Eating Disorders and Stress Positively Correlated with Body Mass Index in Adolescents at Attaqwa 02 Tarumajaya Middle School
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Background: Poor body perceptions may cause stress that leads to an increased risk of eating disorders that subsequently affect nutritional status. However, this relationship in adolescents is still hardly explored.
Objectives: To examine the relationship between eating disorders, body perception, stress scores, and body mass index in adolescents.
Methods: This cross-sectional study involved 33 teenagers aged 13-16 years at Attaqwa 02 Tarumajaya Middle School who were drawn using stratified random sampling. Eating disorders, body perception, and stress score were assessed by the Eating Atittude Test-40, Multidimensional Body-Self Relations Questioner Appearance Scale, and a modified Depression Anxiety Stress Scale-42, respectively. Body mass index for age z-score (BAZ) was generated from anthropometric measurements. Relationships were tested by Pearson and Partial correlations.
Results: More than half of the respondents were boys (51.5%). Eating disorders (r= 0.399) and stress scores (r= 0.539) were significantly and positively associated with BAZ in adolescents. The relationship remains significant although a bit attenuated after adjusted by age (r= 0.375; r= 0.562) and gender (r= 0.388; r= 0.516). No association was found between body perception and BAZ (r= -0.027). After adjusting by age (r= -0.107) and gender (r= -0.052) the association remained insignificant.
Conclusions: Eating disorders and stress scores correlated significantly with body mass index z-score in adolescents. Health and nutrition promotion to prevent eating disorders and stress should be encouraged to reduce the risk of obesity in adolescents.
Adji, S.B., Fitrikasari, A. and Julianti, H.P. (2019) ‘Hubungan Persepsi Citra Tubuh dan Gejala Depresi dengan Kejadian Gangguan Makan pada Remaja Obesitas', Journal of Nutrition and Health [Preprint].
Andita, N. and Asna, A.F. (2020) ‘Hubungan Tingkat Stres dan Asupan Zat Gizi Makro terhadap Kejadian Kegemukan Remaja Putri SMK di Kota Bekasi', 1, p. 12.
Angkasa, D. et al. (2020) ‘Pelatihan Gisel Meningkatkan Pengetahuan dan Keterampilan Menyusun Menu Sarapan Bergizi Seimbang Penuh Warna untuk Calon Dokter Cilik', Jurnal Pengabdian Masyarakat, 6(2), pp. 54–59.
Angkasa, D. and Nadiyah, N. (2018) Jelajah guna dan pelangi makanan bersama gisel dan kawan-kawan. University Press Universitas Esa Unggul (1).
Angkasa, D. and Nadiyah, N. (2019) ‘Maternal Nutrition Status are Strongly Associated to Schoolchildren Z-Scores for Height and BMI in Rural Settings', Nutrition and Food Sciences Research, 6(3), pp. 1–7.
Ankhofiya, D., Kholifah, S.N. and Martiana, T. (2021) ‘Analisis Hubungan Manajemen Stres dengan Tingkat Tekanan Darah pada Remaja SMP Kelas 8 se-Surabaya', Media Kesehatan Masyarakat Indonesia, 20(3), pp. 173–179. Available at: https://doi.org/10.14710/mkmi.20.3.173-179.
Ariyaningtiyas, R. (2019) Hubungan Citra Tubuh dan Konsumsi Zat Gizi Makro Dengan Status Gizi Remaja Putri Di SMK Muhammadiyah 5 Surakarta. Institut Teknologi Sains dan Kesehatan PKU Muhammadiyah Surakarta.
Bitty, F., Asrifuddin, A. and Nelwan, J.E. (2018) ‘Stress dengan Status Gizi Remaja di Sekolah Menengah Pertama Negeri 2 Manado', 7(5), p. 6.
Fadillah, G.R. (2022) Hubungan Pengetahuan Gizi, Citra Tubuh, dan Durasi Tidur dengan Status Gizi Santri Pondok Pesantren Masjid Ar-rohmat Cilacap. Universitas Islam Negeri Walisongo.
