Skip to main content
Top
Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

Characteristics associated with the consumption of malted drinks among Malaysian primary school children: findings from the MyBreakfast study

Authors: Hamid Jan Jan Mohamed, S. L. Loy, Mohd Nasir Mohd Taib, Norimah A Karim, S. Y. Tan, M. Appukutty, Nurliyana Abdul Razak, F. Thielecke, S. Hopkins, M. K. Ong, C. Ning, E. S. Tee

Published in: BMC Public Health | Issue 1/2015

Login to get access

Abstract

Background

The consumption of beverages contributes to diet quality and overall nutrition. Studies on malted drinks, one of the widely consumed beverage choices among children in Asia, however, have received limited attention. This study aimed to examine the prevalence of malted drink consumption and explored associations of sociodemographic characteristics, nutrient intakes, weight status and physical activity levels with malted drink consumption among primary school children in Malaysia.

Methods

Data for this analysis were from the MyBreakfast Study, a national cross-sectional study conducted from April to October 2013 throughout all regions in Malaysia. A total of 2065 primary school children aged 6 to 12 years were included in the present analysis. Data on two days 24-h dietary recall or record, anthropometry, physical activity and screen time were recorded. Associations between malted drink consumption and related factors were examined using binary logistic regression, adjusting for region, area, gender, ethnicity and household income.

Results

Among children aged 6 to12 years, 73.5 % reported consuming malted drinks for at least once per week. Consumption of malted drinks was significantly associated with region (χ 2  = 45.64, p < 0.001), gender (χ 2  = 4.41, p = 0.036) and ethnicity (χ 2  = 13.74, p = 0.008). Malted drink consumers had similar total energy intake but higher micronutrient intakes compared to non-consumers. High physical activity level (OR = 1.77, 95 % CI = 1.06, 2.99) and lower screen time during weekends (OR = 0.93, 95 % CI = 0.86, 0.99) were independently associated with malted drink consumption among 6 to 9 year-old children, but not among 10 to 12 year-old children. No association was observed between malted drink consumption and weight status.

