Document Type : Research Article (s)
Authors
1 Nutrition Study Program, Faculty of Public Health, University of North Sumatera, Indonesia
2 Department of Anthropology, Faculty of Social and Political Sciences, University of North Sumatra, Indonesia
Abstract
Background: Childhood obesity results from an imbalance between dietary intake and physical activity. As mothers significantly influence the dietary habits of school-aged children, enhancing maternal awareness of obesity and its prevention is essential. This study aimed to examine how maternal support, combined with home-based weight tracking, can prevent obesity in primary school students.
Methods: This qualitative study employed an action research approach and was conducted in Medan, Indonesia, from March 2019 to December 2021. Data were gathered through in-depth interviews, observations, focus group discussions, weigh-ins, and secondary data analysis. The study involved twelve participants and was conducted in four phases: diagnosis, planning, intervention, and evaluation.
Results: The findings revealed that maternal involvement significantly influences the prevention of childhood obesity. The implementation of the Healthy and Smart Child Nutrition Care Card or “Peduli Gizi Anak Sehat dan Cerdas” (PEGASDAS) served as an effective home-based tool, facilitating the tracking of children’s weight and providing tailored nutritional guidance. Throughout the intervention, mothers actively engaged in monitoring their children’s dietary habits and weight, leading to noticeable improvements. Specifically, a shift in dietary patterns was observed, with children exhibiting increased consumption of vegetables and protein-rich foods, as recommended through PEGASDAS guidelines. Moreover, regular weight assessments conducted by mothers enabled early detection of potential obesity risks, prompting timely dietary adjustments. This study underscored the critical role of structured maternal support combined with practical monitoring tools in fostering healthier eating behaviors among primary school children.
Conclusions: Maternal participation and the implementation of home-based weight tracking systems, such as PEGASDAS, are effective strategies in preventing obesity among primary school children. This approach supports early intervention by providing continuous nutritional guidance and weight monitoring, which are vital for promoting healthy weight management and reducing obesity risk in children.
Highlights
Ernawati Nasution: (Google Scholar)
Keywords
- WHO. Obesity and overweight; 2024. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight. ##
- de Albuquerque Neto JA, Moraes NMM, Somensi LB, de Souza AP, Pinculini APG. Childhood obesity: A literature review. 7thed; 2024. ##
- Di Cesare M, Sorić M, Bovet P, Miranda JJ, Bhutta Z, Stevens GA, et al. The epidemiological burden of obesity in childhood: a worldwide epidemic requiring urgent action. BMC Med. 2019;17(1):212. doi: 10.1186/s12916-019-1449-8. PubMed PMID: 31760948; PubMed Central PMCID: PMC6876113. ##
- Putra IGNE, Daly M, Sutin A, Steptoe A, Robinson E. Obesity, psychological well-being measures, and risk of seven non-communicable diseases: evidence from longitudinal studies of UK and US older adults. Int J Obes. 2024;48(9):1283-1291. doi: 10.1038/s41366-024-01551-1. PubMed PMID: 38824226; PubMed Central PMCID: PMC11347379. ##
- Salam RA, Khan MH, Meerza SSA, Das JK, Lewis-Watts L, Bhutta ZA. An evidence gap map of interventions for noncommunicable diseases and risk factors among children and adolescents. Nat Med. 2024;30(1):290–301. doi: 10.1038/s41591-023-02737-2. PubMed PMID: 38195753. ##
- Ministry of Health Republic of Indonesia. Hasil Utama Riset Kesehatan Dasar (RISKESDAS) 2018. Badan Penelitian dan Pengembangan Kesehatan Departemen Kesehatan, Republik Indonesia; 2018. ##
- Mahmood L, Flores-Barrantes P, Moreno LA, Manios Y, Gonzalez-Gil EM. The Influence of Parental Dietary Behaviors and Practices on Children’s Eating Habits. Nutrients. 2021;13(4):1138. doi: 10.3390/nu13041138. PubMed PMID: 33808337; PubMed Central PMCID: PMC8067332. ##
- Ulfiana E, Rachmawati PD, Fadhilah DK. Contributing Factors of the Mother’s Behavior in Fulfilling Nutritional Needs for Under-Five Children with Overweight and Obesity. Indian Journal of Public Health Research and Development. 2019;10(8):2713-2718. doi: 10.5958/0976-5506.2019.02280.0. ##
- Baker S, Morawska A, Mitchell A. Promoting Children’s Healthy Habits Through Self-Regulation Via Parenting. Clin Child Fam Psychol Rev. 2019;22(1):52–62. doi: 10.1007/s10567-019-00280-6. PubMed PMID: 30725307. ##
