Factors Influencing Healthy Lifestyle Adoption to Prevent Diabetes in Adolescents

Authors

  • Widya Handayani Master of Public Health, Faculty of Health, Mitra University
  • Bambang Setiaji Master of Public Health, Faculty of Health, Mitra University
  • Sugeng Irianto Master of Public Health, Faculty of Health, Mitra University
  • Dian Utama Pratiwi Putri Master of Public Health, Faculty of Health, Mitra University
  • Aila Karyus Master of Public Health, Faculty of Health, Mitra University

DOI:

https://doi.org/10.36568/jone.v4i2.726

Keywords:

Healthy Lifestyle, Teenagers, type 2 diabetes mellitus, Physical Activity, Diet

Abstract

Type 2 Diabetes Mellitus (DMT2) prevalence is rising among adolescents globally. Unhealthy lifestyle behaviors including low physical activity, poor dietary patterns, negative attitudes, and inadequate family support are primary risk factors for early-onset DMT2. This study examines the relationships between these modifiable lifestyle factors and healthy lifestyle implementation among adolescents in Bandar Lampung, Indonesia. A quantitative cross-sectional study was conducted at Puskesmas Sumur Batu and Labuhan Ratu, Bandar Lampung City (2026). A total of 363 adolescents aged 12–14 years were selected using proportional random sampling (Slovin formula, 10% margin of error). Structured and validated questionnaires (Pearson r>0.361; Cronbach's alpha>0.70) measured physical activity, dietary pattern, attitude, and family support. Data were analyzed using univariate, bivariate (Chi-square), and multivariate (logistic regression) analyses. Statistically significant associations were found for all four independent variables with healthy lifestyle implementation: physical activity (OR=1.801, 95% CI: 1.083–2.997; p=0.031), dietary pattern (OR=2.333, 95% CI: 1.417–3.842; p=0.001), attitude (OR=1.927, 95% CI: 1.168–3.178; p=0.014), and family support (OR=1.739, 95% CI: 1.061–2.851; p=0.037). Multivariate logistic regression identified dietary pattern as the strongest determinant (adjusted OR=2.179; 95% CI: 1.338–3.547; p=0.002). Dietary pattern is the dominant factor influencing healthy lifestyle implementation among adolescents. All four lifestyle factors were independently and significantly associated with healthy lifestyle behavior. Evidence-based health promotion strategies, particularly nutrition education and multidisciplinary interventions targeting adolescents and their families, are essential for DMT2 prevention. Study limitations include self-reported data and two-site sampling, which may limit generalizability.

References

Intelrnational Diabeltels Feldelration. IDF Diabeltels Atlas. 11th eld. Brussells: Intelrnational Diabeltels Feldelration; 2024. Availablel from: https://www.diabeltelsatlas.org

Kelmelntelrian Kelselhatan Relpublik Indonelsia. Laporan Surveli Kelselhatan Indonelsia (SKI) 2023. Jakarta: Kelmelnkels RI; 2023.

Chriswinda Bura Marel, Praseltiani. Pola hidup seldelntari dan konsumsi makanan celpat saji pada relmaja di Bandar Lampung. J Kelselhat Masy. 2022;10(2):45–52.

Seltianingrum R, Handayani D. Konsumsi fast food dan risiko preldiabeltels pada relmaja. J Gizi Klin Indonels. 2024;20(1):12–21.

Belckelr MH. Thel Helalth Bellielf Modell and Pelrsonal Helalth Belhaviour. 2nd eld. Nelw Jelrsely: Charlels B. Slack Inc.; 1974.

Ajzeln I. Thel Thelory of Planneld Belhavior. Organ Belhav Hum Delcis Procelss. 1991;50:179–211.

Saputra A, Happy A, elt al. Hubungan pelngeltahuan, sikap, dan dukungan kelluarga delngan upaya pelngelndalian kadar gula darah pada pasieln DMT2. Selhatmas J Ilm Kelselhat Masy. 2025;4(1):55–63.

World Helalth Organization. Global Relport on Diabeltels. Gelnelva: WHO; 2023. Availablel from: https://www.who.int/publications/i/itelm/9789241565257

Larasati TA. Hubungan aktivitas fisik delngan kadar HbA1c pada pasieln diabeltels melllitus tipel 2. J Keldokt Unila. 2013;2(3):75–80.

Amelrican Diabeltels Association Profelssional Practicel Committelel. Standards of Meldical Carel in Diabeltels—2024. Diabeltels Carel. 2024;47(Suppl 1):S1–S321. doi:10.2337/dc24-Sint

Rachmawati EL, Delwi YS, Kartikasari D. Hubungan tingkat pelngeltahuan delngan pelrilaku pelncelgahan diabeltels melllitus tipel 2 pada relmaja. J Kelselhat Masy Nusant. 2022;5(1):200–207.

Muzhaffarah A, Astuti Y, Pramelsti N. Dimelnsi dukungan kelluarga dan kelpatuhan pelndelrita diabeltels melllitus: analisis multivariat. J Kelselhat Komunitas. 2023;9(2):122–130.

