The Impact of Nutritional Counseling to Nutritional Knowledge and Energy Intake among Obese Children in Junior High School

Lastri Asmuniati; Dewi Marhaeni Diah Herawati; Julistio TB Djais

doi:10.15850/amj.v6n3.1645

The Impact of Nutritional Counseling to Nutritional Knowledge and Energy Intake among Obese Children in Junior High School

Lastri Asmuniati, Dewi Marhaeni Diah Herawati, Julistio TB Djais

Abstract

Background: Obesity has a serious impact on health, leading to not only premature mortality but also to long-term morbidity. Factors that contribute to obesity are genetic and lifestyle. This study aimed to analyze the impact of nutritional counseling on nutritional knowledge and energy intake among obese children in junior high school.

Methods: This quasi-experimental study was conducted in Jatinangor in September–November 2014 using a consecutive sampling until 25 students had reached. The inclusion criteria were junior high school students with BMI z-score per age >2 obese categories. Nutritional knowledge and energy intake were measured using a 24-hour recall test, conducted before and after 2 weeks of nutritional counseling. Data were analyzed using a paired t-test.

Results: The average of nutritional knowledge before counseling was 46.72±2.63 and after counseling was 65.92±2.92 (p<0.001), whereas the average in energy intake before counseling was 1769.68±113.32 and after counseling was 1397.52±114.31 (p=0.006).

Conclusions: There is an increase knowledge and decrease energy intake among obese children in junior high school students in Jatinangor subdistrict after nutritional counseling. A better understanding among obese children needs to be highlighted and nutrition education and counseling should be given in schools.

Keywords

Energy intake, counseling, nutrition, obesity

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References

pruitz-Metz D. Etiology, treatment and prevention of obesity in childhood and adolescence: A Decade in Review. J Res Adolesc. 2011; 21(1):129−52

WHO. Population-based approaches to childhood obesity prevention. Geneva: WHO Press; 2012.

Badan Penelitian dan Pengembangan Kesehatan. Riset kesehatan dasar Nasional. Jakarta : Kementerian Kesehatan Republik Indonesia; 2010.

BAPPEDA Kabupaten Sumedang. Laporan Akhir Studi Kelayakan Kawasan Jatinangor Sebagai Kawasan Perkotaan. Sumedang: BAPPEDA KAbupaten Sumedang; 2009.

Freedman DS, Mei Z, Srinivasan SR, Berenson GS, Dietz WH. Cardiovascular risk factors and excess adiposity among overweight children and adolescents: the Bogalusa Heart Study. J Pediatr. 2007;150(1):12−7.

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.

Li C, Ford ES, Zhao G, Mokdad AH. Prevalence of pre-diabetes and its association with clustering of cardiometabolic risk factors and hyperinsulinemia among U.S. adolescents. Diabetes Care. 2009;32(2):342−7.

Freedman DS, Khan LK, Serdula MK, Dietz WH, Srinivasan SR, Berenson GS. The relation of childhood BMI to adult adiposity: the Bogalusa Heart Study. Pediatrics. 2005;115(1):22−7.

Kushi LH, Doyle C, McCullough M, Rock CL, Demark-Wahnefried W, Bandera EV, et al. American Cancer Society Guidelines on nutrition and physical activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity. CA Cancer J Clin. 2012;62(1):30−67.

Rasanen M, Niinikoski H, Keskinen S, Heino T, Lagstrom H, Simell O, et al. Impact of nutrition counselling on nutrition knowledge and nutrient intake of 7- to 9-y-old children in an atherosclerosis prevention project. Eur J Clin Nutr. 2004;58(1):162−72.

Cassani RSL Cunha SFC, Freitas ALG, Nonino CB, Marchini JS. Effects of nutritional counseling on the anthropometric and biochemical nutritional data of obese workers: a randomized blind study. Universal Journal of Clinical Medicine. 2013;1(1):6−12.

Amaro S, Viggiano A, Di Costanzo A, Madeo I, Viggiano A, Baccari ME, et al. Kalèdo, a new educational board-game, gives nutritional rudiments and encourages healthy eating in children: a pilot cluster randomized trial. Eur J Pediatr. 2006;165(9):630−5.

Brown T, Summerbell C. Systematic review of school-based interventions that focus on changing dietary intake and physical activity levels to prevent childhood obesity. The National Institute for Health and Clinical Excellence. 2009;10(1):110−41.

DOI: https://doi.org/10.15850/amj.v6n3.1645