The Effect of Family-Based Empowerment on Obesity among Adolescents in Tana Toraja
DOI:
https://doi.org/10.3923/pjn.2019.866.872Keywords:
Diet, eating behavior, nutritional knowledge, nutrition attitude, obesityAbstract
Background and Objective: Obesity is a major nutritional problem among adolescences and is becoming an epidemic. Globally, it is estimated that obesity is the fifth main cause of death and many factors underlie this problem. The rise in obesity prevalence in children and adolescents is due to environmental factors, such as diet and physical activity. This study aimed to examine a family-based empowerment model to prevent obesity in adolescents in Tana Toraja. Materials and Methods: This was a quasi-experimental study that was conducted using pre- and post-test measurements with a control group design. A total of 64 study participants were divided into two groups: 32 adolescents in the intervention group and 32 others in the control group. Data were obtained through a structured questionnaire regarding nutritional knowledge, attitude and behaviour. Nutritional status was determined after measuring weight and height by using digital scales. In addition, eating behaviours were measured using a food frequency questionnaire and 2 24 h recall forms. Results: The results showed that there were differences in nutritional knowledge (p< 0.001), nutritional attitudes (p<0.001) and nutritional behaviour (p<0.001) in both the intervention and control groups after the implementation of the family-based empowerment programme. The results of this study also showed that a family-based empowerment model for obesity prevention can be applied in the family and school settings in Indonesia. Conclusion: Nutritional education through the empowerment of families regarding the prevention of obesity has positive impacts on nutrition knowledge, attitudes and behaviour of adolescents, providing the tools to adopt an effective and controlled diet.
References
Lee, H.A., W.K. Lee, K.A. Kong, N. Chang, E.H. Ha, Y.S. Hong and H. Park, 2011. The effect of eating behavior on being overweight or obese during preadolescence. J. Prev. Med. Public Health, 44: 226-233.
Al-Hazzaa, H.M., H.I. Al-Sobayel, N.A. Abahussain, D.M. Qahwaji, M.A. Alahmadi and A.O. Musaiger, 2014. Association of dietary habits with levels of physical activity and screen time among adolescents living in Saudi Arabia. J. Hum. Nutr. Dietet., 27: 204-213.
Hu, F.B., 2003. Sedentary lifestyle and risk of obesity and type 2 diabetes. Lipids, 38: 103-108.
IglayReger, H.B., M.D. Peterson, D. Liu, C.A. Parker and S.J. Woolford et al., 2014. Sleep duration predicts cardiometabolic risk in obese adolescents. J. Pediatr., 164: 1085-1090.
Lee, H.A. and H. Park, 2013. Overview of noncommunicable diseases in Korean children and adolescents: Focus on obesity and its effect on metabolic syndrome. J. Prev. Med. Public Health, 46: 173-182.
Brown, T., S. Smith, R. Bhopal, A. Kasim and C. Summerbell, 2015. Diet and physical activity interventions to prevent or treat obesity in South Asian children and adults: A systematic review and meta-analysis. Int. J. Environ. Res. Public Health, 12: 566-594.
Kementerian Kesehatan Republik Indonesia, 2018. Riset kesehatan dasar 2018. Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan Republik Indonesia.
Abudayya, A.H., H. Stigum, Z. Shi, Y. Abed and G. Holmboe-Ottesen, 2009. Sociodemographic correlates of food habits among school adolescents (12-15 year) in North Gaza Strip. BMC Public Health, Vol. 9.
Ryu, S.Y., J. Park, S.W. Choi and M.A. Han, 2014. Associations between socio-demographic characteristics and healthy lifestyles in Korean adults: The result of the 2010 Community Health Survey. J. Prev. Med. Public Health, 47: 113-123.
Rosenheck, R., 2008. Fast food consumption and increased caloric intake: A systematic review of a trajectory towards weight gain and obesity risk. Int. Assoc. Study Obesity, 9: 535-547.
Sallis, J.F. and K. Glanz, 2009. Physical activity and food environments: Solutions to the obesity epidemic. Milbank Quart., 87: 123-154.
Bae, J., H. Joung, J.Y. Kim, K.N. Kwon, Y. Kim and S.W. Park, 2010. Validity of self-reported height, weight and body mass index of the Korea youth risk behavior web-based survey questionnaire. J. Prev. Med. Public Health, 43: 396-402.
Anto, S. Sudarman, R.E. Yetti and S. Manggabarani, 2017. The effect of counseling to modification the lifestyle on prevention of obesity in adolescents. PROMOTIF: Jurnal Kesehatan Masyarakat, 7: 99-106.
