Effects of Peers on Obesogenic Behavior in Indonesia’s Adolescents: A Case Study of Adolescents in the Provinces of DI Yogyakarta, South Kalimantan, and Bali (original) (raw)
Related papers
2017
Objectives: Child obesity, a major risk factor of non-communicable diseases such as diabetes or heart diseases, has become a major health issue in Indonesia, especially in the wake of economic growth. Nevertheless, child obesity prevention programs and relevant information is limited. Our study aimed to investigate child obesity status, lifestyle behaviours (LSBs) and their predictors, and their structures, in order to develop a model to discuss a collaborative healthy weight development program for schoolchildren in urban Indonesia. There were two objectives of our study: (1) In order to investigate schoolchildren's obesity status, LSBs, and their predictors and (2) In order to examine relationships among schoolchildren's obesity status, LSBs, and their predictors in urban Indonesia. Methods: The design was a cross-sectional study using physical measurement tools and an 82 item selfdeveloped questionnaire based on interviews for 9 to 11 year old school children in 2015. Sampling included 5 schools resulting in 594 eligible students with 579 (97.5%) responding. Collected data were analyzed by descriptive statistics and a structural equation modeling. The Research Ethics Committee of St. Luke's International University (Approval Number 15-036) approved our study. Results: Physical measurement classified participants 40% as obese or overweight and 35% as underweight. Descriptive statistics revealed limited behaviours and environments in access to snacks, physical activity (PA), weight-monitoring, obesity education, and support. The models by type of schools and by sex (CFI=0.88-0.91) indicated; boys' trouble sleeping (β=-0.18), private schoolchildren's frequency of junk and outside foods (β=-0.18 and -0.19) predicted Body Mass Index. Safe-PA environment (β=0.17-0.48) and family support (β=0.36-0.59) predicted PA LSBs. For girls, PA-peer presence predicted PA LSBs (β=0.88). Conclusion: These findings could help developing the effective obesity-prevention programs such as healthy dietary environment, safe-PA-environment, PA-peer-group support for girls, family-involved dietary-PA interventions in urban Indonesia.
Adolescents school students in Java and Sumatra are in greater risk of obesity
Health Science Journal of Indonesia, 2019
Background: Over nutrition intake that lead to overweight and obesity along with lack of physical activity are the main dietary behavior problem among adolescents worldwide. Obesity during adolescents may increase risk to non-communicable diseases in younger age. Indonesia faces burden of nutrition related diseases as obesity is increasing while malnutrition still exists, including in adolescents. Obesity issues in adolescents may vary in different eating behavior risks, demography and geographical settings. Evidences are still limited in term of which specific demography and geography aspects in Indonesia that required stronger strategic intervention to prevent obesity in adolescents. Objective: This study aims to describe proportion association of obesity in in different adolescents characteristic and eating behaviour. Method: This study used data from Indonesia 2015 Global School-based Health Survey developed by US CDC and WHO) with modification based on Indonesia specific. The analysis included 10,544 students covered national representative and three main Islands of school students (grade 7 to 12) in Indonesia. Statistical analysis used chi square and log regressions. Results: The logistic model showed adolescents students living in Java island has significantly higher risk of obesity (adjusted OR 2.1; 95% CI 1.3-3.3) compare to their peers in outside Java and Sumatra Island, while behavior risk factors such as physical activity and dietary habbit were not significanlty associated with obesity. Conclusions: Issues disparity of obesity in adolescents occurred in the three main Islands in Indonesia, in different school grade and in those with different dietary risk behaviours. Intervention strategy to address adolescents obesity issues will need to be directed toward school-based settings with taking into account specific approaches for students in Sumatra and other main islands in Indonesia as well as specific for junior and senior high school
Social maturity among obese children in Surakarta, Indonesia
Paediatrica Indonesiana, 2016
Background Although it is clear that childhood obesity has asso-ciation with many aspects included social aspect, the social matu-rity aspect on childhood obesity is scarcely found.Objective To examine the prevalence of social maturity and thepossible associated factors among obese children.Methods A cross sectional study was conducted from January toFebruary 2005. Twenty percent of elementary schools in every sub-district were randomly selected. All obese children from selectedschools were recruited to the study after obtaining the informedconsent. Criteria of obesity in children was based on BMI e”95 thpercentile according to age and sex. Social maturity was measuredusing Vineland Social Maturity Scale, which consisted of 8 catego-ries, i.e., self-help general, self-help eating, self-help dressing, self-direction, occupation, communication, locomotion, and socializa-tion. Social maturity score was determined using age group. Thetotal score was divided into two categories i.e. imma...
