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Int. J. Environ. Res. Public Health 2019, 16(4), 603; https://doi.org/10.3390/ijerph16040603

Determinants of Diet and Physical Activity in Malaysian Adolescents: A Systematic Review

1
Department of Social and Preventive Medicine, Centre for Population Health, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia
2
Department of Paediatrics, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia
3
South East Asia Community Observatory (SEACO), Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway 47500, Malaysia
4
Faculty of Public Health, Universitas Airlangga, Jawa Timur 60115, Indonesia
5
Department of Sports Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia
6
Department of Nutrition, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA 02115, USA
*
Author to whom correspondence should be addressed.
Received: 3 December 2018 / Revised: 9 February 2019 / Accepted: 14 February 2019 / Published: 19 February 2019
(This article belongs to the Special Issue Dietary Patterns and Health Outcomes in Children and Adolescents)
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Abstract

The increased prevalence of unhealthy eating habits and sedentary lifestyles among Malaysian adolescents has become a public health concern. The aim of this systematic review was to summarize evidence from observational studies related to diet and physical activity (PA) among Malaysian adolescents (13–18 years) and to recognize the associations between determinants of diet and PA and diet and PA behaviours. A systematic search for observational studies published from August 1990 through August 2017 was conducted via PubMed, Science Direct, Cochrane and Web of Science. A total of 18 studies met the inclusion criteria; these were independently extracted by two reviewers. Gender and ethnicity were the most commonly studied correlates of diet and PA; males were more physically active and they tended to have poorer diet quality and higher energy and macronutrient intakes in comparison to females; Malay adolescents had a lower diet quality and Chinese adolescents spent less time in PA compared to other ethnicities. However, the significance of these associations was often small or inconsistent. This review highlights the lack of longitudinal observational studies but summarizes the best available evidence for policymakers and public health practitioners to improve the diet and the level of PA in Malaysian adolescents. View Full-Text
Keywords: eating habits; Malaysian adolescents; physical activity; systematic review eating habits; Malaysian adolescents; physical activity; systematic review
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Mohammadi, S.; Jalaludin, M.Y.; Su, T.T.; Dahlui, M.; Azmi Mohamed, M.N.; Abdul Majid, H. Determinants of Diet and Physical Activity in Malaysian Adolescents: A Systematic Review. Int. J. Environ. Res. Public Health 2019, 16, 603.

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