Growth patterns of urban Malaysian children under 24 months of age in Selangor, Malaysia

Introduction: To identify the growth patterns of young children during the first two years of life according to gestational age, birth weight, and growth status at 24 months of age. Methods: This was a retrospective cohort study of 4,570 young children in Selangor. Data were extracted from children’...

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Main Authors: Heng, Yaw Yong, Mohd Shariff, Zalilah, Chee, Yen Wong
Format: Article
Published: Nutrition Society Malaysia 2023
Online Access:http://psasir.upm.edu.my/id/eprint/108133/
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author Heng, Yaw Yong
Mohd Shariff, Zalilah
Chee, Yen Wong
author_facet Heng, Yaw Yong
Mohd Shariff, Zalilah
Chee, Yen Wong
author_sort Heng, Yaw Yong
building UPM Institutional Repository
collection Online Access
description Introduction: To identify the growth patterns of young children during the first two years of life according to gestational age, birth weight, and growth status at 24 months of age. Methods: This was a retrospective cohort study of 4,570 young children in Selangor. Data were extracted from children’s health records in government health clinics. Growth data were analysed using the Anthro Plus software that utilises the World Health Organization growth standards. Results: Generally, wasting prevalence was the highest at birth and 24 months, but stunting was more predominant from 1 to 21 months. Weight-for-age z-scores (WAZ), lengthfor-age z-scores (LAZ), and weight-for-length z-scores (WLZ) from birth to 24 months were within -3.00 to 0.00 standard deviation (SD) for pre-term low birth weight children, –1.50 to 0.00 SD for pre-term normal birth weight children, and –2.50 to 0.50 SD for full-term low birth weight children. While WAZ, LAZ, and WLZ from birth to 24 months for underweight/stunted/wasted children were within –2.50 to 0.50 SD, the values for overweight/obese (OV/OB) children were within –1.00 to 2.00 SD. For normal children, WAZ, LAZ, and WLZ exhibited comparable trends, with values within –1.00 to 0.00 SD from birth to 24 months. Conclusion: While stunting and wasting persisted as the most common forms of malnutrition in this sample of young children, the prevalence of OV/OB increased by 24 months. Interventions to promote child growth should focus not only on the prevention of undernutrition, but also on OV/OB.
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spelling upm-1081332024-09-24T07:33:37Z http://psasir.upm.edu.my/id/eprint/108133/ Growth patterns of urban Malaysian children under 24 months of age in Selangor, Malaysia Heng, Yaw Yong Mohd Shariff, Zalilah Chee, Yen Wong Introduction: To identify the growth patterns of young children during the first two years of life according to gestational age, birth weight, and growth status at 24 months of age. Methods: This was a retrospective cohort study of 4,570 young children in Selangor. Data were extracted from children’s health records in government health clinics. Growth data were analysed using the Anthro Plus software that utilises the World Health Organization growth standards. Results: Generally, wasting prevalence was the highest at birth and 24 months, but stunting was more predominant from 1 to 21 months. Weight-for-age z-scores (WAZ), lengthfor-age z-scores (LAZ), and weight-for-length z-scores (WLZ) from birth to 24 months were within -3.00 to 0.00 standard deviation (SD) for pre-term low birth weight children, –1.50 to 0.00 SD for pre-term normal birth weight children, and –2.50 to 0.50 SD for full-term low birth weight children. While WAZ, LAZ, and WLZ from birth to 24 months for underweight/stunted/wasted children were within –2.50 to 0.50 SD, the values for overweight/obese (OV/OB) children were within –1.00 to 2.00 SD. For normal children, WAZ, LAZ, and WLZ exhibited comparable trends, with values within –1.00 to 0.00 SD from birth to 24 months. Conclusion: While stunting and wasting persisted as the most common forms of malnutrition in this sample of young children, the prevalence of OV/OB increased by 24 months. Interventions to promote child growth should focus not only on the prevention of undernutrition, but also on OV/OB. Nutrition Society Malaysia 2023 Article PeerReviewed Heng, Yaw Yong and Mohd Shariff, Zalilah and Chee, Yen Wong (2023) Growth patterns of urban Malaysian children under 24 months of age in Selangor, Malaysia. Malaysian Journal of Nutrition, 29 (1). pp. 1-15. ISSN 1394-035X; ESSN: 2811-3292 https://nutriweb.org.my/mjn/2023.php 10.31246/mjn-2021-0103
spellingShingle Heng, Yaw Yong
Mohd Shariff, Zalilah
Chee, Yen Wong
Growth patterns of urban Malaysian children under 24 months of age in Selangor, Malaysia
title Growth patterns of urban Malaysian children under 24 months of age in Selangor, Malaysia
title_full Growth patterns of urban Malaysian children under 24 months of age in Selangor, Malaysia
title_fullStr Growth patterns of urban Malaysian children under 24 months of age in Selangor, Malaysia
title_full_unstemmed Growth patterns of urban Malaysian children under 24 months of age in Selangor, Malaysia
title_short Growth patterns of urban Malaysian children under 24 months of age in Selangor, Malaysia
title_sort growth patterns of urban malaysian children under 24 months of age in selangor, malaysia
url http://psasir.upm.edu.my/id/eprint/108133/
http://psasir.upm.edu.my/id/eprint/108133/
http://psasir.upm.edu.my/id/eprint/108133/