- Camfferman R, Van der Veek SMC, Rippe RCA, Mesman J. Maternal Feeding Practices, Health Cognitions, and Children’s Eating Styles and Weight Status. J Dev Behav Pediatr. 2019;40(2):122–130. doi: 10.1097/DBP.0000000000000640. PubMed PMID: 30608284. ##
- WHO. Monitoring children’s development in the primary care services: moving from a focus on child deficits to family-centred participatory support: report of a virtual technical meeting, 9-10 June 2020. World Health Organization; 2020. ##
- Setiyaningrum S, Wahyani AD. Hubungan Pengetahuan Dan Sikap Ibu Keluarga Sadar Gizi Dengan Status Gizi Anak Balita. J Ilm Gizi Kesehat. 2020;1(02):33–40. ##
- Guest G, Bunce A, Johnson L. How Many Interviews Are Enough? Field methods. 2006;18(1):59–82. doi: 10.1177/1525822X05279903. ##
- Patton MQ. Qualitative research & evaluation methods: Integrating theory and practice. Sage publications; 2014. ##
- WHO. Child growth standards; 2020. Available from: https://www.who.int/tools/child-growth-standards/standards. ##
- Shinall JB, Schlundt DG, Sullivan MH, Frank HJ, Po’e EK, Sommer EC, et al. Identifying meaningful dietary intake and physical activity questions for individual and population health. Clin Obes. 2021;11(3):e12435. doi: 10.1111/cob.12435. PubMed PMID: 33412615; PubMed Central PMCID: PMC9257901. ##
- Chao AM, Quigley KM, Wadden TA. Dietary interventions for obesity: clinical and mechanistic findings. J Clin Invest. 2021;131(1):e140065. doi: 10.1172/JCI140065. PubMed PMID: 33393504; PubMed Central PMCID: PMC7773341. ##
- Hingle MD, O’Connor TM, Dave JM, Baranowski T. Parental involvement in interventions to improve child dietary intake: A systematic review. Prev Med. 2010;51(2):103–11. doi: 10.1016/j.ypmed.2010.04.014. PubMed PMID: 20462509; PubMed Central PMCID: PMC2906688. ##
- Scaglioni S, De Cosmi V, Ciappolino V, Parazzini F, Brambilla P, Agostoni C. Factors Influencing Children’s Eating Behaviours. Nutrients. 2018;10(6):706. doi: 10.3390/nu10060706. PubMed PMID: 29857549; PubMed Central PMCID: PMC6024598. ##
- Costa GD. Indonesia boosts nickel, rare earth mining as demand surges for defense industry components. Indo-Pacific Defense Forum; 2023. Available from: https://ipdefenseforum.com/2023/03/indonesia-boosts-nickel-rare-earth-mining-as-demand-surges-for-defense-industry-components. ##
- Bahatheg RO. Young Children’s Nutrition During the COVID-19 Pandemic Lockdown: A Comparative Study. Early Child Educ J. 2021;49(5):915–923. doi: 10.1007/s10643-021-01192-3. PubMed PMID: 33942007; PubMed Central PMCID: PMC8081005. ##
- de Onis M. Preventing childhood overweight and obesity. J Pediatr (Rio J). 2015;91(2):105–7. doi: 10.1016/j.jped.2014.10.002. PubMed PMID: 25458878. ##
- Calcaterra V, Cena H, Garella V, Loperfido F, Chillemi C, Manuelli M, et al. Assessment of Epicardial Fat in Children: Its Role as a Cardiovascular Risk Factor and How It Is Influenced by Lifestyle Habits. Nutrients. 2024;16(3):420. doi: 10.3390/nu16030420. PubMed PMID: 38337703; PubMed Central PMCID: PMC10857556. ##
- Monterrosa EC, Frongillo EA, Drewnowski A, de Pee S, Vandevijvere S. Sociocultural Influences on Food Choices and Implications for Sustainable Healthy Diets. Food Nutr Bull. 2020;41(2_suppl):59S-73S. doi: 10.1177/0379572120975874. PubMed PMID: 33356592. ##
- Clark H, Royal P, West H, Kelly T, Derbyshire E, Albon D, et al. Emerging dietary patterns: impact on child health; 2020. ##
- Nuryani N, Rahmawati R. Kebiasaan jajan berhubungan dengan status gizi siswa anak sekolah di Kabupaten Gorontalo. Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition). 2018;6(2):114–22. doi: 10.14710/jgi.6.2.114-122. ##
- Prasasti HP, Indrawati V. Pengaruh Kebiasaan Makan Keluarga terhadap Status Gizi Anak di SDN Babak Sari-Kecamatan Dukun-Kabupaten Gresik (Studi Kasus). e-Jurnal Tata Boga. 2019;8(I):119–125. Indonesian. ##
- Tylka TL, Annunziato RA, Burgard D, Daníelsdóttir S, Shuman E, Davis C, et al. The Weight-Inclusive versus Weight-Normative Approach to Health: Evaluating the Evidence for Prioritizing Well-Being over Weight Loss. J Obes. 2014;2014:983495. PubMed PMID: 25147734; PubMed Central PMCID: PMC4132299. ##
- Effendy DS, Prangthip P, Soonthornworasiri N, Winichagoon P, Kwanbunjan K. Nutrition education in Southeast Sulawesi Province, Indonesia: A cluster randomized controlled study. Matern Child Nutr. 2020;16(4):e13030. doi: 10.1111/mcn.13030. PubMed PMID: 32468687; PubMed Central PMCID: PMC7507461. ##
- Judelsohn A, Kelly S. Revisiting Food for Growth: Lessons from a Food Systems Studio. In: Planning for Equitable Urban Agriculture in the United States: Future Directions for a New Ethic in City Building. Springer; 2024. p. 415–34. ##
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