Siregar, Fitri Nur Malini
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The Effectiveness Of E-Counseling toward Weight Loss Program Among Obesity Students Siregar, Fitri Nur Malini; Utami, Ratih Yulistika
ANATOMICA MEDICAL JOURNAL | AMJ Vol 7, No 1 (2024)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/amj.v7i1.15161

Abstract

A pandemic of obesity has caused many people to gain weight during the COVID pandemic.This pandemic has also caused people to minimize seeking treatment at health facilities. Therefore, the e-counseling method in the weight loss program is considered capable of being a treatment for obesity during a pandemic. This study aims to determine the effectiveness of e-counseling on the weight loss management program among obesity students. Methods: This study is a retrospective cohort analytic study involving obese patients. Sixty subjects was taken by the consecutive sampling method. The E-counseling method that the patient undergoes is in the form of face-to-face virtual counseling at the beginning of the program about 15 minutes per person, then a meal plan is given by reducing 500-700 kcal from the daily intake. This is followed by providing education on healthy lifestyles and periodic consultations through the WhatsApp group while undergoing the weight loss program. Results:. After undergoing the intervention for 1 month, the effects of losing as much weight as 3,39 – 4,21 kg (p0.001) used T- dependent test. Body mass index of research subjects also decreased as much as 1,72 kg/m2 to 1,88  kg/m2 (p0.001) used T dependent test. Waist circumference measurements also showed a decrease as much as  4,4 cm to 5,8 cm (p0.001) used Wilcoxon test. Conclusion: The weight loss program through the e-counseling method was clinically and statistically proven effective in reducing body weight, body mass index and waist circumference in research subjects after 1 month of intervention.Keywords: e-counseling, obesity, body mass index, waist circumference
Association Between Stress Levels and Waist Circumference Among Medical and Health Sciences Students at Universitas Muhammadiyah Sumatera Utara Harahap, Windy Nabila Royana; Siregar, Fitri Nur Malini; Nurlita, Nanda Sari; Lubis, Irfan Darfika
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 2 (2026): Juni: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i2.2684

Abstract

Stress may influence physiological balance through hormonal mechanisms, particularly increased cortisol levels, which are associated with visceral fat accumulation in the abdominal area. Waist circumference is an important anthropometric indicator for assessing central obesity and cardiometabolic risk. Medical students are vulnerable to stress due to high academic demands, which may affect their health status. Objective: This study aimed to determine the association between stress levels and waist circumference among students of the Faculty of Medicine, Universitas Muhammadiyah Sumatera Utara. Methods: This observational analytic study used a cross-sectional design. A total of 89 students from the 2022–2024 cohorts were selected using quota sampling based on the inclusion criteria. Stress levels were measured using the Depression Anxiety Stress Scale-42 (DASS-42), while waist circumference was measured using a flexible measuring tape according to standard anthropometric procedures. Data were analyzed using an exact statistical test with a significance level of 0.05. Findings: The results showed a statistically significant association between stress levels and waist circumference, with a p-value of 0.011. Students with higher stress levels tended to have a greater proportion of central obesity compared to those with normal stress levels. Implication: These findings highlight the importance of stress management and healthy lifestyle promotion in student health programs. Originality: This study provides empirical evidence on the relationship between psychological stress and waist circumference among medical students in the Indonesian university context.