Nutritional Status, Dietary Intake, and Sleep Duration Among School Children: A Comparative Study
Status Gizi, Asupan Makan, dan Durasi Tidur Anak Sekolah: Studi Komparasi
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Background: There are differences in the prevalence of malnutrition between rural and urban areas due to differences in consumption patterns. However, data regarding differences between rural and urban areas in Indonesian cities still need to be investigated, even though this information is essential for the government to use when creating policies to eradicate malnutrition.
Objectives: To determine the effects of differences in school location (rural and urban) on the nutritional status, food intake, and sleep duration of children in junior high school.
Methods: The research employed a cross-sectional design, which comprised 102 junior high school students in Jombang (a rural area) and 101 junior high school students from Surabaya (an urban area) served as the sample. Nutritional status was determined using anthropometric measurements of z-score BMI-for-age, performing the 2x24H food recall interviews to determine food intake and the questionnaire to determine sleep duration.
Results: The findings revealed a significant difference between rural and urban areas in nutritional status (p=0.002) and food intake, namely carbohydrate intake (p<0.001). The issue of malnutrition that differed significantly between the two regions was obesity (p<0.001), which was more prevalent in urban areas; on the other hand, undernutrition did not (p=0.556). In addition, sleep duration did not differ significantly (p=0.327).
Conclusions: In conclusion, differences in nutritional problems between urban and rural areas were not constantly caused by food intake or sleep duration; however, indirect factors such as physical activity could also play a role. This finding resulted in recommendations for schools to conduct a balanced nutrition education program and for the government to implement various policies to eliminate malnutrition in urban and rural areas.
Chambers, R. Challenging the Professions: Frontiers for Rural Development. (Practical Action, 1993).
Opoola, F., Adebisi, S. & Ibegbu, A. The Study of Nutritional Status and Academic Performance of Primary School Children in Zaria, Kaduna State, Nigeria. Annals of Bioanthropology 4, 96 (2016).
Bagriansky, J., Champa, N., Pak, K., Whitney, S. & Laillou, A. The Economic Consequences of Malnutrition in Cambodia, More Than 400 Million US Dollar Lost Annually. Asia Pac J Clin Nutr 23, 524–531 (2014).
Ochola, S. & Masibo, P. K. Dietary Intake of Schoolchildren and Adolescents in Developing Countries. Ann Nutr Metab 64, 24–40 (2014).
Sandjaja et al. Relationship between Anthropometric Indicators and Cognitive Performance in Southeast Asian School-Aged Children. British Journal of Nutrition 110, S57–S64 (2013).
Duyar, Ä°. & Pelin, C. Estimating Body Height from Ulna Length: Need of a Population-Specific Formula. Eurasian Journal of Anthropology Eurasian J. Anthropol 1, 11–17 (2010).
Endalew, B., Muche, M. & Tadesse, S. Assessment of Food Security Situation in Ethiopia: A Review. Asian Journal of Agricultural Research 9, 55–68 (2015).
Sandjaja, S. et al. Food Consumption and Nutritional and Biochemical Status of 0·5–12-Year-old Indonesian Children: the SEANUTS study. British Journal of Nutrition 110, S11–S20 (2013).
Dean, W. R. & Sharkey, J. R. Rural and Urban Differences in the Associations between Characteristics of the Community Food Environment and Fruit and Vegetable Intake. J Nutr Educ Behav 43, 426–433 (2011).
Bowen, L. et al. Dietary Intake and Rural-Urban Migration in India: A Cross-Sectional Study. PLoS One 6, e14822 (2011).
Zhang, J. et al. Urban–Rural Disparities in Energy Intake and Contribution of Fat and Animal Source Foods in Chinese Children Aged 4–17 Years. Nutrients 9, 526 (2017).
Miller, A. L., Lumeng, J. C. & LeBourgeois, M. K. Sleep Patterns and Obesity In Childhood. Current Opinion in Endocrinology & Diabetes and Obesity 22, 41–47 (2015).
