Perceived Barriers and Needs of Dietary Macro Nutrient Intake in Adolescent Schoolgirls in Small Island
Abstract
Adolescence is an important period of rapid change in biological, psychosocial and cognitive growth and development marked by significant increases in nutrition and energy needs. The study aimed to explore perceived barriers and needs regarding dietary macronutrient intake in adolescent girls in Barrang Lompo Island in Makassar City, South Sulawesi Province, Indonesia. The qualitative design drew on constructs from social cognitive theory. The sample consisted of 18 adolescent girls and their mothers from grades 8 to 11 whose dietary macronutrient intake was less than the recommended dietary allowance. A semi-structured interview protocol was used to explore perceived barriers and needs regarding dietary macronutrient intake, and the data were subjected to thematic analysis and analytic generalization. To ensure adequate dietary intake, adolescent girls need support from family and friends and access to preferred foods. Barriers include laziness about eating key foods, feelings of fullness due to snacking, addiction to cellphones, and lack of raw foodstuffs for making their favorite dishes. Social cognitive theory used to identify needs and barriers showed environmental and individual factors from adolescents play important role in appropriate food consumption in teenage girls. The findings may help to improve future interventions to enhance dietary patterns in adolescent girls who live in small island.
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2. Candler T, Costa S, Heys M, et al. Prevalence of Thinness in Adolescent Girls in Low and Middle Income Countries and related to Wealth, Food Security, and Inequality. Journal of Adolescent Health. 2017;60:447-454. 10.1016/j.jadohealth.2016.11.003
3. National Institute of Health Research and Development (Ministry of Health). Basic Health Research Survey; 2018.
4. Dobner J, Kaser S. Body Mass Index and the Risk of Infection from Underweight to Obesity. Clinical Microbiology and Infection. 2018;24:24-28. 10.1016/j.cmi.2017.02.013
5. Min J, Zhao Y, Slivka L, et al. Double Burden of Diseases Worldwide: Coexistence of Undernutrition and Over Nutrition Related Non-Communicable Chronic Diseases. Department of Health and Human Services. 2019;19(1): 49-61.10.1111/obr.12605
6. Patton GC, Sawyer SM, Santelli JS, et al. Our future: A Lancet Commission on Adolescent Health and Wellbeing. Lancet. 2016;387(10036):2423–2478. 10.1016/S0140-6736(16)00579-1
7. Stang J, Feldman S, Story M. Nutrition Through the Life Cycle. USA: Thomson Wadsworth; 2008.
8. Beal T, Morris S, Tumilowicz A. Global Patterns of Adolescent Fruit, Vegetable, Carbonated Soft Drink, and Fast-Food Consumption: A Meta Analysis of Global School-Based Student Health Surveys. Food and Nutrition Bulletin. 2019;40(4):444- 459. 10.1177/0379572119848287
9. Yang L, Bovet P, Liu Y, et al. Consumption of Carbonated Soft Drinks in Young Adolescents Aged 12 to 15 Years in 53 Low- and Middle-Income Countries. AJPH Research. 2017;107(7):1095-1100. 10.2105/AJPH.2017.303762
10. Ministry of Health Republic of Indonesia. Total Diet Study: A Portrait of the Diet of Today’s Indonesians. Jakarta: Ministry of Health Republic of Indonesia; 2015.
11. Hidayanty H, Virani D, Manti S, et al. Inadequate Nutrients Intake and Wasting Status in Adolescent Students in Small Island of Indonesia. Enfermería Clínica. 2020;30(S4):210-213. 10.1016/j.enfcli.2019.10.070
12. Bujfor M, Turner AI, Torres SJ, et al. Correlation between Dietary Intake on Biological Markers of Inflammation in Children and Adolescents: A Systematic Review. Nutrients. 2021;13:356. 10.3390/nu13020356
13. Naghshi S, Sadeghi O, Willet WC, et al. Dietary Intake of Total, Animal, and Plant Protein and Risk of All Cause, Cardiovascular, and Cancer Mortality: Systematic Review and Dose-Response Meta-Analysis of Prospective Cohort Studies.
BMJ.2022;370:2412. 10.1136/bmj.m2412
14. Young MF, Ramakrishnan, U. Maternal Under Nutrition Before and During Pregnancy and Offspring Health and Development. Annals of Nutrition and Metabolism. 2021; 76(suppl 3): 41-53.
https://doi.org/10.1159/000510595
15. Agofure O, Odjimogho S, Barry OO, et al. Dietary Pattern and Nutritional Status of Fe-male Adolescents in Amai Secondary School, Delta State, Nigeria. Pan African Medical Journal. 2021; 38(32). 10.11604/pamj.2021.38.32.15824
16. Glanz K, Rimer B, Viswanath K. Health Behavior and Health Education: Theory, Research, and Practice. 4th ed. San Francisco: Jossey-Bass; 2008.
