Alexander, Yoppi Yeremia
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PHYSICAL BEHAVIOURS IN ADOLESCENTS THAT CONTRIBUTE TO OVERWEIGHT/OBESITY Keya , Rino Tryanto; Widjaja, Nur Aisiyah; Noviyanti, Tausiyah Rohmah; Alexander, Yoppi Yeremia; Iitdrie, Iitdrie; Hermanto, Edi; Ardianah, Eva; Bahmid, Moh; Hanindita, Meta Herdiana; Irawan, Roedi
Media Gizi Indonesia Vol. 20 No. 1 (2025): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v20i1.12-20

Abstract

Physical behaviours research in adolescents is still limiting in regard of overweight/obesity. Physical behaviour according to World Health Organization Global School Student Health Survey (WHO-GSHS) had four components namely physical activity, active transportation, physical education and sedentary behaviour showed inconsistent results investigating the obesity/overweight epidemic. The objective of this study is to examine the physical behaviour and metabolic components in overweight/obese adolescents. A cross-sectional study was conducted from September to October 2019 involving healthy obese adolescents with overweight/obesity in Sidoarjo and Surabaya. The statistical analysis was test of normality for interval/ratio variables, descriptive, bivariate correlation and binary logistic regression. All the analysis were conducted using SPSS ver. 21 (IBM, US). A total of 109 subjects were recruited in this study, consisting of male (50.46%) and female (49.54%) adolescents. The mean age of the subjects were 15.13 + 1.46 years old. Adolescents with sufficient physical activity, physical transport, physical class and recommended screen time was 93.58%, 23.85%, 14.68% and 36.70% respectively. The overweight subjects were 63 (57.80%) and obesity was 46 (42.20%), and prevalent in male than female (65.22% vs. 34.78%, p=0.012). The prevalent of MetS was 53.21%, no significant difference of MetS distribution among male and female (p=0.506). Subjects with physically transport behaviour had lower risk of abdominal obesity by 0.266-times than subjects with physically immobile. Thus, physical behaviour score did not correlate with anthropometric parameters indicating to overweight/obesity and metabolic factors, but the component of physical behaviour, especially sedentary lifestyle correlated with anthropometric parameters and systolic blood pressure.
The Effects of Cigarette Smoke Exposure on Anthropometric Measurements, Lipid Profile, Fasting Blood Glucose, Fasting Insulin, and Blood Pressure in Overweight/Obese Adolescents Widjaja, Nur Aisiyah; Claudia Felisia Magdalena Kurube; Febrina Mustika Santoso; Noviyanti, Tausyiah Rohmah; Alexander, Yoppi Yeremia; Keya, Rino Tryanto; Hermanto, Edi; Iitdrie; Ardianah, Eva; Amer Siddiq Amer Nordin
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. 1 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.I1.2025.47-55

Abstract

Background: Cigarette smoke exposure increases the risk of obesity, metabolic syndrome, hypertension, hyperglycemia, and dyslipidemia. The nicotine content in cigarettes can acutely increase energy expenditure, decrease appetite, and several other chronic diseases such as cardiovascular disease, lung disease, cancer, and so on. Objectives: This study aims to determine the effect of cigarette smoke exposure on anthropometric measurements, lipid profiles, fasting blood glucose, fasting insulin, and blood pressure in overweight/obese adolescents. Methods: This was a cross-sectional study involving overweight/obese adolescents conducted from September to October 2019 to evaluate the effects of tobacco exposure on anthropometric measurements, lipid profile, fasting blood glucose (FBG), fasting insulin, and blood pressure. Results: This study showed no significant differences in the age distribution, body weight, body height, height-for-age z-score (HAZ), hip circumference, body mass index (BMI), BMI-for-age z-score, fasting insulin, FBG, lipid profile, and blood pressure between low, moderate, and high cigarette smoke exposure in overweight/obese adolescents, but the high exposure group had a bigger waist circumference than the moderate exposure group (107,45 + 11,25 vs 99,35 + 11,36 cm, p = 0,019) and low exposure (107,45 + 11,25 vs 99,04 + 12,08 cm, p = 0,015). Conclusion: The degree of exposure to heavy cigarette smoke has a greater waist circumference than exposure to light and moderate cigarette smoke. Cigarette smoke exposure is significantly associated with body weight and hip circumference, and heavy cigarette smoke exposure is prevalent in adolescent boys.
NUTRITIONAL INTERVENTION IN STUNTING CHILDREN AGED 1-5 YEARS-OLD USING ORAL NUTRITIONAL SUPPLEMENTS (ONS) IN SURABAYA CITY Alexander, Yoppi Yeremia; Widjaja, Nur Aisiyah; Irawan, Roedi; Hanindita, Meta Herdiana; Noviyanti, Tausyiah Rohmah; Keya, Rino Tryanto; Hermanto, Edi; Bahmid, Moh.; Iitdrie, Iitdrie
Media Gizi Indonesia Vol. 20 No. 2 (2025): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v20i2.168-177

