Association between Sociodemographic and Health Behaviours with Body Weight Status among Adults in Terengganu, Malaysia

Nur Na’imah Fatimah Zamani(1) , Mohamad Wafiq Mohd Habir(2) , Siti Maisarah Mohd Noor(3) , Nurul Afiedia Roslim(4) , Aryati Ahmad(5)
(1) Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Gong Badak Campus, 21300 Kuala Nerus, Terengganu, Malaysia,
(2) Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Gong Badak Campus, 21300 Kuala Nerus, Terengganu, Malaysia,
(3) Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Gong Badak Campus, 21300 Kuala Nerus, Terengganu, Malaysia,
(4) Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Gong Badak Campus, 21300 Kuala Nerus, Terengganu, Malaysia,
(5) Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Gong Badak Campus, 21300 Kuala Nerus, Terengganu, Malaysia

Abstract

This study aimed to determine the association between sociodemographic and health behaviours with body weight status among adults with healthy weight and overweight/obese in Terengganu. This cross-sectional study involved the measurement of body weight and height, followed by the categorization of BMI. Sociodemographic and health behaviour information was obtained through questionnaires, covering variables such as education level, monthly income, locality, gender, age, race, sleep quality, eating behaviours, and physical activity. A total of 326 adults with healthy weight (44.2%) and overweight/obesity (55.8%) in Terengganu aged 19‒60 years old were recruited. There were significant associations between age (p<0.001), gender (p<0.001), race (p=0.008), education level (p<0.001) and eating behaviour (p=0.012) with body weight status. These findings emphasize the impacts of sociodemographic factors and health behaviours in understanding and addressing the issue of overweight and obesity and will be used as a basis for developing effective and targeted intervention programs.

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References

An R, Shen J, Bullard T, Han Y, Qiu D, Wang S. 2020. A scoping review on economic globalization in relation to the obesity epidemic. Obes Rev 21(3):12969. https://doi.org/10.1111/obr.12969

Benbaibeche H, Saidi H, Bounihi A, Koceir EA. 2023. Emotional and external eating styles associated with obesity. J Eat Disord 11(1):1‒7 https://doi.org/10.1186/s40337-023-00797-w

Bonauto DK, Lu D, Fan ZJ. 2014 Peer reviewed: Obesity prevalence by occupation in Washington State, behavioral risk factor surveillance system. Prev Chronic Dis 11:130219 https://dx.doi.org/10.5888/pcd11.130219

Chan YY, Lim KK, Lim KH, The CH, Kee CC, Cheong SM, Khoo YY, Baharudin A, Ling MY, Omar MA, Ahmad NA. 2017. Physical activity and overweight/obesity among malaysian adults, National Health and morbidity survey (NHMS). BMC Public Health 17(1):1‒12. https://doi.org/10.1186/s12889-017-4772-z

Chen Y, Liu X, Yan N, Jia W, Fan Y, Yan H, Ma L, Ma L. 2020. Higher academic stress was associated with increased risk of overweight and obesity among college students in China. Int J Environ Res 17(15):5559. https://doi.org/10.3390/ijerph17155559

Choi J. 2020. Impact of stress levels on eating behaviors among college students. Nutr 12(5):1241. https://doi.org/10.3390/nu12051241

Chong CT, Lai WK, Mohd Sallehuddin S, Ganapathy SS. 2023. Prevalence of overweight and its associated factors among Malaysian adults: Findings from a nationally representative survey. medRxiv 2023-03. https://doi.org/10.1101/2023.03.06.23286889

Chooi YC, Ding C, Magkos F. 2019. The epidemiology of obesity. Metab 92:610. https://doi.org/10.1016/j.metabol.2018.09.005

Contreras DA, Martoccio TL, Brophy-Herb HE, Horodynski M, Peterson KE, Miller AL, Senehi N, Sturza J, Kaciroti N, Lumeng JC. 2021. Rural–urban differences in body mass index and obesity-related behaviours among low-income. J Public Health 43(4):637‒e644. https://doi.org/10.1093/pubmed/fdaa162

Cooper CB, Neufeld EV, Dolezal BA, Martin JL. 2018. Sleep deprivation and obesity in adults: A brief narrative review. BMJ Open Sport Exerc Med 4(1):000392. https://doi.org/10.1136/bmjsem-2018-000392

Craig C, Marshall A, Sjostrom M, Bauman A, Lee P, Macfarlane D, Lam T, Stewart S. 2017. International physical activity questionnaire-short form. J Am Coll Health 65(7):492‒501.

