Factors Related to Obesity in Adolescent Girls in East Jakarta

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Background: According to Basic Health Research (RISKESDAS) 2018, obesity prevalence in Jakarta is higher among women. In adolescent girls, obesity can persist into adulthood, causing reproductive issues. The factors contributing to obesity include energy and fat intake, body image perception, and physical activity.
Objectives: This study analyzes the relationship between energy intake, fat intake, physical activity, and body image with obesity.
Methods: This study is quantitative research with a cross-sectional design. The research was conducted at SMAN 98 Jakarta and SMAN 105 Jakarta, involving 108 female students aged 15-18 years from April to May 2024. Data were collected using stratified random sampling and analyzed using Spearman Rank for non-normally distributed variables and Pearson for normally distributed variables. Obesity variables were measured using BMI for age (BMI/A) and Bioelectrical Impedance Analysis; energy and fat intake were assessed using a 24-hour food recall instrument; body image was measured using the Multidimensional Body-Self Relations Questionnaire Appearance Scales.
Results: The correlation between energy and fat intake with obesity showed coefficients of r=0.035 (p=0.722) and r=0.074 (p=0.448) for body fat percentage, and r=-0.016 (p=0.869) and r=-0.034 (p=0.726) for BAZ. Physical activity correlated with obesity at r=0.197 (p=0.041) for body fat percentage and r=0.156 (p=0.107) for BAZ. Body image correlated with obesity at r=0.291 (p=0.002) for body fat percentage and r=0.309 (p=0.001) for BAZ.
Conclusion: The variables significantly associated with the occurrence of obesity are physical activity (when measured using body fat percentage) and body image. Meanwhile, the variables not associated with the occurrence of obesity are physical activity when measured by Body Mass Index for age (BMI for age), energy intake, and fat intake.
Aziz, S.A., Pramana, Y., Sukarni, S., 2023. Hubungan Aktivitas Fisik dengan Kejadian Obesitas pada Remaja. MAHESA : Mal Health Stu J 3, 1115–1124. https://doi.org/10.33024/mahesa.v3i4.10238.
Badan Penelitian dan Pengembangan Kesehatan, -, 2020. Laporan Nasional Riskesdas 2018. Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan, Jakarta.
Brown, J.E., 2016. Nutrition Through the Life Cycle. Cengage Learning.
Ermona, N.D.N., Wirjatmadi, B., 2018. Hubungan Aktivitas Fisik Dan Asupan Gizi Dengan Status Gizi Lebih Pada Anak Usia Sekolah Dasar Di Sdn Ketabang 1 Kota Surabaya Tahun 2017. AMNT 2, 97. https://doi.org/10.20473/amnt.v2i1.2018.97-105.
Ferhi, M., Dalhoumi, A., Ghammam, R., Mannai, J., 2023. Body Image Misperceptions Among Tunisian Adolescents. Cureus 15(11), e48981. https://doi.org/10.7759/cureus.48981
Gifari, N., 2021. Analisis Faktor Determinan Kejadian Obesitas Remaja di DKI Jakarta. Nasya Expanding Management.
Goenawan, H., Tarawan, V.M., 2018. Gambaran Pengetahuan Tentang Pentingnya Aktivitas Fisik Sebagai Pencegah Sindrom Metabolik Pada Staf Perguruan Tinggi Di Jawa Barat. Jurnal Pengabdian Kepada Masyarakat 2, 330–333.
Gruszka, W., Owczarek, A.J., Glinianowicz, M., Bąk-Sosnowska, M., Chudek, J., Olszanecka-Glinianowicz, M., 2022. Perception of body size and body dissatisfaction in adults. Sci Rep 12, 1159. https://doi.org/10.1038/s41598-021-04706-6.