Klesges, R.C., R.J. Stein, L.H. Eck, T.R. Isbell and L.M. Klesges, 1991. Parental influence on food selection in young children and its relationships to childhood obesity. Am. J. Clin. Nutr., 53: 859-864.
Notoatmodjo, S., 2007. Promosi Kesehatan dan Ilmu Perilaku. Penerbit PT. Rineka Cipta, Jakarta, Indonesia, Pages: 260.
Chu, M. and B.H. Choe, 2010. Obesity and metabolic syndrome among children and adolescents in Korea. J. Korean Med. Assoc., 53: 142-152.
Sulisnadewi, N.L.K., N. Nurhaeni and D. Gayatri, 2012. Pendidikan kesehatan keluarga efektif meningkatkan kemampuan ibu dalam merawat anak diare. Jurnal Keperawatan Indonesia, 15: 165-170.
Huriah, T. and R. Lestari, 2009. Pengaruh pendidikan kesehatan tentang Infeksi Saluran Pernafasan Atas (ISPA) terhadap kemampuan ibu dalam perawatan ispa pada balita didusun lemahdadi kasihan Bantul Yogyakarta. Saintika Medika, 5: 29-34.
Kant, A.K. and B.I. Graubard, 2013. Family income and education were related with 30-year time trends in dietary and meal behaviors of American children and adolescents. J. Nutr., 143: 690-700.
McLeod, E.R., K.J. Campbell and K.D. Hesketh, 2011. Nutrition knowledge: A mediator between socioeconomic position and diet quality in Australian first-time mothers. J. Am. Dietet. Assoc., 111: 696-704.
Van Cauwenberghe, E., L. Maes, H. Spittaels, F.J. van Lenthe, J. Brug, J.M. Oppert and I. de Bourdeaudhuij, 2010. Effectiveness of school-based interventions in Europe to promote healthy nutrition in children and adolescents: Systematic review of published and 'grey' literature. Br. J. Nutr., 103: 781-797.
Salvy, S.J., K. de La Haye, J.C. Bowker and R.C.J. Hermans, 2012. Influence of peers and friends on children's and adolescents' eating and activity behaviors. Physiol. Behav., 106: 369-378.
Hong, S., H.C. Bae, H.S. Kim and E.C. Park, 2014. Variation in meal-skipping rates of Korean adolescents according to socio-economic status: Results of the Korea youth risk behavior web-based survey. J. Prev. Med. Public Health, 47: 158-168.
McNaughton, S.A., D. Crawford, K. Ball and J. Salmon, 2012. Understanding determinants of nutrition, physical activity and quality of life among older adults: The Wellbeing, Eating and Exercise for a Long Life (WELL) study. Health Qual. Life Outcomes, Vol. 10.
Anto, H. Hamalding and Marhtyni, 2017. Management of consumption pattern toward children's nutritional status. Adv. Social Sci. Educ. Humanit. Res., 149: 43-45.
Haristia, W., 2012. [Obesity prevention behaviors and related factors in students of state junior high school in Depok]. Bachelor Thesis, University of Indonesia, Depok, Indonesia, (In Indonesia).
Al-Rethaiaa, A.S., A.E.A. Fahmy and M.N. Al-Shwaiyat, 2010. Obesity and eating habits among college students in Saudi Arabia: A cross sectional study. Nutr. J., Vol. 9.
Lubans, D.R., J.J. Smith, G. Skinner and P.J. Morgan, 2014. Development and implementation of a smartphone application to promote physical activity and reduce screen-time in adolescent boys. Front. Public Health, Vol. 2.
Cairns, G., K. Angus, G. Hastings and M. Caraher, 2013. Systematic reviews of the evidence on the nature, extent and effects of food marketing to children. A retrospective summary. Appetite, 62: 209-215.
Lopez, R.P., 2007. Neighborhood risk factors for obesity. Obesity, 15: 2111-2119.
Haning, M.T., A.I. Arundhana and A.D. Muqni, 2016. The government policy related to sugar-sweetened beverages in Indonesia. Indian J. Community Health, 28: 222-227.
Pearson, N. and S.J.H. Biddle, 2011. Sedentary behavior and dietary intake in children, adolescents and adults: A systematic review. Am. J. Prev. Med., 41: 178-188.
Downloads
Published
Issue
Section
License
Copyright (c) 2019 The Author(s)

This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.