Background: Balanced dietary intake is needed to prevent malnutrition which is one of the nutritional problems faced by adolescents. Aim: To study the association between predominant dietary intake and nutritional status of female adolescent students in boarding schools in Tasikmalaya, Indonesia. Method: This cross-sectional study was conducted on 323 female adolescent students residing full-time in eight boarding schools in Tasikmalaya, West Java. Students’ dietary intake was measured using the 3-non-consecutive-day 24-h recall method. The association between the predominant dietary intake and nutritional status was evaluated using binary logistic regression. Results: Of the 323 students, 59 (18.3%) were overweight/obese (OW/OB) and 102 (31.6%) had stunted growth. The predominant dietary intake in the OW/OB group was snacks, whereas, in the stunted group, it was main meals. Snack-predominant dietary intake was a risk factor for overweight and obesity (p = 0.008; adjusted odds ratio [AOR]: 2.276; 95% confidence interval [CI]: 1.244–4.164), but it was a protective factor against stunting (p = 0.008; AOR: 0.521; 95% CI: 0.322–0.842). Conclusion: The predominance of main meals and snacks as components of total dietary intake affected the nutritional status of female adolescent students living in boarding schools. Therefore, the dietary intake interventions should tailor and design the nutritional contents of main meals and snacks according to the nutritional status of the targeted individuals.
AnamR, et al. (2022) Association of sleep duration and sleep quality with overweight/obesity among adolescents of Bangladesh : A multilevel analysis. BMC Public Health22(374): 1–9.
2.
AnsemWJC, et al. (2015) Children’s snack consumption: Role of parents, peers and child snack-purchasing behaviour. Results from the INPACT study. European Journal of Public Health25(6): 1006–1011.
3.
BhaskarRK, et al. (2015) A case control study on risk factors associated with low birth weight babies in eastern Nepal. International Journal of Pediatrics2015: 1–7.
4.
BoS, et al. (2014) Impact of snacking pattern on overweight and obesity risk in a cohort of 11-to 13-year-old adolescents. Journal of Pediatric Gastroenterology and Nutrition59(4): 465–471.
5.
CaleyachettyR, et al. (2018) The double burden of malnutrition among adolescents: Analysis of data from the global school-based student health and health behavior in school-aged children surveys in 57 low- and middle-income countries. American Journal of Clinical Nutrition108(2): 414–424.
6.
CampisiSC, et al. (2018) The Intricate Relationship between Chronic Undernutrition, Impaired Linear Growth and Delayed Puberty : Is ‘ catch-up ‘ growth possible during adolescence ?, Office of Research - Innocent Working Paper. Florence, Italy. Available at: www.unicef-irc.org.
ChristianPSmithER (2018) Adolescent undernutrition: Global burden, physiology, and nutritional risks. Annals of Nutrition and Metabolism72(4): 316–328.
9.
CusickSEKuchAE (2012) Determinants of undernutrition and overnutrition among adolescents in developing countries’. Adolescent Medicine: State of the Art Reviews23(3): 440–456.
10.
DasJK, et al. (2017) Nutrition in adolescents: Physiology, metabolism, and nutritional needs. Annals of the New York Academy of Sciences1393(1): 21–33.
11.
DeweyKGBegumK (2011) Long-term consequences of stunting in early life. Maternal and Child Nutrition7(SUPPL. 3): 5–18.
12.
DukhiN (2020) Global Prevalence of Malnutrition: Evidence from Literature. In: ImranM (ed) Malnutrition. Intechopen, 1-16. doi: 10.5772/intechopen.92006.
13.
EkholuenetaleM, et al. (2020) Impact of stunting on early childhood cognitive development in Benin: Evidence from demographic and health survey. Egyptian Pediatric Association Gazette68(31): 1–11.
14.
FarleyTA, et al. (2010) The ubiquity of energy-dense snack foods: A national multicity study. American Journal of Public Health100(2): 306–311.
15.
FellowsPHilmiM (2011) Selling street and snack foods, FAO Diversification Booklet 18. Rome: FAO-UN.
16.
FlorensC, et al. (2022) The composition of carbohydrate and fat consumption among obese adolescents in Surabaya and Sidoarjo. Media Jurnal Indonesia 17(1): 62–69.
17.
FrankoDL, et al. (2008) The relationship between meal frequency and body mass index in black and white adolescent girls: More is less. International Journal of Obesity32(1): 23–29.
18.
GuptaMD, et al. (2014) In: KollodgeR (ed) The Power of 1.8 billion Adolescents, Youth and the Transformation of the Future. UNFPA.
19.
