Obesity has become a significant problem for developing countries, including Indonesia. High duration of sedentary activity and high intake of unhealthy foods were associated with high risk of overweight and obesity. The objective of this study was to compare the distributions of sedentary activity and dietary behavior with overweight/obesity risks between urban and rural areas among children and adolescents aged 10–18 years in Indonesia. This is a cross-sectional study. Data from a national survey in 33 Indonesian provinces (Basic Health Research /Riskesdas 2013) were analyzed. Multiple logistic regression models were used to calculate the odds ratio (OR) adjusted with all variables, such as age, gender, residency, education level, physical activity, and food intake. An urban–rural residence difference was found in the factors related to obesity. Daily caffeinated soft drinks and energy drinks consumption (OR = 1.12, 95% CI: 1.01–1.23) were related to risk of overweight and obesity in urban areas. Daily grilled foods (OR = 1.32, 95% CI: 1.22–1.42) and salty food (OR = 1.09, 95% CI: 1.04–1.15) consumption were significantly associated with obesity in rural areas but not in urban areas. Furthermore, sedentary activity was correlated with overweight and obesity among those who lived in urban and rural areas. Our findings suggest that education, environmental, and policy interventions may need to specifically target urban settings, where access is high to a wide range of processed and traditional high-sugar, high-fat snack foods and beverages.

Sedentary behaviors and dietary intake are independently associated with obesity risk. In the literature, only a few studies have investigated gender differences for such associations. The present study aims to assess the association of sedentary behaviors and unhealthy foods intake with obesity in men and women in a comparative manner. The analysis presented in this study was based on the data from a population-based, cross-sectional, nationally representative survey (Indonesian Basic Health Research 2013/RISKESDAS 2013). In total, 222,650 men and 248,590 women aged 19–55 years were enrolled. A validated questionnaire, physical activity card, and food card were used for the assessments. The results showed that the prevalence of obesity (body mass index of ≥27.5 kg/m²) was higher in women (18.71%) than in men (8.67%). The mean body mass index in women tended to be higher than in men. After adjusting for age and education, the gender effect on obesity persisted in women and was more significant than in men. There was also a positive and significant effect on obesity of sedentary behaviors and unhealthy foods intake. Moreover, fatty and fried foods displayed a positive multiplicative interaction, increasing obesity risk in women more than in men and indicating a possible dietary risk in in women in relation to obesity. The study suggests that the implementation of educational programs on nutrition and physical activity is particularly important for promoting a healthy body weight among Indonesian women.

