Dampak Pandemi COVID-19 Terhadap Pola Makan dan Aktivitas Fisik Pada Remaja Obese dan Overweight Berdasarkan Persen Lemak Tubuh
DOI:
https://doi.org/10.25311/keskom.Vol9.Iss2.1555Abstrak
Latar belakang: Remaja dengan obesitas dan overweight lebih rentan mengalami keparahan COVID-19 dibandingkan remaja dengan status gizi normal. Meskipun pola makan dan aktivitas fisik tidak mencegah infeksi secara langsung, tetapi mereka memainkan peran penting terkait respon host terhadap agen infeksi. Penelitian ini menganalisis perubahan pola makan dan aktivitas fisik selama pandemi COVID-19 pada remaja dengan overweight ataupun obesitas berdasarkan persentase lemak tubuh (PLT). Metode: Menggunakan desain cross - sectional dan purposive sampling yang dilakukan pada 159 remaja dari SMA terpilih di Lampung Barat, Indonesia. Pengumpulan data dilakukan menggunakan Food Frequency Questionnaire (FFQ) dan alat body composition scale. Analisis data dilakukan menggunakan Wilcoxon signed-rank test untuk menganalisis perbedaan pada kedua kelompok. Hasil: Kelompok overweight dan obesitas mengalami peningkatan konsumsi jajanan snack dan minuman dibandingkan dengan kelompok normal (p<0,05). Kedua kelompok mengalami peningkatan asupan buah – buahan yang kaya vitamin C (p<0,05), tetapi tidak terdapat perbedaan pada asupan sayuran (p>0,05). Kedua kelompok tidak memiliki perbedaan aktivitas fisik baik sebelum maupun selama pandemi COVID-19 (p>0,05). Kesimpulan: Remaja dengan persentase lemak tubuh (PLT) yang normal cenderung memiliki pola makan yang lebih baik, dibandingkan dengan remaja overweight dan obesitas dengan PLT tinggi, yang cenderung memiliki penurunan pada kualitas pola makan. Kemudian, kedua kelompok mengalami penurunan frekuensi aktivitas fisik selama pandemi COVID-19.
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Referensi
W.H.O. Coronavirus Disease (COVID-19) Pandemic. (2019) Available Online: Https://Www.Who.Int/Emergencies/Diseases/Novel-Coronavirus-2019 (Cited On March 16, 2023)
Tosepu R, Devi Savitri Effendy, And L. O. A. I. Ahmad. (2020). The first confirmed cases of COVID-19 in Indonesian citizens. Public Health of Indonesia. 6 (2): 70-71 https://dx.doi.org/10.36685/phi.v6i2.337
Roziqin A, Syasya YFM, and Iradhad TS. (2021). An analysis of Indonesian government policies against COVID-19." Public Administration and Policy. 24 (1): 92-107
Adnan, Muhammad, And Kainat Anwar. (2020). Online learning amid the COVID-19 pandemic: students' perspectives. online submission 2.1: 45-51 http://www.doi.org/10.33902/JPSP.2020261309
Duan, Li, Et Al. (2020). An investigation of mental health status of children and adolescents in China during the outbreak of COVID-19. Journal of Affective Disorders. 275: 112-118 https://doi.org/10.1016/j.jad.2020.06.029
Cavalera, Cesare. (2020). COVID-19 Psychological Implications: The Role of shame and guilt. Frontiers In Psychology. 11: 571828 https://doi.org/10.3389/fpsyg.2020.571828
Zhou SJ, Zhang LG, Wang LL, Guo ZC, Wang JQ, Chen JC et al. (2020). Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19. Eur Child Adolesc Psychiatry. (29): 749-758 https://doi.org/10.1007/s00787-020-01541-4
Batlle BL, Aldaco R, Bala AL, Puig R, Laso J, Margallo M, et al. (2020). Environmental and nutritional impacts of dietary changes in Spain during the COVID-19 lockdown. Sci. Total Environ. 748 https://doi.org/10.1016/j.scitotenv.2020.141410
Martín-Rodríguez, Alexandra, et al. (2022). Dietary patterns of adolescent students during the COVID-19 pandemic lockdown. Physiology & Behavior. 249: 113764 https://doi.org/10.1016/j.physbeh.2022.113764
Castañeda-Babarro, A., Arbillaga-Etxarri, A., Gutiérrez - Santamaría, B., & Coca, A. (2020). Physical activity changes during COVID-19 confinement. International Journal Of Environmental Research And Public Health. 17 (18): 6878 https://doi.org/10.3390/ijerph17186878
Ding D, Cheng M, Del PCB, Lin T, Sun S, Zhang L, Yang Q, Ma Z, Wang J, Jia Y. (2021). How COVID-19 lockdown and reopening affected daily steps: evidence-based on 164,630 person-days of prospectively collected data from Shanghai, China. Int. J. Behav. Nutr. Phys. Act. (18): 1–10 https://doi.org/10.1186/s12966-021-01106-x
Nieman D.C, Wentz LM. (2019). The compelling link between physical activity and the body's defense system. J. Sport Health Sci. (8): 201–217 https://doi.org/10.1016/j.jshs.2018.09.009
Salgado AR, Pérez CN, Núñez GI, Orozco AJ, Torres EN, Flores SJ Et Al. (2021). Influence of baseline physical activity as a modifying factor on COVID-19 mortality: a single-center, retrospective study. Infect. Dis. Ther. (10): 1–14 https://doi.org/10.1007/s40121-021-00418-6
Freuer D, Linseisen J, Meisinger C. (2021). Impact of body composition on COVID-19 susceptibility and severity: a two-sample multivariable mendelian randomization study. Metab. Clin. Exp. 118 https://doi.org/10.1016/j.metabol.2021.154732