Harlim, A., Bontong, S.I., Rahfiludin, M.Z., 2022. Relationship between Carbohydrate, Protein, and Fat Consumption with Obesity Incidence in 2014 UKI Faculty of Medicine Students = Hubungan Asupan Karbohidrat, Protein, dan Lemak dengan Kejadian Obesitas pada Mahasiswa Fakultas Kedokteran UKI 2014. Amerta Nutrition 6, 385–391. https://doi.org/10/5/KorespondenRelationshipbetweenCarbohydrate.pdf
Hassan, N.E., Wahba, S., El-Alameey, I.R., El-Masry, S.A., AbuShady, M.M., Hameed, E.R.A., Ibrahim, T.S., Boseila, S., 2016. Dietary Behaviour Pattern and Physical Activity in Overweight and Obese Egyptian Mothers: Relationships with Their Children’s Body Mass Index. Open Access Maced J Med Sci 4, 353–358. https://doi.org/10.3889/oamjms.2016.095.
Herliana, M.N., Indrawan, B., Rubiana, I., 2019. Sosialisasi Bahaya Hipokinetik Terhadap Pertumbuhan Dan Perkembangan Anak Pada Guru Pjok Sd Dan Smp Se- Kecamatan Cibereum Kota Tasikmalaya. Abdimas Siliwangi 2, 82–89. https://doi.org/10.22460/as.v2i2p82-89.3060.
Hong, I., Coker-Bolt, P., Anderson, K.R., Lee, D., Velozo, C.A., 2016. Relationship Between Physical Activity and Overweight and Obesity in Children: Findings From the 2012 National Health and Nutrition Examination Survey National Youth Fitness Survey. Am J Occup Ther70, 7005180060p1-7005180060p8. https://doi.org/10.5014/ajot.2016.021212.
Hruby, A., Hu, F.B., 2015. The Epidemiology of Obesity: A Big Picture. Pharmaco Economics 33, 673–689. https://doi.org/10.1007/s40273-014-0243-x.
Intantiyana, M., Widajanti, L., Rahfiludin, M.Z., 2018. Hubungan Citra Tubuh, Aktivitas Fisik Dan Pengetahuan Gizi Seimbang Dengan Kejadian Obesitas Pada Remaja Putri Gizi Lebih Di Sma Negeri 9 Kota Semarang. Jurnal Kesehatan Masyarakat 6, 404–412. https://doi.org/10.14710/jkm.v6i5.22064.
Kementrian Kesehatan, n.d. Permenkes No. 28 Tahun 2019 [WWW Document]. Database Peraturan | JDIH BPK. URL http://peraturan.bpk.go.id/Details/138621/permenkes-no-28- (accessed 6.7.25).
Khairani, A.P., Hannan, H., Amalia, L., 2019. Pengembangan Alat Ukur Skala Citra Tubuh. Proyeksi 14, 195–205. https://doi.org/10.30659/jp.14.2.195-205.
Larasati, L.V., 2019. Hubungan Obesitas Dengan Gangguan Citra Tubuh Pada Remaja Putri Di Pondok Pesantren Al Munawwir Krapyak Yogyakarta Hubungan Obesitas Dengan Gangguan Citra Tubuh Pada Remaja Putri Di Pondok Pesantren Al Munawwir Krapyak Yogyakarta (s1_sarjana). Universitas ’Aisyiyah Yogyakarta.
Livingstone, K.M., Sexton-Dhamu, M.J., Pendergast, F.J., Worsley, A., Brayner, B., McNaughton, S.A., 2022. Energy-dense dietary patterns high in free sugars and saturated fat and associations with obesity in young adults. Eur J Nutr 61, 1595–1607. https://doi.org/10.1007/s00394-021-02758-y.
Mardiana, M., Yusuf, M., Sriwiyanti, S., 2022. Hubungan Beberapa Faktor Dengan Kejadian Obesitas Remaja Di Palembang. JPP (Jurnal Kesehatan Poltekkes Palembang) 17, 63–70. https://doi.org/10.36086/jpp.v17i1.1169.
