Lifestyle Habits Associated to Overweight Among Female Adolescents in Tasikmalaya, West Java, Indonesia
Gaya Hidup yang Berhubungan dengan Kejadian Kegemukan pada Remaja Putri di Kota Tasikmalaya, Jawa Barat, Indonesia
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Background: Adolescence, specifically among female is a high-risk period for weight gain and the incidence of being overweight. Lifestyle is considered a significant contributing factor to overweight in female adolescents.
Objectives: This study aimed to examine the association between lifestyle, particularly daily activity and eating habits with the incidence of being overweight among female adolescents in Tasikmalaya City, West Java.
Methods: A cross-sectional design was used with 275 subjects from seven state junior high schools selected by proportional random sampling. The data collected included demographics, lifestyle comprising daily activity, eating habits, as well as the incidence of being overweight, measured using the Body Mass Index-Age-Z score (BAZ). The association between lifestyle and overweight was evaluated using binary logistic regression.
Results: The results showed that out of 275 subjects, 51 were overweight (18.5%) and 224 (81.5%) had normal weight. The risk factors for being overweight included sleeping less than seven hours a day (p=0.017; OR=3.020; 95%CI=1.218-7.486), mild physical activity (p=0.008; OR=19.251; 95%CI=2.170-170.790), breakfast frequency less than 3 times a week (p=0.033; OR=2.418; 95% CI=1.074-5.443) and frequent snacking habits (p=0.000; OR=15.022; 95% CI=5.922-43.846).
Conclusions: Several lifestyles were found to significantly impact the incidence of being overweight among female adolescents, thus suggesting the need to make lifestyle modifications.
WHO. Investing in a safe, healthy and productive transition from childhood to adulthood is critical. https://data.unicef.org/topic/adolescents/overview/#resources (2023).
Caleyachetty, R. et al. The double burden of malnutrition among adolescents: Analysis of data from the Global School-Based Student Health and Health Behavior in School-Aged Children surveys in 57 low- and middle-income countries. Am. J. Clin. Nutr. 108, 414–424 (2018).
Sully, E. A. et al. Adding It Up: Investing in Sexual and Reproductive Health 2019. Guttmacher Inst. 1–56 (2020).
Shinde, S. et al. Counting adolescents in: the development of an adolescent health indicator framework for population-based settings. eClinicalMedicine 61, 102067 (2023).
Mostafa, I. et al. Changing trends in nutritional status of adolescent females: A cross-sectional study from urban and rural Bangladesh. BMJ Open 11, 1–9 (2021).
Jebeile, H., Kelly, A. S., O'Malley, G. & Baur, L. A. Obesity in children and adolescents: epidemiology, causes, assessment, and management. Lancet Diabetes Endocrinol. 10, 351–365 (2022).
Nicolucci, A. & Maffeis, C. The adolescent with obesity: what perspectives for treatment? Ital. J. Pediatr. 48, 1–9 (2022).
Safaei, M., Sundararajan, E. A., Driss, M., Boulila, W. & Shapi'i, A. A systematic literature review on obesity: Understanding the causes & consequences of obesity and reviewing various machine learning approaches used to predict obesity. Comput. Biol. Med. 136, 104754 (2021).
Bliss Kaneshiro & Vilano, S. E. Obesity in Adolescents. Obstet. Gynecol. 130, e210 (2017).
Kerkadi, A. et al. The relationship between lifestyle factors and obesity indices among adolescents in Qatar. Int. J. Environ. Res. Public Health 16, 1–15 (2019).
Sawyer, S. M., Azzopardi, P. S., Wickremarathne, D. & Patton, G. C. The age of adolescence. Lancet Child Adolesc. Heal. 2, 223–228 (2018).
Marconcin, P. et al. Trends of Healthy Lifestyles Among Adolescents: An Analysis of More Than Half a Million Participants From 32 Countries Between 2006 and 2014. Front. Pediatr. 9, 1–8 (2021).
Ma, Y. et al. Correlation between lifestyle patterns and overweight and obesity among Chinese adolescents. Front. Public Heal. 10, (2022).
Dreher, M., Hoffmann, S. W., Brendel, C., Heser, D. & Simon, P. Convenience behavior and being overweight in adults: Development and validation of the Convenience Behavior Questionnaire. Front. Public Heal. 7, 1–11 (2019).
Roda, C. et al. Lifestyle correlates of overweight in adults: A hierarchical approach (the SPOTLIGHT project). Int. J. Behav. Nutr. Phys. Act. 13, (2016).
Jo Inchley, D. C., Sanja Budisavljevic, Torbjí¸rn Torsheim, A. J. & Alina Cosma, C. K. & Á. M. A. Spotlight on adolescent health and well-being. WHO Reg. Off. Eur. 1, 58 (2020).
Ministry of Health Republic of Indonesia. National Institute of Health Research and Development. National Basic Health Research 2013. (2013).
Ministry of Health Republic of Indonesia. National Institute of Health Research and Development National Basic Health Research 2018. (2018).
Rahfiludin, M. Z. et al. Plant-based Diet and Iron Deficiency Anemia in Sundanese Adolescent Girls at Islamic Boarding Schools in Indonesia. J. Nutr. Metab. 2021, 1–7 (2021).
