with abdominal obesity and respondents who being currently married, unemployed and having fast food frequently were more likely to obese in generalized as well as abdominally.
Conclusion: There was no association between generalized, abdominal and generalized and abdominal obesity with age, gender, education, flat floor structure, dietary patterns and habits, physical activities, sleep pattern and knowledge and attitude level towards obesity but those factors can be utilized in effective health promotion programmers of weight management strategies by targeting those factors in design for prevention of hypertension, diabetes and related cardio vascular diseases CVD.
2. Ministry of Health Malaysia Clinical Practice Guidelines on Management of Obesity; 2004.
3. Saurabh Agarwal, Sereen R Thomson, Shivaprakash G. Nutraceuticals in dyslipidemia: an alternative approach. Asian J Pharm Clin Res 2017;10:38-42.
4. National Institutes of Health, National Heart, Lung, and Blood Institute. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults-the evidence report. Obes Res 1998;6(Suppl 2):51S-209S.
5. World Health Organization (WHO). Preventing Chronic Disease-A Vital Investment. WHO and The Public Health Agency of Canada. Geneva: WHO; 2005.
6. World Health Organization (WHO). Obesity: Preventing and Managing the Global Epidemic. WHO Technical Report Series 894. Geneva: WHO; 2000.
7. Mohamed, Hamid Jan B Jan. Prevalence and determinants of overweight, obesity, and type 2 diabetes mellitus in adults in Malaysia. Asia-Pacific J Public Health 2015;27:123-35.
8. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation on Obesity, Geneva, 3-5 June 1997. Geneva; World Health Organization; 1998. Available from: http://whqlibdoc.who.int/hq/1998/WHO_NUT_NCD_98.1_(p1-158).pdf, http://whqlibdoc.who.int/hq/1998/WHO_NUT_NCD_98.1_(p159-276).pdf. [Last accessed on 01 Dec 2016]
9. Jackson A, Cole C, Esquiro J, Edwards M. Obesity in primary care patients in Kelantan, Malaysia: prevalence, and patients' knowledge and attitudes. Southeast Asian J Trop Med Public Health 1996;27:776-9.
10. Rampal L, Rampal S, Khor GL, Zain AM, Ooyub SB, Rahmat RB, et al. A national study on the prevalence of obesity among 16,127 Malaysians. Asia Pac J Clin Nutr 2007;16:561-6.
11. HR. 6164. 109th: National Institutes of Health Reform Act; 2006. p. 2005â€“6.
12. Kapantais E, Tzotzas T, Ioannidis I, Mortoglou A, Bakatselos S, Kaklamanou M, et al. First national epidemiological survey on the prevalence of obesity and abdominal fat distribution in Greek adults. Ann Nutr Metab 2006;50:330-8.
13. Ismail MN, Chee SS, Nawawi H, Yusoff K, Lim TO, James WP. Obesity in Malaysia. Obes Rev 2002;3:203-8.
14. Jeffery RW, Rick AM. Cross-sectional and longitudinal associations between body mass index and marriage-related factors. Obesity Res 2002;10:809-15.
15. Sherina Mohd Sidik, Lekhraj Rampal. The prevalence and factors associated with obesity among adult women in Selangor, Malaysia. Asia Pacific Family Med BioMed Central 2009;8:5-6.
16. Su TT, Amiri M, Mohd Hairi F, Thangiah N, Bulgiba A, Majid HA. Prediction of cardiovascular disease risk among low-income urban dwellers in metropolitan Kuala Lumpur, Malaysia. Biomed Res Int 2015. Doi:10.1155/2015/516984.
17. Prasanna Mithra P, Pawan Kumar, Veena G Kamath, Asha Kamath, Unnikrishnan B, Rekha T, Nithin Kumar. Lifestyle factors and obesity among adolescents in rural south india. Asian J Pharm Clin Res 2015;8:81-3.
18. Marianne AB, van der Sande, Gijs EL Walraven, Paul JM Milligan, Winston AS Banya, Sana M Ceesay, et al. Family history: an opportunity for early interventions and improved control of hypertension, obesity and diabetes. Bull World Health Organization 2001;79:321-6.
19. Peter G. Kopelman. Obesity as a medical problem. Nature 2000;404:635-43.
20. Norafidah AR, Azmawati MN, Norfazilah A. Factors influencing abdominal obesity by waist circumference among normal BMI population. Malaysian J Public Health Med 2013;13:37-47.
21. SIGN 8. Obesity in Scotland: Integrating prevention with weight management. Edinburgh: Scottish Intercollegiate Guidelines Network. November; 1996.
22. World Health Organization (WHO). Causes of obesity, strategies for prevention of obesity in Malaysia; 2003.
23. Wyatt SB, Winters KP, Dubbert PM. Overweight and obesity: prevalence, consequences, and causes of a growing public health problem. Am J Med Sci 2006;331:166-74.