Food Preferences, Eating Habits, and Nutritional Status of Full-Day School Students in Urban Areas
Preferensi Makanan, Kebiasaan Makan, dan Status Gizi Anak Sekolah Full-day di Perkotaan

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Background: Food preferences play an important role in determining eating habits. School-age children spend a significant amount of time in school; therefore, school food environment can influence their eating habits and ultimately their nutritional status.
Objectives: This study aimed to investigate eating habits and food preferences (with a focus on vegetables and snacks) among normal, overweight and obese of full-day school children in urban areas of Surabaya City.
Methods: This cross-sectional study was conducted at a full-day elementary school in Surabaya City, Indonesia, involving 110 students. Dietary habits were assessed using a food frequency questionnaire, while nutritional status was evaluated by measuring weight and height. The students' nutritional status was determined using the BMI-for-age index with the WHO AnthroPlus software. Differences between variables were analyzed using the Chi-Square test, Fisher’s Exact test, and Likelihood Ratio test.
Results: A high prevalence of overweight and obesity (41.8%) was observed in this study, with boys showing a higher prevalence than girls. Overweight/obese boys tended to eat more frequently and had a lower proportion of breakfast habits compared to girls, although these differences were not statistically significant (p-value>0.05). Food preferences for vegetables (carrot, spinach, water spinach) were similar between normal-weight and overweight/obese children. However, there were slight differences in snack preferences, with boys showing a greater preference for snacks than girls.
Conclusions: The high prevalence of overnutrition among school-aged children, particularly boys, requires greater attention from parents and schools. Both home and school food environments should consistently promote healthy eating to improve children's nutritional status by encouraging regular breakfast habits in boys and providing healthier snack options.
Ministry of Education and Culture. Five day school not full day school. https://www.kemdikbud.go.id/main/blog/2017/06/kemendikbud-lima-hari-sekolah-bukan-full-day-school (2017).
Das, J. K., Lassi, S., Hoodbhoy, Z. & Salam, A. Nutrition for the next generation : older children and adolescents. Ann Nutr Metab 72, 56–64 (2018). https://doi.org/10.1159/000487385
Ministry of Health. Basic Health Survey 2018. Preprint at (2019).
Scaglioni, S., Cosmi, V. De, Ciappolino, V., Brambilla, P. & Agostoni, C. Factors influencing children’s eating behaviours. Nutrients 10, 706 (2018). https://doi.org/10.3390/nu10060706
Diana, R., Rachmayanti, R. D., Khomsan, A. & Riyadi, H. Influence of eating concept on eating behavior and stunting in Indonesian Madurese ethnic group. Journal of Ethnic Foods 9, 48 (2022). https://doi.org/10.1186/s42779-022-00162-3
Sina, E., Boakye, D., Christianson, L., Ahrens, W. & Hebestreit, A. Social media and children’s and adolescents’ diets: A systematic review of the underlying social and physiological mechanisms. Adv Nutr 13, 913–937 (2022). https://doi.org/10.1093/advances/nmac018
Bouhlal, S., Mcbride, C. M., Ward, D. S. & Persky, S. Drivers of overweight mothers’ food choice behaviors depend on child gender. Appetite 84, 154–160 (2015). https://doi.org/10.1016/j.appet.2014.09.024
Birch, L., Savage, J. S. & Ventura, A. Influences on the development of children’s eating behaviours: from infancy to adolescence. Canadian Journal of Dietetic Practice and Research 68, S1–S56 (2007).
Smith, A. D. et al. Genetic and environmental influences on food preferences in adolescence. American Journal of Clinical Nutrition 104, 446–453 (2016). https://doi.org/10.3945/ajcn.116.13398
Ragelienė, T. & Grønhøj, A. The role of peers, siblings and social media for children’s healthy eating socialization: a mixed methods study. Food Qual Prefer 93, 104255 (2021). https://doi.org/10.1016/j.foodqual.2021.104255
Huang, Z. et al. Food and nutrients intake in the school lunch program among school children in Shanghai, China. Nutrients 9, 582 (2017). https://doi.org/10.3390/nu9060582
Byker, C. J., Farris, A. R., Marcenelle, M., Davis, G. C. & Serrano, E. L. Food waste in a school nutrition program after implementation of new lunch program guidelines. J Nutr Educ Behav 46, 406–11 (2014). https://doi.org/10.1016/j.jneb.2014.03.009
Sekiyama, M., A, K. R. M. & Ohtsuka, R. Snack foods consumption contributes to poor nutrition of rural children in West Java, Indonesia. Asia Pac J Clin Nutr 21, 558–567 (2012).
