Nutritional Status Of Adolescents Research Articles

Risk of eating disorders, changes in salivary cortisol concentrations and nutritional status of adolescents.

The imposition of the thin body as an ideal of beauty and the changes that occur in adolescence lead to a constant concern with adolescents' body weight, putting them at risk for eating disorders. Thus, the study sought to investigate associations between eating disorders and salivary cortisol concentrations, nutritional status and depressive symptoms in female adolescents with bulimia. A cross-sectional study was carried out with 1435 adolescents aged 10-19years. The Bulimic Investigatory Test of Edinburgh (BITE) and Body Shape Questionnaire (BSQ) questionnaires were used. A follow-up study was conducted from a random selection of female adolescents diagnosed with Bulimia Development and Well-Being Assessment-(DAWBA) to assess associations with salivary cortisol concentrations and nutritional status. The prevalence of body dissatisfaction among adolescents with symptoms of bulimia was 37%. There was a significant difference between salivary cortisol and bulimia (Risk Group = 0.33 ± 0.20μg/100ml, Diagnostic Group = 0.44 ± 0.21μg/100ml p = 0.040), and correlation positive between the risk of bulimia with symptoms of depression (0.355 p = 0.002) and with Body Mass Index (0.259 p = 0.028). High concentrations of salivary cortisol in bulimic adolescents may be associated with hyperactivity of the hypothalamic-pituitary-adrenal axis and depressive symptoms. Nutritional status indicators cannot be used alone for the diagnosis of bulimia, since cortisol levels seem to be a reliable parameter in the identification of bulimia, provided they are used with other diagnostic criteria. Evidence obtained from cross-sectional study.

Association of skipping breakfast on nutritional status of adolescents in selected secondary schools in Opi, Nsukka local government area, Enugu State, Nigeria

Background: Although breakfast meal has been regarded as the most essential meal for the day because it improves both the nutritional status and academic performance, research findings have demonstrated that skipping of meals was prevalent among group of individuals.
 Objective: Association of skipping breakfast on nutritional status of adolescents in selected secondary schools in Opi, Nsukka Local Government Area, Enugu State, Nigeria.
 Materials and methods: A cross-sectional survey design was employed in conducting this study. The study was conducted in Opi, a town in Nsukka Local Government Area of Enugu State in South-Eastern Nigeria. Multi-stage random sampling technique was used in selecting 210 secondary school students involved in the study. The collection of data included the use of a structured questionnaire; measurement of anthropometric indices. Statistical Product for Service Solution (SPSS) version 21was employed in the data analysis. T-test and Chi-Square were used to analyze the relationship among variables and results were presented as frequencies and percentages, means, and standard deviations. Significance was accepted at p ≤ 0.05.
 Results: Majority (72.4%) of the respondents were females and 60.0% were aged 14-16 years. Approximately 50% of the respondents’ fathers and 25.5% of mothers earned less than N 30,000 every monthly. Majority (94.8%) of the respondents skipped breakfast. Little above twenty percent (20.5%) of the respondents was mildly stunted while 13.3% were overweight for their age.
 Conclusion: Breakfast skipping and malnutrition in the form of mild to moderate stunting and overweight were prevalent among the study participants suggesting the need for nutrition education to enlighten them on the importance of regular consumption of breakfast meals.

The Association Between Nutritional Status and Anemia in Adolescent Girls in Kupang City: A Cross-Sectional Study

