Multilevel Analysis on the Determinants of Overweight and Obesity among Primary School Students in Boyolali, Central Java

Wijayanti, Dwi; Salimo, Harsono; Dewi, Yulia Lanti Retno

doi:10.26911/thejmch.2019.04.05.01

Cited by 4 publications

(5 citation statements)

References 6 publications

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“…Adolescents with sufficient physical activity had logodds for obesity 1.12 units lower than those who lacked physical activity (b = -1.12; 95% CI = -2.08 to -0.15; p = 0.023). In line with the study of Wijayanti et al (2019) that physical activity has a negative relationship to obesity in children. Children with high physical activity reduced the risk of high fat and obesity with results (b = -0.04; 95% CI = -0.05 to -0.06; p <0.001).…”

Section: Effect Of Physical Activity On the Risk Of Obesity In High School Adolescentssupporting

confidence: 83%

The Effects of Water Intake, Fruits and Vegetables Consumption, and Socio-Cultural on Obesity among Adolescents

Aprilia

Tantomo

Pawito

et al. 2019

J HEALTH PROMOT BEHAV

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Background:The prevalence of obesity is increasing in the world, especially in Indonesia. Obesity can cause health problems, such as hyper-insulinemia, diabetes, cardiovascular disease, hypertension, immunological disorders, certain types of cancer, etc. This study aims to analyze the influence of consumption of water, fruit and vegetables and socio-cultural views on the risk of obesity in senior high school adolescents. Subjects and method: This was a cross-sectional study conducted at 25 senior high schools in Banyuwangi, East Java, from March to April 2018. Samples of 225 students were selected using random sampling technique. The dependent variable was obesity. The independent variables were consumption of water, fruit and vegetables and socio-cultural views. The data were collected using questionnaires and analyzed using multilevel logistic regression. Results: Water consumption (b = -2.67; CI 95% = -3.77 to -1.58; p = <0.001), fruit and vegetables (b = -1.16; CI 95% = -1.88 to -0.44; p = 0.002), activity physical (b = -1.12; 95% CI = -2.08 to -0.15; p = 0.023) and socio-cultural views (b = -1.89; CI 95% = -2.72 to -1.05; p = <0.001) reduce risk of obesity . Genetic factors (b = 3.12; 95% CI = 1.98 to 4.26; p = <0.001) increase the risk of obesity. Senior high school has a contextual effect on the risk of obesity with ICC = 9.89%. Conclusion:The risk of obesity decreases with adequate consumption of water, consumption of enough fruits and vegetables, enough physical activity and living in a society with a socio-cultural outlook with a good diet. The risk of obesity increases with the presence of factors. SMA has a contextual influence on the risk of obesity in adolescents.

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Section: Effect Of Physical Activity On the Risk Of Obesity In High School Adolescentssupporting

confidence: 83%

The Effects of Water Intake, Fruits and Vegetables Consumption, and Socio-Cultural on Obesity among Adolescents

Aprilia

Tantomo

Pawito

et al. 2019

J HEALTH PROMOT BEHAV

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“…Georgina Gómez et al found that SES matches the quality and variety of food [ 26 ]. A multilevel study on childhood determinants of obesity (2019) reported family income and the amount of child allowance was related to obesity and weight gain [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

“…Prevalence childhood determinants of obesity (2019) reported family income and the amount of child allowance was related to obesity and weight gain [27]. In many Asian cultures, obesity in children is a sign of their health in affluent families [28], and this belief can explain the prevalence of obesity in families with favourable socioeconomic status.…”

