Associations of meal patterning, dietary quality and diversity with anemia and overweight-obesity among Indonesian school-going adolescent girls in West Java

Agustina, Rina; Nadiya, Khairun; Andini, El A.; Setianingsih, Ainanur Aurora; Sadariskar, Arini A.; Prafiantini, Erfi; Wirawan, Fadila; Karyadi, Elvina; Raut, Manoj Kumar

doi:10.1371/journal.pone.0231519

Cited by 30 publications

(31 citation statements)

References 25 publications

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“…The poor HEI score recorded in our current study are consistent with findings of our previous studies on dietary quality in the Indonesian population, such as those in adolescent girls in West Java reported by Agustina et al [51], and reproductive-aged women in West Sumatera and West Java reported by Stefani et al [25]; and mothers and children in rural Komodo District, Eastern Indonesia reported by Gibson et al [52]. These studies also demonstrated that the Indonesian diet quality is still largely inadequate and requires improvement.…”

Section: Plos Onesupporting

confidence: 93%

Dietary quality score is positively associated with serum adiponectin level in Indonesian preschool-age children living in the urban area of Jakarta

et al. 2021

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An unhealthy diet during childhood directly impacts the risk of developing noncommunicable diseases (NCDs) later on in life. However, well-documented information on this issue is lacking. We investigated the dietary quality of young Indonesian children and assessed the relationship to serum adiponectin levels as an early marker of NCDs. Eighty-five (44 girls and 41 boys) Indonesian preschool-age children in East Jakarta were included in this study. Dietary intake data were gathered by collecting repeated 24-hour recalls for one weekday and one day during the weekend, which were then further converted into participants’ Healthy Eating Index (HEI) 2015 scores. Meanwhile, an enzyme-linked immunosorbent assay was performed to determine the serum adiponectin level. A multiple regression analysis was performed to assess the association between the HEI 2015 score and serum adiponectin, adjusting for potential confounders. The mean HEI 2015 score was 33.2 ± 8.3 points, which was far below the recommended score of ≥ 80 points, while the mean serum adiponectin was 10.3 ± 4.1 μg/mL. Multiple linear regression testing showed that a one-point increase in the HEI 2015 score was significantly associated with an increase in the serum adiponectin level by 0.115 μg/mL after adjusting for exclusive breastfeeding history (β = 0.115; 95% CI = 0.010–0.221; p = 0.032). In conclusion, better adherence of young children to a healthy diet has a positive association with their adiponectin level. This result suggests that strengthening children’s dietary quality from an early age by involving all parties in the children’s environment (e.g., parents, teachers at school, policymakers) may help to reduce the risk of NCDs later on in childhood and during adult life.

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Section: Plos Onesupporting

confidence: 93%

Dietary quality score is positively associated with serum adiponectin level in Indonesian preschool-age children living in the urban area of Jakarta

et al. 2021

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“…Various studies in the past found that the one's status of living always impact the dietary practices [22,[26][27][28], and on the similar lines, our study found that the adolescents belonging to the richest quintile were found to have higher odds of reporting MDD than poorer quintiles. A study in Gujarat, India found that the higher family income was positively associated with the higher diversity score [29].…”

