The Effect of Nutritional Education with Leaflet and Diet Application on Nutritional Status Changes in Obese College Students
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Abstract
Obesity is excessive body fat condition due to differences in energy consumption and expenditure. In Indonesia, the prevalence of obese women >18 years old is 32.9%. Interventions are performed with control eating and increased physical activity through an educational approach. A Leaflet is a print media containing some information, while my weight loss diet application is used by people that want to lose weight. Therefore, this study aims to determine the effect of nutritional education with leaflet and my weight loss diet application on nutritional status changes in obesity. True experimental design was used with pre-post test on female students divided into two groups in Universitas Brawijaya (n= 44) and selected by purposive sampling. Also, Independent-Samples T-Test and Mann Whitney analysis were conducted. The results showed a body mass index decrease in both media and no significant change related to BMI (p = 0.733). However, the decrease was more shown on the leaflet, where the body fat percentage had a significant change (p = 0.000). Hence, intervention using the leaflet is more effective on nutritional status changes related with BMI and body fat percentage in obese students.
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How to Cite
Puspa, D., Handayani, D., & Kusumastuty, I. (2021). The Effect of Nutritional Education with Leaflet and Diet Application on Nutritional Status Changes in Obese College Students. Unnes Journal of Public Health, 10(2), 162-168. https://doi.org/10.15294/ujph.v10i2.43150
References
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Dewi, N.A.A. 2015. The Influence of Health Education about Clean and Healthy Living Behavior with The Lecture Method on Knowledge and Attitudes in The Orphanage Children of Muhammadiyah Surakarta. Manuscript Publication. Surakarta: Muhammadiyah Surakarta University. http://eprints. ums.ac.id/40979/4/NASKAH%20PUBLIKASI.pdf
Fitriani, S. 2011. Health Promotion, 1st Edition. Yogyakarta: Graha Science, p 176-180.
Grygiel-Górniak, B., Tomczak, A., Krulikowska, N., Przysławski, J., Seraszek-Jaros, A. & Kaczmarek, E. 2016. Physical Activity, Nutritional Status, and Dietary Habits of Students of a Medical University. Sport Sciences for Health, 12 (2): 261–267. https://doi.org/10.1007/s11332-016-0285-x
Handayani, D., Anggraeny, O., Dini, C.Y., Kurniasari, F.N., Kusumastuty, I., Tritisari, K.P. et al. 2015. Nutrition Care Process (NCP), First Edition. Yogyakarta: Graha Science, p 17-28.
Hapsari, U.A. 2018. Analysis of Differences in Knowledge Levels of Weight Loss Diets in Obesity Students Educated with Leaflet and the My Weight Loss Diet Application. Master Thesis. Malang: Department of Nutrition Science of Universitas Brawijaya. http://repository.ub.ac.id/id/eprint/167250
Hastuti, J. 2013. Anthropometry and Body Composition of Indonesian Adults: An Evaluation of Body Image, Eating Behaviours, and Physical Activity. Master Thesis. Australia: Faculty of Health Queensland, University of Technology. https:// eprints.qut.edu.au/61740/
Heriyanto, M.H. 2012. Relationship of Nutrition Intake and Other Factors With Percent of Body Fat in Nutrition and Communication Science Student of Indonesia University Class of 2009. Master Thesis. Depok: Nutrition Study Program of University of Indonesia. http://lib.ui.ac.id/file?fil e=digital/20319756
IPAQ Research Commitee. 2005. Guidelines for Data Processing and Analysis of The International Physical Activity Questionnaire (Ipaq) – Short and Long Forms. Internet. Cited 3 June 2017]. Available from: http://www.ipaq.k i.se.