Anemia among adolescent females is a leading worldwide public health problem that should be given appropriate attention. Adolescent females are one of the major risk groups for anemia. This study aimed to determine the association between nutritional status and anemia in adolescent girls in Kupang City. A cross-sectional study design was employed. This research was conducted from July to August 2021 in Kupang City. Purposive sampling was used and 256 adolescent girls participated. A structured questionnaire was used to collect the data. The hemoglobin level and anthropometry measures were taken to determine the anemic and nutritional status of the females based on World Health Organization guidelines. Chi-square tests were used to analyze the data. The incidence of anemia among the adolescent girls was 64.5%, while 31% of the girls were underweight. The results showed that there was no significant relationship between nutritional status and anemia among adolescent girls in Kupang city (p = 0.06). The notably high prevalence of anemia found in the adolescent girls was correlated with other health and wellness concerns. Anemia and undernutrition negatively affect academic performance, productivity, and general wellbeing of adolescents. The findings provide helpful information for nurses to initiate effective health promotion and prevention programs for adolescent nutritional status and anemia in the community.
 Keywords: anemia, adolescent, females, nutritional status

Health promotion and nutritional status of adolescents in a large industrial city

Objective — substantiation of ways to improve the health of students of general secondary education on the basis of determining the nutrition status based on the body mass index (BMI) of adolescents in a large industrial city.Materials and methods. The study was based on a cross-section of a population survey, performed in the period from April to May, 2019, with the use of questionnaire (СС #92695-2019 «Methods for assessing the impact of close social environment on the subjective perception of adolescents’ own health»).Results. The study involved 1191 adolescents aged 11–16 years. Food consumption was estimated by frequency of consumption for one month; body mass index was assessed by WHO standard indicators of physical development (SDS). The following indices of daily consumption have been established: candies (8.03 ± 0.78) %, cakes, pastries (5.8 ± 0.68) %, meat (14.54 ± 1.02) %, sausages (7.62 ± 0.76) %, fish (2.61 ± 0.46) %, milk (11.21 ± 1.9) %, fresh vegetables (19.9 ± 1.15) %. fruits (19.45 ± 1.14) %, mayonnaise, sauces and ketchups (5.47 ± 0.65)%, «fast food» (1.12 ± 0.30)%, street food (steaks, hot dogs) (0.81±0.26)%, snacks (chips, crackers) (1.84 ± 0.38) %, dry pasta «Mivina» (1.43 ± 0.34) %. According to the BMI, (5.3 ± 0.64) % of adolescents had depletion of body weight (BMI <-2SDS); insufficient body weight (BMI <-1 to -2SDS) was registered in (13.6 ± 0.99) % of population; normal body weight (± 1 SDS) was defined in (77.8 ± 1.2) % of adolescents, excessive body weight (BMI from +1 to +2 SDS) in (2,7 ± 0,46) % and obesity (BMI> + 2SDS) in (0.58 ± 0.22) % of children.Conclusions. The priority should be given to promoting health and formation of healthy lifestyle skills among young people. One should pay more attention to the forms and methods of nutrition of children and adolescents, improve the technology of medical, psychological and pedagogical support, and provide recommendations to parents on maintaining good health and proper eating behavior.

Health Education Mentoring on Sadar Seimbang Nutrisi (SSN) and The Dangers of Anemia through Student Empowerment Movements with Examination of Hematology (Hemoglobin Hematocrit) in Vocational High School and Junior High School AsSyarief Garut for Mountainous Area Community

Anemia in adolescent girls still shows a high prevalence rate. The prevalence of anemia in Indonesia at the age of 5-14 is 26.4%, 18.4% of patients aged 15-24 years, and women have a high risk of anemia, especially in adolescent girls. Adolescent girls with anemia will have changed the menstrual cycle. The importance of learning adolescent nutritional status will be strategic planning for decreased nutritional macro and micro deficiencies in women. This community dedication aimed to present information about the risk of anemia through student empowerment and hematological examination (hemoglobin-hematocrit). A piece of good and proper knowledge about balanced Nutrition is an essential point of anemia prevention in adolescents.

Effect of Mother's Nutritional Knowledge and Hygiene Practices on School-Going Adolescents Living in Dhaka City of Bangladesh.