GuptaV, et al. (2016) Unhealthy fat in street and snack foods in low-socioeconomic settings in India : A case study of the food environments of rural villages and an urban slum. Journal of Nutrition Education and Behavior48(4): 269–279.e1.
20.
Haimov-KochmanR, et al. (2013) Regular exercise is the most significant lifestyle parameter associated with the severity of climacteric symptoms: A cross sectional study. European Journal of Obstetrics and Gynecology and Reproductive Biology170(1): 229–234.
21.
HanifahNIDMurwaniRJuniartoAZ (2021) Etlingera Elatior (Jack) R.M, Sm containing diet normalizes some metabolic syndrome markers due to high-fat high-fructose diet in Wistar rats. Current Nutrition & Food Science17(7): 727–736.
22.
Hermina, et al. (1992) Pola Konsumsi Makanan Santri di Lima Pesantren di Kabupaten Ciamis dan Jombang’.
23.
HidayatiUSiagianASudaryatiE (2020) Correlation of fried snacks intake with free radicals and obesity in elementary school children. Budapest International Research in Exact Sciences (BirEx) Journal2(1): 35–43.
24.
HoertelHAWillMJLeidyHJ (2014) A randomized crossover, pilot study examining the effects of a normal protein vs. high protein breakfast on food cravings and reward signals in overweight/obese “breakfast skipping”, late-adolescent girls. Nutrition Journal13(1): 1–8.
25.
HowardSReevesS (2005) The snacking habits of adolescents: Is snack food necessary to meet dietary recommendations?Health Education Journal64(1): 51–57.
26.
Indonesian Central Bureau of Statistics (2020) Accelerated Child Marriage Prevention That Cannot Be Delayed, Central Bureau of Statistics. Jakarta, Indonesia. Available at: https://puskapa.org/publikasi/881/.
27.
KeatsEC, et al. (2018) The dietary intake and practices of adolescent girls in low-and middle-income countries: A systematic review. Nutrients10(12): 1–14.
28.
KhusniyatiESariAKRo’ifahI (2016) Hubungan Pola Konsumsi Makanan dengan Status Gizi Santri pondok Pesantren Roudlatul Hidayah Desa Pakis Kecamatan Trowulan Kabupaten Mojokerto. Midwiferia Jurnal Kebidanan2(2): 1–7.
29.
LachatC, et al. (2009) Eating out of home in Vietnamese adolescents: Socioeconomic factors and dietary associations. American Journal of Clinical Nutrition90(6): 1648–1655.
30.
LeidyHJCampbellWW (2011) The effect of eating frequency on appetite control and food intake: Brief synopsis of controlled feeding studies1,2. Journal of Nutrition141(1): 154–157.
31.
LiM, et al. (2017) Pocket money, eating behaviors, and weight status among Chinese children: The childhood obesity study in China mega-cities. Preventive Medicine100(April): 208–215.
32.
LuytenP, et al. (2017) The parental reflective functioning questionnaire: Development and preliminary validation. PLoS ONE12(5): 1–28.
33.
MaL, et al. (2020) A 3-year longitudinal study of pocket money, eating behavior, weight status: The childhood obesity study in China mega-cities. International Journal of Environmental Research and Public Health17(23): 1–13.
34.
MaeharaM, et al. (2019) Patterns and risk factors of double burden of malnutrition among adolescent girls and boys in Indonesia. PLoS ONE14(8): 15–18.
35.
Minister of Health of the Republic of Indonesia (2020) The regulation of Minister of Health of the Republic of Indonesia No. 2 of 2020 concerning Child Anthropometry Standards. Available at: https://doi.org/10.1016/j.tmaid.2020.101607%250.
36.
Ministry of Health of the Republic of Indonesia (2018) The Indonesian Food Composition Table of 2017. Jakarta, Indonesia.
37.
Ministry of Health Republic of Indonesia (2013) National Institute of Health Research and Development. National Basic Health Research 2013. Jakarta, Indonesia.
38.
Ministry of Health Republic of Indonesia (2018) National Institute of Health Research and Development National Basic Health Research 2018. Jakarta, Indonesia.
39.
Ministry of Religion of the Republic of Indonesia (2012) Statistics of Islamic Boarding Schools. Available at: http://www.pendis.kemenag.go.id/.
40.
Ministry of Religious Affairs of the Republic of Indonesia (2022) Data on Islamic Religious Education (Islamic boarding schools). Available at: https://ditpdpontren.kemenag.go.id/pdpp (Accessed: 2 April 2022).
41.
MorenoLA, et al. (2010) Trends of dietary habits in adolescents. Critical Reviews in Food Science and Nutrition50(2): 106–112.
