The effect of nutrition education on knowledge, nutrients intake, and physical activity of children with overweight and obesity at elementary school in Jakarta Indonesia

Pritasari; Didit Damayanti; Sadiah Multi Karina; Aurasyifa S. Nixon; Diva Salsabila

doi:10.18203/2394-6040.ijcmph20240603

Authors

Pritasari Department of Nutrition, Poltekkes Kemenkes Jakarta II, Jakarta, Indonesia
Didit Damayanti Department of Nutrition, Poltekkes Kemenkes Jakarta II, Jakarta, Indonesia
Sadiah Multi Karina Department of Nutrition, Poltekkes Kemenkes Jakarta II, Jakarta, Indonesia
Aurasyifa S. Nixon Department of Nutrition, Poltekkes Kemenkes Jakarta II, Jakarta, Indonesia
Diva Salsabila Department of Nutrition, Poltekkes Kemenkes Jakarta II, Jakarta, Indonesia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20240603

Keywords:

Nutrition education, Obesity, School children

Abstract

Background: Obesity is one of the triple burden malnutrition in Indonesia, alongside undernutrition that increasing over the years. The study was done to evaluate the effect of four weeks nutrition education intervention among children with overweight and obesity.

Methods: This study was a cluster randomized control trial in two elementary school in Jakarta. SD Kramat Pela 07 were selected as a control and SD Kramat Pela 09 as an intervention group. Intervention on school children were conducted for four weeks. Samples were students who were selected with the criteria of having overweight and obesity. An education through video was delivered from the teachers consecutively to the students every week. Nutrition knowledge was collected with a Google-form questionnaire that consist of 15 questions. Nutrient intake was collected with 24-hour recalls before and after the intervention.

Results: A significant increase of nutrition knowledge on both group after the intervention (p<0.05). There was a significant change of fiber intake (p<0.05) after four weeks of intervention. The average duration of physical activity for respondents showed an increase in the intervention group, but it was not statistically significant (p>0.05).

Conclusions: After four weeks intervention, nutrition education improved the knowledge, nutrients intake, and physical activity among school children with overweight and obesity. We recommend the school authorities to enhance the capacity and capabilities of teachers in fostering efforts to improve the health and nutrition of students through school-based learning. Additionally, the consumption of fiber is considered an indicator of healthy food quality in controlling overweight and obesity.

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References

Kementerian Kesehatan RI. Laporan Nasional Riskesdas. Jakarta; 2018.

Sahoo K, Sahoo B, Choudhury A, Sofi N, Kumar R, Bhadoria A. Childhood obesity: causes and consequences. J Fam Med Prim Care. 2015;4(2):187.

UNICEF. Landscape analysis tool on overweight and obesity in children and adolescents. UNICEF; 2020. 69 p.

World Health Organization. Noncommunicable Diseases in the South-East Asia Region. World Health. 2011.

Ma X, Chen Q, Pu Y, Guo M, Jiang Z, Huang W, et al. Skipping breakfast is associated with overweight and obesity: A systematic review and meta-analysis. Obes Res Clin Pract [Internet]. 2020;14(1):1–8. Available from: https://doi.org/10.1016/j.orcp.2019.12.002

Shang X, Li Y, Xu H, Zhang Q, Hu X, Liu A, et al. Healthy breakfast habits and changes in obesity-related cardiometabolic markers in children: a longitudinal analysis. Eur J Clin Nutr [Internet]. 2020;74(12):1685–97. Available from: http://dx.doi.org/10.1038/s41430-020-0614-7

WHO. WHO European Childhood Obesity Surveillance Initiative ( COSI ) Report on the fourth round of data collection , 2015 – 2017 Keywords : 2017;2015–7.

Kipping RR, Howe LD, Jago R, Campbell R, Wells S, Chittleborough CR, et al. Effect of intervention aimed at increasing physical activity, reducing sedentary behaviour, and increasing fruit and vegetable consumption in children: Active for Life Year 5 (AFLY5) school based cluster randomised controlled trial. BMJ. 2014;348(May):1–13.

Jacob CM, Hardy-Johnson PL, Inskip HM, Morris T, Parsons CM, Barrett M, et al. A systematic review and meta-analysis of school-based interventions with health education to reduce body mass index in adolescents aged 10 to 19 years. Int J Behav Nutr Phys Act. 2021;18(1):1–22.

Qian L, Newman IM, Yuen LW, Du W, Shell DF. Effects of a comprehensive nutrition education programme to change grade 4 primary-school students’ eating behaviours in China. Public Health Nutr. 2019;22(5):903–11.

Karki A, Shrestha A, Subedi N. Prevalence and associated factors of childhood overweight/obesity among primary school children in urban Nepal. BMC Public Health. 2019;19(1):1–12.

Banjarnahor RO, Banurea FF, Panjaitan JO, Pasaribu RSP, Hafni I. Faktor-faktor risiko penyebab kelebihan berat badan dan obesitas pada anak dan remaja: Studi literatur. Trop Public Heal J. 2022;2(1):35–45.

Ali R, Nuryani N. Sosial Ekonomi, Konsumsi Fast Food Dan Riwayat Obesitas Sebagai Faktor Risiko Obesitas Remaja. Media Gizi Indones. 2018;13(2):123.

Firdaus A, Sukarno A, Sary RM. Penerapan Media Audio Visual Pada Hasil Belajar Matematika Materi Operasi Hitung Campuran Kelas IV SD Negeri 02 Doro. Prodising Semin Nas Univ PGRI Semarang, FIPPGRI Semarang, FIP [Internet]. 2016; Available from: http://prosiding.upgris.ac.id/index.php/fip_2016/fip_2016/paper/view/1392

Sagita A, Kurniasari R, Sefrina LR. The Effect of Education Through Poster, Animation and Miniature on Obesity Knowledge in Elementary School Children. J Gizi dan Kesehat. 2022;14(1):81–7.

Ramírez-Rivera DL, Martínez-Contreras T, Villegas-Valle RC, Henry-Mejia G, Quizán-Plata T, Haby MM, et al. Preliminary results of the planet nutrition program on obesity parameters in Mexican schoolchildren: Pilot single-school randomized controlled trial. Int J Environ Res Public Health. 2021;18(2):1–15.

Koo HC, Poh BK, Talib RA. The GReat-childTM trial: A quasi-experimental intervention on whole grains with healthy balanced diet to manage childhood obesity in Kuala Lumpur, Malaysia. Nutrients. 2018;10(2).

Habib-Mourad C, Ghandour LA, Maliha C, Dagher M, Kharroubi S, Hwalla N. Impact of a three-year obesity prevention study on healthy behaviors and bmi among lebanese schoolchildren: Findings from ajyal salima program. Nutrients. 2020;12(9):1–14.

Salsabila ST. Edukasi dengan Media Video Animasi dan Powepoint Sayur dan Buah. J Ris Kesehat. 2019;11(1):183–90.

Zuhriyah A. Konsumsi Energi, Protein, Aktivitas Fisik, Pengetahuan Gizi dengan Status Gizi Siswa SDN Dukuhsari Kabupaten Sidoarjo. J Gizi Univ Negeri Surabaya. 2021;01(01):45–52.

Syafruddin MA, Indah N, Anwar A, Sutriawan A. Physical Education as a Solution to Obesity in Children. 2023;5(2):442–50.