{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T15:07:44Z","timestamp":1780672064960,"version":"3.54.1"},"reference-count":59,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T00:00:00Z","timestamp":1780617600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"the Ministry of Health Malaysia Research Grant","award":["NMRR-21-157-58261"],"award-info":[{"award-number":["NMRR-21-157-58261"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/objective: This study determined the prevalence of dietary behaviours and examined their relationship with nutritional status among Malaysian school-based adolescents. Methods: Data from 33,523 adolescents who participated in the Adolescent Health Survey (AHS 2022) were analysed. Multiple logistic regression was employed to assess associations between dietary behaviours and nutritional status, adjusting for potential confounders. Results: Our findings demonstrated a double burden of malnutrition, with 6.8% stunting, 8.3% thinness, and 30.5% overweight\/obese. High prevalence of inadequate daily intake of fruit and vegetables (FV) (83.9%) and insufficient daily dairy consumption (62.7%) was observed. Approximately one-third of adolescents reported frequent fast-food consumption (i.e., at least one day per week) (35.4%) and daily intake of carbonated soft drinks (32.4%). Daily carbonated soft drink consumption was associated with higher odds of overweight\/obesity (aOR:1.11; 95% CI:1.04\u20131.20), highlighting the need to prioritise the public health strategies aimed at reducing sugar intake. Conversely, inadequate FV intake (aOR:0.88; 95% CI:0.81\u20130.95) and frequent fast-food consumption (aOR:0.87; 95% CI:0.82\u20130.94) were associated with lower odds of overweight\/obesity, while insufficient daily dairy intake was associated with lower odds of thinness (aOR:0.83; 95% CI:0.73\u20130.94). These negative associations should be interpreted cautiously due to possible reverse causality and reporting bias. Conclusions: The findings highlight the importance of strengthening nutrition education and the food environment among Malaysian adolescents.<\/jats:p>","DOI":"10.3390\/nu18111833","type":"journal-article","created":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T14:10:42Z","timestamp":1780668642000},"page":"1833","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dietary Behaviours and Association with Nutritional Status Among Malaysian School-Based Adolescents: Findings from Adolescent Health Survey 2022"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5846-2783","authenticated-orcid":false,"given":"Lay Kim","family":"Tan","sequence":"first","affiliation":[{"name":"Sector for Biostatistics & Data Repository, Office of NIH Manager, National Institutes of Health, Ministry of Health Malaysia, Shah Alam 40170, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1926-7728","authenticated-orcid":false,"given":"Guey Yong","family":"Chong","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia"},{"name":"Research Centre of Excellence, Nutrition and Non-Communicable Diseases, Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3519-0951","authenticated-orcid":false,"given":"Shi Hui","family":"Cheng","sequence":"additional","affiliation":[{"name":"School of Biological and Environmental Sciences, Faculty of Science and Engineering, University of Nottingham Malaysia, Semenyih 43500, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5230-9569","authenticated-orcid":false,"given":"Sumarni","family":"Mohd Ghazali","sequence":"additional","affiliation":[{"name":"Biomedical Epidemiology Unit, Special Resource Centre, Institute for Medical Research, Ministry of Health Malaysia, Shah Alam 40170, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1372-9549","authenticated-orcid":false,"given":"Chee Cheong","family":"Kee","sequence":"additional","affiliation":[{"name":"Sector for Biostatistics & Data Repository, Office of NIH Manager, National Institutes of Health, Ministry of Health Malaysia, Shah Alam 40170, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,6,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/j.jadohealth.2019.01.008","article-title":"World Health Organization Guidance on Ethical Considerations in Planning and Reviewing Research Studies on Sexual and Reproductive Health in Adolescents","volume":"64","author":"Singh","year":"2019","journal-title":"J. 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