Section: Generalized Obesity Only Abdominal Obesity Only Generalized ...mentioning

confidence: 99%

Socioeconomic inequality in different phenotypes of childhood obesity and its determinants in Iran: a Blinder-Oaxaca decomposition method

et al. 2022

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Background Childhood obesity has become a significant public health issue worldwide. Socioeconomic status is among its key determinants. This study examined the socioeconomic inequality in different phenotypes of childhood obesity at the national level in Iran. Methods This national, multistage school cross-sectional study was undertaken in 2015 on 14,400 students aged 7–18 years from urban and rural areas of 30 provinces of Iran. Using principal component analysis, socioeconomic status (SES) was categorized into tertiles. SES inequality in different phenotypes of obesity (i.e., generalized obesity", "abdominal obesity", and combined obesity) was estimated using the concentration index. The determinants of this inequality were assessed by the Blinder-Oaxaca decomposition method. Results Overall, 14,274 students completed the study (response rate: 99%). The mean age was 12.28 years, 50.6% were boys, and 71.42% lived in urban areas. The prevalence of generalized obesity and abdominal obesity was 20.8% and 11.3%, respectively. The concentration index for different phenotypes of obesity was positive, indicating that inequality is more common amongst the low SES groups. High SES, being male, living in a rural, and having a positive family history of obesity were associated with general obesity. Moderate physical activity and living in a rural area were associated with abdominal obesity. In addition, living in a rural area, having a high SES, being male, and having a positive family history of obesity were associated with combined obesity. Conclusion According to the present study findings, all childhood obesity phenotypes were more prevalent in Iranian children with high SES. Therefore, due to obesity and other diseases, it is essential to implement environmental changes in addition to designing macro-educational programs and prevention strategies.

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“…Pocket money also affects over-nutrition because a teenager has many choices to buy snacks or fast food (Wijayanti et al, 2019;Punitha et al, 2014). Low physical activity also affects the nutritional status of adolescents because adolescents generally spend their free time doing light activities without expending a lot of energy, among others, watching movies, television, playing games and social media with gadgets (Cassidy et al, 2017;Chapman et al, 2014) thus leading to overweight and obesity (Wiklund, 2016).…”

Section: Introductionmentioning

confidence: 99%

Correlation of Snacking Frequency, Hemoglobin Levels, Physical Activity and Pocket Money With Nutritional Status in Female Adolescents

Rahmawati

Indarto

Hanim

2021

MGI

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Nutritional problem that occurs in adolescents due to higher food intake and less physical activity leads to over- nutrition. Other nutritional problems occur among them is micronutrient deﬁciency including anemia, mostly in female adolescents. Higher consumption of energy-dense snacks, low physical activity and more pocket money have contributed to adolescent’s body weight. This study aims to determine the correlation of frequency of snacking, hemoglobin levels, physical activity, and pocket money with the nutritional status of female adolescents. This cross- sectional study was carried out in 117 female adolescents in Karanganyar Regency, Central Java Province. Data of snacking frequency was collected using the Food Frequency Questionnaire (FFQ) and hemoglobin level were measured using a Hematology Analyzer. Physical activity data were collected using the IPAQ questionnaire (International Physical Activity Questionnaire) and were converted to Metabolic Equivalent Tasks (METs). Normally distributed data then analyzed using Pearson test and Spearman test for not normally distributed data to determine correlation between independent with dependent variables and followed by the multiple linear regression test if the p-value < 0.25. Most female adolescents had normal nutritional status, but 6.8% and 17.9% female adolescents were overweight and obesity, respectively. The frequency of snacking (r = 0.207, p = 0.025), physical activity (r = -0.201, p = 0.030), pocket money (r = 0.283, p = 0.002) and hemoglobin level (r = 0.150, p = 0.107) were not correlated with nutritional status. In conclusion, frequency of snacks, physical activity, and pocket money were signiﬁcantly correlated with nutritional status in female adolescents but no correlation with hemoglobin level.

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Multilevel Analysis on the Determinants of Overweight and Obesity among Primary School Students in Boyolali, Central Java

Cited by 4 publications

References 6 publications

The Effects of Water Intake, Fruits and Vegetables Consumption, and Socio-Cultural on Obesity among Adolescents

The Effects of Water Intake, Fruits and Vegetables Consumption, and Socio-Cultural on Obesity among Adolescents

Socioeconomic inequality in different phenotypes of childhood obesity and its determinants in Iran: a Blinder-Oaxaca decomposition method

Correlation of Snacking Frequency, Hemoglobin Levels, Physical Activity and Pocket Money With Nutritional Status in Female Adolescents

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