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Association between dietary patterns and overweight risk among Malaysian adults: evidence from nationally representative surveys

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dc.contributor.authorSangeetha Shyam
dc.contributor.authorGeok-Lin Khor
dc.contributor.authorRashidah Ambak
dc.contributor.authorBalkish Mahadir
dc.contributor.authorMohamad Hasnan
dc.contributor.authorStephen Ambu
dc.contributor.authorWan-Loy Chu
dc.contributor.authorTahir Aris
dc.date.accessioned2024-07-31T07:07:50Z
dc.date.available2024-07-31T07:07:50Z
dc.date.issued2019
dc.description.abstractObjective: To investigate the association between dietary patterns (DP) and over weight risk in the Malaysian Adult Nutrition Surveys (MANS) of 2003 and 2014. Design: DP were derived from the MANS FFQ using principal component analysis. The cross-sectional association of the derived DP with prevalence of overweight was analysed. Setting: Malaysia. Participants: Nationally representative sample of Malaysian adults from MANS (2003, n 6928; 2014, n 3000). Results: Three major DP were identified for both years. These were ‘Traditional’ (fish, eggs, local cakes), ‘Western’ (fast foods, meat, carbonated beverages) and ‘Mixed’ (ready-to-eat cereals, bread, vegetables). A fourth DP was generated in 2003, ‘Flatbread & Beverages’ (flatbread, creamer, malted beverages), and 2014, ‘Noodles & Meat’ (noodles, meat, eggs). These DP accounted for 25·6 and 26·6 % of DP variations in 2003 and 2014, respectively. For both years, Traditional DP was significantly associated with rural households, lower income, men and Malay ethnicity, while Western DP was associated with younger age and higher income. Mixed DP was positively associated with women and higher income. None of the DP showed positive association with overweight risk, except for reduced adjusted odds of overweight with adherence to Traditional DP in 2003. Conclusions: Overweight could not be attributed to adherence to a single dietary pattern among Malaysian adults. This may be due to the constantly morphing dietary landscape in Malaysia, especially in urban areas, given the ease of availabil ity and relative affordability of multi-ethnic and international foods. Timely surveys are recommended to monitor implications of these changes
dc.identifier.doihttps://doi.org/10.1017/S1368980019001861
dc.identifier.urihttps://repository.nih.gov.my/handle/123456789/776
dc.language.isoen
dc.relation.ispartofPublic Health Nutrition
dc.titleAssociation between dietary patterns and overweight risk among Malaysian adults: evidence from nationally representative surveys
dc.typejournal-article
dspace.entity.typePublication
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