Conclusions

Malted drink consumption is prevalent among Malaysian primary school children, particularly higher among boys, indigenous children and those who lived in the East Coast region of Malaysia. Consuming malted drinks is associated with higher micronutrient intakes and higher levels of physical activity, but not with body weight status.
Literature
1.
go back to reference LaRowe TL, Moeller SM, Adams AK. Beverage patterns, diet quality, and body mass index of US preschool and school-aged children. J Am Diet Assoc. 2007;107(7):1124–33.CrossRefPubMed LaRowe TL, Moeller SM, Adams AK. Beverage patterns, diet quality, and body mass index of US preschool and school-aged children. J Am Diet Assoc. 2007;107(7):1124–33.CrossRefPubMed
2.
go back to reference Nielsen SJ, Popkin BM. Changes in beverage intake between 1977 and 2001. Am J Prev Med. 2004;27(3):205–10.CrossRefPubMed Nielsen SJ, Popkin BM. Changes in beverage intake between 1977 and 2001. Am J Prev Med. 2004;27(3):205–10.CrossRefPubMed
3.
go back to reference Nicklas TA. Calcium intake trends and health consequences from childhood through adulthood. J Am Coll Nutr. 2003;22(5):340–56.CrossRefPubMed Nicklas TA. Calcium intake trends and health consequences from childhood through adulthood. J Am Coll Nutr. 2003;22(5):340–56.CrossRefPubMed
4.
go back to reference Hasnain SR, Singer MR, Bradlee ML, Moore LL. Beverage intake in early childhood and change in body fat from preschool to adolescence. Child Obes. 2014;10(1):42–9.CrossRefPubMedPubMedCentral Hasnain SR, Singer MR, Bradlee ML, Moore LL. Beverage intake in early childhood and change in body fat from preschool to adolescence. Child Obes. 2014;10(1):42–9.CrossRefPubMedPubMedCentral
5.
go back to reference Massougbodji J, Le Bodo Y, Fratu R, De Wals P. Reviews examining sugar-sweetened beverages and body weight: correlates of their quality and conclusions. Am J Clin Nutr. 2014;99(5):1096–104.CrossRefPubMed Massougbodji J, Le Bodo Y, Fratu R, De Wals P. Reviews examining sugar-sweetened beverages and body weight: correlates of their quality and conclusions. Am J Clin Nutr. 2014;99(5):1096–104.CrossRefPubMed
6.
go back to reference Goh DY, Jacob A. Children’s consumption of beverages in Singapore: knowledge, attitudes and practice. J Paediatr Child Health. 2011;47(7):465–72.CrossRefPubMed Goh DY, Jacob A. Children’s consumption of beverages in Singapore: knowledge, attitudes and practice. J Paediatr Child Health. 2011;47(7):465–72.CrossRefPubMed
7.
go back to reference Nurul-Fadhilah A, Teo PS, Huybrechts I, Foo LH. Infrequent breakfast consumption is associated with higher body adiposity and abdominal obesity in Malaysian school-aged adolescents. PLoS One. 2013;8(3):e59297.CrossRefPubMedPubMedCentral Nurul-Fadhilah A, Teo PS, Huybrechts I, Foo LH. Infrequent breakfast consumption is associated with higher body adiposity and abdominal obesity in Malaysian school-aged adolescents. PLoS One. 2013;8(3):e59297.CrossRefPubMedPubMedCentral
9.
go back to reference Lau SJ, Ooi FK. Changes in blood bone turnover markers following combined circuit training programme and chocolate malt drink supplementation in young males. MR Int J Appl Health Sci. 2014;1:30–8. Lau SJ, Ooi FK. Changes in blood bone turnover markers following combined circuit training programme and chocolate malt drink supplementation in young males. MR Int J Appl Health Sci. 2014;1:30–8.
10.
go back to reference Darmon N, Drewnowski A. Does social class predict diet quality? Am J Clin Nutr. 2008;87(5):1107–17.PubMed Darmon N, Drewnowski A. Does social class predict diet quality? Am J Clin Nutr. 2008;87(5):1107–17.PubMed
11.
go back to reference Department of Statistics Malaysia. Preliminary Count Report: Population and Housing Census of Malaysia 2010. Putrajaya: Department of Statistics Malaysia; 2010. Department of Statistics Malaysia. Preliminary Count Report: Population and Housing Census of Malaysia 2010. Putrajaya: Department of Statistics Malaysia; 2010.
13.
go back to reference de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85(9):660–7.CrossRefPubMedPubMedCentral de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85(9):660–7.CrossRefPubMedPubMedCentral
14.