Adolescence which is a critical stage for growth and development is influenced by various issues along with maternal nutritional knowledge, control over their earnings, freedom of movement, and participation in household decision-making over child's health care. This study focused on assessing mothers' nutritional knowledge and hygiene practices and their effect on dietary diversity as well as the nutritional status of school-going adolescents of Dhaka city. A community-based cross-sectional study was conducted at 44 schools in Dhaka city. A total of 710 school-going adolescents aged 10-17 years were randomly selected and their mothers were interviewed for assessing their knowledge on nutrition and hygiene practices. One-way ANOVA and multivariate linear regression were used to examine the association between dietary diversity and the nutritional status of the adolescents with their mother's nutritional knowledge and hygiene practices. About one-third (35.8%) of the mothers maintained hygiene and sanitation satisfactorily. Although 53.1% of them had satisfactory general knowledge about a healthy diet, only 6.5% showed good knowledge of the nutritional value of food. The prevalence of stunting, thin, and overweight was 8, 4.6, and 5.8%, respectively. Fair hygiene practices were positively associated (P = 0.048) with height for age z-score. Maternal knowledge on the nutritional value of food was positively associated (P = 0.027) with the dietary diversity of the adolescents. Adequate nutritional knowledge and hygiene practices of the mothers have positive effects on children's dietary diversity and nutritional status. Providing nutrition education to mothers would ensure better nutritional status and improved dietary practices for their children.

The Relationship between Eating and Screen Viewing Behavior with Nutritional Status of Adolescents in Medan City

Adolescents are vulnerable to experiencing malnutrition issues, both overnutrition and undernutrition. This study’s objective was to determine the relationship between eating and screen viewing behaviour and with nutritional status of adolescents. This study used a cross-sectional design with 145 adolescents chosen through the purposive sampling method. The samples were divided into three categories: early adolescents, middle adolescents, and late adolescents, and data on eating behaviour were obtained by using Adult Eating Behavior Questionnaire (AEBQ). The screen viewing behavior variable had two categories: low screen time and high screen time. Adolescent body mass index z-scores measured nutritional status. This study was conducted from June to August 2022. Results showed 5.5% underweight participants, 18.6% subject overweight participants, and 22.8% obese participants of the total participants. Spearman’s tests showed that there was a significant relationship between eating behaviour and nutritional status (p<0.05) only on two subscales of appetite traits (emotional overeating and food responsiveness) in early adolescents. Likewise, in late adolescents, there was a significant relationship between eating behaviour and nutritional status (p<0.05) only with emotional undereating. There was no significant relationship between screen viewing behaviour and nutritional status in all categories of adolescents. The highest prevalence of obesity was found in early adolescents, and it influenced the adolescent’s eating behavior such as emotional overeating. While in late adolescents, malnutrition cases were more or less common due to emotional undereating.

Effect of physical health, dietary behaviour and personal hygiene on body mass index of school-going adolescents near Patna, Bihar: A cross-sectional study.

Body mass index (BMI) is the most frequently used method to determine the nutritional status in adolescents. School-going population in developing countries like India are susceptible to undernutrition due to several socioeconomic, demographic, and nutritional factors. Poor dietary habits, sedentary lifestyles and improper hygiene can have a deleterious effect on their BMI. The aim of the study was to determine any association of BMI with physical health, nutrition, and personal hygiene among the school-going adolescents near Patna, Bihar. Analytical cross-sectional study was conducted among 160 school-going adolescents, chosen by stratified random sampling. They were given Indian Adolescent Health Questionnaire which had close-ended questions about physical activity, nutritional, and hygienic practices. BMI was calculated from self-reported height and weight. Pearson's correlation, independent t test, ANOVA, and Chi-Square test of proportions were done. Significance level was set at P < 0.05. Only 39.4% adolescents had normal BMI, and almost half were underweight. Pearson's correlation of BMI with age showed a weak positive correlation (r = 0.124, P = 0.118). Participants perceiving themselves overweight, did physical exercise to lose weight (P < 0.001), whereas who stated that they rarely consumed cooked vegetables, had the self-perception of being underweight (P = 0.009). This self-perception of their weight, physical activity, handwashing after using toilet/latrine and weekly frequency of brushing teeth significantly predicted the BMI in these adolescents (F = 10.895, df (4,155), P < 0.001, R2 = 21.9%, Adj. R2 = 19.9%). Malnutrition can lead to infection, impaired reproductive health, anaemia and other long-term morbidities into adulthood. Hence there is need of more objective nutritional assessment in adolescence for prevention of disease burden in the community.