Section: Discussionsupporting

confidence: 82%

Dietary Diversity Among Indian Adolescents: Evidence From UDAYA Study

Bansal¹,

Arora²,

Sharma³

et al. 2021

Preprint

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Background: Adolescence is a period transition from childhood to adulthood , in which they undergo various rapid changes from physical appearances to changes in the food habits. During this period, childbearing age starts, particularly for women, which is one of the most precarious time wherein optimum nutritional status need to be achieved. So, Eating healthy during adolescence is important as rapid physical growth increases the need of several nutrients.Methods: In our study, we have used the UDAYA longitudinal study design which provides a unique opportunity to determine the role of dietary pattern at one time point to the changes at the time 2. For analysis, cross-tabulation and chi-square test is used to test independence of various groups. Binary logistic regression is used to identify determinants of minimum dietary diversity (Yes=1, No=0) of the adolescents. Adjusted odds ratio are computed for Uttar Pradesh and Bihar separately, as well as for combined sample.Results: In the present study, the average adherence to the dietary pattern in our adolescents was 58%, while in Bihar it was 61% , and in UP it was 56%. Using the logistic regression analysis, we found that there was significant difference in the MDD of adolescents by their socio-economic characteristics. But no differentials were found among young and old adolescents in UP and Bihar. Also, food consumption score index (A.O.R.=2.6, 95% CI (2.1-3.1), and media exposure of adolescents at wave1 (A.O.R.=2.1, 95% CI (1.7-2.7) were found significant in depicting the MDD at wave2. Conclusions: India launched ICDS scheme in 1975s to strengthen the nutritional status of young children in the country, but the recent data of NFHS-5 (2019-20), shows that the nutritional status of the country improved only marginally, or rather decreased in some parts. Strengthening and proper evaluation of ICDS programme can help to improve the pro-nutrition among the adolescents. Also, there should be a specific state policy to address the needs of adolescents, and various educational programmes should be conducted in schools where students along with their parents should be educated about the need of healthy dietary habits.

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“…3,4 Evidence suggests that poor dietary habits and sedentary lifestyle are major contributors to the triple burden of malnutrition. 5,6 Prior studies in Indonesia showed that school-age children's diets were characterized by low consumption of fruits and vegetables 2,7,8 and frequent unhealthy snacking behaviors. 7 In addition, the majority of adolescents were physically inactive by engaging in moderate activity for less than 150 minutes per week, 2 while they watched television at least 2 hours per day.…”

Section: Introductionmentioning

confidence: 99%

School Canteens in Selected Areas in Indonesia: A Situation Analysis

Rachmadewi¹,

Soekarjo²,

Maehara³

et al. 2021

Food Nutr Bull

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Background: The school canteen has a massive impact on the dietary intake and nutritional status of school-age children and adolescents. This study aimed at assessing the current situation of school canteens in selected areas in Indonesia and relevant knowledge, attitudes, and behaviors of school-going children and adolescents. Methods: A qualitative study was implemented in a purposive sample of 18 schools in Klaten and West Lombok districts with 2 comparison schools in Jakarta and Klaten. Focus group discussions and in-depth interviews were conducted with a wide range of stakeholders to collect information on nutrition knowledge, food preferences, related policies and governance, and opinions toward school canteens. Data were analyzed using thematic synthesis and narrative analysis. Results: Specific government guidelines on healthy foods and beverages to be sold in canteens are not yet in place. Many canteens had inadequate infrastructure and were managed informally, with limited rules, monitoring, and supervision. Although healthy options including vegetables and fruits were available in most canteens, unhealthy foods and beverages were abundant and cheap. Lack of awareness of the importance of nutrition of school-age children and adolescents was pervasive among all stakeholders. Personal preference and availability were main drivers of the students’ food choices. Conclusions: Concerted multisectoral and multistakeholders’ efforts are warranted to improve the quality of school canteens in Indonesia by developing a comprehensive relevant guideline, improving the capacity of related stakeholders and service providers, enhancing the implementation and monitoring, and generating demand for healthy canteens.

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Associations of meal patterning, dietary quality and diversity with anemia and overweight-obesity among Indonesian school-going adolescent girls in West Java

Cited by 30 publications

References 25 publications

Dietary quality score is positively associated with serum adiponectin level in Indonesian preschool-age children living in the urban area of Jakarta

Dietary quality score is positively associated with serum adiponectin level in Indonesian preschool-age children living in the urban area of Jakarta

Dietary Diversity Among Indian Adolescents: Evidence From UDAYA Study

School Canteens in Selected Areas in Indonesia: A Situation Analysis

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