Association Between Obesity Knowledge, Macronutrient Intake, and Nutritional Status Among Adolescents in Lamongan, Indonesia

Jakhyanur Indah Sugiarti; Annas Buanasita; Ani Intiyati; Nuning Marina Pengge

doi:10.36568/jone.v3i4.198

Authors

Jakhyanur Indah Sugiarti Poltekkes Kemenkes Surabaya
Annas Buanasita poltekkes kemenkes surabaya
Ani Intiyati poltekkes kemenkes surabaya
Nuning Marina Pengge Politeknik Kesehatan Kemenkes Surabaya

DOI:

https://doi.org/10.36568/jone.v3i4.198

Keywords:

Level of knowledge about obesity, food intake, nutritional status

Abstract

Obesity is a global health epidemic that needs urgent attention and a health problem that must be addressed (World Health Organization). this study aims to analyze the relationship between obesity-related knowledge and dietary intake with the nutritional status of adolescents at SMA Pancamarga Lamongan. This quantitative study used a cross-sectional correlational design involving 47 students from SMA Pancamarga Lamongan, with data collected through interviews, food recalls, and anthropometric measurements, and analyzed using Spearman correlation. The results showed that the majority of respondents had a normal nutritional status (61.7%) and carbohydrate intake in the severely deficient category (51.1%). Spearman correlation analysis indicated no significant relationship between obesity-related knowledge (ρ = 0.111) or carbohydrate intake (ρ = 0.193) with the nutritional status of students at SMA Pancamarga Lamongan. The results showed that most respondents had normal nutritional status and severely inadequate carbohydrate intake, with no significant correlation found between obesity-related knowledge or carbohydrate intake and nutritional status.

References

Chaput JP, Willumsen J, Bull F, Chou R, Ekelund U, Firth J, et al. 2020 WHO guidelines on physical activity and sedentary behaviour for children and adolescents aged 5–17 years: summary of the evidence. Int J Behav Nutr Phys Act. 2020;17(1):1–9.

Batubara JR. Adolescent Development (Perkembangan Remaja). Sari Pediatr. 2016;12(1):21.

Sari MAK, Lestari YN. Faktor Risiko yang Berhubungan dengan Kejadian Obesitas pada Remaja (Studi Kasus di SMA Negeri 15 Semarang). Media Gizi Kesmas [Internet]. 2024 Jun 30;13(1):386–96. Available from: https://e-journal.unair.ac.id/MGK/article/view/52467

Kartolo MS, Santoso AH. Hubungan Frekuensi Konsumsi, Asupan Energi, Lemak, Gula, Dan Garam Dalam Fast Food Dengan Kejadian Obesitas Pada Siswa/I Smp X Yogyakarta. Ebers Papyrus. 2022;28(1):38–50.

Mulyasari I, Afiatna P, Maryanto S, Aryani AN. Indeks Massa Tubuh sebagai Prediktor Hipertensi: PerbandinganStandar World Health Organization dan Asia-Pasifik. Amerta Nutr. 2023;7(2):247–9.

Setyawati VAV, Rimawati E. Pola Konsumsi Fast Food dan Serat Sebagai Faktor Gizi Lebih Pada Remaja. Unnes J Public Heal [Internet]. 2016 Jul 31;5(3):275. Available from: https://journal.unnes.ac.id/sju/index.php/ujph/article/view/16792

Kurdanti W, Suryani I, Syamsiatun NH, Siwi LP, Adityanti MM, Mustikaningsih D, et al. Faktor-Faktor yang Mempengaruhi Kejadian Obesitas Pada Remaja. J Gizi Klin Indones. 2015;11(04):179–90.

Badan Penelitian Dan Pengembangan Kesehatan Republik Indonesia. Laporan Riskesdas 2018 Nasional. Lembaga Penerbit Balitbangkes. 2018. p. hal 156.

Dinkes Jatim. Profil Kesehatan Jawa Timur 2018. Dinas Kesehat Provinsi Jawa Timur. 2018;100.

