{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T23:58:34Z","timestamp":1785369514784,"version":"3.55.0"},"reference-count":28,"publisher":"SAGE Publications","issue":"1_suppl","license":[{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100013885","name":"Kementerian Kesihatan Malaysia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100013885","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asia Pac J Public Health"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>\n                    Obesity is a risk factor for hypercholesterolemia; however, evidence of obesity among\n                    <jats:italic toggle=\"yes\">Orang Asli<\/jats:italic>\n                    (OA) adults remains limited. Lifestyle changes, including unhealthy diets and sedentary behavior, may increase vulnerability to noncommunicable diseases. This study examined the sex-specific associations between body mass index (BMI) and hypercholesterolemia using data from the OA Health Survey 2022. A total of 8160 adults aged \u226518 years with complete questionnaires, anthropometric data, and blood data were analyzed. The prevalence of hypercholesterolemia among OA adults was 47.6%; of these, 41.5% were previously undiagnosed. Compared with normal BMI, overweight and obesity were associated with a higher odds of hypercholesterolemia in both sexes. Older age, Senoi tribe affiliation, and diabetes were associated with hypercholesterolemia in both sexes. These findings highlight the need for culturally tailored interventions to strengthen obesity prevention and cholesterol testing in primary care and outreach services to reduce cardiovascular risk in OA communities.\n                  <\/jats:p>","DOI":"10.1177\/10105395261458492","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T11:28:37Z","timestamp":1782732517000},"page":"60-68","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Body Mass Index and Hypercholesterolemia Among\n                    <i>Orang Asli<\/i>\n                    Adults in Malaysia"],"prefix":"10.1177","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5067-5677","authenticated-orcid":false,"given":"Halizah","family":"Mat Rifin","sequence":"first","affiliation":[{"name":"Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim Sui","family":"Wan","sequence":"additional","affiliation":[{"name":"Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0313-2821","authenticated-orcid":false,"given":"Tania Gayle","family":"Robert Lourdes","sequence":"additional","affiliation":[{"name":"Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasimah","family":"Ismail","sequence":"additional","affiliation":[{"name":"Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khairul Hasnan","family":"Amali","sequence":"additional","affiliation":[{"name":"Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3156-316X","authenticated-orcid":false,"given":"Mohd Ruhaizie","family":"Riyadzi","sequence":"additional","affiliation":[{"name":"Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,29]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.phrs.2023.106814"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajpc.2021.100149"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/10105395221129113"},{"key":"e_1_3_3_5_2","volume-title":"National Health and Morbidity Survey (NHMS) 2023: Non-Communicable Diseases and Healthcare Demand","author":"Institute for Public Health (IKU)","year":"2024","unstructured":"Institute for Public Health (IKU). National Health and Morbidity Survey (NHMS) 2023: Non-Communicable Diseases and Healthcare Demand. Technical report. Ministry of Health Malaysia; 2024."},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-025-08311-9"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-2848-9"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-17884-8"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2018.10.001"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-022-14449-2"},{"issue":"1","key":"e_1_3_3_11_2","article-title":"Non-communicable diseases among Orang Asli in Malaysia: a scoping review of prevalence and associated factors","volume":"10","author":"Adenan AZ","year":"2025","unstructured":"Adenan AZ, Mohd AAS, Mohd Feizal NH, Yaacob SS, Ibrahim K. Non-communicable diseases among Orang Asli in Malaysia: a scoping review of prevalence and associated factors. Malays J Soc Sci Humanit. 2025;10(1):e003207.","journal-title":"Malays J Soc Sci Humanit"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-015-1384-3"},{"key":"e_1_3_3_13_2","unstructured":"Institute for Public Health. Technical Report Orang Asli Health Survey (OAHS) 2022. Published 2024. Accessed December 26 2025. https:\/\/iku.nih.gov.my\/images\/teknikal-report\/oahs_report_v2.pdf"},{"key":"e_1_3_3_14_2","unstructured":"World Health Organization. STEPS Instrument. World Health Organization; 2020. Accessed December 25 2025. https:\/\/www.who.int\/teams\/noncommunicable-diseases\/surveillance\/systems-tools\/steps\/instrument"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1993.tb02093.x"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12944-024-02270-2"},{"key":"e_1_3_3_17_2","article-title":"Clustering of metabolic and behavioural risk factors for cardiovascular diseases among the adult population in South and Southeast Asia: findings from WHO STEPS data","volume":"12","author":"Biswas T","year":"2023","unstructured":"Biswas T, Townsend N, Gupta RD, et al. Clustering of metabolic and behavioural risk factors for cardiovascular diseases among the adult population in South and Southeast Asia: findings from WHO STEPS data. Lancet Reg Health Southeast Asia. 2023;12:100164.","journal-title":"Lancet Reg Health Southeast Asia"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1093\/cdn\/nzaa070"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20043058"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12872-021-01956-0"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41366-024-01501-x"},{"key":"e_1_3_3_22_2","unstructured":"Feingold KR. Obesity and Dyslipidemia (Feingold KR Adler R Ahmed S et al eds.). Endotext [Internet] MDText.com Inc; 2000. Accessed March 9 2026. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK305895\/"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacl.2024.04.001"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajpath.2013.01.010"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijms21238985"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2014.12.001"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753944710385048"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11892-018-1101-6"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1177\/11795514231220780"}],"container-title":["Asia Pacific Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10105395261458492","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10105395261458492","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10105395261458492","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T23:17:18Z","timestamp":1785367038000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10105395261458492"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,29]]},"references-count":28,"journal-issue":{"issue":"1_suppl","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1177\/10105395261458492"],"URL":"https:\/\/doi.org\/10.1177\/10105395261458492","relation":{},"ISSN":["1010-5395","1941-2479"],"issn-type":[{"value":"1010-5395","type":"print"},{"value":"1941-2479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,29]]}}}