Stress Level to Dietary Habits among Adolescent in Indonesia during COVID 19 Outbreak: A Nationwide Survey

Authors

  • Andi Eka Yunianto Department of Nutrition, Faculty of Health Science, Siliwangi University, Tasikmalaya, Indonesia https://orcid.org/0000-0001-5157-917X
  • Dzul Fadly Department of Food Technology, Universitas Tanjungpura, Pontianak, Indonesia
  • Asepsuryana Abdurrahmat Department of Public Health, Faculty of Health Science, Siliwangi University, Tasikmalaya, Indonesia
  • Puji Laksmini Department of Public Health, Faculty of Health Science, Siliwangi University, Tasikmalaya, Indonesia
  • Windi Indah Department of Nutrition, Faculty of Public Health, Sriwijaya University, Palembang, Indonesia
  • A’immatul Fauziyah Nutritional Science Program, Faculty of Health Sciences, Pembangunan Nasional Veteran Jakarta University, Jakarta, Indonesia
  • Nining Tyas Triatmaja Departement of Nutrition, Institut Ilmu Kesehatan Bhakti Wiyata, Kediri, Indonesia
  • Rosyanne Kushargina Department of Nutrition, Faculty of Medicine and Health, Universitas Muhammadiyah Jakarta, Jakarta, Indonesia
  • Sutrio Sutrio Polytechnic of Health, Ministry of Health, Tanjung Karang, Bandar Lampung, Indonesia
  • Sanya Anda Lusiana Polytechnic of Health, Ministry of Health, Jayapura, Indonesia
  • Made Darawati Polytechnic of Health

DOI:

https://doi.org/10.3889/oamjms.2022.8081

Keywords:

Stress, Dietary habits, Adolescent, COVID-19, Nationwide survey

Abstract

BACKGROUND: To suppress the COVID-19 transmissions, almost all activities related to physical and social activities between individuals are restricted. Activity restrictions such as lockdowns or physical-social distancing can trigger an elevation in stress.

AIM: This study aimed to determine the correlation between stress levels and food habits among adolescents in Indonesia.

METHODS: This cross-sectional study was conducted through an online questionnaire involving 5924 adolescents in all regions in Indonesia using the snowball sampling technique.

RESULTS: The survey showed that most adolescents experienced high stress (55.6%). During the COVID-19 outbreak, they seemed rarely consumed or had an intake frequency of fewer than 3 times a day on carbohydrates (89.1%), animal protein (87.5%), vegetable protein (88.9%), vegetables (84.8%), fruit (90.6%), and snacks (86.3%). Statistically, their stress level did not significantly correlate to the consumption of those carbohydrates, animal protein, vegetable protein, vegetables, and fruit (p > 0.05), except for snacks (p < 0.002) at α = 0.05. Thus, the high-stress level was 1.267 times more at risk of snacking habit more often (more than 3 times a day) among adolescents in Indonesia during the COVID-19 outbreak.

CONCLUSION: Stress level did not significantly correlate to the consumption of those carbohydrates, animal protein, vegetable protein, vegetables, and fruit. However, stress levels did not significantly correlate to snacks consumption.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

World Health Organization. Coronavirus (COVID-19). Coronavirus (COVID-19). Geneva: World Health Organization; 2020.

Hyland P, Shevlin M, McBride O, Murphy J, Karatzias T, Bentall RP, et al. Anxiety and depression in the Republic of Ireland during the COVID‐19 pandemic. Acta Psychiatr Scand 2020;142:249-56. https://doi.org/10.1111/acps.13219 PMid:32716520 DOI: https://doi.org/10.1111/acps.13219

Ravaldi C, Vannacci A. The COVID-ASSESS dataset COVID19 related anxiety and stress in prEgnancy, poSt-partum and breaStfeeding during lockdown in Italy. Data Br. 2020;33:106440. https://doi.org/10.1016/j.dib.2020.106440 PMid:33102644 DOI: https://doi.org/10.1016/j.dib.2020.106440

Gautam R, Sharma M. 2019-nCoV pandemic: A disruptive and stressful atmosphere for Indian academic fraternity. Brain Behav Immun. 2020;88:948-9. https://doi.org/10.1016/j.bbi.2020.04.025 PMid:32289366 DOI: https://doi.org/10.1016/j.bbi.2020.04.025