International Journal of Sciences: Basic and Applied Research, 2017
Obesity is a problem that can occur in children to adults, including adolescents. The purpose of this study was to determine the factors associated with the incidence of obesity in adolescents. This research was conducted in junior high school in Bulukumba district, South Sulawesi in 2016. The sample was 118 people, the research design was observational with cross sectional approach. The results showed that physical activity factors (p = 0.000), energy intake (p = 0.000), carbohydrate intake (p = 0.041), father’s education (p = 0.003), mother’s education (p = 0.002) 0.035) and a parent’s history of obesity (p = 0.041) associated with the incidence of obesity in adolescents. While the gender factor (p = 0.269), structure of family (p = 0.689) and family health history (p = 0.171) were not related to the incidence of obesity. Conclusion: energy intake is the factor most associated with the incidence of obesity in adolescents. It is recommended for teenagers to adopt a healthy lifestyle.
The Occurrence of Obesity Among Student at Elementary School Lampung-Indonesia
Malahayati International Journal of Nursing and Health Science, 2019
Background: Fast food is one that causes the risk of obesity and cause health problems. Nowadays, the occurrence of obesity in children tends to increase, and many other factors that can make obesity in children.Purpose: Knowing that factors associated with occurrence of obesity among student in Elementary School (Sekolah Dasar Negeri 2) Labuhan Bandar Lampung 2018Methods: This research was quantitative with cross sectional approach. Population in this research is all student at Elementary School (Sekolah Dasar Negeri 2) Labuhan Dalam Bandar Lampung with the sample of 63 respondents (simple random sampling).Results: Finding, genetic factor were 33 (52,4%) respondents with p-value 0,001, food intake factor 35 (55,6%) respondent with p-value 0,010 and physical activity factor 32 (50,8%) respondent with p-value 0,007.Conclusion: There is a relationship between genetic factors, food intake factor and physical activity factor with the occurrence of obesity among student in Elementary ...
Public Health Nutrition
Objectives: To aid the design of nutrition interventions in low- and middle-income countries undergoing a nutrition transition, this study examined behavioral and environmental risk factors associated with childhood overweight and obesity in urban Indonesia. Design: Body height and weight of children were measured to determine BMI-for-age Z-scores and childhood overweight and obesity status. A self-administered parental survey measured socioeconomic background, children’s diet, physical activity, screen time, and parental practices. Logistic and quantile regression models were used to assess the association between risk factors and the BMI-for-age Z-score distribution. Setting: Public primary schools in Central Jakarta, sampled at random. Participants: Children (n=1,674) aged 6-13 years from 18 public primary schools. Results: Among the children, 31.0% were overweight or obese. The prevalence of obesity was higher in boys (21.0%) than in girls (12.0%). Male gender and height (aOR=1....
2020
The risk of obesity and chronic diseases rises with the increase in one’s level of welfare. Among the influencing factors for such phenomenon are eating behavior and lifestyle. Modern lifestyle which demands that everything be done in an instant makes people consume food with the nutritional adequacy disregarded. The emergence of fast food and junk food in Indonesia has also exerted an influence on people’s consumption pattern. Some preventive and mitigating efforts can be made, one of which is provision of nutrition education. This research was aimed to determine the influence of nutrition education on the change of consumption knowledge, behavior, and habit of the students of Universitas Slamet Riyadi Surakarta. The respondents enrolled in this research were of the ages of 19–21 years. They were purposively selected on the basis that some of them were able to plan and select which food to be consumed. This research employed questionnaires during pre-test and posttest, with the res...