Rural characteristics associated with excess weight among adolescents

ABSTRACT Objective This study aimed to verify the association between rural characteristics and the nutritional status of adolescents from the rural area of Macaé, a municipality in Rio de Janeiro, Southeast Brazil. Methods This is a cross-sectional study based on secondary anthropometric data, collected at the Macaé Municipal Department of Education between 2013 and 2014. The database refers to the total number of adolescents in the only high school in the rural area of the city. Poisson logistic regression was performed, having excess weight (overweight or obesity- Body Mass Index-for-age equal to or greater than one Z-score) as the dependent variable, used dichotomously. The independent variables were sex, socioeconomic status and three “yes or no” variables that express rural characteristics. Results The adolescents (total=109) were between 14 and 18 years old (mean=16.6 years), 64.2% were girls, 52.3% had vegetable gardens or orchards in their household, 19.4% had animal breeding for consumption purposes and 17.6% had parents/guardians working in the agricultural sector. The prevalence of excess weight was 18.0% in boys and 20.0% in girls. Having a garden/orchard implied a significantly higher chance of having excess weight, both in the bivariate analysis and in the sex-adjusted model (Prevalence Ratio=2.95; Confidence Interval=1.17-7.44). Conclusions Based on a significant association at the municipal level, the results highlight nutritional differences between local and large-scale studies, as well as variations within the same rural area. These findings point out the need to evaluate rural aspects in more detail in studies on underlying determinants of nutritional status.

Maternal nutritional status, decision-making autonomy and the nutritional status of adolescent girls: a cross-sectional analysis in the Mion District of Ghana.

A mother's nutritional status and participation in household decision-making, a proxy for empowerment, are known determinants of improved nutrition and health outcomes for infants and young children; however, little is known about the association among adolescents. We examined the association between maternal nutritional status, decision-making autonomy and adolescent girls' nutritional status. We analysed data of 711 mother-adolescent girl pairs aged 10-17 years from the Mion District, Ghana. Maternal nutritional status and decision-making autonomy were the independent variables while the outcomes were adolescent girls' nutritional status as defined by anaemia, stunting and body mass index-for-age Z-score categories. Girl-level (age, menarche status and the frequency of animal-source food consumption), mother-level (age, education level, and monthly earnings) and household-level (wealth index, food security status and family size) covariates were adjusted for in the analysis. All associations were examined with hierarchical survey logistic regression. There was no association between maternal height and adolescent girls being anaemic, underweight or overweight/obese. Increasing maternal height reduced the odds of being stunted [adjusted odds ratio (OR) 0⋅92, 95 % CI (0⋅89, 0⋅95)] for the adolescent girl. Maternal overweight/obesity was positively associated with the girl being anaemic [OR 1⋅35, 95 % CI (1⋅06, 1⋅72)]. The adolescent girl was more than five times likely to be thin [OR 5⋅28, 95 % CI (1⋅64-17⋅04)] when the mother was underweight. Maternal decision-making autonomy was inversely associated with stunting [OR 0⋅88, 95 % CI (0⋅79, 0⋅99)] among the girls. Our findings suggest that intergenerational linkages of a mother's nutritional status are not limited to childhood but also during adolescence.

