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Updated: May 24, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Prevalence and factors associated with coexisting forms of malnutrition among Malaysian children in the SEANUTS II
See Meng Lim1,2, Giin Shang Yeo1,3, Shoo Thien Lee4
1Centre for Community Health Studies (ReaCH), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, 50300, Kuala Lumpur, Malaysia.
Insights
Coexisting forms of malnutrition (CFM) affect 6.8% of children in Malaysia, with underweight and stunting being most common. Early childhood, low birth weight, Malay ethnicity, and maternal height are key associated factors.
Area of Science:
- Nutritional Epidemiology
- Pediatric Public Health
- Childhood Malnutrition
Background:
- Coexisting forms of malnutrition (CFM) present a significant health risk, exceeding the impact of individual malnutrition types.
- Understanding the prevalence and determinants of CFM is crucial for targeted public health interventions.
Purpose of the Study:
- To determine the prevalence of individual-level CFM in children aged 0.5-12.9 years in Peninsular Malaysia.
- To identify factors associated with CFM in this population.
Main Methods:
- Cross-sectional study involving 2973 children aged 0.5-12.9 years in Peninsular Malaysia (SEANUTS II Malaysia study).
- Anthropometric data were analyzed to identify coexisting malnutrition (underweight, stunting, wasting, overweight).
- Statistical analysis, including adjusted odds ratios (aOR), was used to determine associated factors.
Main Results:
- The prevalence of CFM was 6.8%, with underweight and stunting coexisting in 5.2% of children.
- Factors associated with CFM included younger age (0.5-4.9 years), low birth weight (<2.5 kg), Malay ethnicity, and maternal height <150 cm.
- CFM affects approximately 1 in 15 children in the region.
Conclusions:
- CFM is a notable public health issue in Peninsular Malaysia, impacting a significant proportion of children.
- Interventions should address identified risk factors, including early childhood nutrition, birth weight, and maternal health.
- Public health policies must prioritize comprehensive child and maternal nutrition strategies to mitigate CFM.
Abstract:
Coexisting forms of malnutrition (CFM), defined as multiple forms of malnutrition within the same child (individual-level), pose a greater risk to children than individual forms of malnutrition. This study aimed to determine the prevalence and factors associated with individual-level CFM among children aged 0.5-12.9 years in Peninsular Malaysia. Between May 2019 and March 2020, a total of 2989 children were recruited for the SEANUTS II Malaysia study; after excluding 16 with implausible anthropometric data, 2973 were analysed. CFM prevalence was 6.8%, with the coexistence of underweight and stunting most common (5.2%). Associated factors included younger age (0.5 to 4.9 years; adjusted odds ratio [aOR] = 1.58; 95% CI 1.01-2.48), low birth weight (< 2.5 kg; aOR = 2.12; 95% CI 1.25-3.59), Malay ethnicity (aOR = 2.58; 95% CI 1.47-4.50) and maternal height < 150 cm (aOR = 2.30; 95% CI 1.29-4.10). CFM affects approximately one in 15 children in Peninsular Malaysia and is associated with several childhood and maternal factors. As the impact of CFM on affected children is more severe than that of standalone malnutrition, interventions and policies should focus on improving child and maternal nutrition to effectively mitigate this problem in the region.
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