Food and Nutrition Bulletin, 2021
Background: Adolescent overweight and obesity (AOO) is a global public health problem and risk for noncommunicable diseases. Understanding context-specific risks is crucial for interventions. Objective: Determine the prevalence of AOO in the Indonesian National Health Survey (INHS) 2013, assess the 5-year trend from 2013 to 2018, and identify risks. Methods: We selected adolescents aged 10 to 19 years (n = 174 290) from the INHS 2013 and used hierarchical logistic regression to identify gender-specific risks for those aged 15 to 19 years (n = 77 534). Change in AOO was assessed by comparison to INHS 2018 reports. Results: The national AOO prevalence increased over 5 years by 48% in young adolescents (13-15 years) and 85% in older ones (16-18 years). High prevalence areas included the urban location of Jakarta (20.9%) and the remote rural region of Papua (19.4%). Overall, AOO risks were being sedentary, male, lower education, married, younger adolescent, and school enrollment, with u...
Diversity and change in food wellbeing
Overweight and obesity is a serious problem among urban schoolchildren that continues into adulthood and leads to metabolic and degenerative diseases. In the context of urban development and social change, children's food habits and low physical activity put them at risk of childhood obesity. More specifically, factors such as relatively high educational level and income of parents, provision of pocket money, and easily accessible fast food restaurants, play a role in this. This study aimed to assess the impact of such factors on the nutritional status and physical fitness of middle-class schoolchildren in the city of Bogor, West Java, Indonesia. A cross sectional study involving 224 grade-5 elementary schoolchildren was done. Data collection included a mix of methods. Results shows that overweight risk is 4.5 higher for non-fit children compared to fit children. Overweight children had significantly lower physical fitness scores. Children with pocket money more than IDR 10,000/day (€ 0.66) had 2.7 times more risk to become overweight than children with less pocket money. Low education of the mother decreased overweight risk 0.4 times. Mothers with a high education mostly had an occupation outside the home, hence had less time for food care. High protein adequacy levels of more than 120% decreased overweight risk 0.4 times. These findings suggest that social change and development in the urban context have a negative impact on the nutritional status and fitness of schoolchildren.
Journal of Epidemiology and Public Health, 2018
Background:Basic Health Research (RISKESDAS) data in 2013 showed that the prevalence of overweight among adolescents aged 13-15 years was 10.8%. Karanganyar district is ranked fourth by the number of overweight adolescents cases in Central Java with prevalence of 8.2%. This study aimed to determine the asssociation between socio-cultural, lifestyle factors, and school environment on the risk of overweight in adolescents, Karanganyar District, Central Java, using social cognitive theory (SCT), PRECEDE-PROCEED model, and multilevel analysis. Subjects and Method:This was an analytic observational study with cross-sectional design. The study was conducted at 25 junior high schools in Karanganyar district, Central Java, in December 2017. A sample of 200 junior high school students were selected for this study by stratified sampling and fixed disease sampling. The dependent variable was overweight. The independent variables werenutritional intake, snacking habits, physical activity, self efficacy, paternal BMI, maternal BMI, peer group influence, and school environment. Body weight data was measured by digital scale. Contextual effect of school environment was measured by the number of snack sellers at school. Other data were collected by questionnaire and analyzed by multilevel analysis. Results: High nutritional intake(b= 1.56, SE = 0.73, p= 0.032), high snacking habits (b= 1.27, SE = 0.70; p= 0.069), paternal BMI ≥23 (b= 1.60; SE= 0.79; p= 0.042), maternal BMI ≥23 (b= 2.29; SE = 0.76; p = 0.002), parent income ≥minimum regional wage (b= 2.17; SE= 0.76; p= 0.004), and strong peer group influence (b= 2.22; SE = 0.65; p= 0.001) increased the risk of overweight in adolescents. High self-efficacy (b=-3.61, SE= 0.75, p <0.001) and high physical activity (b=-2.92; SE= 0.80; p <0.001) decreased the risk of overweight in adolescents. Intraclass correlation= 9.92% indicating considerable contextual effect of school environment. Conclusion:Nutritional intake, snack habits, paternal BMI, maternal BMI, family income, and peer influence increase the risk of overweight in adolescent. Self-efficacy and high physical activitydecrease the risk of overweight in adolescent.School environment has a considerable contextual effect on overweight in adolescents.