Food Habits and Nutritional Status of Adolescents in Malangwa Municipality, Sarlahi, Nepal: A Cross-sectional Study

INTRODUCTION: Stunting and thinness are major nutritional problems affecting adolescents in the developing countries. This cross- sectional study was conducted to identify food consumption pattern, nutritional status and lifestyle pattern of adolescents studying in public schools of Malangwa municipality, Sarlahi, Nepal.&#x0D; MATERIALS AND METHODS: Analytical cross-sectional study was carried out among adolescents of public schools. A semi-structured questionnaire was developed and face to face interview method was used to collect information from three public schools of Malangwa municipality. Simple random sampling technique was applied. Food consumption pattern were reviewed by 24 –hour recall method and 7– day food frequency questionnaire.&#x0D; RESULTS: The result indicated that protein rich food intake was very low (29%) among the adolescent’s daily diet and 82% of the respondents took fruits and vegetables in daily diet. 40.1% respondents were found malnourished, out of which 37.5% were and 64.8% were boys while 35.2% were girls. Also, 2.5% were overweight, out of which 50.0% were girls and 50.0% were boys.&#x0D; CONCLUSIONS: Awareness on healthy eating of the adolescents needs to be created to uphold their nutritional status.

Vegetable and Fruits Consumption, Physical Activity, and Nutritional Status of Adolescents

The nutritional status of adolescents is one of the main challenges for health workers and the community. This study analyzed the relationship between vegetable consumption habits and physical activity with the nutritional status of adolescents. The research design used was cross-sectional. The sampling technique was carried out using the proportional random sampling method. The population in this study were teenagers in Pangkalpinang City. The sample consisted of 340 teenagers in the city of Pangkalpinang. The prevalence of malnutrition in adolescents is 38.2 with the prevalence of over and undernutrition being 31.2% and 7%, respectively. Most teenagers with good nutritional status (67.3%) have the habit of consuming vegetables frequently. The results of logistic regression analysis showed that the habit of consuming vegetables and physical activity had an effect on the nutritional status of adolescents. The risk of malnutrition increased significantly by 2.46 times in adolescents with less physical activity (p = 0.016) and increased by 1.94 times in adolescents with less vegetable consumption habits (p = 0.005). The community, especially adolescent families, needs to receive education about the importance of healthy habits such as the consumption of vegetables and fruit to maintain good nutritional status in adolescents.

THE ROLE OF MOTHER IN FULFILLING NUTRITION NEEDS IMPACTADOLESCENTS' NUTRITIONAL STATUS

Nutritional problems in adolescents are still one of the reproductive health problems in Indonesia due to the fulfillment of nutritional needs. One of the factors that can affect diet is the role of the mother. This study aims to determine the role of mothers in meeting the nutritional needs of adolescent girls' nutritional status. This study was conducted at SMAN 3 Malang using cross sectional study with the subject of 75 adolescents who were selected by simple random sampling method. Information about the characteristics and role of mothers in meeting nutritional needs was obtained using a questionnaire with structured interviews. Data on weight, height, and MUAC were obtained by measurement. Data analysis was performed using univariate and bivariate methods. The results showed 14.67% of adolescents with low nutritional status, 13.3% of adolescents with over nutritional status, and 72% of adolescents with normal nutritional status. Besides, the results obtained 74.67% of adolescents did not experience chronic energy deficiency (CED), and 25.33% experienced CED. From the results of the bivariate analysis, it was found that there was a relationship between the role of the mother in meeting nutritional needs with the nutritional status based on BMI / age (0.021) and nutritional status based on arm circumference (0.002). Mothers have an important role in paying attention to the quality and quantity of food, including adolescents in terms of preparing, processing, serving, shaping eating patterns, and creating pleasant situations when eating. Keywords: fulfillment of nutrition, adolescents' nutrition status, mother's role.

