ToyBox Study Malaysia: improving healthy energy balance and obesity-related behaviours among pre-schoolers in Malaysia

Sue Reeves, Bee Koon Poh, Cecilia Essau, Carolyn D. Summerbell, Whye Lian Cheah, Denise Koh, Julia A.C. Lee, Edward Leigh Gibson

Research output: Contribution to journalArticlepeer-review

356 Downloads (Pure)


The prevalence of childhood overweight and obesity is increasing in Malaysia
and currently nearly 10% of children aged between 6 months and 12 years are
overweight and almost 12% are obese. Early interventions to prevent excess
weight gain are needed. ToyBox Study Malaysia is a feasibility project, funded
by the Medical Research Council Newton-Ungku Omar Fund, to assess the
practicalities of adapting the existing European ToyBox Study intervention
programme to the Malaysian kindergarten setting. The main aims of all ToyBox
programmes are related to improving four key energy-balance-related behaviours, namely drinking water, eating healthy snacks and meals, reducing sedentary behaviour and increasing physical activity. Using stratified sampling, the ToyBox Study Malaysia intervention will be delivered and compared to usual
practice by assessing behaviour, physical activity and health-related outcomes as measured by questionnaires, accelerometry and anthropometry. It is hoped that the evidence-based ToyBox Study Malaysia will help to achieve healthier
energy-balance-related behaviours in the children and their families and provide
lifelong benefits to health. This article provides information on the dietary
patterns, physical activity levels and prevalence of overweight and obesity in
Malaysian children, and the approach of the ToyBox Study Malaysia.

© 2018, British Nutrition Foundation. The attached document (embargoed until 10/08/2019) is an author produced version of a paper published in NUTRITION BULLETIN uploaded in accordance with the publisher’s self- archiving policy. The final published version (version of record) is available online at the link below. Some minor differences between this version and the final published version may remain. We suggest you refer to the final published version should you wish to cite from it.
Original languageEnglish
Pages (from-to)290-295
Number of pages6
JournalNutrition Bulletin
Issue number3
Publication statusPublished - 10 Aug 2018

Cite this