Abstrak Latar belakang: Peningkatan kejadian gizi lebih remaja karena penurunan aktivitas fisik dan peningkatan konsumsi makanan yang mengandung lemak dan karbohidrat tinggi di mana makanan tersebut memiliki nilai gizi rendah. Indonesia termasuk 10 negara dengan prevalensi kelebihan gizi terbesar di dunia. Salah satu provinsi yang mengalami gizi lebih melebihi prevalensi gizi lebih adalah Jawa Barat. Penelitian ini bertujuan mengetahui faktor- faktor yang berhubungan dengan kejadian gizi lebih remaja di Sekolah Tinggi Ilmu Kesehatan (STIKes) Mitra Keluarga Bekasi. Metode: Penelitian ini menggunakan desain cross-sectional, dengan variabel independen kebiasaan melewatkan sarapan, konsumsi sayur dan buah, konsumsi fast food, aktivitas fisik, dan aktivitas sedentary. Sedangkan variabel dependennya status gizi lebih dengan indikator IMT ≥ 23 kg/m2 . Populasi studi meliputi 450 mahasiswa STIKes Mitra Keluarga Bekasi berusia 17-20 tahun. Data dikumpulkan pada Juni-Juli 2020 dengan sampel sebanyak 215 responden yang dipilih secara consecutive sampling. Uji statistik yang digunakan regresi logistik sederhana. Hasil: Sebagian besar responden berjenis kelamin perempuan (95,3%), berusia 19 tahun (46,0%) dan program studi SI-Keperawatan (32,6%). Hasil uji regresi logistik mendapatkan p-value pada tiap variabel yaitu kebiasaan melewatkan sarapan (0,353), konsumsi sayur (0,721), konsumsi buah (0,853), konsumsi fast food (0,867), aktivitas fisik (0,828), aktivitas sedentary sedang (0,734), aktivitas sedentary berat (0,090). Kesimpulan: Kebiasaan melewatkan sarapan, konsumsi sayur buah, konsumsi fast food, aktivitas fisik serta aktivitas sedentary tidak berhubungan dengan kejadian gizi lebih pada mahasiswa STIKes Mitra Keluarga. Relationship Between the Habits of Skipped Breakfast, Consumption of Vegetables Fruits and Fast Food, Physical Activities, Sedentary Activities with Overnutrition Abstract Background: The increase in the incidence of overnutrition in adolescence due to decreased physical activity and increased consumption of foods with high in fat and high in carbohydrates, which these foods have low nutritional value. Indonesia is one of the 10 countries with the highest prevalence of overweight in the world. One of the provinces experiencing overnutrition above the prevalence of overnutrition in Indonesia is West Java. This study aims to determine the factors associated with the incidence of overnutrition in STIKes Mitra Keluarga Bekasi. Methods: This study used a cross-sectional design. The independent variable was habit of skipping breakfast, consumption of vegetables, fruits, consumption of fast food, physical activity, sedentary activity, while the dependent variable was over nutritional status with BMI indicators ≥ 23 kg / m2 . The study population was 450 STIKes Mitra Keluarga Bekasi students aged 17-20 years. Data collection was carried out in June-July 2020 with a sample of 215 respondents who were selected by consecutive sampling. To determine the relationship between the two variables studied, the data were analyzed using a Simple Logistic Regression test. Result: Most of the respondents were female (95.3%), 19 years old (46.0%), SI-Nursing study program (32.6%). Simple Logistic Regression test results obtain p-value for each variable is the habit of skipping breakfast (0.353), vegetables consumption (0.721), fruits consumption (0.853), fast food consumption (0.867), physical activity (0.828), moderate sedentary activity (0.734), and heavy sedentary activity (0.090). Conclusion: There is no relationship between the habit of skipping breakfast, consumption of vegetables, fruits, and fast food, physical activity and sedentary activity with overnutrition in STIKes Mitra Keluarga students.
