FAKTOR RESIKO SARAPAN PAGI DAN MAKANAN SELINGAN TERHADAP KEJADIAN OVERWEIGHT PADA REMAJA SEKOLAH MENENGAH ATAS DI KOTA PONTIANAK

Abstract

Background : Overweight and obesity are seriously health problems because they are the fifth leading risk for global deaths and need more seriously concern to prevent and treatment. Overweight or obesity during childhood and adolescence are important risk factors for the presence of adult overweight or obesity. Physical growth and development experienced are increasing significantly in adolescents and susceptible to have nutrition problems. Eating habits in childhood and adolescence influence their healthy condition. Prospective studies of breakfast habits in children and adolescent and nutritional status suggest an inverse (protective) association between the frequency of eating breakfast and the risk for overweight and obesity and no relationships between breakfast and increasing body weight. Objective : To examine risk factor of breakfast and snacking related to overweight status in adolescents. Methods : This was observational study in adolescent in senior high school. First step of study was screening to have prevalence of overweight in adolescents. The second step was case control study participated 100 overweight adolescents and 100 normal weight adolescents in senior high school matching with sex, age and school. Data collected were weight and height measurements for nutritional status, responden identity and characteristic, breakfast dan snacking habits and physical activity. Statistical analysis used Chi square statistics and multivariable logistic regression analyses were applied. Results : Prevalence of overweight in adolescents were 16,8%. There were significant association between breakfast with overweight (p<0,05). The odds ratio for the association with overweight were 3.1 (95% CI: 1.4-7.47) for breakfast. There was no association between snacking and overweight, but there were significant association between frequency of snacking, energy of snacking, and carbohydrate of snacking with overweight. The odds ratio for the association with overweight were : 1.9 (1.05- 3.50) for frequency of snackin