Perilaku gizi dan faktor psikososial remaja obes

*Etika Ratna Noer -  Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro, Indonesia
Erin Ratna Kustanti -  Fakultas Psikologi, Universitas Diponegoro, Indonesia
Addina Rizky Fitriyanti -  Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro, Indonesia
Received: 30 May 2018; Published: 1 Aug 2018.
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Abstract

Background: Adolescent obesity is a complex condition involving medical, psychology and cultural issue. Changing dietary practices and an increasingly sedentary lifestyle predispose to obesity related nutritional behavior. Obese adolescents have impact on psychological problem, including stress, social discrimination, reduced self-esteem, self-dissatisfaction and resulting in lower quality of life.

Objectives: This study describes nutritional behavior and psychosocial factors in overweight and obese adolescent.

Methods: A qualitative study was conducted in the Public Senior High School (SMA 2) on July to August 2015, in Semarang City. In-depth-interview and Focus Group Discussion (FGD) were carried out with 20 of obese adolescent aged 15 to 17 years, 2 parents, 2 teacher and 2 friends. Thematic analysis is used to identify themes in a data.

Results: The majority participants considered the timing of obese are when they reach puberty. The pattern of food habits of obese adolescents become unhealthy. Obese adolescents also feel the bullying or ridicule from friends, so that they psychologically disturbing. Environmental factors play a role in the incidence of obese adolescents, namely lack of control by parents. The parents say that obese adolescents are still in a reasonable level because the adolescent has not shown any serious health problems, but a sense of fear still owned by the parents of obese adolescents.

Conclusion: The findings show obesity in adolescent has not been considered as health problem. Unhealthy diet, bullying, poor motivation and lack of peer supports are contributing factors in obese adolescent. 

Keywords
nutrition behavior, psychosocial, obese adolescent

Article Metrics:

  1. Luglio HF. Obesitas translasional : aspek klinis dan molekuler dari kejadian obesitas. Yogyakarta: Gadjah Mada University Press; 2017. 5-10 p.
  2. Dieny FF. Permasalahan gizi pada remaja putri. Yogyakarta: Graha Ilmu; 2014.
  3. Marie Ng, Fleming T, Robinson M, Thomson B, Graetz N, Margono C. Global , regional and national prevalence of overweight and obesity in children and adults 1980-2013 : A systematic analysis. Lancet. 2014;384(9945):766–81.
  4. Balai Penelitian dan Pengembangan Kesehatan. Laporan Riset Kesehatan Dasar (RISKESDAS). Kementrian Kesehatan RI; 2013.
  5. Rodriques RA, Sulchan M. Kadar pro-inflamator sitokin interleukin (il) – 18 pada remaja obesitas dengan sindrom metabolik. J Nutr Coll. 2014;3(3).
  6. World Health Organization. Global strategy on diet, physical activity and health. WHO Library Cataloguing-in-Publication Data; 2004.
  7. Fadzlina. Metabolic syndrome among 13 year old adolescents: prevalence and risk factors. BMC Public Heal J. 2014;14(3).
  8. Barbu. Obesity and eating behaviors in school children and adolescents : data from a cross sectional study from Bucharest, Romania. BMC Public Heal J. 2015;15(206).
  9. Sagar R, Gupta T. Psychological aspects of obesity in children and adolescents. Indian J Pediatr. 2017;1–6.
  10. Torres SJ, Nowson CA. Relationship between stress, eating behavior, and obesity. Nutrition. 2007;23(11–12):887–94.
  11. Pauhl RM ; Latner JD. Stigma, obesity, and the health of the nation’s children. Psychol Bull. 2007;11(459).
  12. Walpole B, Dettmer E, Morrongiello B, Mccrindle B, Hamilton J. Motivational interviewing as an intervention to increase adolescent self-efficacy and promote weight loss : Methodology and design. BMC Public Heal J. 2011; 11:459
  13. Lanoye A, Brown KL, LaRose JG. The transition into young adulthood: a critical period for weight control. Curr Diab Rep. 2017;17(11).
  14. Bray G, Bouchard C. Handbook of obesity: epidemiology, etiology, and physiopathology. 3rd ed. Vol. 1. USA: CRC Press Taylor & Farncis Group; 2014.
  15. Larson N, Stang JS, Tashara Leak. Nutrition in adolescent. In: Mahan K, editor. Krause’s food and the nutrition care process. 14th Ed. Canada: Elsevier Inc.; 2017. p. 331.
  16. Lakshman R, Elks CE, Ong KK. Childhood obesity. Circulation. 2012;126:1770-177.
  17. Anderson SE, Keim SA. Parent-child interaction, self-regulation, and obesity prevention in early childhood. Curr Obes Rep. 2017;5(2):192–200.
  18. Bacchini D, Licenziati MR, Garrasi A, Corciulo N, Driul D, Tanas R, et al. Bullying and victimization in overweight and obese outpatient children and adolescents: an italian multicentric study. PLoS One. 2015;10(11):1–13.
  19. Ozmen D, Ozmen E, Ergin D, Cetinkaya AC, Sen N, Dundar PE, et al. The association of self-esteem, depression and body satisfaction with obesity among Turkish adolescents. BMC Public Heal J. 2007;7:1–7.
  20. Buttitta M, Iliescu C, Rousseau A, Guerrien A. Quality of life in overweight and obese children and adolescents: a literature review. Qual Life Res. 2014;23(4):1117–39.
  21. Wulandari T, Zulkaida A. Self regulated behavior pada remaja putri yang mengalami obesitas. Dalam: Proceeding PESAT; 2007. B51–8.