Page 48 - Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022

Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022
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14 MOH-AMM Scientific Meeting 2022 in conjunction with 23 NIH Scientific Conference Abstract Book
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measurement cannot be done. Weight estimations are often inaccurate due to variations in
body habitus and disabilities. This study aims to validate two predictive equations of weight
in children with special needs namely Cattermole and Mercy equation.
METHODS: A cross-sectional study with a universal sampling of children with special needs
was conducted at Community-Based Rehabilitation in Selangor, Negeri Sembilan, and
Wilayah Persekutuan Kuala Lumpur and Putrajaya. A standardized assessment form was used
to determine information on socio-demographic and anthropometric data. Anthropometric
measurements including height, weight, humeral length, and mid-upper arm circumference
were collected using standard procedure. Residual error (RE), percentage error (PE) and Root
Mean Square Error (RMSE) were used to validate the predictive formula against actual weight.
RESULTS: A total of 502 children with median aged 7 (6) years, were enrolled in this study.
Result showed that the Mercy Formula demonstrated smaller degree of bias than the
Cattermole Formula (PE = 1.97 ± 15.99% and 21.13 ± 27.76%, respectively). Mercy Formula
showed higher intraclass correlation coefficient (0.936 vs 0.858) and predicted weight within
20% of actual value in the largest proportion of participants (84% vs 48%). The Mercy Formula
also demonstrated lower RE (0.3 vs 3.6) and RMSE (3.84 vs 6.56) compared to the Cattermole
Formula.
DISCUSSION/CONCLUSION: Mercy Formula offered the best option for weight estimation in
children with special needs in our study population.

ID 13 CONCURRENT CONTROL OF GLYCOSYLATED HAEMOGLOBIN A1c, BLOOD PRESSURE,
LDL-CHOLESTEROL, HDL-CHOLESTEROL AND TRIGLYCERIDE AMONG TYPE 2 DIABETES
PATIENTS IN NEGERI SEMBILAN, MALAYSIA

1
1,2
3
2
Kim Sui Wan , Muhammad Fadhli Mohd Yusoff , Noran Naqiah Hairi , Feisul Idzwan Mustapha , Foong Ming
Moy 2
1 Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia
2 Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty
of Medicine, University of Malaya, Malaysia
3 Disease Control Division, Ministry of Health Malaysia

INTRODUCTION: Attainment of treatment targets prevents adverse cardiovascular outcomes
among diabetes patients. However, the concurrent control of glycosylated haemoglobin A1c,
blood pressure, LDL-cholesterol, HDL-cholesterol and triglyceride is largely unknown in
Malaysia. We aim to determine the proportion and factors associated with the concurrent
control of these biomarkers in type 2 diabetes patients in Negeri Sembilan, Malaysia.
METHODS: An analytical cross-sectional study was conducted using 2017 National Diabetes
Registry data. The study population was adult type 2 diabetes patients in Negeri Sembilan.
The treatment targets followed the Malaysian Clinical Practice Guidelines on Type 2 Diabetes
Management. Multivariate logistic regression analysis was used to determine factors
associated with the desired outcome.
RESULTS: Among 15,545 patients, there were more females (61.2%), Malays (63.8%), and
older adults (58.0%). Only 3.6% (95% CI: 3.3–3.9%) achieved all targets. Older adults (aOR
2.51, 95% CI:2.03–3.11), Chinese ethnicity (aOR 1.27, 95% CI:1.04–1.56), antiplatelet agents
(aOR 1.28, 95% CI:1.06–1.56) and lipid-lowering agents (aOR 1.36, 95% CI:1.08–1.71) were
positively associated with the achievement of quintuple targets. In contrast, treatment with
insulin alone (aOR 0.23, 95% CI:0.13–0.41), both oral hypoglycaemic agents and insulin (aOR
0.11, 95% CI:0.06–0.18), two antihypertensive agents (aOR 0.62, 95% CI:0.47–0.82) and three

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