Efek integrated nutrition programme terhadap profil lipid dan komposisi tubuh pada remaja obes


Martha Ardiaria(1), Erin Ratna Kustanti(2), Ria Purnawian Sulistiani(3), Etika Ratna Noer(4*)

(1) Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro
(2) Fakultas Psikologi, Universitas Diponegoro
(3) Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro
(4) Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro
(*) Corresponding Author


The effect of integrated nutrition programme on lipid profile and body composition among adolescent obesity

Background: Obesity is a serious public health issue increasingly in the adolescent. Obesity in adolescence will continue into adulthood and lead to later health problems. The adolescent has high food dense calories which high fat and low in fiber that can trigger obesity. Integrated Nutrition Programme (INP) is an intervention model for obesity with an emphasis on a low-calorie diet, low fat, high fiber, moderate physical activity, and nutrition counseling.

Objective: This study aimed to evaluate the effect of INP on lipid profile and body composition in obese adolescents.

Methods: Quasi-experimental study pre-post trial design with a total of subjects 18 obese adolescents. Duration of intervention in subjects for four weeks with a hypocaloric diet, low fat, high fiber, and prepared by a dietician. Moderate exercise and dietary counseling were conducted on the subject regularly. Bodyweight (BW) and waist circumference (WC) were monitored once a week. Food record intake is done before and during the intervention.

Results: The mean weight loss of 1.55 kg. There is a difference in mean BW, WC, and BMI (p<0.01), whereas there were no significant differences in lipid profiles and body composition between before and after the intervention.

Conclusions: INP can significantly affect weight loss, BMI, and WC as well as a significant increase in physical activity.


adolescent obesity; integrated nutrition programme; lipid profile

Full Text:



  1. Bray G, Bouchard C. Handbook of obesity: epidemiology, etiology, and physiopathology. 3rd ed. USA: CRC Press Taylor & Farncis Group; 2014.
  2. Luglio HF. Obesitas translasional: aspek klinis dan molekuler dari kejadian obesitas. Yogyakarta: Gadjah Mada University Press; 2017.
  3. Lakshman R, Elks CE, Ong KK. Childhood obesity. Circulation. 2012;126(14):1770-9. doi: 10.1161/CIRCULATIONAHA.111.047738
  4. Lanoye A, Brown KL, LaRose JG. The transition into young adulthood: a critical period for weight control. Curr Diab Rep. 2017;17(11):114. doi: 10.1007/s11892-017-0938-4
  5. Fatusi AO, Hindin MJ. Adolescents and youth in developing countries: health and development issues in context. J Adolesc. 2010;33(4):499-508. doi: 10.1016/j.adolescence.2010.05.019
  6. Al-Hazzaa HM, Abahussain NA, Al-Sobayel HI, Qahwaji DM, Musaiger AO. Lifestyle factors associated with overweight and obesity among saudi adolescents. BMC Public Health. 2012;12:354. doi: 10.1186/1471-2458-12-354
  7. Kelly AS, Barlow SE, Rao G, Inge TH, Hayman LL, Steinberger J, et al. Severe obesity in children and adolescents: identification, associated health risks, and treatment approaches: a scientific statement from the American Heart Association. Circulation. 2013;128(15):1689-712. doi: 10.1161/CIR.0b013e3182a5cfb3
  8. Rathi N, Riddell L, Worsley A. Food consumption patterns of adolescents aged 14-16 years in Kolkata, India. Nutr J. 2017;16(1):50. doi: 10.1186/s12937-017-0272-3
  9. Jelalian E, Steele RG. Handbook of childhood and adolescent obesity. New York: Springer; 2008.
  10. Kementerian Kesehatan Republik Indonesia. Laporan riset kesehatan dasar (Riskesdas). Jakarta: Kemenkes RI; 2013.
  11. Usfar AA, Lebenthal E, Atmarita, Achadi E, Soekirman, Hadi H. Obesity as a poverty-related emerging nutrition problems: the case of Indonesia. Obes Rev. 2010;11(12):924-8. doi: 10.1111/j.1467-789X.2010.00814.x
  12. Popkin BM, Adair LS, Ng SW. Global nutrition transition and the pandemic of obesity in developing countries. Nutr Rev. 2012;70(1):3-21. doi: 10.1111/j.1753-4887.2011.00456.x
  13. Cui Z, Dibley MJ. Trends in dietary energy, fat, carbohydrate and protein intake in Chinese children and adolescents from 1991 to 2009. Br J Nutr. 2012;108(7):1292-9. doi: 10.1017/S0007114511006891
  14. Apovian CM. The causes, prevalence, and treatment of obesity revisited in 2009: what have we learned so far? Am J Clin Nutr. 2010;91(1):277S-279S. doi: 10.3945/ajcn.2009.28473A
  15. Boff R de M, Liboni RPA, Batista IP de A, de Souza LH, Oliveira M da S. Weight loss interventions for overweight and obese adolescents: a systematic review. Eat Weight Disord. 2017;22(2):211-229. doi: 10.1007/s40519-016-0309-1
  16. Al-Khudairy L, Loveman E, Colquitt JL, Mead E, Johnson RE, Rees K, et al. Diet, physical activity and behavioural interventions for the treatment of overweight or obese adolescents aged 12 to 17 years. Cochrane Database Syst Rev. 2017;6(6):CD012691. doi: 10.1002/14651858.CD012691
  17. Luglio HF, Eurike D, Huriyati E, Julia M, Susilowati R. Gene-lifestyle interaction: The role of SNPs in UCP2 -866G/A and UCP3 -55C/T on dietary intake and physical activity in Indonesian obese female adolescents. Med J Nutrition Metab. 2016;9(2):87-93.
  18. Sahoo K, Sahoo B, Choudhury AK, Sofi NY, Kumar R, Bhadoria AS. Childhood obesity: causes and consequences. J Family Med Prim Care. 2015;4(2):187-92. doi: 10.4103/2249-4863.154628
  19. Ard JD, Miller G, Kahan S. Nutrition interventions for obesity. Medi Clin North Am. 2016;100(6):1341-56. doi: 10.1016/j.mcna.2016.06.012
  20. Ben Ounis O, Elloumi M, Ben Chiekh I, Zbidi A, Amri M, Lac G, et al. Effects of two-month physical-endurance and diet-restriction programmes on lipid profiles and insulin resistance in obese adolescent boys. Diabetes Metab. 2008;34(6 Pt 1):595-600. doi: 10.1016/j.diabet.2008.05.011

DOI: https://doi.org/10.22146/ijcn.31594

Article Metrics

Abstract views : 3264 | views : 3219


  • There are currently no refbacks.

Copyright (c) 2019 Jurnal Gizi Klinik Indonesia

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

Jurnal Gizi Klinik Indonesia (JGKI) Indexed by:

web stats View My Stats