Abstract

Growth faltering, also known as failure to thrive, in pediatric populations may arise from a combination of insufficient nutritional intake and the presence of chronic infections. When this condition persists over an extended duration, it can culminate in stunting—a form of chronic malnutrition characterized by impaired linear growth—which continues to exhibit a high prevalence rate across various regions of Indonesia. As part of the national effort to mitigate and prevent stunting, oral nutritional supplements (ONS), which are specifically formulated for both therapeutic and dietary management in pediatric patients with specific health conditions, including growth failure, play a critical role. This study aims to examine the impact of ONS intervention, with a caloric density of approximately 1 kilocalorie per milliliter, on stunted children between the ages of one and five years at a private healthcare facility, namely Husada Utama Hospital in Surabaya. This study is an observational analytical study of a quasi- randomized control trial with a pre- and post-test design. The sample of this study was stunting children aged 1-5 years as many as 20 subjects who were willing to follow the ONS intervention research in achieving optimal growth. After being given intervention for 90 days, the number of normal HAZ/LAZ children became 5 (25% increase). There was a decrease from severely stunting by 7 subjects to stunting and a decrease in stunting to normal by 5 subjects
SLEEP DURATION, ANTHROPOMETRIC MEASUREMENTS AND METABOLIC SYNDROME IN OVERWEIGHT/OBESE ADOLESCENTS Iitdrie; Widjaja, Nur Aisiyah; Hanindita, Meta Herdiana; Irawan, Roedi; Qomaruddin, Mochammad Bagus; Muthmainnah, Muthmainnah; Ardianah, Eva; Noviyanti, Tausyiah Rohmah; Alexander, Yoppi Yeremia; Keya, Rino Tryanto; Hermanto, Edi
Media Gizi Indonesia Vol. 20 No. 3 (2025): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v20i3.356-362

Abstract

Introduction: Adolescents have sleep problems, as their sleep duration does not meet the recommended sleep duration of 8-10 hours, leading to various sleep-related problems. Sleep duration is suspected to have detrimental effects on health, such as non-communicable diseases including obesity, cardiovascular disease (CVD), and type 2 diabetes mellitus (T2DM). However, the correlation between sleep duration and the prevalence of obesity and metabolic syndrome (MetS) is still conflicting, especially in the adolescent population. This study aimed to examine and analyze the effect of sleep duration on anthropometric measurements and MetS in overweight/obese adolescents. Methods: A cross-sectional study involving healthy overweight/obese adolescents was conducted from September to October 2019 to evaluate the effect of sleep duration on anthropometric measurements, lipid profiles, fasting blood glucose levels, and blood pressure in overweight/obese adolescents. Results and discussion: A total of 197 subjects showed no significant differences in body height, BMI, waist circumference, blood pressure, and lipid profile based on sleep duration categories. Subjects with short sleepers were older than those with sufficient sleep (p<0.05). However, long sleepers were heavier, had larger BMI-for-age z-scores, and larger waist circumferences than sufficient and short sleepers (p<0.05). However, the differences between the short, sufficient, and long sleepers were U-shaped. Sleep duration was not correlated with MetS or MetS components (abdominal obesity, hyperglycemia, hypertriglyceridemia, hypertension, and low HDL-c). Conclusion: Long sleepers (>11 h/night) were heavier, had greater BMI-for-age z-scores, and larger waist circumference than (<sufficient sleeper (6-10 h/night), or short sleepers 6 h/night).
Screen Time, Anthropometric Parameter, Insulin and HOMA IR in Adolescents Widjaja, Nur Aisiyah; Arifani, Rizka; Noviyanti, Tausiyah Rohmah; Alexander, Yoppi Yeremia; Hermanto, Edi; Iitdrie, Iitdrie; Ardianah, Eva; Keya, Rino Tryanto
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i2.6265

Abstract

The rapid integration of digital technology into daily life, particularly among adolescents, has generated increased screen time exposure. This study investigates the effect of screen time on anthropometric parameters, insulin levels, and HOMA IR in adolescents, regarding the increasing concerns about its potential health implications. Methods: A cross-sectional study involving 131 healthy adolescents (aged 12-18) was conducted to assess an anthropometric measurements, blood investigations (lipid profile, fasting blood glucose, fasting insulin), blood pressure, and screen time assessments. Screen time was categorized as recommended, moderate, and heavy. Results and Discussion: The moderate screen time was associated with a higher risk of overweight (OR=5.643), obesity (OR=3.737), insulin resistance (OR=4.116), and metabolic syndrome (OR=2.185). Heavy screen time showed higher risks for being overweight and metabolic syndrome (OR=32.421), but did not correlate significantly with overweight or obesity. The findings suggest a significant association between screen time and adverse health outcomes in adolescents, particularly for moderate and heavy screen time. Heavy screen time demonstrated substantial risks, emphasizing the need for interventions to mitigate potential health consequences. Conclusion: Screen time has noteworthy implications on the health of adolescents, with significant associations observed on anthropometric parameters, insulin resistance, and metabolic syndrome.