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Journal : JURNAL GIZI INDONESIA

Perilaku gizi dan faktor psikososial remaja obes Noer, Etika Ratna; Kustanti, Erin Ratna; Fitriyanti, Addina Rizky
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 6, No 2 (2018)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (382.882 KB) | DOI: 10.14710/jgi.6.2.109-113

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. 
Sensitivitas dan spesifisitas lingkar pergelangan tangan sebagai prediktor obesitas dan resistensi insulin pada remaja akhir Fitriyanti, Addina Rizky; Tjahjono, Kusmiyati; Sulchan, Mohammad; Sunarto, Sunarto
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 7, No 2 (2019)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (311.753 KB) | DOI: 10.14710/jgi.7.2.121-126

Abstract

Background: Obesity is one of the risk factors for insulin resistance. Insulin resistance plays an important role in the pathogenesis of cardiovascular disease. Wrist circumference has the potential for predicting obesity and insulin resistance.Objectives:. To evaluate the sensitivity and specificity of wrist circumference against obesity and insulin resistance in late adolescents.Methods: The design of this study is a crossectional study with a sample of 85 students at Diponegoro University Semarang. Data collected consisted of anthropometric measurements (body weight, height, wrist circumference, neck circumference, waist circumference and pelvic girth) and blood vein sampling (fasting blood glucose and fasting insulin). Statistical analyses used in this study were Pearson or R Spearman correlation test.Results: Wrist circumference was positively correlated with all biochemical parameters and anthropometric measurements except the waist hip ratio. Wrist circumference correlates positively and significantly with fasting insulin and HOMA-IR in male adolescents. The results of the ROC curve analysis showed that the AUC value of wrist circumference in male adolescents had better performance in predicting obesity (88% (95% CI, 76% - 100%)) than insulin resistance (81% (95% CI, 51% -100%)).Conclusion: Wrist circumference is one of the anthropometric measurements that can be used for predicting obesity and insulin resistance in late adolescents.