Analysis of Family Nutrition and Physical Activity (FNPA) and food security as predictors of adolescent obesity at SMAN 98 Jakarta

Annisa Yuri Ekaningrum* -  Faculty of Health Sciences, Nutrition Study Program, Universitas Indonesia Maju, 50 Harapan Street, South Jakarta, DKI Jakarta, Indonesia
Hilda Carmitha Panjaitan -  Faculty of Health Sciences, Nutrition Study Program, Universitas Indonesia Maju, 50 Harapan Street, South Jakarta, DKI Jakarta, Indonesia
Dany Permana -  Nutrition Study Program, STIKES Cianjur, Indonesia
DOI : 10.30867/action.v11i2.2984

Obese adolescents are at an increased risk of obesity in adulthood. The Family Nutrition and Physical Activity (FNPA) screening tool was developed for children and adolescents to identify families at risk and facilitate early obesity counseling and intervention strategies. This study aimed to examine the association between family nutrition and physical activity (FNPA), household food security, and nutritional status among adolescents. A cross-sectional study was conducted at SMAN 98 Jakarta, involving 318 students in June and July 2026. Nutritional status was assessed using BMI-for-age, FNPA was measured using a standardized questionnaire, and food security was assessed using the Household Food Insecurity Access Scale. Data were analyzed using chi-square tests, correlation analysis, and multinomial logistic regression analysis. The results showed No significant association was found between food security and nutritional status (p = 0.448). FNPA scores were not significantly correlated with BMI-for-age Z-scores (r = 0.018; p = 0.751). Multinomial logistic regression analysis showed that sex was the only variable significantly associated with nutritional status, with female adolescents more likely to have a normal nutritional status than undernutrition (p = 0.036; OR = 2.934; 95% CI: 1.073–8.022). In conclusion, these findings suggest that family environment and household food security alone may not sufficiently explain adolescent obesity, highlighting the role of broader behavioral and environmental factors in adolescent obesity.