Jaminah & Mahmudiono, T. 2018. Relationship of Knowledge, Physical Activity with BMI of Female Employees in The Nutrition Installation of Dr. Soetomo Hospital. Jurnal Berkala Epidemiologi, 6 (1): 13-24. http://dx.doi.org/10.20473/jbe.V6I12018.9-17
Jung, U. & Choi, M. 2014. Obesity and Its Metabolic Complications: The Role of Adipokines and the Relationship between Obesity, Inflammation, Insulin Resistance, Dyslipidemia and Nonalcoholic Fatty Liver Disease. International Journal of Molecular Science, 15: 6184-6223. https://doi.org/10.3390/ijms15046184
Lanita, U., Sudargo, T. & Huriyati, E. 2015. Effect of Health Education through Short Message Service (Sms) and Booklet about Obesity in Adolescents with Overweight and Obesity. Indonesian Journal of Clinical Nutrition, 12 (1): 36-44. https://doi.org/10.22146/ijcn.22920
Mahan, L., Stump, S. & Raymond, J. 2012. Krause’s Food and The Nutrition Care Process, 13th. United States of America: Elsevier, p 462-486.
Ostovan et al. 2013. The Impact of Education on Weight Loss in Overweight and Obese. International Cardiovascular Research Journal, 7 (3): 79-82. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3987437/
Patton, G.C., Coffey, C., Carlin, J.B., Sawyer, S.M., Williams, J., Olsson, C.A. & Wake, M. 2010. Overweight and Obesity between Adolescent and Young Adulthood: a 10-year Prospective Cohort Study. Journal of Adolescent Health, 48 (3): 275-280. https://doi.org/10.1016/j.jadohealth.2010.06.019
Prastika, E.D. 2018. Analysis of Differences in Adherence to Diet on Obese Female Students Educated by Using Leaflet Media and The Application of My Weight Loss Diet. Thesis. Malang: Department of Nutrition Science of Universitas Brawijaya. http://repository.ub.ac. id/id/eprint/167241
Tauqeer, Z., Gomez, G. & Stanford, F.C. 2018. Obesity in Women: Insights for the Clinician. Journal of Women’s Health, 27 (4): 444-457. https://dx.doi.org/10.1089%2Fjwh.2016.6196
Todd, A., Street, S., Ziviani, J., Byrne, N. & Hills, A. 2015. Overweight and Obese Adolescent Girls: The Importance of Promoting Sensible Eating and Activity Behaviors from The Start of The Adolescent Period. International Journal of Environ. Research and Public Health, 12 (2): 2306-2309. https://pubmed.ncbi.nlm.nih.gov/25690003/
Willis et al. 2012. Effects of Aerobis and/or Resistance Training on Body Mass and Fat Mass in Overweight or Obese Adults. Journal Applied Physiology, 113 (12): 1831-1837. https://www.ncbi.nlm.nih.gov/pmc/ articles/PMC3544497/
Dewi, N.A.A. 2015. The Influence of Health Education about Clean and Healthy Living Behavior with The Lecture Method on Knowledge and Attitudes in The Orphanage Children of Muhammadiyah Surakarta. Manuscript Publication. Surakarta: Muhammadiyah Surakarta University. http://eprints. ums.ac.id/40979/4/NASKAH%20PUBLIKASI.pdf
Fitriani, S. 2011. Health Promotion, 1st Edition. Yogyakarta: Graha Science, p 176-180.
Grygiel-Górniak, B., Tomczak, A., Krulikowska, N., Przysławski, J., Seraszek-Jaros, A. & Kaczmarek, E. 2016. Physical Activity, Nutritional Status, and Dietary Habits of Students of a Medical University. Sport Sciences for Health, 12 (2): 261–267. https://doi.org/10.1007/s11332-016-0285-x
Handayani, D., Anggraeny, O., Dini, C.Y., Kurniasari, F.N., Kusumastuty, I., Tritisari, K.P. et al. 2015. Nutrition Care Process (NCP), First Edition. Yogyakarta: Graha Science, p 17-28.
