Abstract
Introduction: Hydration and obesity play an important role in body weight regulation. Objective: To determine the association of hydration status and parental knowledge on fluid intake with the children’s weight status in Muar, Johor, Malaysia. Method: A total of 207 children, 7-13 years of age, and their parents participated in this cross-sectional study. Parental fluid consumption knowledge questionnaire and beverage questionnaire were used to assess parent’s knowledge on fluid consumption and children’s fluid intake consumption, respectively. Body weight and height were measured and body mass index (BMI) was calculated. Results: A total of 24.7% of the children were overweight. Majority (78.7%) of the children were insufficiently hydrated while 78.7% parents had poor fluid consumption knowledge. Parental fluid consumption knowledge was associated with children’s hydration status (χ2=47.788; p Conclusion: Parental fluid consumption knowledge was significantly associated with children’s hydration status. Hydration status was significantly associated with children’s BMI. Sri Lanka Journal of Child Health, 2017; 46: 222-229
Highlights
Hydration and obesity play an important role in body weight regulation
Parental fluid consumption knowledge was associated with children’s hydration status (χ2=47.788; p
Hydration status was associated with children’s body mass index (BMI) (χ2=9.065; p=0.011) where significantly more overweight children were insufficiently hydrated (88.5%) compared to sufficiently hydrated children. 1UCSI University, Malaysia *Correspondence: satvinderkaur@ucsiuniversity.edu.my (Received on 23 September 2016: Accepted after revision on 18 November 2016) The authors declare that there are no conflicts of interest Personal funding was used for the project
Summary
Hydration and obesity play an important role in body weight regulation. In Malaysia, the prevalence of overweight and obesity in children was reported to have increased from 20.7% in 2002 to 26.5% in 20081 and to 28.9% in 20131,2. The impact of water intake on energy consumption was mostly done among adults and water was found to have positive impact on body weight regulation[4]. According to Popkin BM et al, there was a fairly complex linkage found between water consumption and energy intake[5]. The role of water in regulating body weight was shown by Muckelbauer R et al whereby dehydrated children are more likely to be overweight[3]. Children with lower hydration status are more likely to consume higher energy intake while children with higher hydration status would have healthier dietary choices 3
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