Mawaddah, N., Muniroh, L., 2019. Hubungan Body Image Dan Tingkat Kecukupan Zat Gizi Makro Dengan Status Gizi Pada Remaja Putri SMA Negeri 3 Suarabaya. Jurnal Keperawatan Muhammadiyah. https://doi.org/10.30651/jkm.v4i2.2017.
Mokolensang, O.G., Manampiring, A.E., Fatimawali, 2016. Hubungan Pola Makan Dan Obesitas Pada Remaja Di Kota Bitung. eBiomedik 4. https://doi.org/10.35790/ebm.v4i1.10848.
Nugroho, P.S., 2020. Jenis Kelamin Dan Umur Berisiko Terhadap Obesitas Pada Remaja Di Indonesia. An-Nadaa: Jurnal Kesehatan Masyarakat 7, 110. https://doi.org/10.31602/ann.v7i2.3581.
Permatasari, P.D., Pertiwi, K.R., 2022. Asupan Makronutrien Dan Hubungannya Dengan Obesitas Remaja Putri Di Yogyakarta Dan Sekitarnya. Kingdom: J Biol Stud 8, 18–33. https://doi.org/10.21831/kingdom.v8i1.18198.
Permenkes No. 2 Tahun 2020 [WWW Document], n.d. . Database Peraturan | JDIH BPK. URL http://peraturan.bpk.go.id/Details/152505/permenkes-no-2-tahun-2020 (accessed 6.7.25).
Praditasari, J.A., Sumarmik, S., 2018. Asupan Lemak, Aktivitas Fisik Dan Kegemukan Pada Remaja Putri Di Smp Bina Insani Surabaya. MGI 13, 117. https://doi.org/10.20473/mgi.v13i2.117-122.
Putri, R.N., Nugraheni, S.A., Pradigdo, S.F., 2022. Faktor-Faktor yang Berhubungan dengan Kejadian Obesitas Sentral pada Remaja Usia 15-18 Tahun di Provinsi DKI Jakarta (Analisis Riskesdas 2018). MEDIA KESEHATAN MASYARAKAT INDONESIA 21, 169–177. https://doi.org/10.14710/mkmi.21.3.169-177.
Rusyani, N.L.M., 2019. Hubungan Tingkat Konsumsi Lemak Dan Aktivitas Fisik Dengan Obesitas Pada Remaja Di Smp Santo Yoseph Denpasar (diploma). Poltekkes Denpasar.
Telisa, I., Hartati, Y., Haripamilu, A.D., 2020. Faktor Risiko Terjadinya Obesitas Pada Remaja SMA. Faletehan Health J 7, 124–131. https://doi.org/10.33746/fhj.v7i03.160.
Wang, L., Wang, H., Zhang, B., Popkin, B.M., Du, S., 2020. Elevated Fat Intake Increases Body Weight and the Risk of Overweight and Obesity among Chinese Adults: 1991–2015 Trends. Nutrients 12, 3272. https://doi.org/10.3390/nu12113272.
Wei, W., Zhang, X., Zhou, B., Ge, B., Tian, J., Chen, J., 2022. Effects of female obesity on conception, pregnancy and the health of offspring. Front Endocrinol 13. https://doi.org/10.3389/fendo.2022.949228.
Weinberger, N.-A., Kersting, A., Riedel-Heller, S.G., Luck-Sikorski, C., 2016. Body Dissatisfaction in Individuals with Obesity Compared to Normal-Weight Individuals: A Systematic Review and Meta-Analysis. Obesity Facts 9, 424–441. https://doi.org/10.1159/000454837.
Widyastuti, R.A., Rosidi, A., 2018. Indeks Massa Tubuh Menurut Umur sebagai Indikator Persen Lemak Tubuh pada Remaja.
Zaki, I., Wati, T.W., Kurniawati, T.F., Putri, W.P., Khansa, I., 2022. Diet Tinggi Serat Menurunkan Berat Badan pada Obesitas. J. NC 2, 1. https://doi.org/10.24114/jnc.v2i2.36756.
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