Associations between knowledge, attitudes, junk food consumption, and obesity risk among productive age adults in Aceh, Indonesia

Marniati Marniati* -  Bachelor of Health Administrator, Faculty of Health, University of Deztron, Medan City, Indonesia
Chairanisa Anwar -  Bachelor in Midwifery, Faculty of Health, University of Ubudiyah, Aceh, Indonesia
Putri Mauliza -  Bachelor in Public Health, Faculty of Health, University of Ubudiyah, Aceh, Indonesia
Obesity has become a global public health problem with increasing prevalence. In Indonesia, Aceh ranks 10th out of 38 provinces, with an obesity prevalence of 24.4%. The number of obesity cases in Aceh Besar Regency among individuals of productive age has increased, despite an overall decline in patient visits between 2022 and 2024. This study aimed to analyze the relationship between knowledge, attitudes, and consumption habits of junk food and the risk of obesity in individuals of productive age. This observational analytical study with a case-control design was conducted in Aceh Besar between May and June 2025. The sample consisted of 120 productive-age adults (15–64 years) selected through proportional sampling methods. Knowledge, attitudes, and junk food consumption were measured using a structured questionnaire that had been tested for validity, and data analysis was performed using the chi-square test. The results showed a significant relationship between knowledge (p=0.017; OR=0.375) and junk food consumption habits (p=0.001; OR=0.269) and the incidence of obesity. Conversely, attitudes did not show a statistically significant relationship with the risk of obesity (p=0.083; OR=0.509). In conclusion, nutritional knowledge and junk food consumption habits are important factors in the risk of obesity in individuals of productive ages. Strengthening nutrition education and reducing fast-food consumption are recommended community-based obesity prevention measures.