Földi M, Farkas N, Kiss S, Zádori N, Váncsa S, Szakó L, Dembrovszky F, et al. (2020). Obesity is a risk factor for developing the critical condition in COVID-19 patients: a systematic review and meta-analysis. Obes. Rev. (21): E13095 https://doi.org/10.1111/obr.13095
Opichka, K., Smith, C., Levine, A.S. (2019). Problematic eating behaviors are more prevalent in African American women who are overweight or obese than African American women who are lean or normal weight. Fam. Commun. Health. 42 (2): 81–89
Ma H, Hu J, Tian J, Zhou X, Li H, Laws MT & Shao JA. (2020). Single-center, retrospective study of COVID-19 features in children: a descriptive investigation. Bmc Medicine. 18 (1): 1–11 https://doi.org/10.1186/s12916-020-01596-9
Błaszczyk BE, Jagielski P, Bolesławska I, Jagielska A, Nitsch OA, Kawalec P. (2020). Nutrition behaviors in polish adults before and during COVID-19 lockdown. Nutrients. (12): 3084 https://doi.org/10.3390/nu12103084
Williams DP, Going SB, Lohman TG, Harsha DW, Srinivasan SR, Webber LS, & Berenson GS. (1992). Body fatness and risk for elevated blood pressure, total cholesterol, and serum lipoprotein ratios in children and adolescents. American journal of public health. 82(3): 358-363 https://doi.org/10.2105/AJPH.82.3.358
Cranfield JAL. (2020). Framing Consumer food demand responses in a viral pandemic. Can. J. Agric. Econ. Can. D’agroeconomie. (68): 151–156 https://doi.org/10.1111/cjag.12246
Sánchez SE, Ramírez VG, Avellaneda LY, Orellana PJI, García ME, & Díaz JJ. (2020). Eating habits and physical activity of the Spanish population during the COVID-19 pandemic period. Nutrients. 12 (9), 2826 https://doi.org/10.3390/nu12092826
Zabetakis I, Lordan R, Norton C. (2020). COVID-19: The inflammation link and the role of nutrition in potential mitigation. Nutrients. 2 (1): 28 https://doi.org/10.3390/nu12051466
Koball AM, Meers MR, Storfer IA, Domoff SE, And Musher EDR. (2012). Eating when bored: revision of the emotional eating scale focusing on boredom. Health Psychol. (31): 521–524 https://doi.org/10.1037/a0025893
Alghawrien D, Mahmoud AH, And Omar A. (2020). The impact of obesity on self-esteem and academic achievement among university students. International Journal Of Adolescent Medicine And Health. 34(3): 20190137 https://doi.org/10.1515/ijamh-2019-0137
Lutter M, & Nestler EJ. (2009). Homeostatic and hedonic signals interact in the regulation of food intake. The Journal of Nutrition. 139(3): 629-632 https://doi.org/10.3945/jn.108.097618
Wisman A, And Koole SL. (2003). Hiding in the crowd: can mortality salience promote affiliation with others who oppose one's worldviews? J. Pers. Soc. Psychol. (84): 511–526 https://doi.org/10.1037/00223514.84.3.511
Haedt-Matt AA, And Keel PK. (2011). Revisiting the affect regulation model of binge eating: a meta-analysis of studies using ecological momentary assessment. Psychol. Bull. (137): 660–681 https://doi.org/10.1037/a0023660
Loxton NJ, Dawe SCA. (2011). Does a negative mood drive the urge to eat? the contribution of negative mood, exposure to food cues, and eating style. Appetite. (56): 368–374 https://doi.org/10.1016/j.appet.2011.01.011
Gasmi A, Noor S, Tippairote T, Dadar M, Menzel A, & Bjørklund G. (2020). Individual risk management strategy and potential therapeutic options for the COVID-19 pandemic. Clinical Immunology. (215): 108409 https://doi.org/10.1016/j.clim.2020.108409
Izquierdo AG, Crujeiras AB. (2019). Leptin, obesity, and leptin resistance: where are we 25 years later? Nutrients. (11): 2704 https://doi.org/10.3390/nu11112704
Obradovic M, Sudar ME, Soskic S, Essack M, Arya S, Stewart AJ & Isenovic ER. (2021). Leptin and obesity: role and clinical implication. Frontiers In Endocrinology. (12): 585887 https://doi.org/10.3389/fendo.2021.585887
Carr A, Maggini S. (2017). Vitamin C, and immune function. Nutrients. 9(11):1211 https://doi.org/10.3390/nu9111211
Alkhatib A. (2020). Antiviral functional foods and exercise lifestyle prevention of Coronavirus. Nutrients. (12): 2633 https://doi.org/10.3390/nu12092633
Neethu RS, Reddy M, Batra S, Srivastava SK, & Syal K. (2022). Vitamin C and its therapeutic potential in the management of COVID-19. Clinical Nutrition Espen https://doi.org/10.1016/j.clnesp.2022.05.026
Caputo EL, Reichert FF. (2020). Studies of physical activity and COVID-19 during the pandemic: A Scoping Review. J. Phys. Act. Health. (17) 1275–1284 https://doi.org/10.1123/jpah.20200406
Robinson E, Boyland E, Chisholm A, Harrold J, Maloney NG, Marty L, et al. (2021). Obesity, eating behavior and physical activity during COVID-19 lockdown: A study of UK adults. Appetite. (156): 104853 https://doi.org/10.1016/j.appet.2020.104853
Füzéki E, Groneberg DA, & Banzer W. (2020). Physical activity during COVID-19 induced lockdown: recommendations. Journal of Occupational Medicine and Toxicology. 15 (1): 1-5 https://rdcu.be/daBaY
Nieman DC. (1994). Exercise, infection, and immunity. Int J Sports Med. 15 (3): S131–41
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