Jurnal Kesmas dan Gizi (JKG)
Vol. 9 No. 1 (2026): Jurnal Kesmas dan Gizi (JKG)

Body Fat Percentage as an Indicator of Adiposity in Adolescents: An Overview Based on Circadian Rhythm, Ultra-Processed Food Consumption, and Physical Activity

Khristine Saputri (Poltekkes Kemenkes Surabaya)
Devi Eka Ratnasari (Poltekkes Kemenkes Surabaya)
Atika Nuswantari (Poltekkes Kemenkes Surabaya)
Husnul Halimah (Poltekkes Kemenkes Surabaya)



Article Info

Publish Date
30 Oct 2026

Abstract

Obesity among adolescents is an important nutritional problem associated with an increased risk of metabolic disorders and non-communicable diseases. Body fat percentage provides a more specific assessment of adiposity than body mass index, while circadian rhythm, ultra-processed food consumption, and physical activity are lifestyle factors that may be associated with adolescent adiposity. This study aimed to analyze the characteristics of circadian rhythm, ultra-processed food consumption, physical activity, and body fat percentage and to examine the relationships of these factors with body fat percentage among adolescents. An analytical observational study with a cross-sectional design was conducted among 110 adolescents aged 16–18 years at senior high schools in Surabaya in June 2026. Circadian rhythm was assessed using the Morningness-Eveningness Questionnaire, ultra-processed food consumption was assessed using a Semi-Quantitative Food Frequency Questionnaire based on the NOVA classification, physical activity was assessed using the Physical Activity Questionnaire for Adolescents, and body fat percentage was measured using Bioelectrical Impedance Analysis. Bivariate analysis was performed using the Spearman rank correlation test with a significance level of 5%. The results show that circadian rhythm is not significantly associated with body fat percentage (r = −0.221; p = 0.053). Ultra-processed food consumption is positively and significantly associated with body fat percentage (r = 0.461; p = 0.016), whereas physical activity is negatively and significantly associated with body fat percentage (r = −0.411; p = 0.002). Thus, higher ultra-processed food consumption and lower physical activity are associated with a higher body fat percentage, whereas circadian rhythm shows no significant association with body fat percentage.

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Journal Info

Abbrev

JKG

Publisher

Subject

Public Health

Description

Jurnal Kesmas & Gizi (JKG) terbit dua kali setahun yakni periode Mei-Oktober, dan November- April tiap tahunnya. Jurnal ini memberikan ruang bagi akademisi, peneliti dan pengguna hasil penelitian dan pengabdian untuk mendiseminasikan, menginformasikan, mendiskusikan dan menggunakan hasil penelitian ...