Association of chronotype, breakfast habits, and sleep quality with BMI-for-Age in adolescents
Adolescence is prone to nutritional imbalances. Research in SMPN 18 Surakarta showed that 50% of adolescents were thinned, 10% were overweight, and 3,3% were obese. This study aimed to analyze whether chronotype, breakfast habits, and sleep quality contribute to malnutrition among adolescents. This research was conducted in Surakarta City between November 2024-January 2025 and used a cross-sectional as the design with multistage sampling. The Lemeshow Formula showed that the minimum sample size was 106. The instruments used were MEQ, Breakfast Habits, and PSQI questionnaires as well as body weight and height measurements. Kolmogorov-Smirnov test showed that the data is normally distributed. Pearson used as the bivariate test and multiple linear regression as the multivariate test. There was no correlation between chronotype (p = 0,900; r = 0,011), breakfast habits (p = 0,298; r = 0,087), and sleep quality (p = 0,420; r = 0,067) and BMI-for-age. There was no correlation between all independent variables and the dependent variable (F = 0,585). This research concluded that there is no correlation between chronotype, breakfast habits, and sleep quality with BMI-for-age in adolescents. However, further research with more diverse subjects and lifestyle variables is required to confirm these findings.
Keywords : Chronotype, breakfast habits, sleep quality, BMI-for-age, adolescent
- Annan, R. A., Sowah, S. A., Apprey, C., Agyapong, N. A. F., Okonogi, S., Yamauchi, T., & Sakurai, T. (2020). Relationship between Breakfast Consumption, BMI Status and Physical Fitness of Ghanaian School-Aged Children. BMC Nutrition, 6(1), 1–9. https://doi.org/10.1186/s40795-020-00344-9
- Astrika Yunita, F., Hardiningsih, Yuneta, A. E. N., Sulaiman, E. A. S., & Ada, Y. R. (2020). Hubungan Pola Diet Remaja dengan Status Gizi. PLACENTUM Jurnal Ilmiah Kesehatan dan Aplikasinya, 8(2), 2020.
- Awianti, R. P. (2016). Hubungan antara Sarapan Pagi dengan Sindrom Dispepsia pada Remaja di SMP N 16 Surakarta. https://digilib.uns.ac.id/dokumen/detail/54244/Hubungan-Antara-Sarapan-Pagi-Dengan-Sindrom-Dispepsia-Pada-Remaja-Di-Smp-N-16-Surakarta. Accessed on August 2024.
- Bazzani, A., Marantonio, S., Andreozzi, G., Lorenzoni, V., Bruno, S., Cruz-Sanabria, F., d’Ascanio, P., Turchetti, G., & Faraguna, U. (2022). Late Chronotypes, Late Mealtimes. Chrononutrition and Sleep Habits during The COVID-19 Lockdown in Italy. Appetite, 172(October 2021), 105951. https://doi.org/10.1016/j.appet.2022.105951
- Cardoso, S., Correia, D., & Vilela, S. (2024). Associations between Chronotype, Diet Quality and Timing of Energy Intake in Portuguese Children and Adolescents: The Potential Role of Summer Holidays. Chronobiology International, 41(5), 647 – 657. https://doi.org/10.1080/07420528.2024.2339970
- Chan, N. Y., Zhang, J., Tsang, C. C., Li, A. M., Chan, J. W. Y., Wing, Y. K., & Li, S. X. (2020). The Associations of Insomnia Symptoms and Chronotype with Daytime Sleepiness, Mood Symptoms and Suicide Risk in Adolescents. Sleep Medicine, 74, 124–131. https://doi.org/10.1016/j.sleep.2020.05.035
- Eid, B., Bou Saleh, M., Melki, I., Torbey, P.-H., Najem, J., Saber, M., El Osta, N., & Rabbaa Khabbaz, L. (2020). Evaluation of Chronotype among Children and Associations with BMI, Sleep, Anxiety, and Depression. Frontiers in Neurology, 11. https://doi.org/10.3389/fneur.2020.00416
- Eka Wahyuningrum. (2021). Review: Gangguan Tidur Anak Usia Sekolah. Jurnal Keperawatan, 13(3), 213–226.