go back to reference Tee ES, Ismail MN, Mohd Nasir A, Khatijah I. Nutrient composition of Malaysian foods. 4th ed. Kuala Lumpur: Malaysian Food Composition Database Programme c/o Institute for Medical Research; 1997. Tee ES, Ismail MN, Mohd Nasir A, Khatijah I. Nutrient composition of Malaysian foods. 4th ed. Kuala Lumpur: Malaysian Food Composition Database Programme c/o Institute for Medical Research; 1997.
15.
go back to reference NCCFN. Recommended nutrient intakes for Malaysia. A report of the Technical Working Group on Nutritional Guidelines. Putrajaya: National Coordinating Committee on Food ad Nutrition, Ministry of Health Malaysia; 2005. NCCFN. Recommended nutrient intakes for Malaysia. A report of the Technical Working Group on Nutritional Guidelines. Putrajaya: National Coordinating Committee on Food ad Nutrition, Ministry of Health Malaysia; 2005.
16.
go back to reference FAO/WHO/UNU. Expert Consultation on Energy and Protein Requirements. WHO Technical Report Series No. 724; 1985. FAO/WHO/UNU. Expert Consultation on Energy and Protein Requirements. WHO Technical Report Series No. 724; 1985.
17.
go back to reference Poh BK, Ismail M, Zawiah H, Henry C. Predictive equations for the estimation of basal metabolic rate in Malaysia adolescents. Malays J Nutr. 1999;5(1):1–14.PubMed Poh BK, Ismail M, Zawiah H, Henry C. Predictive equations for the estimation of basal metabolic rate in Malaysia adolescents. Malays J Nutr. 1999;5(1):1–14.PubMed
18.
go back to reference Poh BK, Ismail MN, Ong HF, Norimah AK, Safiah MY. BMR predictive equations for Malaysian adolescents aged 12–18 years. Final Report for IRPA 06-02-02-0096 Research Project. Kuala Lumpur: Faculty of Allied Health Sciences, Universiti Kebangsaan Malaysia; 2004. Poh BK, Ismail MN, Ong HF, Norimah AK, Safiah MY. BMR predictive equations for Malaysian adolescents aged 12–18 years. Final Report for IRPA 06-02-02-0096 Research Project. Kuala Lumpur: Faculty of Allied Health Sciences, Universiti Kebangsaan Malaysia; 2004.
19.
go back to reference Torun B, Davies PS, Livingstone MB, Paolisso M, Sackett R, Spurr GB. Energy requirements and dietary energy recommendations for children and adolescents 1 to 18 years old. Eur J Clin Nutr. 1996;50 Suppl 1:S37–80.PubMed Torun B, Davies PS, Livingstone MB, Paolisso M, Sackett R, Spurr GB. Energy requirements and dietary energy recommendations for children and adolescents 1 to 18 years old. Eur J Clin Nutr. 1996;50 Suppl 1:S37–80.PubMed
20.
go back to reference Kowalski KC, Crocker PRE, Donen RM. The Physical Activity Questionnaire for Older Children (PAQ-C) and Adolescents (PAQ-A) Manual. Saskatoon: College of Kinesiology, University of Saskatchewan; 2004. Kowalski KC, Crocker PRE, Donen RM. The Physical Activity Questionnaire for Older Children (PAQ-C) and Adolescents (PAQ-A) Manual. Saskatoon: College of Kinesiology, University of Saskatchewan; 2004.
21.
go back to reference Kimura S, Endo Y, Minamimae K, Kanzaki S, Hanaki K. Gender differences in childhood food preference: evaluation using a subjective picture choice method. Pediatr Int. 2014;56(3):389–94.CrossRefPubMed Kimura S, Endo Y, Minamimae K, Kanzaki S, Hanaki K. Gender differences in childhood food preference: evaluation using a subjective picture choice method. Pediatr Int. 2014;56(3):389–94.CrossRefPubMed
24.
go back to reference Park S, Onufrak S, Blanck HM, Sherry B. Characteristics associated with consumption of sports and energy drinks among US adults: National Health Interview Survey, 2010. J Acad Nutr Diet. 2013;113(1):112–9.CrossRefPubMedPubMedCentral Park S, Onufrak S, Blanck HM, Sherry B. Characteristics associated with consumption of sports and energy drinks among US adults: National Health Interview Survey, 2010. J Acad Nutr Diet. 2013;113(1):112–9.CrossRefPubMedPubMedCentral
25.
go back to reference Pabayo R, Spence JC, Cutumisu N, Casey L, Storey K. Sociodemographic, behavioural and environmental correlates of sweetened beverage consumption among pre-school children. Public Health Nutr. 2012;15(8):1338–46.CrossRefPubMed Pabayo R, Spence JC, Cutumisu N, Casey L, Storey K. Sociodemographic, behavioural and environmental correlates of sweetened beverage consumption among pre-school children. Public Health Nutr. 2012;15(8):1338–46.CrossRefPubMed
