A Cross-Sectional Study of Obesity Determinants in Female Adolescents at the Gontor Islamic Boarding School for Girls
DOI:
https://doi.org/10.3889/oamjms.2023.11098Keywords:
Islamic boarding school, Female adolescents, Intake of fruits and vegetables, ObesityAbstract
BACKGROUND: The prevalence of obesity in adolescents has increased worldwide for recent years. Body mass index (BMI)/age, waist circumference (WC), and waist-to-height Ratio (WHtR) are commonly used for assessment of nutritional status. Daily intake of fruits and vegetables and eating time of fruits inversely associated with obesity.
AIM: This study aimed to investigate the associations of daily intake of fruits and vegetables and eating time of fruits with obesity in female adolescents at the Gontor Islamic boarding school for girls.
MATERIALS AND METHODS: This cross-sectional study recruited 245 female adolescents from the Gontor Islamic Boarding School for girls, which were selected with a purposive sampling technique. They were eligible to follow this study if aged 12–16 years old and were healthy. Data of daily intake of fruits and vegetables were collected using the modified semi quantitative food frequency questionnaire. Anthropometric data consisted of body weight, height, and WC were measured using the standard measurements. Associations of individual variables with anthropometric parameters were analyzed using the Chi-square test. The multiple logistic regression tests were, then, used to analyze associations of independent variables and confounding factors together with BMI/age, WC, and WHtR with a 95% significant level.
RESULTS: The prevalence of overweight and obese was 31 and 2% among female adolescents, respectively. Intake of fruits and vegetables associated with BMI/age (p = 0.001), WC (p = 0.039), and WHtR (p = 0.024). Eating time of fruits had no associations with BMI/age (p = 0.207), WC (p = 0.551), and WHtR (p = 0.132). Inadequate intake of fruits and vegetables inversely associated with BMI/age (OR = 2.60; p = 0.002), WC (OR = 1.86; p = 0.047), and WHtR (OR = 1.92; p = 0.039).
CONCLUSION: Daily intake of fruits and vegetables inversely associates with BMI/age, WC, and WHtR but not for eating time of fruits among female adolescents in the Gontor Islamic Boarding School for girls.Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Poobalan A, Aucott L. Obesity among young adults in developing countries: A systematic overview. Curr Obes Rep. 2016;5(1):2-13. https://doi.org/10.1007/s13679-016-0187-x PMid:26883372 DOI: https://doi.org/10.1007/s13679-016-0187-x
World Health Organization. Obesity and Overweight. Geneva: World Health Organization; 2016. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight [Last accessed on 2022 Oct 01].
Kemenkes RI. Laporan Nasional Riskesdas 2018. Indonesia: Badan Penelitian dan Pengembangan Kesehatan; 2018. p. 198. Available from: https://www.litbang.kemkes.go.id/laporan-riset-kesehatan-dasar-riskesdas [Last accessed on 2022 Oct 01].
Supendi P. Variation (Format) of the Education System in Indonesia. Jurnal-Jurnal Ilmu Keislam Almufida. 2016;1(1):159-81.
Syamsuri J. The existence and contribution of Gontor Islamic Boarding School in Human Resource Development. At Ta’Dib. 2016;11(2):202-22. https://doi.org/10.21111/at-tadib.v11i2.776 DOI: https://doi.org/10.21111/at-tadib.v11i2.776
Indriasari R, Fitayani NS, Mansur MA, Tunru A. Alarming nutrition problems among adolescent students attending islamic boarding school in Indonesia. Enferm Clin. 2020;30:44-7. DOI: https://doi.org/10.1016/j.enfcli.2019.10.037
Ugochukwu EF, Onubogu CU, Okeke KN, Ofora VC, Uju CM. Waist circumference, waist-to-height ratio and body mass index as parameters of obesity among public secondary school students. Eur J Med Health Sci. 2020;2(4): 1-8. https://doi.org/10.24018/ejmed.2020.2.4.385 DOI: https://doi.org/10.24018/ejmed.2020.2.4.385
Weir CB, Jan. A. BMI Classification Percentile and Cut Off Points. Treasure Island, FL: StatPearls Publishing LLC; 2022.