Ismayanti, D. (2020) ‘The Relationship of Body Shape Perception, Eating Disorders, Nutritional Knowledge and Food Intake with Nutritional Status Adolescent Girls in Ayodya Pala', ARGIPA (Arsip Gizi dan Pangan), 4(2), pp. 74–84. Available at: https://doi.org/10.22236/argipa.v4i2.3829.
Kemenkes, R.I. (2018) Hasil Riset Kesehatan Dasar (Riskesdas) 2018. Jakarta: Kepala Badan Penelitian dan Pengembangan Kesehatan Kementerian RI.
Kemenkes, R.I. (2020) ‘Klasifikasi Status Gizi Anak Berdasarkan IMT/U Umur 5-18 Tahun', Rumus z-score imt/u.
Krisnani, H., Santoso, M.B. and Putri, D. (2018) ‘Gangguan Makan Anorexia Nervosa dan Bumilia Nervosa pada remaja', Prosiding Penelitian dan Pengabdian kepada Masyarakat, 4(3), p. 399. Available at: https://doi.org/10.24198/jppm.v4i3.18618.
Kusuma, M.R. and Krianto, T. (2018) ‘Pengaruh Citra Tubuh, Perilaku Makan, dan Aktivitas Fisik Terhadap Indeks Massa Tubuh (IMT) pada Remaja: Studi Kasus pada SMA Negeri 12 DKI Jakarta', Perilaku dan Promosi Kesehatan: Indonesian Journal of Health Promotion and Behavior, 1(1), p. 23. Available at: https://doi.org/10.47034/ppk.v1i1.2114.
Kusumowati, D. and Noerfitri, N. (2023) ‘Hubungan Tingkat Stres dan Body Image terhadap Risiko Eating Disorder pada Remaja SMK Kesehatan Fahd Islamic School pada Masa Pandemi', Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat, 15(2), pp. 72–77. Available at: https://doi.org/10.52022/jikm.v15i2.451.
Lestari, A.T. (2017) ‘Hubungan Tingkat Stres dan Eating Disorder Dengan Status Gizi pada Remaja Perempuan di SMA Negeri 1 Ciwidey', Jurnal Ilmu Kesehatan Immanuel, 11(2), p. 129. Available at: https://doi.org/10.36051/jiki.v11i2.37.
Majid, M. (2018) ‘Perbedaan Tingkat Pengetahuan Gizi, Body Image, Asupan Energi, dan Status Gizi pada Mahasiswa Gizi dan Non Gizi Fakultas Ilmu Kesehatan Universitas Muhammadiyah Parepare', 1(1), p. 10.
Marsidi, S.R. (2021) ‘Identification of Stress, Anxiety, and Depression Levels of Students in Preparation for The Exit Exam Competency Test', Journal of Vocational Health Studies, 5(2), p. 87. Available at: https://doi.org/10.20473/jvhs.V5.I2.2021.87-93.
Merita, M., Hamzah, N. and Djayusmantoko, D. (2020) ‘Persepsi Citra Tubuh, Kecenderungan Gangguan Makan dan Status Gizi pada Remaja Putri di Kota Jambi', Journal of Nutrition College, 9(2), pp. 81–86. Available at: https://doi.org/10.14710/jnc.v9i2.24603.
Mini, Y. et al. (2019) ‘Body Image and Eating Behavior as a Overwight Risk Factor among Adolescent Boys at Senior Hight School Palu', 2(2), p. 7.
Multazami, L.P. (2022) ‘Hubungan Stres, Pola Makan, dan Aktivitas Fisik dengan Status Gizi Mahasiswa', 2(1), p. 9.
Ningrum, J.Y. (2021) ‘Hubungan Persepsi Citra Tubuh dengan Risiko Gangguan Makan pada Mahasiswi Fakultas Ilmu Kesehatan Universitas Muhammadiyah Surakarta'.
Nugroho, R.F. (2018) Hubungan Stres Psikososial, Persepsi Bentuk Tubuh, Eating Disorder dan Pola Makan dengan Status Gizi pada Remaja Putri. Universitas Sebelas Maret.