Training Of Youth Health About Nutritional Status Of Youth and Early Detection Reproductive Health Problems Teenager In MAN 1 Banjarmasin Tahun 2021

The purpose of this service is to get an overview of the role of health cadres regarding the nutritional status of adolescents and early detection of adolescent reproductive health at MAN 1 Banjarmasin. This service uses a descriptive method with a quantitative random sampling approach and pretest and posttest methods. Test data using T-Test Paired Two Sample Test Parametric and Non Parametric. The results show persistence in implementing a balanced nutritional status and detecting adolescent health problems through adolescent health cadres with an accumulated pretest value of 3,380 and an increase in posttest value of 870 to 4,250. While the results of the T-Test Paired Two Sample, the average value of the pretest was 65.00 and the posttest was 81.73. The average score increases indicating that the training has been effective in changing the attitudes, behavior and knowledge of the students regarding the importance of nutritional status and early detection of adolescent reproductive health problems. The correlation value of 0.3912 indicates that the relationship between pre-test and post-test is quite strong.

Nourishing Hope? Changes in Malnutrition and Changes in Girls' Aspirations—Evidence From the Suaahara II Adolescent Girls Panel in Nepal

PurposeMalnutrition is a pressing public health challenge in South Asia with adverse consequences for adolescent girls' well-being and, potentially, aspirations as drivers of developmental progress. This study aimed to investigate associations between changes in malnutrition and changes in girls' aspirations in key life domains. MethodsWe analyzed two-period panel data from the Suaahara II Adolescent Girls Panel (10–19 years) in Nepal (2018–2019, n = 613). Height, weight, blood samples, 24-hour dietary recalls, and indicators of girls' educational, occupational, marital, and fertility aspirations were collected. Height-for-age z-scores, body mass index–for-age z-scores, hemoglobin concentration (Hb g/dL), and dietary diversity scores for women were calculated. Through cluster-robust fixed-effects regressions, we examined whether changes in thinness (body mass index–for-age z-scores < −2 standard deviation), anemia (Hb <115 g/L nonpregnant <11 years; Hb <120 g/L nonpregnant >12 years; Hb <110 g/L pregnant), and reaching minimum dietary diversity for women were associated with changes in educational, marital, or fertility aspirations. ResultsA change from thinness to no thinness increased girls' aspired ages of having a first child by 2.77 years (standard error [SE] 1.22, p = .025). A change from anemia to no anemia increased girls' aspired years of education by .54 (SE .27, p = .044). This association was stronger for postmenarche girls (b −.62, SE .29, p = .035). No associations were found between changes in minimum dietary diversity for women and any of the aspirations. ConclusionsThinness and anemia were negatively associated with adolescent girls' aspirations in domains of fertility and education. Multisectoral integrated policies and programs that improve adolescent nutritional status and diets have the potential to foster adolescent girls' aspirations and thereby increase their future potential.

Determinants of late adolescent nutritional status in Indonesia: a nation-wide cross-sectional survey

PurposeThis study aims to examine determinants of underweight and overweight nutritional status among late adolescents in Indonesia.Design/methodology/approachA cross-sectional analysis of the 2015 Indonesian Family Life Survey 5 (IFLS-5) was conducted. Respondents for this study were selected through stratified and multistage random sampling. Of all IFLS-5 respondents, 2,791 were adolescents 18–24 years old. Multinomial logistic regression was applied to identify major determinants of nutritional status among late adolescents.FindingsThe prevalence of underweight and overweight nutritional status was 19.10% and 12.79%, respectively. Underweight status among late adolescents was strongly associated with smoking (adjusted odds ratio [AOR] = 1.72, 95% confidence interval [CI] = 1.29–2.33). Moreover, living in urban areas showed the strongest association with overweight status among the same group (AOR = 1.77, 95%CI = 1.29–2.44).Research limitations/implicationsThis study gained the advantage from the use of national data that are collected by trained enumerators. Therefore, the possibility of bias is very small, and the study results can be generalized to a late adolescent group in Indonesia. However, this study also has limitations in the types of data available, as it uses secondary data. The lack of detailed data regarding food security, frequency of food consumption in a month and sources of income of the adolescents limit the interpretation of the study. Further studies should consider using a retrospective cohort approach in all adolescent age groups using data from the IFLS-1 to IFLS-5 so that the temporal relationship of the multifactorial nutrition variables can be identified.Practical implicationsProvide input and advice to policymakers in all sectors related to adolescent health and educational curricula for consideration in making interventions that focus on improving nutrition by taking into account the characteristics of adolescents, such as smoking habits, area of residence, income and age of adolescents because nutritional problems are multifactorial.Social implicationsThis study can provide education to adolescents to create healthier consumption habits to reduce non-communicable diseases (NCDs) in the adult phase, ideal body weight, reduce unhealthy lifestyles (smoking, drinking alcohol and drugs) and increase self-esteem and reduce depression.Originality/valueThis study brings significant findings on the dominant determinant of nutritional status among late adolescents in Indonesia and their vulnerability to NCDs. To address the high prevalence of underweight and overweight nutritional status in Indonesia, a collaboration between smoking cessation, community nutrition and reproductive health programs is required for preventing the underweight nutritional status in adolescents, with a focus on obesity prevention for adolescents living in urban areas. It is expected that this collaboration will support the early prevention of NCD risks.