Sundarasen S, Chinna K, Kamaludin K, Nurunnabi M, Baloch GM, Khoshaim HB, et al. Psychological impact of covid-19 and lockdown among university students in malaysia: Implications and policy recommendations. Int J Environ Res Public Health. 2020;17:6206. https://doi.org/10.3390/ijerph17176206 DOI: https://doi.org/10.3390/ijerph17176206

Waterschoot J, Van der Kaap-Deeder J, Morbée S, Soenens B, Vansteenkiste M. How to unlock myself from boredom? The role of mindfulness and a dual awareness and action-oriented pathway during the COVID-19 lockdown. Pers Individ Dif 2021;175:110729. DOI: https://doi.org/10.1016/j.paid.2021.110729

Karing C. Prevalence and predictors of anxiety, depression and stress among university students during the period of the first lockdown in Germany. J Affect Disord Rep. 2021;5:100174. https://doi.org/10.1016/j.jadr.2021.100174 DOI: https://doi.org/10.1016/j.jadr.2021.100174

Salazar A, Palomo-Osuna J, de Sola H, Moral-Munoz JA, Dueñas M, Failde I. Psychological impact of the lockdown due to the covid-19 pandemic in university workers: Factors related to stress, anxiety, and depression. Int J Environ Res Public Health. 2021;18(8):4367. https://doi.org/10.3390/ijerph18084367 PMid:33924133 DOI: https://doi.org/10.3390/ijerph18084367

Masdar H, Saputri PA, Rosdiana D, Chandra F, Darmawi D. Relationship of depression, anxiety and stress with obesity in adolescent. J Gizi Klin Indones. 2016;12:138. DOI: https://doi.org/10.22146/ijcn.23021

Taylor S, Landry CA, Paluszek MM, Fergus TA, McKay D, Asmundson GJ. Development and initial validation of the COVID stress scales. J Anxiety Disord. 2020;72:102232. https://doi.org/10.1016/j.janxdis.2020.102232 PMid:32408047 DOI: https://doi.org/10.1016/j.janxdis.2020.102232

Choi J. Impact of stress levels on eating behaviors among college students. Nutrients. 2020;12:1241. https://doi.org/10.3390/nu12051241 PMid:32349338 DOI: https://doi.org/10.3390/nu12051241

Kim HK, Kim JH. Comparison of life style, school achievement and snaking behaviors among underweight and overweight adolescents. Korean J Nutr. 2011;44:131. DOI: https://doi.org/10.4163/kjn.2011.44.2.131

Deger VB. Eating behavior changes of people with obesity during the covid-19 pandemic. Diabetes Metab Syndr Obes Targets Ther. 2021;14:1987-97. https://doi.org/10.2147/DMSO.S305782 PMid:33976559 DOI: https://doi.org/10.2147/DMSO.S305782

Janssen M, Chang BP, Hristov H, Pravst I, Profeta A, Millard J. Changes in food consumption during the COVID-19 pandemic: Analysis of consumer survey data from the first lockdown period in Denmark, Germany, and Slovenia. Front Nutr. 2021;8:635859. https://doi.org/10.3389/fnut.2021.635859 PMid:33763443 DOI: https://doi.org/10.3389/fnut.2021.635859

Eftimov T, Popovski G, Petković M, Seljak BK, Kocev D. COVID-19 pandemic changes the food consumption patterns. Trends Food Sci Technol. 2020;104:268-72. https://doi.org/10.1016/j.tifs.2020.08.017 PMid:32905099 DOI: https://doi.org/10.1016/j.tifs.2020.08.017

Lucassen EA, Cizza G. The hypothalamic-pituitary-adrenal axis, obesity, and chronic stress exposure: Sleep and the HPA axis in obesity. Curr Obes Rep. 2012;1:208-15. DOI: https://doi.org/10.1007/s13679-012-0028-5

Lemmens SG, Martens EA, Born JM, Martens MJ, Westerterp-Plantenga MS. Lack of effect of high-protein vs. high-carbohydrate meal intake on stress-related mood and eating behavior. Nutr J 2011;10:136. https://doi.org/10.1186/1475-2891-10-136 PMid:22152216 DOI: https://doi.org/10.1186/1475-2891-10-136

Cheng SH, Kamil MK. Stress and food intake among university students is there a relationship? Sains Malaysiana. 2020;49:121-8. https://doi.org/10.17576/jsm-2020-4901-14 DOI: https://doi.org/10.17576/jsm-2020-4901-14

Barker ME, Blain RJ, Russell JM. The influence of academic examinations on energy and nutrient intake in male university students. Nutr J. 2015;14:1-7. DOI: https://doi.org/10.1186/s12937-015-0088-y

