Hashim, Mohammad Noor Hisham (2021) Association between Community and Consumer Food Environment with Body Mass Index for Age (BMI-for-age) among Adolescents Aged 13 to 17 years in Sandakan, Sabah. [Project Paper] (Submitted)
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Abstract
This study aimed at determining the association between the community food environments (Distance of food outlets, number of food outlets within residential area), and consumer food environment (Price of food items in the food outlets, availability of healthy food items in the food outlets) with Body Mass Index-for-age (BMI-for-age) among adolescent aged 13-17 years old. Measurement data on the weight and height of 203 adolescents who lived in Sandakan (82 boys, 121 girls) were obtained from the self-reported questionnaire via Google Form and the BMI was classified using the Classification of BMI-for-age (z-score) for children aged above 5 years old. Quantum Geographic Information System (QGIS) was performed to determine the distance and number of food outlets within 1000 m radius from the adolescent residential address. Besides, the validated observational tools (Nutrition Environment Measures Survey for Stores (NEMS-S) and Nutrition Environment Measures Survey for Restaurants (NEMS-R)) were used to identify the scores of prices and availability of healthy food items in the food outlets. Chi-square of Independence and Pearson Moment Correlation test were conducted to examine the association between the socio-demographic characteristics (age, gender, ethnicity, parental monthly household income, parental educational level, and parental BMI status ), distance of food outlets from residential area, numbers of food outlets (none or more than one outlet), price of food items in the food outlet scores, availability of healthy food items in the food outlet scores with BMI-for-age of the adolescents. As a result, the majority of the respondents were Bumiputera Sabah (91.8%), followed by Malay (4.7%) and Chinese (1.2%). In addition, the mean age of the adolescents who were involved in the study is 15.9 ± 1.12 years old. Most of the parents of adolescents have received at least tertiary education level. Moreover, most of the maternal and paternal BMI of the adolescents were classified as overweight. Besides, the majority of the adolescents BMI-for-age was categorized as normal (70.4%), followed by overweight (27.6%) and thinness (2.0%). Apart from that, there was no significant association between the distance of food outlets from residential areas with BMI status of adolescents, except for restaurants (p=0.04) and fast foods (p=0.006). There is no significant association between the numbers of food outlets within the 1000m residential area with BMI-for-age of adolescents, except for the convenience store (p=0.004), fast food outlet (p=0.000) and restaurant (p=0.000). Both price and availability of food items in the food outlets had significant positive correlation with BMI-for-age of the adolescents. The study suggests that limiting the number of fast- food outlets and restaurants in residential areas could have a significant effect in reducing the prevalence of overweight and obesity among adolescents.
| Item Type: | Project Paper |
|---|---|
| Faculty: | Faculty of Medicine and Health Science |
| Depositing User: | Mr Khoirul Asrimi Md Nor |
| Date Deposited: | 21 Aug 2023 04:08 |
| Last Modified: | 21 Aug 2023 04:08 |
| URI: | http://psaspb.upm.edu.my/id/eprint/904 |
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