Shochat, T., Cohen-Zion, M. & Tzischinsky, O. Functional Consequences of Inadequate Sleep in Adolescents: A Systematic Review. Sleep Med Rev 18, 75–87 (2014).
Ministry of Health of Indonesia. Kebutuhan Tidur sesuai Usia, Age Appropriate Sleep Needs. P2PTM Kemkes http://p2ptm.kemkes.go.id/infograpic-p2ptm/obesitas/kebutuhan-tidur-sesuai-usia (2018).
Paruthi, S. et al. Consensus Statement of the American Academy of Sleep Medicine on the Recommended Amount of Sleep for Healthy Children: Methodology and Discussion. Journal of Clinical Sleep Medicine 12, 1549–1561 (2016).
Azadbakht, L. et al. The Association of Sleep Duration and Cardiometabolic Risk Factors in a National Sample of Children and Adolescents: The CASPIAN III Study. Nutrition 29, 1133–1141 (2013).
Matricciani, L., Olds, T. & Petkov, J. In Search of Lost Sleep: Secular Trends in the Sleep Time of School-Aged Children and Adolescents. Sleep Med Rev 16, 203–211 (2012).
Fernández-Alvira, J. M. et al. Can Ethnic Background Differences in Children's Body Composition Be Explained by Differences in Energy Balance-Related Behaviors? A Mediation Analysis within the Energy-Project. PLoS One 8, e71848 (2013).
Central Bureau of Statistics of East Java Province. Pertumbuhan Ekonomi Jawa Timur 2014. (2021).
Law of the Republic of Indonesia. Undang-undang Republik Indonesia Nomor 26 Tahun 2007 tentang Penataan Ruang. (https://peraturan.bpk.go.id/Home/Details/39908/uu-no-26-tahun-2007, 2007).
Lemeshow, S., Hosmer, D. W., Klar, J. & Lwanga, S. K. Adequacy of Sample Size in Health Studies. (John Wiley & Sons, 1990).
Ministry of Health of Indonesia. Basic Health Research (Riskesdas) 2018. (2018).
Individual Food Consumption Survey Team. Food Image Book. (Ministry of Health of Indonesia, 2014).
Regulation of the Minister of Health of the Republic of Indonesia. Regulation of the Minister of Health of the Republic of Indonesia Number 28 of 2019 concerning the Recommended Nutritional Adequacy Rate for the people of Indonesia. (2019).
Choi, J. H. et al. Relationship between Sleep Duration, Sun Exposure, and Serum 25-Hydroxyvitamin D Status: A Cross-sectional Study. Sci Rep 10, 4168 (2020).
Min, H. et al. Association between Sleep Duration and Measurable Cardiometabolic Risk Factors in Healthy Korean Women: The Fourth and Fifth Korean National Health and Nutrition Examination Surveys (KNHANES IV and V). Int J Endocrinol 2016, 1–10 (2016).
Insani, P. N. C., Rimbawan, R. & Palupi, E. Dietary Habits and Nutritional Status among School Children in Rural and Urban Areas: A Comparative Study from Bogor, Indonesia. Future of Food: Journal on Food, Agriculture and Society 6, 55–66 (2018).
Purnamasari, D. U., Kusnandar, K. & Nurcahyo, P. J. Differences in Visual Acuity, Nutritional Status and Motor Function in New Elementary Students in Rural And Urban Area. Media Gizi Indonesia 15, 194 (2020).
Horiuchi, Y., Kusama, K., Kanha, S. & Yoshiike, N. Urban-Rural Differences in Nutritional Status and Dietary Intakes of School-Aged Children in Cambodia. Nutrients 11, 14 (2018).
le Nguyen, B. K. et al. Double Burden of Undernutrition and Overnutrition in Vietnam in 2011: Results of the SEANUTS Study in 0·5–11-year-old children. British Journal of Nutrition 110, S45–S56 (2013).