Hapsari, U.A. 2018. Analysis of Differences in Knowledge Levels of Weight Loss Diets in Obesity Students Educated with Leaflet and the My Weight Loss Diet Application. Master Thesis. Malang: Department of Nutrition Science of Universitas Brawijaya. http://repository.ub.ac.id/id/eprint/167250
Hastuti, J. 2013. Anthropometry and Body Composition of Indonesian Adults: An Evaluation of Body Image, Eating Behaviours, and Physical Activity. Master Thesis. Australia: Faculty of Health Queensland, University of Technology. https:// eprints.qut.edu.au/61740/
Heriyanto, M.H. 2012. Relationship of Nutrition Intake and Other Factors With Percent of Body Fat in Nutrition and Communication Science Student of Indonesia University Class of 2009. Master Thesis. Depok: Nutrition Study Program of University of Indonesia. http://lib.ui.ac.id/file?fil e=digital/20319756
IPAQ Research Commitee. 2005. Guidelines for Data Processing and Analysis of The International Physical Activity Questionnaire (Ipaq) – Short and Long Forms. Internet. Cited 3 June 2017]. Available from: http://www.ipaq.k i.se.
Jaminah & Mahmudiono, T. 2018. Relationship of Knowledge, Physical Activity with BMI of Female Employees in The Nutrition Installation of Dr. Soetomo Hospital. Jurnal Berkala Epidemiologi, 6 (1): 13-24. http://dx.doi.org/10.20473/jbe.V6I12018.9-17
Jung, U. & Choi, M. 2014. Obesity and Its Metabolic Complications: The Role of Adipokines and the Relationship between Obesity, Inflammation, Insulin Resistance, Dyslipidemia and Nonalcoholic Fatty Liver Disease. International Journal of Molecular Science, 15: 6184-6223. https://doi.org/10.3390/ijms15046184
Lanita, U., Sudargo, T. & Huriyati, E. 2015. Effect of Health Education through Short Message Service (Sms) and Booklet about Obesity in Adolescents with Overweight and Obesity. Indonesian Journal of Clinical Nutrition, 12 (1): 36-44. https://doi.org/10.22146/ijcn.22920
Mahan, L., Stump, S. & Raymond, J. 2012. Krause’s Food and The Nutrition Care Process, 13th. United States of America: Elsevier, p 462-486.
Ostovan et al. 2013. The Impact of Education on Weight Loss in Overweight and Obese. International Cardiovascular Research Journal, 7 (3): 79-82. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3987437/
Patton, G.C., Coffey, C., Carlin, J.B., Sawyer, S.M., Williams, J., Olsson, C.A. & Wake, M. 2010. Overweight and Obesity between Adolescent and Young Adulthood: a 10-year Prospective Cohort Study. Journal of Adolescent Health, 48 (3): 275-280. https://doi.org/10.1016/j.jadohealth.2010.06.019
Prastika, E.D. 2018. Analysis of Differences in Adherence to Diet on Obese Female Students Educated by Using Leaflet Media and The Application of My Weight Loss Diet. Thesis. Malang: Department of Nutrition Science of Universitas Brawijaya. http://repository.ub.ac. id/id/eprint/167241
Tauqeer, Z., Gomez, G. & Stanford, F.C. 2018. Obesity in Women: Insights for the Clinician. Journal of Women’s Health, 27 (4): 444-457. https://dx.doi.org/10.1089%2Fjwh.2016.6196
Todd, A., Street, S., Ziviani, J., Byrne, N. & Hills, A. 2015. Overweight and Obese Adolescent Girls: The Importance of Promoting Sensible Eating and Activity Behaviors from The Start of The Adolescent Period. International Journal of Environ. Research and Public Health, 12 (2): 2306-2309. https://pubmed.ncbi.nlm.nih.gov/25690003/
Willis et al. 2012. Effects of Aerobis and/or Resistance Training on Body Mass and Fat Mass in Overweight or Obese Adults. Journal Applied Physiology, 113 (12): 1831-1837. https://www.ncbi.nlm.nih.gov/pmc/ articles/PMC3544497/