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Journal : amerta nutrition

The Integrated Nutrition Education on eHealth Intervention and Its Effectiveness on Improvement of Anthropometric Status and Behavioural Outcomes of Obese Adults: A Systematic Review Anggun Rusyantia; Ali Khomsan; Clara Meliyanti Kusharto; Hadi Pratomo
Amerta Nutrition Vol. 6 No. 2 (2022): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v6i2.2022.212-226

Abstract

Background: The problem of overnutrition has become an epidemic issue at the global level. As one of the effective ways to prevent and overcome obesity, nutrition education is growing by utilizing eHealth media as a message delivery channel.  Objectives: To identify studies that integrate nutrition education with eHealth-based technology in the prevention and control of obesity, behavioral theory and BCT (Behaviour Change Technique), their effectiveness in improving the anthropometric status and behavioral outcomes in obese adults. Discussion: Article searches were conducted using PubMed, Science Direct, ProQuest, and using manual search Google Scholar in reputable journals in the last ten years, and 17 English articles were obtained. Two forms of communication channels and activities were used to deliver nutrition education messages, namely interpersonal channels and internet-based mass media with or without assistance. Mobile applications were the most widely used as a messaging tool. The most frequently used theory was Social Cognitive Theory, and the majority of BCT were self-monitoring, goal setting, and feedback. The eHealth method (online) gave the same results on anthropometric status, physical activity, and treatment adherence compared to face-to-face (offline) by providing the same BCT-based obesity management intervention. Conclusions: Integrating nutrition education into eHealth media channels that emphasizes modification of eating behavior and physical activity has a significant effect on improving anthropometric status but was inconsistent on eating behavior and physical activity outcomes in adults with short-term intervention (≤3.5 months/ 14 weeks). This effect will give benefit the outcomes if followed by personal or group mentoring accompanied by well-design BCT.
Eksplorasi Mediator Potensial Perilaku dalam Adopsi Gaya Hidup Sehat pada Wanita dengan Risiko Sindrom Metabolik di Komunitas Kebugaran, Provinsi Lampung : Eksplorasi Mediator Potensial Perilaku dalam Adopsi Gaya Hidup Sehat pada Wanita dengan Risiko Sindrom Metabolik di Komunitas Kebugaran, Provinsi Lampung Rusyantia, Anggun; Wahyuni, Endang Sri; Bertalina; Juherman, Yulia Novika
Amerta Nutrition Vol. 10 No. 1SP (2026): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1SP.2026.58-67

Abstract

Background: Metabolic syndrome (MetS) is a risk factor for Non-Communicable Diseases (NCDs). Lifestyle modifications through healthy dietary regulation and physical activity, supported by nutrition education interventions, effectively reduce the prevalence of MetS. To promote participation in lifestyle modifications, designing effective interventions requires a deeper understanding of people’s potential behavioral mediators associated with MetS. Objectives: The purpose of the study was to investigate potential behavioral mediators of healthy lifestyle adoption among adult women at risk for MetS. Methods: This study employed a qualitative-descriptive design, using semi-structured interviews to elicit in-depth perspectives from 18 participants. Thematic analysis was conducted using an inductive approach to formulate themes. Results: Participants’ understanding of MetS risks and prevention was limited. Participants had high confidence in physical exercise, but it was not yet aligned with the suggested frequency, duration, and techniques, while self-efficacy for healthy eating habits remained low. Conclusions: Participants expressed a significant need for further information and guidance on the prevention and management of MetS. Knowledge, intention, self-efficacy, and result expectations were recognized as primary internal possible behavioral mediators. A behavior-based intervention guided by Social Cognitive Theory is recommended to inform the design of contextual and effective nutrition education programs that support sustainable behavior change.