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ANALYSIS OF DETERMINANTS OF OBESITY AND OVERWEIGHT RISK FACTORS AMONG ADOLESCENTS IN CENTRAL JAVA PROVINCE BASED ON THE 2023 INDONESIAN HEALTH SURVEY DATA Yayuk Fathonah
SOSIOEDUKASI Vol 14 No 4 (2025): SOSIOEDUKASI : JURNAL ILMIAH ILMU PENDIDIKAN DAN SOSIAL
Publisher : Fakultas Keguruan Dan Ilmu Pendidikan Universaitas PGRI Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36526/sosioedukasi.v14i4.6849

Abstract

Background: Overweight and obesity among adolescents have become a growing public health issue in Indonesia, contributing to the risk of non-communicable diseases in adulthood. Risky dietary behaviors and low physical activity levels are suspected to play a role in the increasing prevalence of obesity in the adolescent age group. Objective: This study aims to identify the risk factors associated with overweight and obesity in adolescents aged 11–18 years in Central Java Province. Methods: This study employs a cross-sectional design with a quantitative approach, utilizing secondary data from the 2023 Indonesian Health Survey (SKI). The study subjects were 4,439 adolescents aged 11–18 years who met the inclusion criteria. Nutritional status was determined based on the Body Mass Index for Age (BMI/A). Data analysis included univariate analysis, bivariate analysis using chi-square tests, and multivariate analysis using multiple logistic regression. Results: In the multivariate analysis, the consumption of soft drinks ≥1 time per day was identified as an independent determinant that increases the risk of overweight and obesity (aOR = 3.742; 95% CI: 1.440–9.723). Instant noodle consumption was found to be associated with overweight and obesity at certain levels of consumption. Educational level, consumption of sweet foods, sweet beverages, and fatty foods were associated in the bivariate analysis, but were not significant after controlling for other variables. Conclusion: Daily soft drink consumption is a major risk factor for overweight and obesity among adolescents in Central Java. Prevention of adolescent obesity requires a comprehensive approach, including improvements in dietary patterns, increased physical activity, as well as family support and public policy interventions.
Provision Of Local Food-Based Supplementary Feeding For Undernourished Toddlers In Primary Care: A Systematic Literature Review Asyifa Tsulus Sandi; Titik Kuntari; Utami Utami; Raden Edi Fitriyanto; Yaltafit Abror Jeem; Yayuk Fathonah; Tien Budi Febriani; Emi Azmi Choironi; Gita Yusmira; Rini Syahriani; Mohamad Rahman Suhendri
International Journal of Health Engineering and Technology Vol. 5 No. 3 (2026): (In Press)
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v5i3.1113

Abstract

Undernutrition among children under five in Indonesia remains aggravated by poor diet quality and comorbidities such as tuberculosis, anemia, and thalassemia. This review evaluated the effectiveness of local food-based supplementary feeding compared with standard supplements or no intervention, assessed the moderating role of major comorbidities on nutritional recovery, and identified determinants of program success. A PRISMA 2020-guided systematic literature review was conducted using Consensus.app sources published in 2015–2026, prioritizing systematic reviews, meta-analyses, randomized controlled trials, and quasi-experimental studies. Supplementary foods and complementary feeding interventions improve recovery, body weight, Weight-for-Height Z-Score (WHZ), Weight-for-Age Z-Score(WAZ), dan Mid-Upper Arm Circumference (MUAC), sementara perbaikan tinggi badan whereas gains in height/ Height-for-Age Z-Score (HAZ) are smaller and require longer exposure. Local food-based products, including moringa-fortified foods, moringa nuggets, and other locally formulated diets, also improved weight, height, or Mid-Upper Arm Circumference (MUAC) in studies from Indonesia and other low-resource settings. Tuberculosis and anemia consistently predicted slower nutritional recovery, while evidence for thalassemia mainly indicates elevated malnutrition risk rather than tested response to supplementary feeding. Program success depends on adequate duration, adherence, nutrient composition, training, family support, and primary care delivery capacity. The main research gap is the lack of integrated screening for tuberculosis, anemia, and thalassemia within primary-care supplementary feeding programs. Locally-based PMT effectively improves short-term nutritional status of undernourished children, but its effectiveness decreases in children with TB and anemia comorbidities. Integration of tuberculosis, anemia, and thalassemia screening in PMT programs at primary healthcare facilities is needed.