Pamelia, I. (2018) ‘Perilaku Konsumsi Makanan Cepat Saji pada Remaja dan Dampaknya bagi Kesehatan', IKESMA, 14(2), p. 144. Available at: https://doi.org/10.19184/ikesma.v14i2.10459.
Pardamean, E. and Lazuardi, M.J. (2019) ‘Hubungan Jenis Kelamin dengan Stres Psikologis pada Siswa-Siswi Kelas XI Jurusan IPA di SMA X Tangerang', 7(1), p. 7.
Pinho, L. de et al. (2019) ‘Perception of Body Image and Nutritional Status in Adolescents of Public Schools', Revista Brasileira de Enfermagem, 72(suppl 2), pp. 229–235. Available at: https://doi.org/10.1590/0034-7167-2018-0644.
Purwanti, M. et al. (2017) ‘Hubungan Tingkat Stres dengan Indeks Massa Tubuh Mahasiswa PSPD FK UNTAN', Jurnal Vokasi Kesehatan, 3(2), p. 47. Available at: https://doi.org/10.30602/jvk.v3i2.116.
Putri, R.N., Widajanti, L. and Nugraheni, S.A. (2021) ‘Hubungan Citra Tubuh dan Pengetahuan Gizi Seimbang dengan Pemilihan Makanan Remaja Putri Usia 15-19 Tahun di Kota Semarang', MEDIA KESEHATAN MASYARAKAT INDONESIA, 20(3), pp. 193–199. Available at: https://doi.org/10.14710/mkmi.20.3.193-199.
Qalbya, Y.A. et al. (2022) ‘Hubungan Tingkat Stres dan Eating Disorder dengan Status Gizi', 1(1).
Rahayu, T.B. (2020) ‘Analisis Faktor-Faktor yang Mempengaruhi Status Gizi Remaja Putri', Jurnal Vokasi Kesehatan, 6(1), p. 46. Available at: https://doi.org/10.30602/jvk.v6i1.158.
Rizanty, F. and Srimiati, M. (2021) ‘Hubungan Asupan Energi, Aktivitas Fisik dan Tingkat Stres dengan Indeks Massa tubuh Mahasiswa Akhir Gizi STIKES Binawan', p. 9.
Salsabilla, H., Syah, M.N.H. and Asna, A.F. (2018) ‘Hubungan Citra Tubuh dengan Status Gizi pada Remaja di Stikes Mitra keluarga', 10, p. 9.
Sitoayu, L. et al. (2021) ‘Hubungan Konsumsi Makanan Cepat Saji, Tingkat Stres dan Kualitas Tidur terhadap Status Gizi pada Remaja Putra SMA DKI Jakarta', Indonesian Journal of Human Nutrition, 8(1), p. 55. Available at: https://doi.org/10.21776/ub.ijhn.2021.008.01.6.
Syifa, R.S.A. and Pusparini, P. (2018) ‘Persepsi Tubuh Negatif Meningkatkan Kejadian Eating Disorders pada Remaja Usia 15-19 Tahun', Jurnal Biomedika dan Kesehatan, 1(1), pp. 18–25. Available at: https://doi.org/10.18051/JBiomedKes.2018.v1.18-25.
Utami, D. (2017) ‘Faktor-Faktor yang Mempengaruhi Indeks Massa Tubuh pada Remaja Usia 15-18 Tahun di SMAN 14 Tangerang', Jurnal Ilmu Kedokteran dan Kesehatan, 4, p. 9.
Virgandiri, S., Lestari, D.R. and Zwagery, R.V. (2020) ‘Relationship of Body Image with Eating Disorder in Female Adolescent', Jurnal Ilmu Keperawatan, 8(1), pp. 53–59. Available at: https://doi.org/10.21776/ub.jik.2020.008.01.8.
Zola, N.I.R., Nauli, F.A. and Utami, G.T. (2021) ‘Gambaran Stres Psikososial dan Faktor-Faktor yang Mempengaruhinya Pada Remaja', JKEP, 6(1), pp. 40–50. Available at: https://doi.org/10.32668/jkep.v6i1.406.
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