Background: Increasing prevalence of obesity may be caused by junk food advertised while children are watching television.Preference for foods requested by the children is much infl uenced by junk food advertisement, so that it can affect calori intakeand correlates with obesity. Obesity in children can cause obesity during adulthood and may increase the risk of degenerativedisease, like diabetes and cardiovascular.Objective: To analyze the level of risk exposure to junk food advertising and junk food consumption on the incidence of obesityin primary school children in elementary school children at the area of Yogyakarta Municipality and District of Bantul.Method: This study was an observational study with case-control design. The study population was elementary school childrenin the City of Yogyakarta and Bantul Regency. Cases were elementary school children who were obese, while the controlswere children who were not obese and sat closest the cases regardless of age and sex. Number of subjects for each groupwere 244 (1:1). Obesity was defi ned as BMI / U>95th percentile curves NCHS/CDC. Sampling to fi nd obesity with probabilityproportional to size (PPS) and sampling for cases and controls using random sampling techniques. Univariate analysis ofthe data using frequency distributions, bivariate analysis using Chi-square, and multivariate analysis using multiple logisticregression. Data were analyzed using STATA 11 program with a 95% signifi cance level and nutrisurvey.Result: Bivariate analysis using Chi Square shows the variables that infl uence the incidence of obesity, such as junkfood ads exposure (OR=1.70, 95%CI: 1.17-2.48, and p=0.004), junk food energy intake (OR=1.58, 95%CI: 1.08-2.32and p=0.01), intake of saturated fat junk food (OR=1.74, 95%CI: 1.18-2.56 and p=0.004), sodium intake of junk food(OR=1.83, 95%CI: 1.25-2.69 and p=0.001) and sex (OR=0.58, 95%CI: 0.40-0.85 and p= 0.0035). Multivariate analysiswith logistic regression showed that the variables affect obesity is junk food ads exposure (OR=1.63, 95%CI: 1.13-2.36and p <0.05) and sex (OR=0.62, 95% CI:0.43-0.91 and p<0.05).Conclusion : Exposure to junk food advertising can increase the risk of obesity.KEYWORDS: obesity, ads, junk food, energy, saturated fat, natrium, sucroseABSTRAKLatar Belakang: Peningkatan prevalensi obesitas dapat disebabkan oleh iklan makanan junk food ketika anak menontontelevisi. Pemilihan makanan yang diinginkan oleh anak banyak dipengaruhi oleh iklan tersebut, sehingga mempengaruhiasupan kalori dan berkorelasi dengan obseitas. Obesitas pada anak dapat menyebabkan obesitas saat dewasa dandapat meningkatkan risiko penyakit degeneratif, seperti diabetes dan kardiovaskuler.Tujuan: Untuk mengukur tingkat risiko paparan iklan junk food dan konsumsi junk food terhadap kejadian obesitaspada anak SD di Kota Yogyakarta dan Kabupaten Bantul.Metode: Penelitian ini merupakan penelitian observasional dengan rancangan kasus-kontrol. Populasi penelitian adalah anak SD di Kota Yogyakarta dan Kabupaten Bantul. Kelompok kasus adalah anak yang mengalami obesitas,sedangkan kelompok kontrol adalah teman sekelas yang tidak mengalami obesitas dan duduk paling dekat di sebelahkanan kasus tanpa melihat umur dan jenis kelaminnya Jumlah subjek untuk masing-masing kelompok sebesar 244(1:1). Obesitas didefi nisikan dengan IMT/U>persentil 95th kurva NCHS/CDC. Pengambilan sampel untuk menemukanobesitas dengan probability proportional to size (PPS) dan pengambilan sampel untuk kasus dan kontrol menggunakanteknik random sampling. Analisis univariat menggunakan distribusi frekuensi, analisis bivariat menggunakan Chi-square,dan multivariat menggunakan regresi logistik ganda. Data dianalisis dengan menggunakan program STATA 11 dengantingkat kemaknaan 95% dan nutrisurvey.Hasil: Analisis bivariat dengan Chi-square menunjukkan variabel yang berpengaruh dengan kejadian obesitas, di antaranyapaparan iklan junk food (OR=1,70, 95%CI:1,17-2,48, dan p=0,004), asupan energi junk food (OR= 1,58, 95%CI:1,08-2,32dan p=0,01), asupan lemak jenuh junk food (OR=1,74 95%CI 1,18-2,56 dan p=0,004), asupan natrium junk food (OR=1,83,95%CI:1,25-2,69 dan p=0,001) serta jenis kelamin (OR= 0,58, 95%CI:0,40-0,85 dan p= 0,0035). Hasil analisis multivariatdengan regresi logistik memperlihatkan variabel yang berpengaruh terhadap obesitas adalah paparan iklan junk food (OR=1,63,95%CI:1,13-2,36 dan nilai p <0,05) dan jenis kelamin (OR=0,62, 95%CI:0,43-0,91 dan p<0,05).Kesimpulan: Paparan iklan junk food dapat meningkatkan risiko terjadinya obesitas.KATA KUNCI: obesitas, iklan, junk food, energi, lemak jenuh, natrium, sukrosa

Good nutritional support is crucial for the immune system to fight against coronavirus disease 2019 (COVID-19). However, in the context of a pandemic with a highly transmissible coronavirus, implementation of nutrition practice may be difficult. A multicenter electronic survey involving 62 dieticians was conducted, in order to understand barriers associated with dieticians’ adherence to nutrition guidelines for hospitalized COVID-19 patients in Indonesia. 69% of dieticians felt under stress when performing nutrition care, and 90% took supplements to boost their own immunity against the coronavirus. The concerns related to clinical practice included a lack of clear guidelines (74%), a lack of access to medical records (55%), inadequate experience or knowledge (48%), and a lack of self-efficacy/confidence (29%) in performing nutritional care. Half (52%) of the dieticians had performed nutrition education/counseling, 47% had monitored a patient’s body weight, and 76% had monitored a patient’s dietary intake. An adjusted linear regression showed that guideline adherence independently predicted the dieticians’ nutrition care behaviors of nutrition counselling (ß: 0.24 (0.002, 0.08); p = 0.04), and monitoring of body weight (ß: 0.43 (0.04, 0.11); p = 0.001) and dietary intake (ß: 0.47(0.03, 0.10); p = 0.001) of COVID-19 patients. Overall, adherence to COVID-19 nutrition guidelines is associated with better nutritional management behaviors in hospitalized COVID-19 patients.

