Pemanfaatan sekolah sebagai sarana pencegahan obesitas sejak dini pada remaja

https://doi.org/10.22146/jcoemph.39796

Harry Freitag Luglio Muhammad(1*)

(1) Departemen Gizi Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


Obesity among adolescents is a new nutritional problem in Indonesia. This is not only associated with increased risk for obesity in later life but also increased the risk for cardiovascular diseases, type 2 diabetes mellitus, hypertension, and other non-communicable diseases. Therefore an effective and integrated obesity prevention program is highly warranted. There are several community-based programs for obesity prevention that have been developed in the past few decades and school-based activity is one of the potential programs that could be implemented in the Indonesian setting. School is a strategic location for obesity prevention programs in the adolescents because school is the place where most of the adolescents spending their time outside their home. In addition, a school also a centralized community where health and nutrition promotion programs can be done at the same time. In 2012, the Indonesian Ministry of Health published a guidebook on the prevention and treatment of adolescents with obesity at school. However, this guideline only focusing on the role of health workers at puskesmas level and not detailing the role of the school in managing obesity prevention program. Thus, this review was made to provide an alternative solution for obesity prevention in adolescent via programs that can be done at school. Author aimed this review for school managers, puskesmas health workers, the local department of health, researcher and non-government organization that has the concern regarding adolescents health especially in relation to nutrition. This review can be a foundation for the development and implementation of school-based obesity prevention programs as well as a reference for the development of school policy.


Keywords


obesity prevention; adolescents; school; lifestyle

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References

  1. Daniels SR, Arnett DK, Eckel RH, Gidding SS, Hayman LL, Kumanyika S, et al. Overweight in children and adolescents: Pathophysiology, consequences, prevention, and treatment. Circulation. 2005;111(15):1999-2012.
  2. Dietz WH. Overweight in childhood and adolescence. N Engl J Med. 2004;350(9): 855-7.
  3. Gupta N, Goel K, Shah P, Misra A. Childhood obesity in developing countries: Epidemiology, determinants, and prevention. Endocr Rev. 2012;33(1):48-70.
  4. Kementerian Kesehatan Republik Indonesia. Riset kesehatan dasar 2013. Jakarta: Kementerian Kesehatan Republik Indonesia; 2014.
  5. Steinberger J, Moran A, Hong CP, Jacobs DRJr, Sinaiko AR. Adiposity in childhood predicts obesity and insulin resistance in young adulthood. J. Pediatr. 2001;138(4):469-73.
  6. Sinaiko AR, Donahue RP, Jacobs DR Jr., Prineas RJ. Relation of weight and rate of increase in weight during childhood and adolescence to body size, blood pressure, fasting insulin, and lipids in young adults: The Minneapolis Children's blood pressure study. Circulation. 1999;99(11):1471-6.
  7. Huriyati E, Luglio HF, Ratrikaningtyas PD, Tsani AFA, Sadewa AH, Juffrie M. Dyslipidemia, Insulin resistance and dietary fat intake in obese and normal weight adolescents: The role of uncoupling protein 2 gene polymomrphism. Int J Mol Epidemiol Genet. 2016;7(1):67-73.
  8. Muhammad H, Huriyati E, Susilowati R, Julia M. Magnesium intake and insulin resistance in obese adolescent girls. Paediatr Indones. 2009;49(4):200.
  9. World Health Organization. Noncommunicable Diseases (NCD) country profiles. World Health Organization; 2018 [cited 2018 Oct 16]. Available from: www.who.int/nmh/countries/idn_en.pdf
  10. Mahdiah, Hadi J, Susetyowati. Prevalensi obesitas dan hubungan konsumsi fast food dengan kejadian obesitas pada remaja SLTP kota dan desa di Daerah Istimewa Yogyakarta. Jurnal Gizi Klinik Indonesia. 2004;1(2).
  11. D'Addesa D, D'Addezio L, Martone D, Censi L, Scanu A, Cairella G, et al. Dietary intake and physical activity of normal weight and overweight/obese adolescents. Int J Pediatr. 2010;2010: 785649.
  12. Pereira HR, Bobbio TG, Antonio MÂ, Barros FAA. Childhood and adolescent obesity: How many extra calories are responsible for excess of weight? Rev Paul Pediatr. 2013;31(2): 252-7.
  13. Harrington S. The role of sugar-sweetened beverage consumption in adolescent obesity: a review of the literature. J Sch Nurs. 2008;24(1): 3-12.
  14. Kementerian Kesehatan Republik Indonesia. Pedoman pencegahan dan penanggulangan kegemukan dan obesitas pada anak sekolah. Jakarta: Kementerian Kesehatan Republik Indonesia; 2012.
  15. Muckelbauer R1, Libuda L, Clausen K, Reinehr T, Kersting M. A simple dietary intervention in the school setting decreased inci- dence of overweight in children. Obes Facts. 2009;2(5):282-5.
  16. Weihrauch-Blüher S, Kromeyer-Hauschild K, Graf C, Widhalm K, Korsten-Reck U, Jödicke B, et al. Current guidelines for obesity prevention in childhood and adolescence. Obes Facts. 2018;11(3):263–76.
  17. Sobol-Goldberg S, Rabinowitz J, Gross R. School-based obesity prevention programs: a meta-analysis of randomized controlled trials. Obesity (Silver Spring). 2013;21(12):2422–8.
  18. Marliya. Efektivitas penyuluhan “Pedoman Gizi Seimbang (PGS)” dengan metode ceramah-audiovisual dalam meningkatkan pengetahuan gizi dan merubah pola makan pada remaja (SMA) gizi lebih di Kota Yogyakarta [thesis]. Yogyakarta: Universitas Gadjah Mada; 2015.
  19. Maulana HDJ. Promosi kesehatan. Jakarta: EGC; 2009.
  20. Wicaksari SA. Penggunaan sosial media sebagai media penyuluhan terhadap perubahan pola makan pada siswa SMA dengan status gizi obesitas di Kota Yogyakarta [thesis]. Yogyakarta: Universitas Gadjah Mada; 2016.
  21. Ip P, Ho FK, Louie LH, Chung TW, Cheung YF, Lee SL, et al. Childhood obesity and physical activity-friendly school environments. J Pediatr. 2017;191:110-6.
  22. Kementerian Kesehatan Republik Indonesia. Pedoman gizi seimbang. Jakarta: Kementerian Kesehatan Republik Indonesia; 2014.
  23. Menschik D, Ahmed S, Alexander MH, Blum RW. Adolescent physical activities as predictors of young adult weight. JAMA Pediatr. 2008;162(1):29-33.
  24. Mahar M, Murphy S, Rowe D, Golden J, Shields T, Raedeke T. Effects of a classroom-based program on physical activity and on-task behavior. Med Sci Sports Exerc. 2006;38(12):2086–94.
  25. Trudeau F, Shephard RJ. Physical education, school physical activity, school sports, and academic performance. Int J Behav Nutr Phys Act. 2008;5:10.
  26. Gleason P, Suitor C. Food for thought: Children’s diets in the 1990s. Princeton, N.J.: Mathematica Policy Research; 2001.
  27. Story M, Nanney MS, Schwartz MB. Schools and obesity prevention: Creating school environments and policies to promote healthy eating and physical activity. The Milbank Q. 2009;87(1):71–100.
  28. Gordon A, Fox MK. School Nutrition Dietary Assessment Study-III: Summary of findings, November. 2007 [cited 2018 Oct 16]. Available from: https://fns-prod.azureedge.net/sites/default/files/SNDAIII-Vol1.pdf



DOI: https://doi.org/10.22146/jcoemph.39796

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