Ju SY, Park YK. Low fruit and vegetable intake is associated with depression among Korean adults in data from the 2014 Korea National Health and Nutrition Examination Survey. J Heal Popul Nutr. 2019;38:39. https://doi.org/10.1186/s41043-019-0204-2 PMid:31796113 DOI: https://doi.org/10.1186/s41043-019-0204-2

Głąbska D, Guzek D, Groele B, Gutkowska K. Fruit and vegetable intake and mental health in adults: A systematic review. Nutrients. 2020;12:115. https://doi.org/10.3390/nu12010115 PMid:31906271 DOI: https://doi.org/10.3390/nu12010115

Nguyen B, Ding D, Mihrshahi S. Fruit and vegetable consumption and psychological distress: Cross-sectional and longitudinal analyses based on a large Australian sample. BMJ Open. 2017;7(3):e014201. https://doi.org/10.1136/bmjopen-2016-014201 PMid:28298322 DOI: https://doi.org/10.1136/bmjopen-2016-014201

Gardiner CK, Hagerty SL, Bryan AD. Stress and number of servings of fruit and vegetables consumed: Buffering effects of monetary incentives. J Health Psychol. 2021;26(10):1757-63. https://doi.org/10.1177/1359105319884620 PMid:31665933 DOI: https://doi.org/10.1177/1359105319884620

Njike VY, Smith TM, Shuval O, Shuval K, Edshteyn I, Kalantari V, et al. Snack food, satiety, and weight. Adv Nutr. 2016;7(5):866-78. https://doi.org/10.3945/an.115.009340 PMid:27633103 DOI: https://doi.org/10.3945/an.115.009340

Kristiandi K, Yunianto AE, Darawati M, Doloksaribu TH, Anggraeni I, Pasambuna M. Food consumption patterns of male and female undergraduate students in indonesia during new normal implementation of pandemic Covid-19 era. Open Access Maced J Med Sci 2021;9:278-82. DOI: https://doi.org/10.3889/oamjms.2021.5926

Yunianto AE, Kristiandi K, Darawati M, Doloksaribu TH, Anggraeni I, Pasambuna M. Food consumption patterns among university students in Indonesia during the transition period in new normal era of Covid-19 pandemic. IOP Conf Ser Earth Environ Sci. 2021;883:012008. DOI: https://doi.org/10.1088/1755-1315/883/1/012008

Si Hassen W, Castetbon K, Tichit C, Péneau S, Nechba A, Ducrot P, et al. Energy, nutrient and food content of snacks in French adults. Nutr J. 2018;17(1):33. https://doi.org/10.1186/s12937-018-0336-z PMid:29486784 DOI: https://doi.org/10.1186/s12937-018-0336-z

Yan MR, Rush EC, Jackson R, Shaikh SB. Snack (Re) formulation in the improvement of health effects on glycaemia and satiety responses: Preliminary results. Food Nutr Sci. 2020;11(7):649-58. https://doi.org/10.4236/fns.2020.117046 DOI: https://doi.org/10.4236/fns.2020.117046

Khan TM, Bibi S, Shoaib T, Shoaib E, Bibi A, Sajid H, et al. Perceived stress and food consumption frequency among medical students of Rawalpindi medical university, Pakistan. Eur J Med Health Sci 2021;2:1-6. DOI: https://doi.org/10.24018/ejmed.2020.2.6.612

Sadler JR, Thapaliya G, Jansen E, Aghababian AH, Smith KR, Carnell S. For stress-related palatable food intake in US adults. Nutrients. 2021;13(3):901. https://doi.org/10.3390/nu13030901 PMid:33802066 DOI: https://doi.org/10.3390/nu13030901

Downloads

Published

2022-01-06

How to Cite

1.
Yunianto AE, Fadly D, Abdurrahmat A, Laksmini P, Indah W, Fauziyah A, Triatmaja NT, Kushargina R, Sutrio S, Lusiana SA, Darawati M. Stress Level to Dietary Habits among Adolescent in Indonesia during COVID 19 Outbreak: A Nationwide Survey. Open Access Maced J Med Sci [Internet]. 2022 Jan. 6 [cited 2024 Apr. 25];10(E):116-20. Available from: https://oamjms.eu/index.php/mjms/article/view/8081

Issue

Section

Public Health Epidemiology

Categories

Most read articles by the same author(s)