Purpose: Study location may cause a different type of socio-demographic, body mass index (BMI), study intensity and food-related behavior. The increasing number of Indonesia students who study abroad to Taiwan is interesting to be examined those factors related. The purpose of this study is to examine the food-related behavior of Indonesian college students in different study location. Design/methodology/approach: A descriptive cross-sectional study design was used to administer questionnaires assessing socio-demographic, BMI, study intensity, meal preparations, food access and eating behavior of Indonesian college students (n = 493). Study location took in two cities and different countries (Indonesia and Taiwan). Analysis statistics was using frequency descriptive, Chi-square test, Wilcoxon–Mann–Whitney U test, Kruskal–Wallis test and Logistic regression. Findings: The trend showed students who lived in Malang tended to have healthier eating behavior. Students tended to have a higher prevalence of low study intensity, dependent meal preparation and difficult food access in Taipei. There was a significant relationship between study location and study intensity (p < 0.01), study location and BMI (p < 0.01), study location and meal preparation (p < 0.01), study location and food access (p = 0.02). On the other hand, eating behavior had no significant relationship with study location (p = 0.28). Marital status became the most dominant variable in influencing obesity (OR = 0.198). Findings indicate that there are significant differences between study location with marital status, BMI, study intensity, meal preparation and food access, but not eating behavior. Moreover, married status is most influencing to obesity risk. Research limitations/implications: The limitations of this research were data of height and weight was not be measured directly. Moreover, the reliability of the instrument was unexpected. In the future, research needs improvement more sample for fixing it. Moreover, to support initiatives to incorporate eating behavior into body weight management strategies may be needed. The implications are to create an effective nutrition education for Indonesian college students. Hopefully, it will be influencing public attitudes and affecting the quality of life. Practical implications: Further investigation should consider longitudinal studies to explore the different effects of eating behavior on overweight and obesity. Nutritional education programs should give to young adults not only in developed but also in developing countries. Originality/value: This paper shows our findings about the difference study location that may cause a different type of eating behavior. The research subject was Indonesian college students who live and study in two cities, Malang-Indonesia and Taipei-Taiwan. The trend showed students who live in Malang tend to have healthier eating behavior. On the other hand, study intensity, meal preparation and food access were significantly different in both cities. Indonesian college students in Taipei tended to have the higher prevalence of low study intensity, dependent meal preparation and difficult food access. The authors believe that the findings would appeal to a broad audience, especially for improving meal preparation in college students who study abroad.

Anemia status is one of the public health problems at both global and Indonesia. The prevalence of anemia was found higher in the women of reproductive age. The prevalence in Special Region of Yogyakarta was even larger than the national average (34% vs 21.7%) for women of reproductive age group. Poor intake of micronutrient could be a major contributor to anemia. The aim of this study was to determine the difference of micronutrient intake among student with risk and no-risk anemia in the Alma Ata University. This cross-sectional study conducted from August to September 2020. Of 128 subjects was recruited and divided into two groups (64 risk anemia and 64 non-risk anemia group). The screening of anemia status was obtained by using self-assessment of clinical/physical questionnaires. Micronutrient intakes such as iron, folic acid, zinc, vitamin B6 and B12, cooper, and vitamin C were assessed by Semi Quantitative Food Frequency Questionnaire (SQ-FFQ). Independent T-test was created to analyze the difference of micronutrient intake in risk and non-risk anemia groups. In this study, there were significant differences in the intake of micronutrients such as iron (p <0.001), folic acid (p <0.001), Zn (p <0.001), vitamin B6 (p <0.001), B12 (p = 0.008), and vitamin C (p <0.001) among students in risk and non-risk of anemia. However, there was no significant difference in Cu intake (p = 0.975). In conclusion, lower micronutrient intake among students could lead to have higher anemia risk. Further studies with larger samples are required to confirm these findings.