Hubungan antara Asupan Gizi dengan Status Gizi Remaja Putri

&lt;p&gt;Three burdens of malnutrition, namely undernutrition, overnutrition, and lack of macronutrients are problems faced by adolescents in Indonesia. Nutritional problems related to development and growth are often experienced by adolescents because the adolescent's body requires more energy and nutrients than children. Previous studies on nutritional intake and nutritional status in adolescents reported inconsistent results. This study aims to determine the relationship between nutritional intake and nutritional status in adolescent girls in Buleleng Bali. This study uses a cross-sectional analytic observational design conducted in two high schools in Buleleng Regency with 163 respondents. The instruments used in this study were a questionnaire, 2x24 hour food recall, weight measurement with a weight scale, height measurement with a mechanical meter, and the World Health Organization (WHO) AnthroPlus software to calculate the body mass index by age (z-score). Spearman correlation test was performed for bivariate analysis and multiple linear regression for multivariate analysis. Bivariate analysis showed that the variables of fat intake (p-value=&amp;lt;0,001) and total energy intake (p-value=0,008) showed a significant correlation with the z-score. In multivariate analysis, the variable that showed a significant relationship with the z-score was fat intake (β=0,023, 95%CI=0,013-0,033, p-value=&amp;lt;0,001). Nutritional intake that has a significant relationship with nutritional status in adolescent girls in Buleleng Regency is fat intake. Limitation of fat consumption needs to be done.&lt;/p&gt;

Determining the risk of diabulimia and its relationship with diet quality and nutritional status of adolescents with type 1 diabetes

IntroductionDiabulimia is known as an eating disorder specific to individuals with diabetes. ObjectivesIn this study, it was aimed to determine the diabulimia risk and to evaluate the possible relationships between diabulimia risk and diet quality, anthropometric measurements, and biochemical parameters of adolescents with type 1 diabetes. Material and methodsIn total, 110 adolescents (male: 51.8%, female: 48.2%) with type 1 diabetes between 10–19years were included in the study. Sociodemographic characteristics and information about diabetes of adolescents were collected using a questionnaire prepared by the researchers through face-to-face interview technique. Anthropometric measurements and 3-day food consumption records were obtained to evaluate their nutritional status, and their biochemical parameters were obtained from hospital files to evaluate their metabolic status. The diet quality was evaluated using the Healthy Eating Index-2015. Diabetes Eating Problem Survey was administered to individuals and it was accepted that diabetics with a total score of≥20 were at risk of diabetes-related eating disorders. Results/ConclusionAmong the 110 adolescents included in this study, 31.8% were found to be at risk of diabulimia. There was a significant relationship between the groups with and without diabulimia risk in terms of diet quality scores (P<0.05). All individuals with a risk of diabulimia as well as 86.8% of individuals without a risk of diabulimia had high HbA1c levels (P<0.05). Diet quality, some anthropometric measurements and biochemical parameters of adolescents at risk of diabulimia should be improved. It is important to periodically evaluate the risk of diabulimia, the diet quality, and the nutritional status of adolescents with type 1 diabetes to reduce the occurrence of short and long-term complications.

