Nikmah Utami Dewi
Department of Nutrition, Universitas Tadulako, Indonesia

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The Relationship Between Stress Levels, Body Image, and High Sodium Eating Behavior with Nutritional Status Among Female Adolescents At SMA Negeri 2 Palu Rahma Rizkina; Nikmah Utami Dewi
Journal of Community Nutrition Intervention Vol. 1 No. 1 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jcni.v1i1.1200

Abstract

Adolescent girls are a group vulnerable to nutritional problems due to physical, psychological, and social changes that influence eating patterns. Nutritional status plays an important role in supporting optimal health. This study aims to evaluate the relationship between stress levels, body image, high sodium food consumption behavior, and nutritional status in adolescent girls in Palu City. This study employed a cross-sectional design with a sample of 110 adolescent girls aged 15–18 years selected using simple random sampling at a State Senior High School in Palu City. Data collection was performed using the Perceived Stress Scale (PSS) questionnaire to measure stress levels, the Body Shape Questionnaire (BSQ) to assess body image, and the Food Frequency Questionnaire (FFQ) to evaluate high-sodium eating behavior. Nutritional status was measured based on BMI-for-age. Bivariate analysis was conducted using the Spearman rank test, while multivariate analysis utilized ordinal logistic regression. The results of the univariate analysis revealed that the majority of adolescent girls had a good nutritional status (78.2%), moderate stress levels (83.6%), and a negative body image (70.0%). The frequency of high sodium food consumption was mostly found in the rare category (39.1%). Bivariate analysis revealed no significant relationship between stress levels (p-value = 0.379) or body image (p-value = 0.838) and nutritional status. However, high sodium eating behavior had a significant relationship with nutritional status (p-value 0.002). Multivariate analysis also demonstrated that high sodium eating behavior remained a significant factor associated with the nutritional status of adolescent girls.
Effectiveness of the Elsimil Program Supported by Family Assistance Teams on Knowledge, Attitudes, and Nutritional Expectations Among Prospective Brides: A Quasi-Experimental Study Siti Maryam Syafitri; Nikmah Utami Dewi
Journal of Community Nutrition Intervention Vol. 1 No. 2 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jcni.v1i2.1223

Abstract

The Elsimil application (Electronic Ready for Marriage and Pregnancy) was developed as a screening, education, and assistance tool for prospective brides. This study aimed to analyze the effectiveness of the Elsimil application combined with support from the Family Assistance Team (Tim Pendamping Keluarga/TPK) on nutritional knowledge, attitudes, and expectations among prospective brides in Palu City. This study employed a quantitative approach using a quasi-experimental design with a non-randomized control group and a pretest–posttest design. The sample size was calculated using the formula for testing differences between two proportions, yielding a total of 54 respondents. Participants were randomly assigned to an intervention group (n = 27) and a control group (n = 27). Baseline data revealed significant differences in age and education level, with the control group being older and more highly educated. The intervention group received education through the Elsimil application, accompanied by TPK support, while the control group received conventional nutrition education using a booklet. Data were analyzed using the Mann–Whitney test and were supplemented with consideration of baseline confounders. Statistical analysis showed no significant differences between the intervention and control groups in terms of nutritional knowledge (p = 0.162), attitudes (p = 0.340), or nutritional expectations (p = 0.330). While the Elsimil application provides a digital platform for education, technical barriers and baseline demographic imbalances, particularly in education levels, significantly influenced the outcomes. Improvements in user interface design, offline accessibility, and targeted facilitator training are needed to enhance the application's effectiveness compared to traditional media.