<p>ABSTRAK</p><p>Latar belakang: Prevalensi kelebihan berat badan dan obesitas pada remaja (13 - 15 tahun) meningkat secara signifi kan dari 7,3% pada 2013 menjadi 13,5% pada 2018. Ketersediaan restoran cepat saji yang semakin banyak, baik lokal maupun komersial, di sekitar sekolah semakin meningkatkan jumlah anak remaja usia sekolah yang terpapar makanan tidak sehat, terlebih bagi mereka yang tinggal di daerah perkotaan. <br />Tujuan: Penelitian ini menguji dampak camilan lokal yang tersedia di sekolah terhadap kejadian obesitas pada remaja. <br />Metode: Penelitian Ini menggunakan disain cross-sectional yang dilakukan di lima Sekolah Menengah Kejuruan (SMK) di Bekasi, Indonesia. Sebanyak 225 siswa berusia 16-18 tahun diamati status gizi dan konsumsi makanan ringan mereka. Indeks massa tubuh menurut usia (IMT/U) digunakan untuk menentukan status obesitas remaja. Diklasifi kasikan sebagai obesitas apabila nilai z score > 2SD sesuai dengan usia dan jenis kelamin mereka, menggunakan grafi k referensi WHO 2007. Siswa ditanya tentang konsumsi makanan mereka menggunakan kuesioner frekuensi makan (FFQ) semi kuantitatif. Odds ratio (OR) dihitung untuk setiap jenis makanan ringan dan nilai p<0,05 sebagai nilai signifi kan secara statistik. <br />Hasil: Temuan penelitian ini menunjukkan bahwa 32,4% siswa mengalami obesitas. Konsumsi makanan ringan lokal yang terkait dengan obesitas termasuk makanan berlemak (OR, 2.18; 95% CI, 0.68 - 7.01; p = 0.19), makanan manis (1OR, 1.28; 95% CI, 0.70 – 2.35)), dan makanan asin (OR, 1,04; 95% CI, 0,40 - 2,71; p = 0,92). Tiga makanan dan minuman lokal teratas yang dikonsumsi oleh para siswa adalah Cireng (makanan goreng lokal yang terbuat dari tepung), teh, dan pizza (masing-masing dengan frekuensi 0,561, 0,429, 0,245 /hari). <br />Kesimpulan: Konsumsi makanan ringan lokal yang dijual di SMK di Kota Bekasi tidak memiliki hubungan yang signifi kan terhadapt kejadian obesitas.</p><p>KATA KUNCI: kebiasaan mengemil; obesitas pada remaja; konsumsi makanan</p><p><br />ABSTRACT <br />Background: Prevalence of overweight and obesity in adolescents (13 – 15 years) significantly increased from 7.3% in 2013 to 13.5% in 2018. The availability of many fast-food restaurants, both local and commercial, nearby the school increases the number of young people exposed to unhealthy food, especially those living in urban areas. <br />Objectives: This study examined the impact of local unhealthy snacks available in the school on adolescent obesity. <br />Methods: This was a cross-sectional study conducted in the fi ve Secondary Vocational School in Bekasi, Indonesia. A total of 225 students aged 16-18 years were observed for their nutritional status and snack consumption. Body mass index for age indices was used to determine the obesity status of adolescents, classifi ed as obese (>2SD) with respect to their age and sex using 2007 WHO reference charts. Students were asked about their food consumption using a semi-quantitative questionnaire. Odds ratios (ORs) was calculated for each type of snacks and p<0.05 was considered statistically signifi cant. <br />Results: Finding of this study shows that 32.4% of students were obese. The consumption of local snacks associated with obesity included fatty food (OR, 2.18; 95% CI, 0.68–7.01; p=0.19), sweet food (OR, 6.98; 95% CI, 3.00 – 16.25; p<0.001), and salty food (OR, 1.04; 95% CI, 0.40 – 2.71; p=0.92). The top three of local foods and beverages consumed by the students were Cireng (a local fried food made from starch), tea, and pizza (with frequency/day 0.561, 0.429, 0.245, respectively). Conclusion: Local snacks on sale in the vocational schools in Bekasi City was not signifi cant associated with obesity.</p><p>KEYWORDS: snacking behavior; obesity in adolescence; food consumption</p>
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