HUBUNGAN PENGETAHUAN GIZI, AKTIVITAS FISIK DAN ASUPAN ZAT GIZI DENGAN STATUS GIZI PADA REMAJA DI SMK KECAMATAN GRESIK

Background: Indonesia has three burdens of nutritional problems (triple burden), especially in adolescents, namely stunting, wasting and obesity as well as micronutrient deficiencies. East Java Province, the prevalence of obese adolescents aged 13-15 years is 13.3% and aged 16-18 years is 11.3%. Especially in Gresik Regency, the prevalence of thin adolescents aged 16-18 years is 9.41%, fat adolescents are 15.74% and obese adolescents are 7.47%. The problem of undernutrition and overnutrition, especially in adolescents can have a very bad impact on the sufferer. Objective: To analyze the level of nutritional knowledge, physical activity and nutrient intake with adolescents nutritional status of high school in Gresik District. Method: This research is a purposive sampling research with cluster sampling design. Respondents as many as 98. Data on respondent identity, knowledge of nutrition, physical activity and nutrient intake were taken through interviews with a questionnaire guide (Nutrition Knowledge, GPAQ and Recall). Antropometric data obtained through direct measurements. Statistical analysis was carried out bivariately with the Spearman Rank test ang multivariate with the Multiple Discriminant test. Result: The result of BMI/U are 73.5% good nutrition and 17.3% over nutrition. There is no relationship between nutritional knowledge and nutritional status (p value 0.323 &gt; 0.05), there is no relationship between physical activity and nutritional status (p value 0.772 &gt; 0.05), there is no relationship between nutrient intake and nutritional status (p value &gt; 0.05). There is no relationship between knowledge of nutrition, physical activity, nutrient intake and nutritional status because the sig. value in the multiple discriminant test is &gt; 0.05. Conclusions: There is no relationship between nutritional knowledge and nutritional status, there is no relationship between physical activity and nutritional status, there is no relationship between nutrient intake and nutritional status and there is no relationship between knowledge of nutrition, physical activity, nutrient intake and nutritional status.

BODY IMAGE, PERILAKU MAKAN DAN STATUS GIZI REMAJA

Introduction: Adolescents need balanced nutrition to increase physical growth and development very rapidly. In Indonesia, the nutritional problems in adolescents are complex, namely obesity, malnutrition, and micronutrient deficiencies such as anemia. Adolescent nutritional status is influenced by various factors such as eating behavior and body image. Objective: This study aims to identify the relationship between eating behavior, body image, and nutritional status of adolescents. Method: The research design used cross-sectional. Respondents were 62 teenagers at SMAK Karitas 3 Surabaya who met the inclusion criteria and was taken using a simple random sampling technique. Eating behavior was assessed using the Eating Behavior Patterns Questionnaire. Body image is assessed by questionnaire and adolescent nutritional status is based on body mass index. Results: The study showed that 56.5% of adolescents had a positive body image, 93.5% of adolescents with healthy eating behavior and 35.5% of nutritional status based on body mass index were in the normal category. Spearman correlation test showed that there was a significant relationship between body image and adolescent nutritional status, with a negative correlation (p = 0.0001, r = -0.447). There was no relationship between eating behavior and nutritional status of adolescents (p=0.711). Conclusion: Body image is related to nutritional status, where the increase in nutritional status will be followed by a decrease in body image. Although the eating behavior of adolescents is healthy, they still experience nutritional status disorders, namely overweight and obesity, so further research needs to be done regarding other factors such as a physical activity that can affect the nutritional status of adolescents