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Apriyanti Apriyanti
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Journal : Journal of Applied Nursing and Health

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Early Detection of Growth Impairment among Children and Adolescents with Eating Disorders: A Cross-Sectional Correlational Study Purnamasari, Anisa; Zoahira, Wa Ode Aisa; Romantika, I Wayan; Apriyanti, Apriyanti
Journal of Applied Nursing and Health Vol. 7 No. 2 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i2.316

Abstract

Background: The growth and development of children and adolescents are influenced by multiple factors, including nutrition, physical health, and psychosocial balance. Eating disorders (EDs) are among the conditions that can significantly disrupt this process, both physiologically and psychologically. Global and local data indicate a rising prevalence of eating disorders among adolescents, which negatively impacts nutritional status and physical growth. This study aims to identify and analyze the relationship between the risk of eating disorders and growth disturbances in children and adolescents based on anthropometric indicators. Methods: This study employed a quantitative, cross-sectional correlational design and was reported by the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guidelines. A total of 120 participants aged 10–18 years from three schools in Kendari City were included. The risk of eating disorders was measured using the Eating Attitudes Test (EAT-26), while growth status was assessed through measurements of body weight, height, and body mass index (BMI), based on WHO standards. Data were analyzed using Spearman’s correlation test and multiple linear regression to evaluate the association and predictive effect of EAT-26 scores on growth indicators, controlling for age and gender. Results: A total of 39.2% of respondents had EAT-26 scores ≥20, indicating a risk of eating disorders. There was a significant negative correlation between EAT-26 scores and BMI (r = -0.421; p < 0.01), height (r = -0.315; p < 0.01), and weight (r = -0.386; p < 0.01). Multiple linear regression analysis revealed that EAT-26 scores significantly predicted BMI (β = -0.373; t = -4.698; p < 0.001), after controlling for age and gender, with an R² of 0.198. In contrast, age (p = 0.125) and gender (p = 0.262) did not show significant effects. These findings indicate that the risk of eating disorders significantly contributes to decreased nutritional status, regardless of age and gender. Conclusion: Eating disorders significantly contribute to impaired nutritional status and growth in children and adolescents. EAT-26 scores were negatively correlated with BMI, body weight, and height, and served as a significant predictor of BMI, while age and gender showed no significant effects. Early detection of eating disorder risk within school settings is crucial to prevent long-term impacts on adolescents' physical growth and health. Screening tools such as the EAT-26 can serve as effective initial instruments in promotive and preventive health programs.
Co-Authors Abd. Gafur Abdul Gofur Aglis Andhita Hatmawan, Aglis Andhita Akram, Sitti Rahbiah Aldri Frinaldi Alfian, Rika Andas, Amzal Mortin Angga Aldi Saputra Anisa Purnamasari Apriyani, Ersy Monica Apriyani, Ririn Arofah Windiani Arofah, Siti Aurofatul Aryani, Windy Asharie, Asmawati Asrianti Utami, Tuti Avini, Terti Azizah, Maratul Azwar, Beni Bimasri, John Dalimunthe, Nurzaidah Putri Darsi Ahmada Dedi Krismiadi Dedi Kurniawan Delicia, Ananda Delviani, Ni Made Dewi Kusumaningsih Dewi, Wulan Dina, Hasniah Dina, Hasniah Dina Dini Kartika Dwi Ririn Melia Dwi S., Yovita Dwi Srikandi, Septiana Dwi Wulandari Ningtias Purnama Elvania, Dewa Ayu Neli Endang Switri Fadila Fadila, Fadila Fadli, Uus Mohammad Darul Farida Styaningrum Fatmawati, Fatmawati Fika Wulandari Hakim, Zikril Halimatussa'diyah, Halimatussa'diyah Handayani, Helvina Harison, Nunu Hariswan Putera Jaya Hariyani, Diyah Santi Hasanah, Haya Nada Heltty Heltty Hidayat, Sahar I Wayan Romantika Islami, Rizqa Aulia Itsnaini Chusnul Khotimah Jhariah Hidayah, Ainum Julfiani, Julfiani Kamaruddin Kamaruddin Krismiadi, Dedi Kusnadi Langgeng. W, Anggita Lesi Hertati, Lesi Lestari, Alfiani Ayu Liana Vivin Wihartanti, Liana Vivin Lisa, Debora Mahmud, Nuruddin Maiyaliza, Maiyaliza Mako, Yulviana Prastika Mardani Mardani Mardiani, Wiwin maria ulpah Murniati, Nely N. Nazaruddin Nasrul Rofiah Hidayati, Nasrul Rofiah Nizam Zakka Arrizal Noprianti, Noprianti Novikasari, Linawati Novita Safitri Novita, Ida Nurbuana, Nurbuana Nurhasan Nurhasan, Nurhasan Nurismi S., Sepia Nurrofi, Akhmad Palingrungi, Basso Palupi Permata Rahmi Pangestu, Rama Virgie Pawah, Muhamad Aziz M Pebriani, Reny Aziatul Podesta, Ardiana Pongdatu, Merry Pratama, Miftahunajah Aditiya Priyansah, Sujadi Pujiati Pujiati Purnama, Prawara Aros Purnamasari, Anisa Putri, Ermalati Rahman, Widya Fauzia Rajata, Eric Razan Raokang, Mutia Ahsun Rifno, Rifno Ririn Feriana Basri Rita, Desi Risna Rizwan, Al Khairul Romantika, I Wayan Rusiandy, Rusiandy Rusli, Ris'an Safrina, Sri Sari Arie Lestari Sembiring, Maximus Gorky Setiawati Setiawati Setiyono, Wahyu Siti Marwiyah Slamet Riyanto Suaib, Suaib Sudrajat, Muhammad Agus Susanti, Riska Aulia Sutandi, Sutandi Sutejo Sutejo Sutrisna, Wawan Asad Syafutra, Randi Syifa, Hanindhita Nurfhia Tien Yustini, Tien Tina Merlina Tjempaka, Tjempaka Tulas, Prisly Ananda Ubaidillah Ubaidillah Uswatun Hasanah USWATUN HASANAH Veithzal Rivai Zainal Wa Ode Aisa Zoahira Wenni Wahyuandari Yuniarti Yuniarti Yusnayanti, Cici Zacky, Muhammad Ichsan Zahri, Rihan Mustafa Zoahira, Wa Ode Aisa