Nutritional knowledge, diet quality and nutritional status of school-going adolescents in rural and urban areas in West Aceh

Ranita Suri Dewi -  Department of Community Nutrition, Faculty of Human Ecology, IPB University, Indonesia
Cesilia Meti Dwiriani* -  Department of Community Nutrition, Faculty of Human Ecology, IPB University, Indonesia
Ali Khomsan -  Department of Community Nutrition, Faculty of Human Ecology, IPB University, Indonesia
DOI : 10.30867/action.v9i2.1723

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The primary nutritional problem of adolescents is the triple burden of malnutrition. Factors that trigger nutritional problems in adolescents include poor eating habits, low nutritional and socioeconomic knowledge, and sedentary activities. This study aimed to analyze differences in nutrition knowledge, diet quality, and their relationship with nutritional status among rural and urban school adolescents in West Aceh. This study used a cross-sectional design, involving 312 adolescent schools in West Aceh in 2023. Data on nutritional knowledge were collected using a questionnaire filled out by the subjects themselves, intake data using 2x24-hour food recall, and anthropometric measurements such as BAZ and Percent Body Fat (PBF) using BIA scales and microtoice. Data were analyzed using Mann-Whitney and Spearman rank tests. There were significant differences in family characteristics, nutritional knowledge, and diet quality between the rural and urban school adolescents (p<0,05). There was a significant positive relationship between nutritional knowledge and diet quality and BAZ and PBF (p<0,05) only among rural school adolescents. In conclusion, family characteristics, nutritional knowledge, and diet quality differed significantly among the adolescents by region. In rural areas, nutritional knowledge and diet quality were significantly associated with BAZ and PBF. School adolescents' knowledge and diet quality remain low; therefore, nutrition education related to balanced nutrition guidelines is required.

 

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Keywords : Nutritional knowledge, DQI, Nutritional status, Adolescents, West Aceh