Pereira PF, Serrano HM, Carvalho GQ, Ribeiro SM, do Carmo Gouveia Peluzio M, do Carmo Castro Franceschini S, et al. Measurements of body fat distribution: Assessment of collinearity with body mass, adiposity and height in female adolescents. Rev Paul Pediatr (English Ed). 2015;33(1):63-71. https://doi.org/10.1016/j.rpped.2014.11.011 PMid:25623729 DOI: https://doi.org/10.1016/S2359-3482(15)30032-4
Sommer I, Teufer B, Szelag M, Nussbaumer-Streit B, Titscher V, Klerings I, et al. The performance of anthropometric tools to determine obesity: A systematic review and meta-analysis. Sci Rep. 2020;10(1):12699. https://doi.org/10.1038/s41598-020-69498-7 PMid:32728050 DOI: https://doi.org/10.1038/s41598-020-69498-7
Buckinx F, Reginster JY, Dardenne N, Croisiser JL, Kaux JF, Beaudart C, et al. Concordance between muscle mass assessed by bioelectrical impedance analysis and by dual energy X-ray absorptiometry: A cross-sectional study Epidemiology of musculoskeletal disorders. BMC Musculoskelet Disord. 2015;16(1):60. https://doi.org/10.1186/s12891-015-0510-9 PMid:25887598 DOI: https://doi.org/10.1186/s12891-015-0510-9
Moltrer M, Pala L, Cosentino C, Mannucci E, Rotella CM, Cresci B. Body mass index (BMI), waist circumference (WC), waist-to-heightratio (WHtR) e waist body mass index (wBMI): Which is better? Endocrine. 2022;76(Suppl 3):578-83. https://doi.org/10.1007/s12020-022-03030-x PMid:35304685 DOI: https://doi.org/10.1007/s12020-022-03030-x
World Health Organization. Fact Sheet Adolescents’ Dietary Habits. Denmark: WHO Regional Office for Europe; 2016. Available from : https://www.euro.who.int/cah [Last accessed on 2022 Oct 01].
Telisa I, Hartati Y, Haripamilu AD. Risk factors of obesity among adolescents in senior high school. Faletehan Health J. 2020;7(3):124-31. https://doi.org/10.33746/fhj.v7i03.160 DOI: https://doi.org/10.33746/fhj.v7i03.160
Puspasari D, Farapti F. Hubungan konsumsi makanan jajanan dengan status gizi pada mahasiswa. Media Gizi Indones. 2020;15(9):45-51. https://doi.org/10.204736/mgi.v15i1.45-51 DOI: https://doi.org/10.20473/mgi.v15i1.45-51
Sakti ES. Infodatin: Hari Bawa Bekal Nasional, Jakarta. 2020. Available from: https://pusdatin.kemkes.go.id [Last accessed on 2022 Oct 01].
Kementerian Kesehatan Indonesia. Hasil Utama Riset Kesehatan Dasar Indonesia. Jakarta: Kementerian Kesehatan Indonesia; 2018. Available from: https://www.litbang.kemkes.go.id/hasil-utama-riskesdas-2018 [Last accessed on 2022 Oct 01].
Vincente AR, Manganaris GA, Ortiz CM, Sozzi GO, Crisosto CH. Nutritional quality of fruits and vegetables. In: Postharvest Handling: A Systems Approach. Amsterdam, Netherlands: Elsevier Inc.; 2014. DOI: https://doi.org/10.1016/B978-0-12-408137-6.00005-3
Tanziha I. Hubungan Pola Konsumsi Buah dan Sayur Dengan Morbiditas Pada Siswa di Pondok Pesantren Ilmu Al-Qur’an, kecamatan Ciomas, Kabupaten Bogor. Bogor Regency, Indonesia: Bogor Agricultural University (IPB); 2016. Available from: https://repository.ipb.ac.id/handle/123456789/87330 [Last accessed on 2022 Oct 01].
Nagoro DS, Tamtomo DG, Indarto D. A randomized control trial related to meal order of fruit, vegetable and high glycaemic carbohydrate in healthy adults and its effects on blood glucose levels and waist circumference. Bali Med J. 2019;8(1):247. https://doi.org/10.15562/bmj.v8i1.1264 DOI: https://doi.org/10.15562/bmj.v8i1.1264
Munekata PE, Pérez-Álvarez JÁ, Pateiro M, Viuda-Matos M, Fernández-López J, Lorenzo JM. Satiety from healthier and functional foods. Trends Food Sci Technol. 2021;113:397-410. https://doi.org/10.15562/bmj.v8i1.1264 DOI: https://doi.org/10.1016/j.tifs.2021.05.025
Lwanga SK, Lemeshow S. Sample Size Determination in Health Studies: A Practical Manual. Geneva: World Health Organization; 1991. Available from: https://apps.who.int/iris/handle/10665/40062 [Last accessed on 2022 Oct 01].
Shim JS, Oh K, Kim HC. Dietary assessment methods in epidemiologic studies. Epidemiol Health. 2014;36:e2014009. https://doi.org/10.4178/epih/e2014009 PMid:25078382 DOI: https://doi.org/10.4178/epih/e2014009
Kemenkes. Peraturan Menteri Kesehatan Republik Indonesia Nomor 41 Tahun 2014 Tentang Pedoman Gizi Seimbang. Indonesia: Kemenkes; 2014. p. 1-96. Available from: http://hukor.kemkes.go.id [Last accessed on 2022 Oct 03].