Dinas Kesehatan Lamongan. Profil Kesehatan Kabupaten Lamongan Tahun 2021. 2021; Available from: https://lamongankab.go.id/beranda/dinkes/post/1872

Powell-Wiley TM, Poirier P, Burke LE, Després JP, Gordon-Larsen P, Lavie CJ, et al. Obesity and Cardiovascular Disease: A Scientific Statement From the American Heart Association. Circulation [Internet]. 2021 May 25;143(21). Available from: https://www.ahajournals.org/doi/10.1161/CIR.0000000000000973

Patel SA, Ali MK, Alam D, Yan LL, Levitt NS, Bernabe-Ortiz A, et al. Obesity and its Relation With Diabetes and Hypertension: A Cross-Sectional Study Across 4 Geographical Regions. Glob Heart [Internet]. 2016 Mar 1;11(1):71. Available from: https://globalheartjournal.com/article/10.1016/j.gheart.2016.01.003/

Inge TH, King WC, Jenkins TM, Courcoulas AP, Mitsnefes M, Flum DR, et al. The Effect of Obesity in Adolescence on Adult Health Status. Pediatrics [Internet]. 2013 Dec 1;132(6):1098–104. Available from: https://publications.aap.org/pediatrics/article/132/6/1098/30544/The-Effect-of-Obesity-in-Adolescence-on-Adult

Oddo VM, Roshita A, Khan MT, Ariawan I, Wiradnyani LAA, Chakrabarti S, et al. Evidence-Based Nutrition Interventions Improved Adolescents’ Knowledge and Behaviors in Indonesia. Nutrients [Internet]. 2022 Apr 21;14(9):1717. Available from: https://www.mdpi.com/2072-6643/14/9/1717

A’Yunin EN, Mustakim M, Arumsari I. Adolescents’ Unhealthy Eating Behavior and Customer Engagement on Social Media in Sub-Urban Areas. Amerta Nutr. 2024;8(4):549–56.

Kisda AV, Ekayanti I, Sinaga T. Effect of Health Belief Model-Based Interventions to Increase Diet Quality of Adolescents. Media Gizi Indones [Internet]. 2024 Sep 30;19(3):249–58. Available from: https://e-journal.unair.ac.id/MGI/article/view/51730

Dewi RS, Dwiriani CM, Khomsan A. Nutritional Knowledge, Diet Quality and Nutritional Status of School-Going Adolescents in Rural and Urban Areas in West Aceh. AcTion Aceh Nutr J [Internet]. 2024 Jun 19;9(2):297. Available from: https://ejournal.poltekkesaceh.ac.id/index.php/an/article/view/1723

Riazi S, Ghavami V, Sobhani SR, Shoorab NJ, Mirzakhani K. The effect of nutrition education based on the Health Belief Model (HBM) on food intake in pregnant Afghan immigrant women: a semi-experimental study. BMC Pregnancy Childbirth [Internet]. 2024;24(1). Available from: https://doi.org/10.1186/s12884-024-06728-0

Murni IK, Sulistyoningrum DC, Susilowati R, Julia M, Dickinson KM. The Association Between Dietary Intake and Cardiometabolic Risk Factors Among Obese Adolescents in Indonesia. BMC Pediatr [Internet]. 2022;22(1):1–9. Available from: https://doi.org/10.1186/s12887-022-03341-y

Mursal M, Akbar Y, Ardianti RD, Ananda R. Effects of Balanced Nutrition Education on Knowledge About Overweight Among Adolescents. Int J Res Innov Appl Sci [Internet]. 2024;IX(VII):701–5. Available from: https://rsisinternational.org/journals/ijrias/articles/effects-of-balanced-nutrition-education-on-knowledge-about-overweight-among-adolescents/

Lestari A, Andri M, Arwati N. Adolescent Nutrition and Dietary Patterns : A Narrative Review. Nutr J Ilmu Gizi. 2025;1(1):1–14.

Agestika L, Ratnayani R. Snacking Habits, Strict Diet, BMI, and Body Image of Adolescents in Three Sub-Districts in Depok and Bogor. Amerta Nutr. 2023;7(1):14–9.

Pan X, Gao Y, Zhang Y, Suzuki K, Chen X, He J, et al. The Impact of Snacking Habits and Physical Activity on Body Composition in Overweight and Obese Adolescents: A Longitudinal Study Differentiating Home and School Environments. Jaiswal, NP, editor. PLoS One [Internet]. 2025 Feb 26;20(2):1–13. Available from: https://dx.plos.org/10.1371/journal.pone.0318000

Benítez-Andrades JA, Arias N, García-Ordás MT, Martínez-Martínez M, García-Rodríguez I. Feasibility of Social-Network-Based E-Hhealth Intervention on the Improvement of Healthy Habits Among Children. Sensors (Switzerland). 2020;20(5).

Benavides C, Benítez-Andrades JA, Marqués-Sánchez P, Arias N. E-Health Intervention to Improve Health Habits in the Adolescent Population: Mixed Methods Study. JMIR mHealth uHealth. 2021;9(2).