PREVALENCE AND RISK FACTORS OF UNDERWEIGHT FOR ADOLESCENT IN INDONESIA: A CROSS-SECTIONAL FROM GLOBAL SCHOOL-BASED STUDENT HEALTH SURVEY 2015
PDF

Keywords

adolescents
nutrition
underweight
Indonesia

How to Cite

Maretalinia, M., Suryani, D., Edwin, V. E., Suyitno, S., & Nilasari, N. (2020). PREVALENCE AND RISK FACTORS OF UNDERWEIGHT FOR ADOLESCENT IN INDONESIA: A CROSS-SECTIONAL FROM GLOBAL SCHOOL-BASED STUDENT HEALTH SURVEY 2015. Public Health of Indonesia, 6(4), 129–137. https://doi.org/10.36685/phi.v6i4.360

Abstract

Objective: The aim of this study was to estimate the prevalence and risk factors of underweight among adolescents in Indonesia in 2015.

Methods: Cross-sectional data were analyzed from 7643 school-going adolescents from Indonesia, the "Global School-Based Student Health Survey (GSHS)" in 2015. Bodyweight was inspected by self-reported weight and height and the standards of child body mass index from WHO. The data were analyzed by univariate, bivariate, and associations with underweight were assessed using multinomial logistic regression analysis.

Results: The prevalence of adolescents was found that 3002 (39.3%) were underweight in Indonesia, 2015. Sex of the adolescent who has high risk underweight was female (AOR=1.72, 95% CI=1.57-1.90) with an age range of 10-15 years old (AOR=2.37, 95% CI=2.09-2.69). Alcohol use (AOR=0.73, 95% CI=0.60-0.89) and drug use (AOR=1.82, 95% CI=1.01-3.04) were risk behavior factors for underweight among adolescents in Indonesia.

Conclusion: High prevalence of underweight for adolescent were identified in Indonesia. Several correlates were identified which can help to adjust interventions from the government to the adolescent in each province.

https://doi.org/10.36685/phi.v6i4.360
PDF

References

Abarca-Gómez, L., Abdeen, Z. A., Hamid, Z. A., Abu-Rmeileh, N. M., Acosta-Cazares, B., Acuin, C., . . . Aguilar-Salinas, C. A. (2017). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: A pooled analysis of 2416 population-based measurement studies in 128· 9 million children, adolescents, and adults. The Lancet, 390(10113), 2627-2642.

Al Kibria, G. M. (2019). Corrigendum to " Prevalence and factors affecting underweight, overweight and obesity using asian and world health organization cutoffs among adults in Nepal: Analysis of the demographic and health survey 2016" [Obes Res Clin Pract 13 (2019) 129-136]. Obesity Research & Clinical Practice, 13(3), 328.

Amha, A., & Girum, T. (2018). Prevalence and associated factors of thinness among adolescent girls attending governmental schools in Aksum town, northern Ethiopia. Medical Journal of Dr. DY Patil Vidyapeeth, 11(2), 158.

Barasi, M. (2009). Nutrition at a glance. Jakarta: Erlangga.

Barry, D., & Petry, N. M. (2009). Associations between body mass index and substance use disorders differ by gender: Results from the national epidemiologic survey on alcohol and related conditions. Addictive Behaviors, 34(1), 51-60.

Baum, C. L. (2009). The effects of cigarette costs on BMI and obesity. Health Economics, 18(1), 3-19.

Berhe, K., Kidanemariam, A., Gebremariam, G., & Gebremariam, A. (2019). Prevalence and associated factors of adolescent undernutrition in Ethiopia: A systematic review and meta-analysis. BMC Nutrition, 5(1), 49.

Cahyaning, R. C. D., Supriyadi, S., & Kurniawan, A. (2019). Hubungan pola konsumsi, aktivitas fisik dan jumlah uang saku dengan status gizi pada siswa smp negeri di Kota Malang tahun 2019. Sport Science and Health, 1(1), 22-27.

Catalano, P. M., & Shankar, K. (2017). Obesity and pregnancy: Mechanisms of short term and long term adverse consequences for mother and child. BMJ, 356, j1.

Daba, D. B., Shaweno, T., Belete, K. T., & Workicho, A. (2020). Magnitude of under nutrition and associated factors among adolescent street children at Jimma Town, South West Ethiopia. Nutrition and Dietary Supplements, 12, 31-39.

Damayanti, D. (2019). Gizi dalam daur kehidupan. Jakarta: Pusat Pendidikan Sumber Daya Manusia Kesehatan, BPPSDM Kementerian Kesehatan Republik Indonesia.

Darling, A. M., Fawzi, W. W., Barik, A., Chowdhury, A., & Rai, R. K. (2020). Double burden of malnutrition among adolescents in rural West Bengal, India. Nutrition, 110809.