- Ferrante, G. R., Goldin, A. P., Sigman, M., & Leone, M. J. (2022). Chronotype at The Beginning of Secondary School and School Timing are Both Associated with Chronotype Development during Adolescence. Scientific Reports, 12(1), 1–14. https://doi.org/10.1038/s41598-022-11928-9
- Gale, E. L., James Williams, A., & Cecil, J. E. (2024). The Relationship between Multiple Sleep Dimensions and Obesity in Adolescents: A Systematic Review. Sleep Medicine Reviews, 73(November 2023), 101875. https://doi.org/10.1016/j.smrv.2023.101875
- Gülseven, S., Akder, R. N., & Küçükerdönmez, Ö. (2024). An Evaluation of Sleep Quality and Nutritional Status in Nurses with Different Chronotypes. Heliyon, 10(20), e39509. https://doi.org/https://doi.org/10.1016/j.heliyon.2024.e39509
- Halawa, D. A. P. T., Sudargo, T., & Siswati, T. (2022). Makan Pagi, Aktivitas Fisik, dan Makan Malam Berhubungan dengan Status Gizi Remaja di Kota Yogyakarta. Journal of Nutrition College, 11(2), 135–142. https://doi.org/10.14710/jnc.v11i2.33184
- Hasan, D. R. Z., Sundari, L. P. R., Primayanti, I. D. A. I. D., & Adiatmika, I. P. G. (2021). Correlation between Sleep Quality and Body Mass Index in Adolescents in Denpasar. Sport and Fitness Journal, 9(3), 176. https://doi.org/10.24843/spj.2021.v09.i03.p05
- Karadag, M., & Yilmaz, G. C. (2021). What is The Relationship between Obesity and New Circadian Rhythm Parameters in Turkish Children and Adolescents? A Case-Control Study. Journal of Pediatric Endocrinology and Metabolism, 34(6), 713 – 720. https://doi.org/10.1515/jpem-2020-0543
- Karan, M., Bai, S., Almeida, D. M., Irwin, M. R., McCreath, H., & Fuligni, A. J. (2021). Sleep–Wake Timings in Adolescence: Chronotype Development and Associations with Adjustment. Journal of Youth and Adolescence, 50(4), 628–640. https://doi.org/10.1007/s10964-021-01407-1
- Kemdikbudristek RI. (2024). Data Pokok Pendidikan. https://dapo.kemdikbud.go.id/pd/2/036100. Accessed on July 2024.
- Kemenkes RI. (2023). Survei Kesehatan Indonesia. https://drive.google.com/file/d/1rjNDG_f8xG6-Y9wmhJUnXhJ-vUFevVJC/view. Accessed on February 2025.
- Martinez-Lozano, N., Barraco, G. M., Rios, R., Ruiz, M. J., Tvarijonaviciute, A., Fardy, P., Madrid, J. A., & Garaulet, M. (2020). Evening Types Have Social Jet Lag and Metabolic Alterations in School-Age Children. Scientific Reports, 10(1). https://doi.org/10.1038/s41598-020-73297-5.
- Nabila, R. M. (2023). Hubungan Kebiasaan Sarapan dan Aktivitas Fisik dengan Status Gizi Remaja di Sekolah Menengah Atas Negeri 5 Tambun Selatan. https://repository.stikesmitrakeluarga.ac.id/repository/Miftah%20Rusyda%20Nabila_201902034_Skripsi.docx.pdf. Accessed on August 2024.
- Permatasari, A. D., Suwarni, A., Sutrisno, & Aryani, A. (2023). Hubungan Intensitas Penggunaan Media Sosial dengan Kualitas Tidur pada Remaja di SMP N 1 Juwiring. JIKI, 16(1), 42-49.
- Ria Wijayanti, M., Adiningsih, S., & Rachmah, Q. (2021). Hubungan Kebiasaan Melewatkan Sarapan dan Aktivitas Fisik dengan Obesitas Abdominal pada Mahasiswa. Amerta Nutr, 115–120. https://doi.org/10.20473/amnt.v5i2.2021.