Macdiarmid, J. et al. Meal and snacking patterns of school-aged children in Scotland. Eur J Clin Nutr 63, 1297–1304 (2009). https://doi.org/ 10.1038/ejcn.2009.87
Cervato-Mancuso, A. M., Westphal, M. F., Araki, E. L. & Bógus, C. M. School feeding programs’ role in forming eating habits. Rev Paul Pediatr 31, 324–330 (2013).
Oostindjer, M. et al. Are school meals a viable and sustainable tool to improve the healthiness and sustainability of children´s diet and food consumption? A cross-national comparative perspective. Crit Rev Food Sci Nutr 57, 3942–3958 (2017). https://doi.org/10.1080/10408398.2016.1197180.
Au, L. E., Rosen, N. J., Fenton, K., Hecht, K. & Ritchie, L. D. Eating school lunch is associated with higher diet quality among elementary school students. J Acad Nutr Diet 116, 1817–1824 (2016). https://doi.org/10.1016/j.jand.2016.04.010
Aliyah, D. P., Septriana & Prasetyaningrum, Y. I. Nutritional status, physical activity, and macronutrient intake in full day and half day elementary school children. Ilmu Gizi Indonesia 2, 59–68 (2018). https://doi.org/10.35842/ilgi.v2i1.77
Cosmi, V. De, Scaglioni, S. & Agostoni, C. Early taste experiences and later food choices. Nutrients 9, 107 (2017). https://doi.org/10.3390/nu9020107
Scaglioni, S., Arrizza, C., Vecchi, F. & Tedeschi, S. Determinants of children’s eating behavior. American Journal of Clinical Nutrition 94c(Suppl), 2006S-2011S (2011). https://doi.org/10.3945/ajcn.110.001685
Hussien, H. A. Effect of food habits on the nutritional status of children in Cairo. Biomedical Statistics and Informatics 2, 10–17 (2017).
Insani, P., 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, 55–62 (2018). https://doi.org/10.17170/kobra-2018122071
Nisak, A. J., Rachmah, Q., Mahmudiono, T. & Segalita, C. Snacking energy-dense food related to childhood obesity. J Nutr Food Sci 8, 8–12 (2018). https://doi.org/10.4172/2155-9600.1000725
Mazidi, M., Banach, M., Kengne, A. P. & Meta-analysis, B. P. Prevalence of childhood and adolescent overweight and obesity in Asian Countries: A systematic review and meta-analysis. Arch Med Sci 14, 1185-1203 (2018). https://doi.org/10.5114/aoms.2018.79001
NCD Risk Factor Collaboration (NCS-RisC). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: A pooled analysis of 2416 population-based measurement studies in 128.9 million children, adolescents, and adults. The Lancet 390, 2627–2642 (2017). https://doi.org/10.1016/S0140-6736(17)32129-3
Aggarwal, B. & Jain, V. Obesity in children: definition, etiology and approach. Indian J Pediatr 85, 463–471 (2018). https://doi.org/10.1007/s12098-017-2531-x
Campbell, M. K. Biological, environmental, and social influences on childhood obesity. Pediatr Res 79, 205–211 (2016). https://doi.org/10.1038/pr.2015.208
Horikawa, C. et al. Skipping breakfast and prevalence of overweight and obesity in Asian and Pacific regions: A meta-analysis. Prev Med (Baltim) 53, 260–267 (2011). https://doi.org/ 10.1016/j.ypmed.2011.08.030
Dallacker, M., Hertwig, R. & Mata, J. The frequency of family meals and nutritional health in children : a meta-analysis. Obesity Reviews 19, 638–653 (2018). https://doi.org/10.1111/obr.12659
Haines, J. et al. Nurturing children’s healthy eating: position statement. Appetite 137, 124–133 (2019). https://doi.org/10.1016/j.appet.2019.02.007
Larson, N. & Story, M. A review of snacking patterns among children and adolescents: what are the implications of snacking for weight status?. Childhood Obesity 9, 104–115 (2013). https://doi.org/10.1089/chi.2012.0108
Gearan, E. C., Monzella, K., Jennings, L. & Fox, M. K. Differences in diet quality between school lunch participants and Nonparticipants in the United States by income and race. Nutrients 12, (2020). https://doi.org/10.3390/nu12123891
Welker, E., Lott, M. & Story, M. The school food environment and obesity prevention : progress over the last decade. Curr Obes Rep 5, 145–155 (2016). https://doi.org/10.1007/s13679-016-0204-0
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