Purpose: Aims to observe the relation of the pattern of energy-dense food consumption, snacking, and access to food with the obesity in children aged 9-12 years.Design/methodology/approach: A cross sectional study done in elementary school in Surabaya, Indonesia involving 110 students. Pattern of energy-dense food consumption was retrieved from FFQ and energy from snacking was collected through repeated 24 hours food recall. Linear regression analysis was performed with α =0.05. Findings:Obesity prevalence was 50.0% and obese children proved to have higher energy intake compared to non-obese children (2131.7 kcal ± 405.758 SD vs. 1753.4 kcal ± 452.673 SD, respectively). Energy-dense food consumption pattern that related to obesity was consumption of chocolate (p=0.028; R 2 =0.044); white sugar (p=0.017; R 2 =0.051); snack bar (p=0.014; R 2 =0.055); fried foods (p=0.001; R 2 =0.096); sweetened condensed milk (p=0.022; R 2 =0.048); fruit syrup (p=0.008; R 2 =0.063); and biscuits (p=0.029; R 2 =0.044). Highest frequency of energy-dense food intake was flavoured drinks with intake as much as 27 times per month (p=0.051). Energy intake from snacking also found to be higher in obese children (698.6 kcal ± 275180 SD) compared to non-obese children (494.9 kcal ± 280.952 SD). Research limitations/implications:An observational study hence causation between variables cannot be justified. Practical implications:The result can be referred as an input for the inclusion and exclusion of foods permitted at school-setting in order to prevent childhood obesity.Originality/value: The result adds more evidence related to school food environment in urban developing country setting which are under studied.

ABSTRAKObesitas anak merupakan salah satu masalah kesehatan masyarakat yang paling serius pada abad ke-21. Kebiasaan makan yang tidak baik seperti kelebihan makan tinggi lemak, gula, dan kalori serta kurangnya aktivitas fisik menjadi penyebab overweight atau obesitas pada anak. Penelitian ini bertujuan untuk menganalisis hubungan pola konsumsi makanan jajanan dengan kejadian overweight/obesitas. Penelitian dilakukan di SDN Ploso I-172 Kecamatan Tambaksari Surabaya pada bulan Mei-Juli 2017 dengan desain case control. Metode pengumpulan data dilakukan dengan cara wawancara dan pengukuran anthropometri. Besar sampel sebanyak 112 responden, sampel kasus sebanyak 56 dan 56 sampel kontrol. Analisis data menggunakan uji regresi linier dan regresi logistik. Hasil penelitian menunjukkan makanan jajanan yang banyak dikonsumsi anak sekolah adalah sirup buah, minuman perisa, cokelat, papeda, gorengan, otak-otak dan sosis, pentol, sirup, saus, dan topping. Ada hubungan yang signifikan antara pola konsumsi makanan jajanan frekuensi harian meliputi sirup buah (p = 0,004; OR = 8,000), minuman perisa (p = 0,02; OR = 13,412), cokelat (p = 0,013; OR = 6,333), gorengan (p = 0,015; OR = 14,786), otak-otak dan sosis (p = 0,004; OR = 8,750), pentol (p = 0,039; OR = 4,044), sirup, saus, dan topping (p = 0,023; OR = 4,643) dengan kejadian overweight/obesitas. Anak yang mengkonsumsi jajanan dalam frekuensi harian lebih beresiko mengalami overweight/obesitas dibandingkan anak yang mengkonsumsi makanan jajanan dalam frekuensi mingguan/bulanan. Kesimpulan dalam penelitian ini adalah ada hubungan pola konsumsi makanan jajanan dengan kejadian overweight/obesitas pada anak sekolah. Saran penelitian, orang tua dan sekolah perlu memperhatikan pemilihan makanan jajanan yang baik dan bergizi untuk mencegah kejadian overweight dan obesitas pada anak. (p = 0.004; OR = 8.000), perisa beverage (p = 0.02; OR = 13.412), chocolate (p = 0.013; OR = 6.333), fried food (p = 0.015; OR = 14.786), fishcake and sausages (p = 0.004; OR = 8.750), pentol (p = 0.039; OR = 4.044), syrup, sauce, and topping (p = 0.023; OR = 4.643) with overweight/obesity incidence. In conclusion this research revealed correlation between the pattern of snacking and overweight/obesity incidence among school children. It is suggested to the parents and schools to be more vigilant ensuring the healthy snack consumption to prevent overweight dan obesity among school children.