- Rosa, D. E., Marot, L. P., de Mello, M. T., Marqueze, E. C., Narciso, F. V., de Araújo, L. B., & Crispim, C. A. (2021). Association between Chronotype and Psychomotor Performance of Rotating Shift Workers. Scientific Reports, 11(1). https://doi.org/10.1038/s41598-021-86299-8
- Saepulloh, A., Rustina, R., & Joni. (2023). Pengaruh Chronotype Terhadap Prestasi Belajar Siswa di Sekolah Dasar Negeri dan Sekolah Dasar Islam Terpadu. Jurnal Siliwangi Seri Pendidikan, 9(1-15), 27-30. https://doi.org/10.37058/jspendidikan.v9il.6695
- Setyowati, A. & Chung, M. H. (2021). Validity and Reliability of The Indonesian Version of The Pittsburgh Sleep Quality Index in Adolescents. Int J Nurs Pract, 27(5). https://doi.org/10.1111/ijn.12856.
- Suja’I, M. N. M., Noviasty, R., Kurniawati, E. R., & Wisnuwardani, R. W. (2022). The Association between Sleep Duration, Breakfast Routine and Nutritional Status in Indonesian Adolescents during COVID-19 Pandemic. Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition), 10(2), 168–180. https://doi.org/10.14710/jgi.10.2.168-180
- Tristianingsih, J., & Handayani, S. (2021). Determinan Kualitas Tidur Mahasiswa Kampus A di Universitas Muhammadiyah Prof DR Hamka. Perilaku dan Promosi Kesehatan: Indonesian Journal of Health Promotion and Behavior, 3(2), 120. https://doi.org/10.47034/ppk.v3i2.5275
- Tussey, E. J., Hillebrant-Openshaw, M., & Wong, M. M. (2024). Bidirectional Relationships between Chronotype and Sleep Hygiene in Children with and without Parental History of Alcohol Use Disorder. Sleep Health, xxxx, 1–7. https://doi.org/10.1016/j.sleh.2024.09.007
- Utami, N. P., Ayuningtyas, C. E., & Pertiwi, P. C. (2023). The Relationship of Breakfast Habits, Coffee Consumption, and Sleep Duration with Obesity Incidence in University Students. Majalah Kesehatan Indonesia, 4(1), 11–16. https://doi.org/10.47679/makein.2023110
- Wardoyo, M. P., & Medise, B. E. (2020). Correlation of Overweight Nutritional Status and Sleep Quality in 16–18 Years Old Teenagers in South Jakarta. World Nutrition Journal, 4(S3), 42. https://doi.org/10.25220/wnj.v04.s3.0030
- Wikanti, C. Z. A., Said, I., & Khairunnisa A. (2024). Hubungan Kebiasaan Sarapan, Kualitas Tidur, dan Body Image dengan Indeks Massa Tubuh/Umur Remaja di SMAN 32 Jakarta. Media Gizi Ilmiah Indonesia. 2(10), 1–10.
- Yang, Y., Li, S.-X., Zhang, Y., Wang, F., Jiang, D.-J., Wang, S.-J., Cao, P., & Gong, Q.-H. (2023). Chronotype is associated with eating behaviors, physical activity and overweight in school-aged children. Nutrition Journal, 22(1). https://doi.org/10.1186/s12937-023-00875-4
- Yeo, G. S., Lee, S. T., Wong, J. E., Khouw, I., Safii, N. S., & Poh, B. K. (2024). Association of Breakfast Skipping on Nutrient Intake and Adiposity in Malaysian Children: Findings from SEANUTS II. Appetite, 201(June). https://doi.org/10.1016/j.appet.2024.107607
- Yula, I. M. (2021). Gambaran Pola Tidur pada Mahasiswa Ilmu Keperawatan Universitas Muhammadiyah Malang di Masa Pandemi Covid-19.
- Yurtdaş Depboylu, G., & Şimşek, B. (2025). The Interplay between Sleep Quality, Hedonic Hunger, and Adherence to The Mediterranean Diet among Early Adolescents. Appetite, 206(November 2024). https://doi.org/10.1016/j.appet.2024.107845


This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.