26.
27.
go back to reference Fayet F, Ridges LA, Wright JK, Petocz P. Australian children who drink milk (plain or flavored) have higher milk and micronutrient intakes but similar body mass index to those who do not drink milk. Nutr Res. 2013;33(2):95–102.CrossRefPubMed Fayet F, Ridges LA, Wright JK, Petocz P. Australian children who drink milk (plain or flavored) have higher milk and micronutrient intakes but similar body mass index to those who do not drink milk. Nutr Res. 2013;33(2):95–102.CrossRefPubMed
28.
go back to reference Harper A, James A, Flint A, Astrup A. Increased satiety after intake of a chocolate milk drink compared with a carbonated beverage, but no difference in subsequent ad libitum lunch intake. Br J Nutr. 2007;97:579–83.CrossRefPubMed Harper A, James A, Flint A, Astrup A. Increased satiety after intake of a chocolate milk drink compared with a carbonated beverage, but no difference in subsequent ad libitum lunch intake. Br J Nutr. 2007;97:579–83.CrossRefPubMed
29.
30.
go back to reference Vaz M, Pauline M, Unni US, Parikh P, Thomas T, Bharathi AV, et al. Micronutrient supplementation improves physical performance measures in Asian Indian school-age children. J Nutr. 2011;141(11):2017–23.CrossRefPubMed Vaz M, Pauline M, Unni US, Parikh P, Thomas T, Bharathi AV, et al. Micronutrient supplementation improves physical performance measures in Asian Indian school-age children. J Nutr. 2011;141(11):2017–23.CrossRefPubMed
31.
go back to reference Khor GL, Chee WS, Shariff ZM, Poh BK, Arumugam M, Rahman JA, et al. High prevalence of vitamin D insufficiency and its association with BMI-for-age among primary school children in Kuala Lumpur, Malaysia. BMC Public Health. 2011;11:95.CrossRefPubMedPubMedCentral Khor GL, Chee WS, Shariff ZM, Poh BK, Arumugam M, Rahman JA, et al. High prevalence of vitamin D insufficiency and its association with BMI-for-age among primary school children in Kuala Lumpur, Malaysia. BMC Public Health. 2011;11:95.CrossRefPubMedPubMedCentral
32.
go back to reference Poh BK, Ng BK, Siti Haslinda MD, Nik Shanita S, Wong JE, Budin SB, et al. Nutritional status and dietary intakes of children aged 6 months to 12 years: findings of the Nutrition Survey of Malaysian Children (SEANUTS Malaysia). Br J Nutr. 2013;110 Suppl 3:S21–35.CrossRefPubMed Poh BK, Ng BK, Siti Haslinda MD, Nik Shanita S, Wong JE, Budin SB, et al. Nutritional status and dietary intakes of children aged 6 months to 12 years: findings of the Nutrition Survey of Malaysian Children (SEANUTS Malaysia). Br J Nutr. 2013;110 Suppl 3:S21–35.CrossRefPubMed
33.
go back to reference Larson N, Dewolfe J, Story M, Neumark-Sztainer D. Adolescent consumption of sports and energy drinks: linkages to higher physical activity, unhealthy beverage patterns, cigarette smoking, and screen media use. J Nutr Educ Behav. 2014;46(3):181–7.CrossRefPubMedPubMedCentral Larson N, Dewolfe J, Story M, Neumark-Sztainer D. Adolescent consumption of sports and energy drinks: linkages to higher physical activity, unhealthy beverage patterns, cigarette smoking, and screen media use. J Nutr Educ Behav. 2014;46(3):181–7.CrossRefPubMedPubMedCentral
34.
go back to reference Zheng M, Rangan A, Olsen NJ, Bo Andersen L, Wedderkopp N, Kristensen P, et al. Sugar-sweetened beverages consumption in relation to changes in body fatness over 6 and 12 years among 9-year-old children: the European Youth Heart Study. Eur J Clin Nutr. 2014;68(1):77–83.CrossRefPubMed Zheng M, Rangan A, Olsen NJ, Bo Andersen L, Wedderkopp N, Kristensen P, et al. Sugar-sweetened beverages consumption in relation to changes in body fatness over 6 and 12 years among 9-year-old children: the European Youth Heart Study. Eur J Clin Nutr. 2014;68(1):77–83.CrossRefPubMed
Metadata
Title
Characteristics associated with the consumption of malted drinks among Malaysian primary school children: findings from the MyBreakfast study
Authors
Hamid Jan Jan Mohamed
S. L. Loy
Mohd Nasir Mohd Taib
Norimah A Karim
S. Y. Tan
M. Appukutty
Nurliyana Abdul Razak
F. Thielecke
S. Hopkins
M. K. Ong
C. Ning
E. S. Tee
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-2666-5

Other articles of this Issue 1/2015

BMC Public Health 1/2015 Go to the issue