Hess JM, Jonnalagadda SS, Slavin JL. What is a snack, why do we snack, and how can we choose better snacks? A review of the definitions of snacking, motivations to snack, contributions to dietary intake, and recommendations for improvement. Adv Nutr. 2016;7(3):466-75. https://doi.org/10.3945/an.115.009571 PMid:27184274 DOI: https://doi.org/10.3945/an.115.009571
Mahmoud I, Sulaiman N. Significance and agreement between obesity anthropometric measurements and indices in adults: A population-based study from the United Arab Emirates. BMC Public Health. 2021;21(1):1605. https://doi.org/10.1186/s12889-021-11650-7 PMid:34465314 DOI: https://doi.org/10.1186/s12889-021-11650-7
World Health Organization. Growth Reference Data for 5-19 Years. Geneva: World Health Organization; 2007. Available from: https://www.who.int/tools/growth-reference-data-for-5to19-years/indicators/bmi-for-age [Last accessed on 2022 Oct 05].
World Health Organization. Waist Circumference and Waist-Hip Ratio Report of a WHO Expert Consultation. Geneva: World Health Organization; 2008. Available from: https://www.who.int/publications/i/item/9789241501491 [Last accessed on 2022 Oct 05].
Mulyasari I, Pontang GS. Waist circumference and waist-to-height ratio as indicators for excess adiposity in adolescents. J Gizi Pangan. 2018;13(3):131-6. https://doi.org/10.25182/jgp.2018.13.3.131-136 DOI: https://doi.org/10.25182/jgp.2018.13.3.131-136
Kurniawati DP, Santy WH, Putri PH. The relationships of nutrition knowledge and eating habits with body weight at the Amanatul Ummah Islamic Boarding School, Surabaya. Med Technol Public Heal J. 2019;3(1):29-36. https://doi.org/10.33086/mtphj.v3i1.94 DOI: https://doi.org/10.33086/mtphj.v3i1.944
Rosida H, Adi AC. Relationships of breakfast habits, adequate energy and macro-nutrients levels with nutrition status of students in Al-Fattah Boarding School Buduran, Sidoarjo. Media Gizi Indones. 2018;12(2):116. https://doi.org/10.20473/mgi.v12i2.116-122 DOI: https://doi.org/10.20473/mgi.v12i2.116-122
Tiala MEA, Tanudjaja GN, Kalangi SJ. The relationship between physical activity and waist circumference in obese students. J e-Biomedik. 2013;1(1):455-60. https://doi.org/10.35790/ebm.v1i1.4581
Nabawiyah H, Khusniyati ZA, Damayanti AY, Naufalina MD. Relationships of eating pattern, physical activity, and sleep quality with nutrition status of female adolescents in the Darussalam Modern Boarding School Gontor 1 for Girls. Darussalam Nutr J. 2021;5(1):78-89. https://doi.org/10.21111/dnj.v5i1.5876 DOI: https://doi.org/10.21111/dnj.v5i1.5876
Nicholaus C, Martin HD, Kassim N, Matemu AO, Kimiywe J. Dietary practices, nutrient adequacy, and nutrition status among adolescents in boarding high schools in the Kilimanjaro Region, Tanzania. J Nutr Metab. 2020;2020:3592813. https://doi.org/10.1155/2020/3592813 PMid:32685204 DOI: https://doi.org/10.1155/2020/3592813
Grace GA, Edward S, Gopalakrishnan S. Dietary habits and obesity among adolescent school children: A case control study in an urban area of Kancheepuram District. Indian J Community Med. 2017;42(1):147-50. https://doi.org/10.4103/ijcm.IJCM_1013_20 PMid:35068725 DOI: https://doi.org/10.4103/ijcm.IJCM_1013_20
Adamska-Patruno E, Ostrowska L, Goscik J, Pietraszewska B, Kretowski A, Gorska M. The relationship between the leptin/ ghrelin ratio and meals with various macronutrient contents in men with different nutritional status: A randomized crossover study. Nutr J. 2018;17(1):118. https://doi.org/10.1186/s12937-018-0427-x Mid:30593267 DOI: https://doi.org/10.1186/s12937-018-0427-x
Clark MJ, Slavin JL. The effect of fiber on satiety and food intake: A systematic review. J Am Coll Nutr. 2013;32(3):200-11. https://doi.org/10.1080/07315724.2013.791194 PMid:23885994 DOI: https://doi.org/10.1080/07315724.2013.791194
Sudrajat AS, Sinaga T. Analisis biaya makan terhadap ketersediaan makanan serta tingkat kecukupan gizi santri di pondok pesantren darul arqam garut. Gizi Indones. 2016;39(2):115-24. https://doi.org/10.36457/gizindo.v39i2.214 DOI: https://doi.org/10.36457/gizindo.v39i2.214
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2023 Indahtul Mufidah, Dono Indarto, Budiyanti Wiboworini (Author)

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
http://creativecommons.org/licenses/by-nc/4.0
Funding data
-
Universitas Sebelas Maret
Grant numbers 254/UN27.22/PT.01.03/2022.