Department of Statistics. 2019. Statistic Malaysia at a glace. https://open.dosm.gov.my/ [Accessed 29th January 2023].

Dingemans A, Danner U, Parks M. 2017. Emotion regulation in binge eating disorder: A review. Nutrients 9(11):1274. https://doi.org/10.3390%2Fnu9111274

French SA, Tangney CC, Crane MM, Wang Y, Appelhans BM. 2019. Nutrition quality of food purchases varies by household income: the SHoPPER study. BMC Public Health 19:1‒7. https://doi.org/10.1186/s12889-019-6546-2

Ghanemi A, Yoshioka M, St-Amand J. 2018. Broken energy homeostasis and obesity pathogenesis: The surrounding concepts. J Clin Med 7(11):453. https://doi.org/10.3390/jcm7110453

Hartmann-Boyce J, Boylan AM, Jebb SA, Fletcher B, Aveyard P. 2017. Cognitive and behavioural strategies for self-directed weight loss: Systematic review of qualitative studies. Obes Rev 18(3):335‒349. https://doi.org/10.1111/obr.12500

Kansra AR, Lakkunarajah S, Jay MS. 2021. Childhood and adolescent obesity: A review. Front Pediatr 8:866. https://doi.org/10.3389/fped.2020.581461

Kelly DM, Jones TH. 2015. Testosterone and obesity. Obes Rev 16(7):581‒606. https://doi.org/10.1111/obr.12282

Kim TJ, von dem Knesebeck O. 2018. Income and Obesity: what is the direction of the relationship? A systematic review and meta-analysis. BMJ Open 8(1):019862. https://10.1136/bmjopen-2017-019862

Liu C, Cheng KYK, Tong X, Cheung WH, Chow SKH, Law SW, Wong RMY. 2023. The role of obesity in sarcopenia and the optimal body composition to prevent against sarcopenia and obesity. Front Endocrinol 14:1077255. https://doi.org/10.3389/fendo.2023.1077255

Manzar MD, BaHammam AS, Hameed UA, Spence DW, Pandi-Perumal SR, Moscovitch A, Streiner DL. 2018. Dimensionality of the Pittsburgh sleep quality index: A systematic review. Health Qual Life Out16(1):89. https://doi.org/10.1186/s12955-018-0915-x

Mohd-Sidik S, Lekhraj R, Foo CN. 2021. Prevalence, associated factors and psychological determinants of obesity among adults in Selangor, Malaysia. Int J Environ Res Public Health 18(3):868. https://doi.org/10.3390/ijerph18030868

Mushannen T, Cortez P, Stanford FC, Singhal V. 2019. Obesity and hypogonadism—a narrative review highlighting the need for high-quality data in adolescents. Children 6(5):63. https://doi.org/10.3390%2Fchildren6050063

[NIDDK] National Institute of Diabetes and Digestive and Kidney Diseases. 2018. Obesity. NIDDK. https://www.niddk.nih.gov/about-niddk/research-areas/obesity [Accessed 29th January 2023].

Pell C, Allotey P, Evans N, Hardon A, Imelda JD, Soyiri I, Reidpath DD, SEACO Team. 2016. Coming of age, becoming obese: A cross-sectional analysis of obesity among adolescents and young adults in Malaysia. BMC Public Health 16:1‒10. https://doi.org/10.1186/s12889-016-3746-x

Polivy J, Herman CP. 2020. Overeating in restrained and unrestrained eaters. Frontiers in Nutrition 7(30). https://doi.org/10.3389%2Ffnut.2020.00030

Reichenberger J, Schnepper R, Arend AK, Blechert J. 2020. Emotional eating in healthy individuals and patients with an eating disorder: Evidence from psychometric, experimental and naturalistic studies. Proc Nutri Soc 79(3):290‒299. https://doi.org/10.1017/S0029665120007004