Demilew, Y. M., & Emiru, A. A. (2018). Under nutrition and associated factors among school adolescents in Dangila Town, Northwest Ethiopia: A cross sectional study. African Health Sciences, 18(3), 756-766.

Dobner, J., & Kaser, S. (2018). Body mass index and the risk of infection-from underweight to obesity. Clinical Microbiology and Infection, 24(1), 24-28.

Elgar, F. J., McKinnon, B., Walsh, S. D., Freeman, J., Donnelly, P. D., de Matos, M. G., . . . Molcho, M. (2015). Structural determinants of youth bullying and fighting in 79 countries. Journal of Adolescent Health, 57(6), 643-650.

Fang, M. (2019). Association between adolescent body mass index and adulthood smoking. Nicotine and Tobacco Research, 21(12), 1629-1635.

Francisco, P. M. S. B., Assumpçí£o, D. d., Borim, F. S. A., & Malta, D. C. (2019). Prevalence and factors associated with underweight among Brazilian older adults. Ciencia & Saude Coletiva, 24, 2443-2452.

Global Youth Tobacco Survey Collaborating Group. (2003). Differences in worldwide tobacco use by gender: Findings from the Global Youth Tobacco Survey. Journal of School Health, 73(6), 207-215.

Hendra, P., Suhadi, R., Virginia, D. M., & Setiawan, C. H. (2019). Sayur bukan menjadi preferensi makanan remaja di Indonesia. Jurnal Kedokteran Brawijaya, 30(4), 331-335.

Hossain, S., Ahmed, F., Hossain, S., & Sikder, T. (2018). Nutritional status and basic hygiene practices of rural school age children of Savar Region, Dhaka, Bangladesh. Central Asian Journal of Global Health, 7(1).

Ismail, A., Darling, A. M., Mosha, D., Fawzi, W., Sudfeld, C., Sando, M. M., . . . Vuai, S. (2020). Prevalence and risk factors associated with malnutrition among adolescents in rural Tanzania. Tropical Medicine & International Health, 25(1), 89-100.

Kementerian Kesehatan Republik Indonesia. (2018). Hasil utama riset kesehatan dasar tahun 2018. Jakarta: Kementrian Kesehatan Republik Indonesia.

Kim, H. (2012). Obesity and underweight among children in low income families: Status, and policy options for childhood health equality. Paper presented at the Health Welf Policy Forum.

Kusumawardani, N., Rachmalina, S., Wiryawan, Y., Anwar, A., Handayani, K., & Mubasyiroh, R. (2015). Perilaku berisiko kesehatan pada pelajar SMP dan SMA Di Indonesia. Jakarta: Badan Litbangkes Kementerian Kesehatan RI.

Lavelle, H., Mackay, D., & Pell, J. (2012). Systematic review and meta-analysis of school-based interventions to reduce body mass index. Journal of Public Health, 34(3), 360-369.

Lee, G., & Ham, O. K. (2015). Factors affecting underweight and obesity among elementary school children in South Korea. Asian Nursing Research, 9(4), 298-304.

Mackay, D. F., Gray, L., & Pell, J. P. (2013). Impact of smoking and smoking cessation on overweight and obesity: Scotland-wide, cross-sectional study on 40,036 participants. BMC Public Health, 13(1), 348.

Maehara, M., Rah, J. H., Roshita, A., Suryantan, J., Rachmadewi, A., & Izwardy, D. (2019). Patterns and risk factors of double burden of malnutrition among adolescent girls and boys in Indonesia. PloS One, 14(8), e0221273.

Manyanga, T., El-Sayed, H., Doku, D. T., & Randall, J. R. (2014). The prevalence of underweight, overweight, obesity and associated risk factors among school-going adolescents in seven African countries. BMC Public Health, 14(1), 887.

Marshak, A., Young, H., Bontrager, E. N., & Boyd, E. M. (2017). The relationship between acute malnutrition, hygiene practices, water and livestock, and their program implications in eastern Chad. Food and Nutrition Bulletin, 38(1), 115-127.

McIlwraith, F., Betts, K. S., Jenkinson, R., Hickey, S., Burns, L., & Alati, R. (2014). Is low BMI associated with specific drug use among injecting drug users? Substance Use & Misuse, 49(4), 374-382.

Méndez, I., Ruiz Esteban, C. M., & Ortega, E. (2019). Impact of the physical activity on bullying. Frontiers in Psychology, 10, 1520.

Mistry, S. K., & Puthussery, S. (2015). Risk factors of overweight and obesity in childhood and adolescence in South Asian countries: A systematic review of the evidence. Public Health, 129(3), 200-209.

Ndukwu, C., Egbuonu, I., Ulasi, T., & Ebenebe, J. (2013). Determinants of undernutrition among primary school children residing in slum areas of a Nigerian city. Nigerian Journal of Clinical Practice, 16(2), 178-183.