  1. Central Statistics Agency of Indonesia. (2010). Urban and Rural Classification in Indonesia. In Central Statistics Agency of Indonesia.
  2. Chatterjee, A., Gerdes, M. W., & Martinez, S. G. (2020). Identification of risk factors associated with obesity and overweight - a machine learning overview. Sensors, 20(9). https://doi.org/10.3390/s20092734
  3. Dali, W. P. E. W., Mohamed, H. J. J., & Yusoff, H. (2017). Nutrition knowledge, attitude and practices (NKAP) and health-related quality of life (HRQOL) status among overweight and obese children: an analysis of baseline data from the interactive multimedia-based nutrition education package (IMNEP) study. Malaysian Journal of Nutrition, 23(1), 17–29.
  4. Faradila, O. E., Kuswari, M., & Gifari, N. (2020). Differences in food choices and related factors among adolescent girls in city and district high schools. Nutri-Sains: Jurnal Gizi, Pangan Dan Aplikasinya, 3(2), 103. https://doi.org/10.21580/ns.2019.3.2.3406
  5. Fauziyah, N. (2019). Sampling and Sample Size in Public Health and Clinical Sectors. Politeknik Kesehatan Kemenkes Bandung.
  6. Grosso, G., Mistretta, A., Turconi, G., Cena, H., Roggi, C., & Galvano, F. (2013). Nutrition knowledge and other determinants of food intake and lifestyle habits in children and young adolescents living in a rural area of Sicily, South Italy. Public Health Nutrition, 16(10), 1827–1836. https://doi.org/10.1017/S1368980012003965
  7. Haq, U. I., Mariyam, Z., Li, M., Huang, X., Jiang, P., Zeb, F., Wu, X., Feng, Q., & Zhou, M. (2018). A comparative study of nutritional status, knowledge attitude and practices (KAP) and dietary intake between international and Chinese students in Nanjing, China. International Journal of Environmental Research and Public Health, 15(9), 1–11. https://doi.org/10.3390/ijerph15091910
  8. Haryana, N. R., Kustiyah, L., & Madanijah, S. (2017). The effect of multicomponent nutritional interventions for teachers, parents and elementary school students on knowledge, attitudes and availability of fruit and vegetables at home. Media Gizi Indonesia. 2019, 14(1), 44–55. https://doi.org/10.204736/mgi.v14i1.44-55
  9. Henriksson, P., Cuenca-García, M., Labayen, I., Esteban-Cornejo, I., Henriksson, H., Kersting, M., Vanhelst, J., Widhalm, K., Gottrand, F., Moreno, L. A., & Ortega, F. B. (2017). Diet quality and attention capacity in European adolescents: the healthy lifestyle in Europe by nutrition in adolescence (HELENA) study. British Journal of Nutrition, 117(11), 1587–1595. https://doi.org/10.1017/S0007114517001441
  10. Ilham, D., Harleni, H., & Miranda, S. R. (2019). The relationship between nutritional status, nutritional intake and family history with the incidence of hypertension in the elderly at the Lubuk Buaya Padang health center. Prosiding Seminar Kesehatan Perintis, 2(1), 1–7. https://jurnal.stikesperintis.ac.id/index.php/PSKP/article/view/334/196
  11. Intantiyana, M., Widajanti, L., & Rahfiludin, M. Z. (2018). The relationship between body image, physical activity and knowledge of balanced nutrition with the incidence of obesity in overnourished adolescent girls at SMA Negeri 9 Semarang City. Jurnal Kesehatan Masyarakat, 6(5), 404–412.
  12. Jagim, A. R., Fields, J. B., Magee, M., Kerksick, C., Luedke, J., Erickson, J., & Jones, M. T. (2021). The influence of sport nutrition knowledge on body composition and perceptions of dietary requirements in collegiate athletes. Nutrients, 13(7), 1–11. https://doi.org/10.3390/nu13072239
  13. Khomsan, A. (2021). Techniques for Measuring Nutritional Knowledge. IPB Press.
  14. Koricich, A. X. C. R. P. H. (2018). Understanding the effects of rurality and socioeconomic status on college attendance and institutional choice in the united states. The Review of Higher Education, 41(2), 281–305.
  15. Kumara, K. D. M., & Putra, I. W. G. A. E. (2022). Diet patterns, physical activity and nutritional status of students at SMA Negeri 1 Singaraja during the Covid-19 pandemic. Archive of Community Health, 9(1), 97. https://doi.org/10.24843/ach.2022.v09.i01.p07
  16. Kwol, Victoria Stephen, Kayode Kolawole Eluwole, Turgay Avci, T. T. L. (2020). Another look into the knowledge attitude practice (KAP) model for food control: an investigation of the mediating role of food handlers’ attitudes. Food Control, 110(1). https://doi.org/https://doi.org/10.1016/j.foodcont.2019.107025