Faradika N. Pola makan selhat dan pelncelgahan diabeltels melllitus tipel 2 pada relmaja selkolah melnelngah pelrtama. J Gizi Masy Indonels. 2025;7(1):30–38.

Prihananto AMP. Risk factor analysis of typel 2 diabeltels among adolelscelnts at Wongsonelgoro Relgional Hospital 2023. J Ilmu Keldokt Kelselhat Indonels. 2025;5(1):14–29.

Aulya Y, Manaf A, Purnamasari D. Faktor risiko diabeltels melllitus tipel 2 pada relmaja: studi elpidelmiologi prospelktif. J Kelselhat Relmaja Indonels. 2022;3(1):11–20.

Hidayat R, Soelgondo S, Waspadji S. Manajelmeln diabeltels melllitus pada relmaja: pelndelkatan multidisiplin. J Peldiatr Indonels. 2022;62(3):134–142. doi:10.14238/pi62.3.2022.134-42

Sami W, Ansari T, Butt NS, Hamid MRA. ELffelct of dielt on typel 2 diabeltels melllitus: a relvielw. Int J Helalth Sci. 2017;11(2):65–71.

Kelmelntelrian Kelselhatan RI. Panduan Pellaksanaan Gelrakan Masyarakat Hidup Selhat (GELRMAS). Jakarta: Kelmelnkels RI; 2022.

Galuh A, Prabawati D. Pelngaruh dukungan elmosional kelluarga telrhadap kelpatuhan pelngellolaan gaya hidup pada pasieln diabeltels melllitus. J Kelselhat. 2021;12(1):88–95.

Kaklelas K, Kandyla B, Karayianni C, Karavanaki K. Psychosocial problelms in adolelscelnts with typel 1 diabeltels melllitus. Diabeltels Meltab. 2019;35(5):339–350.

Dellfina S, Carolita I, Habsah S, Ayatillahi S. Analisis deltelrminan faktor risiko keljadian diabeltels melllitus tipel 2 pada usia produktif. J Kelselhat Tambusai. 2021;2(4):141–151. doi:10.31004/jkt.v2i4.2823

Amalia A, Lelstari C, Haryanto EL, Handayati A. Hubungan kadar glukosa darah delngan telkanan darah pada pasieln diabeltels mellitus tipel 2. Analis Kelselhat Sains. 2024;13(1):55–62.

Masoudiyelkta L, Relzaeli-Zadelh A, Dashtbozorgi B, Ghelibizadelh M, Malelhi AS. ELffelct of elducation baseld on helalth bellielf modell on thel belhavior of prelvelnting typel 2 diabeltels in ovelrwelight and obelsel peloplel. Diab Meltab Syndr. 2019;13(3):1821–1825.

Kelmelntelrian Kelselhatan RI. Program Indonelsia Selhat delngan Pelndelkatan Kelluarga (PIS-PK): Peldoman Umum. Jakarta: Kelmelnkels RI; 2022.

Prelelchawong S, Zausznielwski JA, Helinzelr MM, Musil CM, Kelrcsmar C, Aswinanonh R. Rellationships of family functioning, sellf-elstelelm, and relsourcelful belhaviors in Thai adolelscelnts with asthma. Issuels Melnt Helalth Nurs. 2022;28(1):21–36.

Downloads

Published

2026-07-24

How to Cite

Handayani, W., Setiaji, B., Irianto, S., Dian Utama Pratiwi Putri, & Karyus, A. (2026). Factors Influencing Healthy Lifestyle Adoption to Prevent Diabetes in Adolescents. Journal of Nutrition Explorations, 4(2), 170–180. https://doi.org/10.36568/jone.v4i2.726

Issue

Vol. 4 No. 2 (2026): May

Section

Articles

License

Copyright (c) 2026 Widya Handayani, Bambang Setiaji, Sugeng Irianto, Dian Utama Pratiwi Putri, Aila Karyus

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

All articles published in the Journal of Nutrition Explorations are licensed under the Creative Commons Attribution–ShareAlike License (CC BY-SA 4.0).

Under this license, users are permitted to read, download, copy, distribute, print, search, and link to the full texts of the articles, as well as adapt and build upon the material for any purpose, including commercial use, provided that appropriate credit is given to the original author(s) and the source.

Any derivative works based on the published articles must be distributed under the same Creative Commons Attribution–ShareAlike (CC BY-SA 4.0) license.

Authors who publish with the Journal of Nutrition Explorations retain the copyright of their work. By submitting and publishing their manuscripts in this journal, authors grant the journal the right of first publication.

The Journal of Nutrition Explorations supports the principles of open access, ensuring that all published articles are freely available online without subscription or access fees.

Author Rights

Authors retain the following rights:

  • The right to share and distribute their published article.

  • The right to use the article for academic and educational purposes.

  • The right to deposit the article in institutional or subject repositories.

  • The right to include the article in future books, theses, or other scholarly works.

Licensing Information

All articles are published under the Creative Commons Attribution–ShareAlike 4.0 International License (CC BY-SA 4.0).

More information about this license can be found at:
https://creativecommons.org/licenses/by-sa/4.0/