Keywords : Attitudes, junk food consumption, nutritional knowledge, obesity

  1. Alomari, W. D., & Almoraie, N. M. (2025). Ultra-processed food intake and its association with obesity risk factors, Mediterranean diet, and nutrient intake of adults. Frontiers in Nutrition, 12, 7231. https://doi.org/10.3389/fnut.2025.1577431
  2. Al Rahmad, A. H., & Annisa, S. F. (2025). Video animasi sebagai media penyuluhan dapat meningkatkan pengetahuan dan sikap remaja tentang bahaya fast food. Media Penelitian dan Pengembangan Kesehatan, 35(1), 11–18. https://doi.org/10.34011/jmp2k.v35i1.2054
  3. Annisa, M., Atmadja, T. F. A.-G., & Susilowati, P. E. (2022). Tingkat pengetahuan dan kebiasaan konsumsi junk food dengan status gizi pada mahasiswa Program Studi Gizi Universitas Siliwangi. Nutrition Scientific Journal, 1(1), 21–29. https://doi.org/10.37058/nsj.v1i1.5804
  4. Asmarani, A., Alriansyah, A. U., Paddo, J., & Indriyani, N. (2018). Analisis aktivitas fisik dan konsumsi makanan cepat saji sebagai faktor risiko terhadap obesitas pada siswa siswi SMA Negeri 1 Kendari. Health Information: Jurnal Penelitian, 10(2), 74–81. https://doi.org/10.36990/hijp.v10i2.60
  5. Ayuningtyas, D., Kusuma, D., Amir, V., Tjandrarini, D. H., & Andarwati, P. (2022). Disparities in obesity rates among adults: Analysis of 514 districts in Indonesia. Nutrients, 14(16), 3332. https://doi.org/10.3390/nu14163332
  6. Balitbangkes RI. (2018). Laporan RISKESDAS Provinsi Aceh 2018. Badan Penelitian dan Pengembangan Kesehatan.
  7. Brauer, M., Roth, G. A., Aravkin, A. Y., Zheng, P., Abate, K. H., Abate, Y. H., Abbafati, C., Abbasgholizadeh, R., Abbasi, M. A., Abbasian, M., Abbasifard, M., Abbasi-Kangevari, M., Abd ElHafeez, S., Abd-Elsalam, S., Abdi, P., Abdollahi, M., Abdoun, M., Abdulah, D. M., Abdullahi, A., … Gakidou, E. (2024). Global burden and strength of evidence for 88 risk factors in 204 countries and 811 subnational locations, 1990–2021: A systematic analysis for the Global Burden of Disease Study 2021. The Lancet, 403(10440), 2162–2203. https://doi.org/10.1016/S0140-6736(24)00933-4
  8. Cui, Y., Qi, Q., Sun, Y., Liu, R., Yin, W., & Liu, H. (2025). Nutrition literacy is associated with general obesity, abdominal obesity, and body fat percentage obesity. Frontiers in Nutrition, 12),5725. https://doi.org/10.3389/fnut.2025.1555725
  9. Damayanti, R., Lutfiya, I., Handayani, N. S., Wardani, R. W. K., Linggarwati, Y. P., & Sweri, A. I. (2024). Determinant factors of knowledge about obesity among workers in the chemical industry in Surabaya City, East Java Province. Indonesian Journal of Occupational Safety and Health, 13(1), 87–95. https://doi.org/10.20473/ijosh.v13i1.2024.87-95
  10. Hadi, S. D. P., Soeyono, R. D., Sutiadiningsih, A., & Miranti, M. G. (2025). The influence of nutritional knowledge and food choice attitudes on the eating behavior of adolescents in Kediri District. Media Pendidikan Gizi dan Kuliner, 17(1), 45–52. https://doi.org/10.17509/mpgk.v17i1.83036
  11. Huo, Y., Monma, T., Kataoka, C., & Takeda, F. (2024). Dietary knowledge, attitudes, and behaviors related to obesity and highly underweight among urban Chinese high school students: A cross-sectional study. International Journal of Public Health, 69, 840. https://doi.org/10.3389/ijph.2024.1606840
  12. Klein, S., Gastaldelli, A., Yki-Järvinen, H., & Scherer, P. E. (2022). Why does obesity cause diabetes? Cell Metabolism, 34(1), 11–20. https://doi.org/10.1016/j.cmet.2021.12.012
  13. Kristiana, T., Hermawan, D., Febriani, U., & Farich, A. (2020). Hubungan antara pola tidur dan kebiasaan makan junk food dengan kejadian obesitas pada mahasiswa Universitas Malahayati tahun 2019. Human Care Journal, 5(3), 750. https://doi.org/10.32883/hcj.v5i3.758
  14. Labatjo, R., Tumenggung, I., & Al Rahmad, A. H. (2023). Insulin resistance, visceral fat, and vitamin D in overweight and obesity adolescents. Universal Journal of Public Health, 11(4), 463–471. https://doi.org/10.13189/ujph.2023.110411
  15. Lu, W., Ou, T., Song, Q., Shi, Z., Sun, Z., Shen, L., Ma, W., Mai, S., Wang, Z., & Zang, J. (2025). Ultra-processed food consumption is associated with an increased risk of abdominal obesity in adults: A cross-sectional study in Shanghai. Foods, 14(22), 3955. https://doi.org/10.3390/foods14223955
  16. Lukmana, E. D., Larasati, M. D., & Jaelani, M. (2023). Knowledge of dietary recommendations, food availability, and food selection attitudes of adults during the COVID-19 pandemic. Indonesian Journal of Human Nutrition, 10(1), 42–50. https://doi.org/10.21776/ub.ijhn.2023.010.01.5
  17. Maulina, Y. R., Margawati, A., Purwanti, R., Fahmy, A., & Tsani, A. (2022). Differences in eating habits and physical activity before and during distance learning. Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition), 10(2).
  18. Moschonis, G., & Trakman, G. L. (2023). Overweight and obesity: The interplay of eating habits and physical activity. Nutrients, 15(13), 2896. https://doi.org/10.3390/nu15132896
  19. Mulia, E. P. B., Fauzia, K. A., & Atika, A. (2021). Abdominal obesity is associated with physical activity index in Indonesian middle-aged adult rural population: A cross-sectional study. Indian Journal of Community Medicine, 46(2), 317–320. https://doi.org/10.4103/ijcm.IJCM_947_20
  20. Netty, N., Jalpi, A., & Qariati, N. I. (2022). Hubungan pengetahuan, frekuensi konsumsi fast food dan genetik dengan kejadian obesitas mahasiswa Fakultas Kesehatan Masyarakat Uniska MAB Banjarmasin. Promotif: Jurnal Kesehatan Masyarakat, 12(2), 142–146. https://doi.org/10.56338/promotif.v12i2.2732
  21. Nguyen, T. H., Pletsch-Borba, L., Feindt, P. H., Stokes, C. S., Pohrt, A., Meyer, N. M. T., Wernicke, C., Sommer-Ballarini, M., Apostolopoulou, K., Hornemann, S., Grune, T., Brück, T., Pfeiffer, A. F. H., Spranger, J., & Mai, K. (2024). The effect of individual attitude toward healthy nutrition on adherence to a high-UFA and high-protein diet: Results of a randomized controlled trial. Nutrients, 16(17), 3044. https://doi.org/10.3390/nu16173044
  22. Nisrina, N., Fahdhienie, F., & Rahmadhania, R. (2023). Hubungan aktivitas fisik, umur dan jenis kelamin terhadap obesitas pekerja kantor Bupati Aceh Besar. [data tidak tersedia], 6(5). http://journal.unpacti.ac.id/index.php/JPP
  23. Nugroho, P. S., & Hikmah, A. U. R. (2020). Kebiasaan konsumsi junk food dan frekuensi makan terhadap obesitas. Jurnal Dunia Kesmas, 9(2), 185–191. https://doi.org/10.33024/jdk.v9i2.3004
  24. O’Leary, M., Mooney, E., & McCloat, A. (2025). The relationship between nutrition knowledge and dietary intake of university students: A scoping review. Dietetics, 4(2), 16. https://doi.org/10.3390/dietetics4020016
  25. Pineda, E., Stockton, J., Scholes, S., Lassale, C., & Mindell, J. S. (2024). Food environment and obesity: A systematic review and meta-analysis. BMJ Nutrition, Prevention & Health, 7(1), 204–211. https://doi.org/10.1136/bmjnph-2023-000663
  26. Putra, E. S., Irfan, A., Nopindra, A., Al Rahmad, A. H., & Dahliansyah, D. (2025). Nutrition education based on the “My T Plate” model enhances adolescents’ knowledge in preventing central obesity. Proceeding International Conference Health Polytechnic of Jambi, 5, 213–217.
  27. Putra. (2017). The association between dietary pattern, physical activity, sedentary activity and overweight at SMA Negeri 5 Surabaya. https://doi.org/10.20473/jbe.v5i3.2017
  28. Setia, M. (2016). Methodology series module 2: Case-control studies. Indian Journal of Dermatology, 61(2), 146. https://doi.org/10.4103/0019-5154.177773
  29. World Obesity Federation. (2022). The economic impact of overweight & obesity in 2020 and 2060: 2nd edition with estimates for 161 countries: Authorship and original sources.
  30. Zaim, A. (2019). Gambaran Pengetahuan, Sikap, dan Tindakan Pelajar Tentang Makanan Cepat Saji (Fast Food) di MTs Al-Manar Medan. BEST Journal, 2(1), 46-52.

Open Access Copyright (c) 2025 Marniati, Chairanisa Anwar, Putri Mauliza
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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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