{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T03:05:47Z","timestamp":1792206347467,"version":"4.4.0"},"reference-count":67,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2022,5,4]],"date-time":"2022-05-04T00:00:00Z","timestamp":1651622400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Br J Nutr"],"published-print":{"date-parts":[[2023,2,14]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Childhood malnutrition is known as a public health concern globally. The present study aims to assess the anthropometry and blood biochemical status of rural primary schoolchildren in Malaysia. A total of 776 children (7\u201311 years old) from ten rural primary schools from five states were included in this study. Nutritional outcomes were assessed based on sex, age group and school categories among the children (median age: 9 years (P25:8, P75:10)). The overall prevalence of malnutrition was 53\u00b74 %. Vitamin A deficiency (VAD) was recorded at 20\u00b76 and 39\u00b78 % based on retinol and retinol-binding protein (RBP) levels, respectively. Anaemia, iron deficiency (ID), iron-deficiency anaemia (IDA) and elevated inflammation were found at 14\u00b79, 17\u00b79, 9\u00b71 and 11\u00b75 %, respectively. Malnutrition, VAD, anaemia, ID, IDA and elevated inflammation were more prevalent among Orang Asli (OA) schoolchildren compared with Non-Orang Asli schoolchildren. Higher occurrences of VAD and anaemia were also found among children aged &lt;10 years. Retinol, RBP,<jats:italic>\u03b1<\/jats:italic>-carotene, ferritin and haemoglobin levels were lower among undernourished children. Besides, overweight\/obese children exhibited a higher level of high-sensitivity C-reactive protein. Multivariate analysis demonstrated that OA school children (adjusted OR (AOR): 6\u00b71; 95 % CI 4\u00b71, 9\u00b70) and IDA (AOR: 3\u00b76; 95 % CI 1\u00b79, 6\u00b76) were associated with stunting among this population. The present study revealed that malnutrition, micronutrient deficiencies and anaemia are prevalent among rural primary schoolchildren in Malaysia, especially those from OA schools and younger age children (&lt;10 years). Hence, more appropriate and targeted measures are needed to improve the nutritional status of these children.<\/jats:p>","DOI":"10.1017\/s0007114522001398","type":"journal-article","created":{"date-parts":[[2022,5,4]],"date-time":"2022-05-04T09:04:42Z","timestamp":1651655082000},"page":"454-467","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":16,"title":["High prevalence of malnutrition and vitamin A deficiency among schoolchildren of rural areas in Malaysia using a multi-school assessment approach"],"prefix":"10.1017","volume":"129","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9894-0548","authenticated-orcid":false,"given":"Pei Yee","family":"Tan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syahirah Nadiah","family":"Mohd Johari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim-Tiu","family":"Teng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Radhika","family":"Loganathan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soo Ching","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romano","family":"Ngui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanga Rani","family":"Selvaduray","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvonne Ai Lian","family":"Lim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2022,5,4]]},"reference":[{"key":"S0007114522001398_ref2","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-018-3909-1"},{"key":"S0007114522001398_ref67","doi-asserted-by":"crossref","first-page":"333S","DOI":"10.3945\/ajcn.116.142273","article-title":"Methodologic approach for the biomarkers reflecting inflammation and nutritional determinants of anemia (BRINDA) project","volume":"106","author":"Namaste","year":"2017","journal-title":"Am J Clin Nutr"},{"key":"S0007114522001398_ref16","volume-title":"Practical Research: Planning and Design","author":"Leedy","year":"1993"},{"key":"S0007114522001398_ref11","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0001550"},{"key":"S0007114522001398_ref61","doi-asserted-by":"publisher","DOI":"10.3390\/nu11051049"},{"key":"S0007114522001398_ref37","first-page":"724","article-title":"Serum iron status in Orang Asli children living in endemic areas of soil-transmitted helminths","volume":"16","author":"Aini","year":"2007","journal-title":"Asia Pac J Clin Nutr"},{"key":"S0007114522001398_ref15","volume-title":"The Indigenous World 2021","year":"2021"},{"key":"S0007114522001398_ref45","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/76.4.818"},{"key":"S0007114522001398_ref66","doi-asserted-by":"publisher","DOI":"10.3945\/jn.114.194712"},{"key":"S0007114522001398_ref23","unstructured":"23. 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