Nies, M. A., Sun, L., Kazemi, D., Carriker, A., & Dmochowski, J. (2012). Relationship of body mass index to alcohol consumption in college freshmen. The Scientific World Journal, 2012.

Peltzer, K., Pengpid, S., Samuels, T., í–zcan, N. K., Mantilla, C., Rahamefy, O. H., . . . Gasparishvili, A. (2014). Prevalence of overweight/obesity and its associated factors among university students from 22 countries. International Journal of Environmental Research and Public Health, 11(7), 7425-7441.

Pengpid, S., & Peltzer, K. (2016). Overweight, obesity and associated factors among 13-15 years old students in the Association of Southeast Asian Nations member countries, 2007-2014. Southeast Asian Journal of Tropical Medicine and Public Health, 47(2), 250.

Pengpid, S., & Peltzer, K. (2019). Bullying victimization and externalizing and internalizing symptoms among in-school adolescents from five ASEAN countries. Children and Youth Services Review, 106, 104473.

Potter, B. K., Pederson, L. L., Chan, S. S., Aubut, J.-A. L., & Koval, J. J. (2004). Does a relationship exist between body weight, concerns about weight, and smoking among adolescents? An integration of the literature with an emphasis on gender. Nicotine & Tobacco Research, 6(3), 397-425.

Purba, I. G., Sunarsih, E., & Trisnainy, I. (2020). The relationship between personal hygiene, environmental sanitation, and the nutritional status of toddlers age 12–59 months in the Settlements Wetlands. Paper presented at the 2nd Sriwijaya International Conference of Public Health (SICPH 2019).

Report. (2018). Overview Indonesia: The global nutrition report classifies this country as experiencing two forms of malnutrition–anaemia and stunting. Retrieved from globalnutritionreport.org

Ritz, B. W., & Gardner, E. M. (2006). Malnutrition and energy restriction differentially affect viral immunity. The Journal of Nutrition, 136(5), 1141-1144.

Stadler, M., Tomann, L., Storka, A., Wolzt, M., Peric, S., Bieglmayer, C., . . . Bech, P. (2014). Effects of smoking cessation on b-cell function, insulin sensitivity, body weight, and appetite. European Journal of Endocrinology, 170(2), 219-227.

Syahrul, S., Kimura, R., Tsuda, A., Susanto, T., Saito, R., & Ahmad, F. (2016). Prevalence of underweight and overweight among school-aged children and it's association with children's sociodemographic and lifestyle in Indonesia. International Journal of Nursing Sciences, 3(2), 169-177.

Thorley, H., Porter, K., Fleming, C., Jones, T., Kesten, J., Marques, E., . . . Savović, J. (2015). Interventions for preventing or treating malnutrition in problem drinkers who are homeless or vulnerably housed: protocol for a systematic review. Systematic Reviews, 4(1), 131.

UNICEF. (2019). The State of the World's Children 2019: Children, food and nutrition: Growing well in a changing world. New York: UNICEF.

Wolde, M., Berhan, Y., & Chala, A. (2015). Determinants of underweight, stunting and wasting among schoolchildren. BMC Public Health, 15(1), 8.

World Health Organization. (2012). Global School-based Student Health Survey, Malaysia 2012 fact sheet. Retrieved from https://www.who.int/ncds/surveillance/ gshs/Malaysia_2012_GSHS_FS_national.pdf

World Health Organization. (2013a). Global School-based Student Health Survey. Cambodia 2013 fact sheet. Retrieved from https://www.who.int/ncds/surveillance/ gshs/2013_Cambodia_GSHS_Fact_Sheet.pdf

World Health Organization. (2013b). Global School-based Student Health Survey. Vietnam 2013 fact sheet. Retrieved from https://www.who.int/ncds/surveillance/ gshs/2013_Viet_Nam_Fact_Sheet.pdf

Zahtamal, Z., & Munir, S. M. (2019). Edukasi kesehatan tentang pola makan dan latihan fisik untuk pengelolaan remaja underweight. Jurnal PkM Pengabdian Kepada Masyarakat, 2(01), 64-70.

Zahtamal, Z., Nurlisis, N., Rany, N., & Septiani, W. (2019). Efektivitas media bergambar dan penyuluhan metode ceramah tanya jawab (CTJ) terhadap perilaku makan, aktivitas fisik dan pola tidur remaja underweight tahun 2019. Al-Tamimi Kesmas: Jurnal Ilmu Kesehatan Masyarakat (Journal of Public Health Sciences), 8(2), 118-130.

Authors who publish with Public Health of Indonesia agree to the following terms:

  1. Authors retain copyright licensed under a Creative Commons Attribution-NonCommercial CC BY-NC 4.0, which allows others to remix, tweak, and build upon the authors' work non-commercially, and although the others' new works must also acknowledge the authors and be non-commercial, they don't have to license their derivative works on the same terms.
  2. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). Authors can archive pre-print and post-print or publisher's version/PDF.

Downloads

Download data is not yet available.