Scaglioni S, De Cosmi V, Ciappolino V, Parazzini F, Brambilla P, Agostoni C. 2018. Factors Influencing Children's Eating Behaviours. Nutrients 10(6):706. https://doi.org/10.3390/nu10060706

Stoś K, Rychlik E, Woźniak A, Ołtarzewski M, Jankowski M, Gujski M, Juszczyk G. 2022. Prevalence and sociodemographic factors associated with overweight and obesity among adults in Poland. Int J Environ Res Public Health 19(3):1502. https://doi.org/10.3390/ijerph19031502

Subramaniam K, Low WY, Chinna K, Chin KF, Krishnaswamy S. 2017. Psychometric Properties of the Malay version of the Dutch Eating Behaviour Questionnaire (DEBQ) in a sample of Malaysian adults attending a health care facility. MJMS 24(4):64. https://doi.org/10.21315/mjms2017.24.4.8

Tauqeer Z, Gomez G, Stanford FC. 2018. Obesity in women: Insights for the clinician. J Womens Health 27(4):444‒457. https://doi.org/10.1089/jwh.2016.6196

Thaker VV. 2017. Genetic and epigenetic causes of obesity. Adolesc Med State Art Rev 28(2):379.

Thapa R, Dahl C, Aung WP, Bjertness E. 2021. Urban–rural differences in overweight and obesity among 25–64 years old Myanmar residents: A cross-sectional, nationwide survey. BMJ open 11(3):e042561. https://10.1136/bmjopen-2020-042561

Velten J, Bieda A, Scholten S, Wannemüller A, Margraf J. 2018. Lifestyle choices and mental health: A longitudinal survey with german and chinese students. BMC Public Health 18:1‒15. https://doi.org/10.1186/s12889-018-5526-2

[WHO] World Health Organization. 2021. Obesity and overweight. WHO. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight [Accessed 23rd January 2023].

Yang L, Zhao S, Gao S, Zhang H, Arens E, Zhai Y. 2021. Gender differences in metabolic rates and thermal comfort in sedentary young males and females at various temperatures. Energy Build 251:111360. https://10.1016/j.enbuild.2021.111360

Yong C, Liu H, Yang Q, Luo J, Ouyang Y, Sun M, Xi Y, Xiang C, Lin Q. 2021. The relationship between restrained eating, body image, and dietary intake among university students in China: A cross-sectional study. Nutr 13(3):990. https://doi.org/10.3390/nu13030990

Zainuddin AABH. 2016. Prevalence and sociodemographic determinant of overweight and obesity among Malaysian Adult. Int J Public Health Res 6(1):661‒669.

Zhou L, Li Y, Guo M, Wu Y, Zhao L. 2016. Relations of body weight status in early adulthood and weight changes until middle age with hypertension in the Chinese population. Hypertens Res 39(12):913‒918. https://doi.org/10.1038/hr.2016.80

Authors

Nur Na’imah Fatimah Zamani
Mohamad Wafiq Mohd Habir
Siti Maisarah Mohd Noor
Nurul Afiedia Roslim
Aryati Ahmad
aryatiahmad@unisza.edu.my (Primary Contact)
Zamani, N. N. F., Mohd Habir, M. W., Mohd Noor, S. M., Roslim, N. A., & Ahmad, A. (2025). Association between Sociodemographic and Health Behaviours with Body Weight Status among Adults in Terengganu, Malaysia. Jurnal Gizi Dan Pangan, 20(Supp.1), 117-126. https://doi.org/10.25182/jgp.2025.20.Supp.1.117-126

Article Details

How to Cite

Zamani, N. N. F., Mohd Habir, M. W., Mohd Noor, S. M., Roslim, N. A., & Ahmad, A. (2025). Association between Sociodemographic and Health Behaviours with Body Weight Status among Adults in Terengganu, Malaysia. Jurnal Gizi Dan Pangan, 20(Supp.1), 117-126. https://doi.org/10.25182/jgp.2025.20.Supp.1.117-126