Keywords : FNPA, food security, nutritional status, obesity, students

  1. Angesti, A., Manikam, R., Prikhatina, R., & Tifani, A. (2022). Analysis of nutrition knowledge and health education in adolescents. Jurnal Inovasi Pendidikan MH Thamrin, 6, 104–111. https://doi.org/10.37012/jipmht.v6i2.1376
  2. Badriyah, L., & Ekaningrum, A. Y. (2022). Perbedaan faktor risiko obesitas di pedesaan dan perkotaan pada orang dewasa di Indonesia: Analisis data Riskesdas 2018.
  3. Brambila-Paz, C., Hernandez-Angeles, D. F., Silverio-Murillo, A., & Rodriguez-Tirado, A. (2022). Family factors affecting the transition of children from normal weight to obesity in Mexico. Childhood Obesity, 18(2), 112–119. https://doi.org/10.1089/chi.2021.0048
  4. Coleman-Jensen, A., Rabbitt, M. P., Gregory, C. A., & Singh, A. (2021). Household food security in the United States in 2020. United States Department of Agriculture.
  5. Elvsaas, I. K. Ø., Giske, L., Fure, B., & Juvet, L. K. (2017). Multicomponent lifestyle interventions for treating overweight and obesity in children and adolescents: A systematic review and meta-analyses. Journal of Obesity, 2017, 5021902. https://doi.org/10.1155/2017/5021902
  6. Gianfredi, V., Nucci, D., Soysal, P., Maggi, S., Castagna, A., & Veronese, N. (2025). Food insecurity is associated with obesity and abdominal obesity among older adults: A cross-sectional analysis of ELSA study. Nutrition, 140, 112879. https://doi.org/10.1016/j.nut.2025.112879
  7. Hakimi, A. N. Q., Sholichah, F., & Hayati, N. (2023). Hubungan uang saku dan pola konsumsi makanan terhadap status gizi siswa SMP Negeri 16 Semarang. Jurnal Ilmiah Gizi Kesehatan, 4(2), 32–36.
  8. Herbenick, S. K., James, K., Milton, J., & Cannon, D. (2018). Effects of family nutrition and physical activity screening for obesity risk in school-age children. Journal for Specialists in Pediatric Nursing, 23(4). https://doi.org/10.1111/jspn.12229
  9. Intantiyana, M., Widajanti, L., & Rahfiludin, M. Z. (2018). Hubungan citra tubuh, aktivitas fisik dan pengetahuan gizi seimbang dengan kejadian obesitas pada remaja putri. Jurnal Kesehatan Masyarakat (e-Journal), 6(5), 404–412.
  10. Kamaruddin, I., Kustiyah, L., Riyadi, H., & Junus, R. (2023). Factors influencing nutritional status in overweight and obese adolescents. Amerta Nutrition, 7(2SP), 311–319. https://doi.org/10.20473/amnt.v7i2SP.2023.311-319
  11. Kansra, A. R., Lakkunarajah, S., & Jay, M. S. (2021). Childhood and adolescent obesity: A review. Frontiers in Pediatrics, 8, 581461. https://doi.org/10.3389/fped.2020.581461
  12. Kementerian Kesehatan Republik Indonesia. (2023). Survei kesehatan Indonesia (SKI) 2023.
  13. Kocaadam-Bozkurt, B., Sözlü, S., & Macit-Çelebi, M. S. (2022). Exploring the understanding of how parenting influences children’s nutritional status, physical activity, and BMI. Frontiers in Nutrition, 9, 1096182. https://doi.org/10.3389/fnut.2022.1096182
  14. Lassi, Z. S., Moin, A., Das, J. K., Salam, R. A., & Bhutta, Z. A. (2017). Systematic review on evidence-based adolescent nutrition interventions. Annals of the New York Academy of Sciences, 1393(1), 34–50. https://doi.org/10.1111/nyas.13335
  15. Ma, L., Gao, L., Chiu, D. T., Ding, Y., Wang, Y., & Wang, W. (2020). Overweight and obesity impair academic performance in adolescence: A national cohort study of 10,279 adolescents in China. Obesity, 28(7), 1301–1309. https://doi.org/10.1002/oby.22801
  16. Mahriani, Y., & Indriyanti, R. (2022). A cross-sectional study on dietary assessment, oral hygiene behavior, and oral health status of adolescent girls. Frontiers in Nutrition. https://doi.org/10.3389/fnut.2022.973241
  17. Marsyusman, T., Imtihanah, S., & Firdausa, N. I. (2020). Kombinasi diet tinggi serat dan senam aerobik terhadap profil lipid darah pada pasien dislipidemia.
  18. Pengpid, S., & Peltzer, K. (2019). Prevalence and correlates of underweight and overweight/obesity among women in India. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 12, 647–653. https://doi.org/10.2147/DMSO.S206855
  19. Prasetyaningtyas, D., & Nindya, T. S. (2018). Hubungan antara ketersediaan pangan dengan keragaman pangan rumah tangga buruh tani. Media Gizi Indonesia, 12(2), 149–155. https://doi.org/10.20473/mgi.v12i2.149-155
  20. Sagre, S., & Ahlawat, R. P. (2023). Analysis of mobile phone dependence and physical activity level among school students. SSHA, 1(2), 128–133. https://doi.org/10.60081/SSHA.1.2.2023.128-133
  21. Tham, K. W., Abdul Ghani, R., Cua, S. C., et al. (2023). Obesity in South and Southeast Asia—A new consensus on care and management. Obesity Reviews, 24(2). https://doi.org/10.1111/obr.13520
  22. Tucker, J. M., Howard, K., Guseman, E. H., Yee, K. E., Saturley, H., & Eisenmann, J. C. (2017). Association between the family nutrition and physical activity screening tool and obesity severity in youth referred to weight management. Obesity Research & Clinical Practice, 11(3), 268–275. https://doi.org/10.1016/j.orcp.2016.09.007
  23. UNICEF Indonesia. (2022). Analisis lanskap kelebihan berat badan dan obesitas di Indonesia. UNICEF.
  24. Uslu, S. (2024). The relationship between obesity and the family nutrition and physical activity environment in children aged 5–14 years.
  25. WHO. (2025). Global status report on noncommunicable diseases. World Health Organization.

Open Access Copyright (c) 2026 Annisa Yuri Ekaningrum, Hilda Carmitha Panjaitan, Dany Permana
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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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