Nursing and Health Sciences Journal (NHSJ)
Vol. 6 No. 1 (2026): March 2026

Analysis of the causative factors of chronic energy deficiency and the health impact on adolescent girls

Handayani, Delly (Unknown)
Widowati, Retno (Unknown)
Silawati, Vivi (Unknown)
Rukmaini (Unknown)



Article Info

Publish Date
17 Mar 2026

Abstract

Chronic Energy Deficiency (CED) among adolescent girls remains a major public health concern. This condition affects not only physical health but also psychological well-being and overall quality of life, necessitating a comprehensive study of its contributing factors and impacts. This study aimed to identify the factors contributing to CED and assess its impact on the health of adolescent girls. A quantitative design with a descriptive correlational approach was employed. Using stratified random sampling by grade level, 184 respondents were selected using Slovin's formula. Data were collected via standardized questionnaires, Mid-Upper Arm Circumference (MUAC) measurements, and hemoglobin examinations. Data analysis used Pearson's Correlation and multiple linear regression. The prevalence of CED among adolescent girls was 60.9%. Significant factors associated with CED included knowledge, nutritional intake (energy, carbohydrates, protein, fat), sleep quality, stress, and family support (p < 0.05), which collectively accounted for 77% of the variance in CED incidence. Conversely, body image showed no significant association. Regarding health impacts, CED was significantly correlated only with self-efficacy (r = -0.270; p < 0.001); hemoglobin levels, menstrual cycles, and academic performance showed no significant associations. Nutrition education programs are needed to improve balanced dietary intake. Furthermore, strengthening the roles of families and schools is recommended to support the prevention and management of CED among adolescent girls.

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Journal Info

Abbrev

nhs

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

Description

Nursing and Health Sciences Journal (NHSJ) is peer-reviewed and open access international journal which published by KHD Production, to accommodate researchers and health practitioners publishing their scientific articles. NHSJ accepts original papers, review articles, short communications, case ...