1.Food Intake, Dietary Quality and Nutritional Status of Female Adolescent in Tasikmalaya, West Java, Indonesia
Lilik hidayanti ; Dian Saraswati ; Iseu Siti Aisyah
Malaysian Journal of Medicine and Health Sciences 2023;19(No.6):95-100
Introduction: Poor nutritional status of female adolescents does not only have an impact on themselves but also have
an impact on the next generation. Food intake and dietary quality are important to support nutritional status during
adolescence. This study aims to determine the relationship between food intake and dietary quality with nutritional
status of female adolescent in Tasikmalaya, West Java, Indonesia. Methods: This research was an observational study
using a cross-sectional design. The subjects of this study were female adolescents aged 12-18 years with a total sample of 222 people. Data of food intake and dietary quality were measured using recall method, while nutritional status data were calculated using BMI for Age Z scores (BAZ). A linear regression model was used to predict the relationship of food intake and dietary quality to the nutritional status of female adolescents. Results: The average BAZ was
0.1±1.0, with an average dietary quality of 34.6±6.6%. The average energy intake was 1507.9±472.3 kcal, protein
32.4±11.0 g, carbohydrates 258.6±84.4 g, fat 44.9±19.9 g and fiber 3.88±2.7 g. Food intake (energy, protein, and
fiber) and dietary quality were related to nutritional status (BAZ) in female adolescents (p<0.05). Conclusion: The balance of food intake and dietary quality is important to maintain the nutritional status of female adolescent properly.
Nutritional interventions are needed to support female adolescent entering pregnancy with good nutritional status.
2.Associations between quantity and quality of dietary intake with haemoglobin concentration among female adolescents in Tasikmalaya, West Java, Indonesia
Lilik Hidayanti ; Dian Saraswati ; Iseu Siti Aisyah
Malaysian Journal of Nutrition 2024;30(No.1):87-94
Introduction: An imbalance in diet can lead to anaemia in young women, which
can impact not only themselves, but also the next generation. This study aimed
to determine associations between quantity and quality of dietary intake with
haemoglobin (Hb) concentration among female adolescents in Tasikmalaya, West
Java, Indonesia. Methods: A cross-sectional study was conducted on 347 young
women aged 12-18 years from ten districts in Tasikmalaya City, selected by simple
random sampling. Quantity and quality of dietary intake were measured by 2-repeated
24-hour dietary recalls, while portable haemoglobinometer (HemoCue® Hb 201+) was
used to measure Hb concentration. Linear regression model predicted associations
between quantity and quality of dietary intake with Hb concentration in female
adolescents. Results: The proportion of subjects suffering from anaemia were
47.3%. Average intake of dietary iron was 6.7±3.0 mg and average dietary quality
score was 32.6%. Dietary quality score and days of menstrual bleeding contributed
as much as 12.7% to the variation in Hb concentration among female adolescents.
Conclusion: Anaemia in female adolescents in Tasikmalaya, West Java, Indonesia
is a serious public health problem. Diet quality score was associated with female
adolescents’ Hb concentration; therefore, improving the quality of diet is important
to reduce anaemia.
3.Contribution of Snacks and Physical Activities to Elevated Blood Pressure of Adolescent Girls in West Java, Indonesia
Mohammad Zen Rahfiludin ; Alfi Fairuz Asna ; Suroto ; Lilik Hidayanti
Malaysian Journal of Medicine and Health Sciences 2023;19(No.4):53-60
Introduction: The prevalence of hypertension in Indonesia has continued to increase over the last few years. An
unhealthy diet and lack of physical activity can elevate blood pressure, particularly if an unhealthy lifestyle has been
followed since adolescence. This study aimed to analyze the correlation between snack consumption and physical
activity with blood pressure in adolescent girls. Methods: A cross-sectional study was conducted with 349 adolescent girls from seven Islamic boarding schools in West Java, Indonesia. Data on daily food and snack consumption
were obtained by the 24-hour recall for 3 non-consecutive days. Blood pressure was measured using a digital blood
pressure instrument, and the results were categorized by age, gender, and height. Linear regression analyses were
performed to investigate determinants of blood pressure. Results: A total of 120 (34.4%) of the adolescent girls in
the study had hypertension. A majority of girls had inadequate daily intake (energy, fat, carbohydrates, and sodium;
only total protein intake met Indonesia’s recommended dietary allowance). Snacks were found to be high in protein,
fat, and carbohydrates, with consumption levels above 15%. More than half (61.9%) of the subjects’ daily sodium
intake came from snacks. Low-fat intake from snacks was associated with an increase in blood pressure in this study.
Daily nutritional intake affecting blood pressure included sodium and total fat intake. Lack of physical activity in
adolescent girls was not a risk factor for elevated blood pressure. Conclusion: Fat and sodium intake was associated
with elevated blood pressure in adolescent girls.