  17. Miguel-Etayo, P. De, Moreno, L. A., Javier, S., Miguel, M.-M., Maria, Julian, C. A.-S., Amelia, M. del M., Campoy, C., Marcos, A., & Garagorri, J. M. (2018). Diet quality index as a predictor of treatment efficacyin overweight and obese adolescents: the Evasyon study group. Clinical Nutrition, 1(1), 1–9. https://doi.org/https://doi.org/10.1016/j.clnu.2018.02.032
  18. Ministry of Health Republic of Indonesia. (2013). Main Results of National Basic Health Research 2013. In Kementrian Kesehatan RI. https://doi.org/10.1126/science.127.3309.1275
  19. Ministry of Health Republic of Indonesia. (2014). Regulation of the Minister of Health of the Republic of Indonesia. In Kemenkes RI.
  20. Ministry of Health Republic of Indonesia. (2017). Indonesian Demographic and Health Survey: Adolescent Reproductive Health. Ministry of Health Republic of Indonesia.
  21. Ministry of Health Republic of Indonesia. (2018a). Main Results of National Basic Health Research 2018. In Kementrian Kesehatan RI.
  22. Ministry of Health Republic of Indonesia. (2018b). Main Results of National Basic Health Research of Aceh 2018.
  23. Nurwanti, E., Hadi, H., Chang, J.-S., Paramashati, B. A., & Gittelson, J. (2019). Rural-urban differences in dietary behavior and obesity: result of the Riskesdas study in 10-18 year old Indonesian children and adolescent. Nutrients, 11(2813), 1–14. www.mdpi.com/journal/nutrients
  24. Prasetya, G., & Khomsan, A. (2021). The knowledge, attitude and practice of mothers and children on the Indonesian Dietary Guidelines and the relationship with children’s nutritional status. J. Gizi Pangan, 16(28), 55–64.
  25. Rah, J. H., Melse-Boonstra, A., Agustina, R., van Zutphen, K. G., & Kraemer, K. (2021). The triple burden of malnutrition among adolescents in Indonesia. Food and Nutrition Bulletin, 42(IS), S4–S8. https://doi.org/10.1177/03795721211007114
  26. Taillie, L. S., Afeiche, M. C., Eldridge, A. L., & Popkin, B. M. (2015). Increased snacking and eating occasions are associated with higher energy intake among Mexican children aged 2-13 years. Journal of Nutrition, 145(11), 2570–2577. https://doi.org/10.3945/jn.115.213165
  27. Tambuwun, C. Y., Malonda, N. S. H., & Punuh, M. I. (2021). Description of the application of the principles of balanced nutrition to youth in Pinasungkulan Village, Modoinding District, South Minahasa Regency during the Covid-19 pandemic. Kesmas, 10(1), 194–202.
  28. Dewi, N. U., Khomsan, A., Dwiriani, C. M., Riyadi, H., Ekayanti, I., Hartini, D. A., & Fadjriyah, R. N. (2023). Factors associated with diet quality among adolescents in a post-disaster area : a cross-sectional study in Indonesia. Nutrients, 15(15), 1–20. https://doi.org/10.3390/nu15051101
  29. Vyncke, K., Fernandez, E. C., Fajó-Pascual, M., Cuenca-García, M., De Keyzer, W., Gonzalez-Gross, M., Moreno, L. A., Beghin, L., Breidenassel, C., & Kersting, M. (2013). Validation of the diet quality index for adolescents by comparison with biomarkers, nutrient and food intakes: The HELENA study. British Journal of Nutrition, 109(11), 2067–2078. https://doi.org/10.1017/S000711451200414X
  30. Walton, C., Taylor, J., Ogada, I., Agon, N., & Raynor, L. (2020). Associations among food security, BMI, diet diversity and food consumption patterns of women in rural Kenya. Afr. J. Food Agric. Nutr. Dev, 20(5), 16290–16308.
  31. Wardhani, D. A., Nissa, C., & Setyaningrum, Y. I. (2021). Increasing knowledge of young women through nutrition education using WhatsApp group media. Jurnal Unimus, 10(1), 31–37.
  32. Xu, F., Greene, G. W., Earp, J. E., Adami, A., Delmonico, M. J., Lofgren, I. E., & Greaney, M. L. (2020). Relationships of physical activity and diet quality with body composition and fat distribution in US adults. Obesity, 28(12), 2431–2440. https://doi.org/10.1002/oby.23018

Open Access Copyright (c) 2024 Ranita Suri Dewi, Cesilia Meti Dwiriani, Ali Khomsan
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This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

AcTion: Aceh Nutrition Journal
Published by: Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health.
Soekarno-Hatta Street, No. 168. Health Polytechnic of Aceh, Aceh Besar, 23352. Telp/Fax: 0651 46126 / 0651 46121.
Website: https://gizipoltekkesaceh.ac.id/
E-mail: jurnal6121@gmail.com

e-issn: 2548-5741, p-issn: 2527-3310

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