Hidayanti, L., Rahfiludin, Z., Mohammad, Nugraheni, S. A. & Murwani, R. Association of malnutrition and main- meal- and snack-predominant intake among female adolescent students in boarding schools in Tasikmalaya , Indonesia. Nutr. Health 1–12 (2023) doi:10.1177/02601060231166224.
Charan, J. & Biswas, T. How to calculate sample size for different study designs in medical research? Indian J. Psychol. Med. 35, 121–126 (2013).
Minister of Health of the Republic of Indonesia. The regulation of Minister of Health of the Republic of Indonesia No. 2 of 2020 concerning Child Anthropometry Standards. 1–78 (2020).
Bakour, C. et al. Association between screen time and obesity in US adolescents: A cross-sectional analysis using National Survey of Children's Health 2016-2017. PLoS One 17, 1–13 (2022).
Chen, Y. et al. Association of night-time sleep and day napping with the prevalence of MOSH in young obese men. Andrology 9, 1872–1878 (2021).
Litsfeldt, S., Ward, T. M., Hagell, P. & Garmy, P. Association Between Sleep Duration, Obesity, and School Failure Among Adolescents. J. Sch. Nurs. 36, 458–463 (2020).
Suza, D. E., Miristia, V. & Hariati, H. Physical activities and incidence of obesity among adolescent in Medan, Indonesia. Open Access Maced. J. Med. Sci. 8, 198–203 (2020).
Morano, M. et al. Physical activity and physical competence in overweight and obese children: An intervention study. Int. J. Environ. Res. Public Health 17, 1–11 (2020).
Food Frequency Questionnaires (FFQ). file:///C:/Users/User/Downloads/INDDEX Project - Food Frequency Questionnaires (FFQ) - 2019-03-21 (1).pdf (2022).
Lister, N. B. et al. Child and adolescent obesity. Nat. Rev. Dis. Prim. 9, (2023).
Romieu, I. et al. Energy balance and obesity : what are the main drivers ? Cancer Causes Control 28, 247–258 (2017).
Ricotti, R. et al. Breakfast skipping, weight, cardiometabolic risk, and nutrition quality in children and adolescents: A systematic review of randomized controlled and intervention longitudinal trials. Nutrients 13, (2021).
Önnerfält, J., Erlanson-Albertsson, C., Montelius, C. & Thorngren-Jerneck, K. Obese children aged 4-6 displayed decreased fasting and postprandial ghrelin levels in response to a test meal. Acta Paediatr. 107, 523–528 (2018).
Decarie"spain, L. & Kanoski, S. E. Ghrelin and glucagon"like peptide"1: A gut"brain axis battle for food reward. Nutrients 13, 1–23 (2021).
Rong, S. et al. Association of Skipping Breakfast With Cardiovascular and All-Cause Mortality. J. Am. Coll. Cardiol. 73, 2025–2032 (2019).
Bastami, F., Zamani-Alavijeh, F. & Mostafavi, F. Factors behind healthy snack consumption at school among high-school students: a qualitative study. BMC Public Health 19, 1–7 (2019).
Riyanto, A., Murwani, R., Sulistiyani, S. & Rahfiludin, M. Food Safety Education Using Book Covers and Videos to Improve Street Food Safety Knowledge, Attitude, and Practice of Elementary School Students. Curr. Res. Nutr. Food Sci. J. 5, 116–125 (2017).
Nisak, A. J. & Mahmudiono, T. Pola Konsumsi Makanan Jajanan di Sekolah dapat Meningkatkan Resiko Overweight/Obesitas pada Anak. J. Berk. Epidemiol. 5, 298–382 (2018).
Teixeira, V., Barros, R., Lopes, í“., Moreira, A. & Padrí£o, P. Association between energy density and diet cost in children. Porto Biomed. J. 1, 106–111 (2016).
Hidayanti, L., Rahfiludin, M. Z., Nugraheni, S. A. & Murwani, R. Association between the Habitual Snack Consumption at School and the Prevalence of Overweight in Adolescent Students in Tasikmalaya , Indonesia. Open Access Maced. J. Med. Sci. 10, 980–986 (2022).
Gikas, A., Triantafillidis, J. K. & Perdikaki, P. Breakfast skipping and its association with other unhealthy food habits among Greek high school adolescents. Ann. Gastroenterol. 16, 321–327 (2003).
ROMIEU, I., DOSSUS, L. & WILLETT, W. C. ENERGY BALANCE AND OBESITY. WHO (2017).
Piggin, J. What Is Physical Activity? A Holistic Definition for Teachers, Researchers and Policy Makers. Front. Sport. Act. Living 2, 1–7 (2020).
Bezerra, T. et al. Physical Activity, Sedentary Behaviour and Cardiovascular Risk Factors in Overweight Low-Income Schoolchildren: A Complex System Perspective. Obesities 3, 86–96 (2023).
Lin, J. et al. Associations of short sleep duration with appetite-regulating hormones and adipokines: A systematic review and meta-analysis. Obes. Rev. 21, 1–15 (2020).
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