42.
MurdiningsihMKomariahN (2019) Knowledge and parenting patterns with toddler’s growth and development. International Journal of Public Health Science (IJPHS)8(2): 79.
43.
MyhreJB, et al. (2015) The contribution of snacks to dietary intake and their association with eating location among Norwegian adults - Results from a cross-sectional dietary survey. BMC Public Health15(1): 1–9.
44.
Nguu-GutuCMImungiPJKNgatiaDEM (2017) Socio-Economic characteristics of and snacking among high school adolescents in Nairobi, Kenya. IOSR Journal of Nursing and Health Science06(03): 21–31.
45.
NicholausC, et al. (2020) Dietary practices, nutrient adequacy, and nutrition Status among adolescents in boarding high schools in the Kilimanjaro Region, Tanzania. Journal of Nutrition and Metabolism2020: 1–14.
46.
OvaskainenML, et al. (2006) Snacks as an element of energy intake and food consumption. European Journal of Clinical Nutrition60(4): 494–501.
47.
PrendergastAJHumphreyJH (2014) The stunting syndrome in developing countries. Paediatrics and International Child Health34(4): 250–265.
48.
PrickettKCAugustineJM (2016) Maternal education and investments in Children’s Health Kate. Journal of Marriage and the Family176(3): 139–148.
49.
PunithaVC, et al. (2014) Pocket money: Influence on body mass index and dental caries among urban adolescents. Journal of Clinical and Diagnostic Research8(12): 10–12.
50.
RachmaDEMurwaniRJuniartoAZ (2020) Dietary fresh and boiled mangkokan leaves (Nothopanax scutellarius) normalized body weight, serum lipid profile and malondialdehyde in metabolic syndrome rats. Current Research in Nutrition and Food Science8(3): 889–902.
51.
RahJH, et al. (2017) Nutrition and Health in a Developing World’, in Nutrition and Health in a Developing World. New York USA: Springer US, pp. 559–576. doi: https://doi.org/10.1007/978-3-319-43739-2.
52.
RajMKumarRK (2010) Obesity in children & adolescents. Fetal and Pediatric Pathology26(2): 75–85.
53.
RichardA, et al. (2017) Food cravings in everyday life: An EMA study on snack-related thoughts, cravings, and consumption. Appetite113(2017): 215–223.
54.
RogersPJBrunstromJM (2016) Appetite and energy balancing. Physiology and Behavior164: 465–471.
55.
SalamRA, et al. (2016) Interventions to improve adolescent nutrition: A systematic review and meta-analysis. Journal of Adolescent Health59(2): S29–S39.
56.
Sayon-OreaC, et al. (2013) Consumption of fried foods and weight gain in a Mediterranean cohort: The SUN project. Nutrition, Metabolism and Cardiovascular Diseases23(2): 144–150.
57.
SilvaFA, et al. (2017) Daily meal frequency and associated variables in children and adolescents. Jornal de Pediatria93(1): 79–86.
58.
SpeakmanJR (2022) The roles of different macronutrients in regulation of appetite, energy intake and adiposity. Current Opinion in Endocrine and Metabolic Research22(100297): 1–5.
59.
SveforsP, et al. (2016) Stunted at 10 years. Linear growth trajectories and stunting from birth to pre-adolescence in a rural Bangladeshi cohort. PLoS ONE11(3): 1–18.
60.
TripicchioGL, et al. (2019) Associations between snacking and weight status among adolescents 12–19 years in the United States. Nutrients11(1486): 1–11.
61.
UNICEF (2021) Social and Behaviour Change Communication Strategy: Improving Adolescent Nutrition in Indonesia, Unicef. Jakarta, Indonesia. Available at: https://www.unicef.org/indonesia/media/9221/file/Executive summary of social behavioural change communication strategy.pdf.
62.
WahjuniS (2013) In: AtmajaJ (ed) Metabolisme Biokimia, Udayana university press. Denpasar, Indonesia: Udayana university press, 1–102.
63.
WellsJCKWibaekRPoullasM (2018) The dual burden of malnutrition increases the risk of cesarean delivery: Evidence from India. Frontiers in Public Health6(292): 1–14.
WHO (2017) The double burden of malnutrition : Policy Brief, UNITED NATIONS DECADE OF ACTION ON NUTRITION 2016-2025. Geneva, Switzerland. doi: 10.1111/j.1745-6584.1983.tb00740.x.
ZeballosE.ToddJ. E. (2020) The effects of skipping a meal on daily energy intake and diet quality. Public Health Nutrition, 23(18): 3346–3355. doi: https://doi.org/10.1017/S1368980020000683.
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