Adom, T., de Villiers, A., Puoane, T. & Kengne, A. P. Prevalence and Correlates of Overweight and Obesity Among School Children in an Urban District in Ghana. BMC Obes 6, 1–11 (2019).
Li, L., Zhang, S., Huang, Y. & Chen, K. Sleep Duration and Obesity in Children: A Systematic Review and Meta-Analysis of Prospective Cohort Studies. J Paediatr Child Health 53, 378–385 (2017).
Katzmarzyk, P. T. et al. Relationship between Lifestyle Behaviors and Obesity in Children Ages 9-11: Results from a 12-country Study. Obesity 23, 1696–1702 (2015).
Hart, C. N., Cairns, A. & Jelalian, E. Sleep and Obesity in Children and Adolescents. Pediatr Clin North Am 58, 715–733 (2011).
Cain, N. & Gradisar, M. Electronic Media Use and Sleep in School-Aged Children and Adolescents: A Review. Sleep Med 11, 735–742 (2010).
Tambalis, K. D., Panagiotakos, D. B., Psarra, G. & Sidossis, L. S. Insufficient Sleep Duration is Associated with Dietary Habits, Screen Time, and Obesity in Children. Journal of Clinical Sleep Medicine 14, 1689–1696 (2018).
Mwaikambo, S. A., Leyna, G. H., Killewo, J., Simba, A. & Puoane, T. Why are Primary School Children Overweight and Obese? A Cross Sectional Study Undertaken in Kinondoni district, Dar-es-salaam. BMC Public Health 15, 1269 (2015).
Euler, R. et al. Rural–Urban Differences in Baseline Dietary Intake and Physical Activity Levels of Adolescents. Prev Chronic Dis 16, (2019).
Ma, X. et al. Skipping Breakfast is Associated with Overweight and Obesity: A Systematic Review And Meta-Analysis. Obes Res Clin Pract 14, 1–8 (2020).
San-Cristobal, R., Navas-Carretero, S., Martínez-González, M. Á., Ordovas, J. M. & Martínez, J. A. Contribution of Macronutrients to Obesity: Implications for Precision Nutrition. Nat Rev Endocrinol 16, 305–320 (2020).
Riera-Crichton, D. & Tefft, N. Macronutrients and Obesity: Revisiting the Calories in, Calories Out Framework. Econ Hum Biol 14, 33–49 (2014).
Martín-Calvo, N., Ochoa, M. C., Marti, A., Ángel Martínez-González, M. & Genoi, M. de. Original / Obesidad Asociación entre los macronutrientes de la dieta y la obesidad en la infancia y adolescencia; un estudio de casos y controles The Association Between Dietary Macronutrients Intake and Obesity among Children and Adolescents; A Case-Control Study. Nutr Hosp 28, 1515–1522 (2013).
Ratcliffe, M., Burd, C., Holder, K. & Fields, A. Defining rural at the U.S. census Bureau. (2016).
Seer-Uke, E. N. et al. Nutritional Status of Children Under Age Five in Benue State, Nigeria. African Journal of Food, Agriculture, Nutrition and Development 21, 18391–18403 (2021).
Tessier, S. et al. Regular Users of Supermarkets in Greater Tunis Have a Slightly Improved Diet Quality. J Nutr 138, 768–774 (2008).
Martinez-Donate, A. P. et al. Neighborhood Disparities in the Restaurant Food Environment. WMJ 115, 251–258 (2016).
Monge-Rojas, R., Smith-Castro, V., Colón-Ramos, U., Aragón, M. C. & Herrera-Raven, F. Psychosocial Factors Influencing the Frequency of Fast-Food Consumption among Urban And Rural Costa Rican adolescents. Nutrition 29, 1007–1012 (2013).
Briefel, R. R., Crepinsek, M. K., Cabili, C., Wilson, A. & Gleason, P. M. School Food Environments and Practices Affect Dietary Behaviors of US Public School Children. J Am Diet Assoc 109, S91–S107 (2009).
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