17. Kumar J, Adhikari K, Li Y, et al. Identifying Barriers, Perceptions and Motivations Related to Healthy Eating and Physical Activity in 6th and 8th Grade, Rural, Limited- Re-source Adolescents. Health Education. 2016;116(2):123-137. https://doi.org/10.1108/HE-03-2014-0035
18. Velde L, Schuilenburg L, Thrivikraman J, et al. Needs and Perceptions Regarding Healthy Eating in People at Risk of Food in-Security: a Qualitative Analysis. Interna-tional Journal for Equity in Health. 2019;18:184. 10.1186/s12939-019-1077-0
19. Statistic Bureau. Population on City of Makassar. Makassar: Statistic Bureau; 2020.
20. AKG (Angka Kecukupan Gizi). 2019. Angka Kecukupan Gizi yang Dianjurkan untuk Masyarakat Indonesia. Lampiran Peraturan Menteri Kesehatan Republik Indonesia No-mor 28 Tahun 2019.
21. Hidayanty H, Bardosono S, Khusun H, et al. A Social Cognitive Theory-Based Programme for Eating Patterns and Sedentary Activity in Overweight Adolescents in Makassar, South Sulawesi: A Cluster Randomised Controlled Trial. Asia Pac J Clin Nutr. 2016;25(Suppl 1): S83-S92. 10.6133/apjcn.122016.s7
22. Abdelghaffar EA, Hicham EK, Siham B, et al. Social - Ecological Influences on Unhealthy Dietary Behaviors in Moroccan Adolescents: A Mixed-Methods Study. Department of Health and Human Services. 2020;23(6): 996-1008. 10.1017/S1368980019003641
23. Larson NI, Miller JM, Watts AW, et al. Adolescent Snacking Behaviors are Associated with Dietary Intake and Weight Status. J Nutr. 2016;146:1348–1355. 10.3945/jn.116.230334
24. Potter M, Vlassopoulos A, Lehmann U. Snacking Recommendations Worldwide: A Scoping Review. Adv Nutr. 2018;(33):86–98. 10.1093/advances/nmx003
25. Kutbi HA. Picky Eating in School-Aged Children: Socio demographic Determinants and the Associations with Dietary Intake. Nutrients. 2021;13. 10.3390/nu13082518
26. De-Sola J, Talledo H, Fonseca RD. Prevalence of Problematic Cell Phone Use in An Adult Population in Spain as Assessed by the Mobile Phone Problem Use Scale (MPPUS). PLoS One. 2017;12(8):1–17. https://doi.org/10.1371/journal.pone.0181184
27. Mustafa M, Arief A, Amiluddin, et al. Ana-lisis Kerentanan dan Ketahanan Pangan Rumah Tangga Nelayan Pemancing di Pu-lau-Pulau Kecil (Studi Kasus Pulau Barrang Caddi Kota Makassar). Jurnal IPTEKS PSP. 2020;7(14):151-162. https://doi.org/10.20956/jipsp.v7i14.11656
28. Redwanul MI, Moshfiqur SR, Tarafder C, et al. Exploring Rural Adolescents Dietary Diversity and Its Socioeconomic Corelates: A Cross-Sectional Study From Matlab, Bang- ladesh. Nutrients. 2020;12(2230). https://doi.org/10.3390/nu12082230
29. Scaglioni S, Cosmi VD, Ciappolino V, et al. Factor Influencing Children’s Eating Behav-iors. Nutrients. 2018;10(706). 10.3390/nu10060706
30. Liu KSN, Chen JY, Ng MYC, et al. How Does the Family Influence Adolescent Eating Habits in Terms of Knowledge, Attitudes, and Practices? A Global Systematic Review of Qualitative Studies. Nutrients. 2021;13. 10.3390/nu13113717
31. Rageliene T, Gronhoj A. The Influence of Peers and Siblings on Children’s and Adolescents Healthy Eating Behaviour: A Systematic Review. Appetite. 2020. 10.1016/j.appet.2020.104592
32. Meiklejohn S, Ryan L PC. A Systematic Re- view of the Impact of Multi-Strategy Nutri-tion Education Programs on Health and Nu-trition of Adolescents. J Nutr Educ Behav. 2016;48(9):631-646. 10.1016/j.jneb.2016.07.015
Authors
Hidayanty, H., Thaha, A. R. ., Manyullei, S. ., Indriasari, R. ., Rahayu, M. ., Virani, D. ., & Foo, L. H. . (2022). Perceived Barriers and Needs of Dietary Macro Nutrient Intake in Adolescent Schoolgirls in Small Island. Media Kesehatan Masyarakat Indonesia, 18(3), 98-106. https://doi.org/10.30597/mkmi.v18i3.18579
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