| dc.description.abstract | Obesitas pada remaja merupakan masalah gizi yang terus meningkat, terutama di wilayah perkotaan dengan akses tinggi terhadap makanan siap saji dan gaya hidup sedentari. Penelitian ini bertujuan menganalisis hubungan frekuensi food away from home (FAFH), kualitas diet, dan aktivitas sedentari dengan risiko obesitas pada remaja SMA di Kota Bogor. Penelitian menggunakan desain cross-sectional terhadap 126 siswa dari tiga SMA Negeri di Kota Bogor yang dipilih melalui cluster random sampling. Data dikumpulkan melalui kuesioner, wawancara, dan pengukuran antropometri, kemudian dianalisis menggunakan uji korelasi Spearman, Mann-Whitney, dan regresi linier berganda. Hasil analisis bivariat menunjukkan bahwa frekuensi FAFH (rs=0,210; p=0,018), kualitas diet (rs=-0,200; p=0,024), dan aktivitas sedentari (rs=0,333; p=0,000) berhubungan signifikan dengan z-score IMT/U. Pada analisis multivariat, aktivitas sedentari (ß=0,291; 95% CI: 0,047–0,173; p=0,001) dan kualitas diet (ß=-0,178; 95% CI: -0,032–-0,001; p=0,033) tetap menjadi prediktor independen yang signifikan setelah dikontrol oleh variabel lain, sedangkan frekuensi FAFH tidak lagi berhubungan signifikan (ß=0,118; 95% CI: -0,015–0,087; p=0,164). Ketujuh variabel dalam model menjelaskan 22,0% variasi z-score IMT/U. Penelitian ini menyimpulkan bahwa aktivitas sedentari dan kualitas diet merupakan determinan yang lebih konsisten terhadap risiko obesitas remaja dibandingkan dengan frekuensi FAFH, sehingga pencegahan obesitas remaja perlu difokuskan pada peningkatan kualitas diet dan pengurangan aktivitas sedentari. | |
| dc.description.abstract | Adolescent obesity is an increasing public health concern, particularly in urban areas with high access to fast food and sedentary lifestyles. This study aimed to examine the associations of food away from home (FAFH) frequency, diet quality, and sedentary activity with obesity risk among adolescents in Bogor City, Indonesia. This study employed a cross-sectional design involving 126 students from three public senior high schools in Bogor City, selected through cluster random sampling at the district level. Data were collected through questionnaires, interviews, and anthropometric measurements and analyzed using Spearman correlation, Mann–Whitney, and multiple linear regression. Bivariate analysis showed significant associations between FAFH frequency (rs = 0.210, p = 0.018), diet quality (rs = -0.200, p = 0.024), sedentary activity (rs = 0.333, p < 0.001), and BMI-for-age z-score. In the multivariable analysis, sedentary activity (ß = 0.291; 95% CI: 0.047–0.173; p = 0.001) and diet quality (ß = -0.178; 95% CI: -0.032 to -0.001; p = 0.033) remained significant independent predictors of BMI-for-age z-score after adjustment for potential confounders, whereas FAFH frequency was no longer significantly associated with BMI-for-age z-score (ß = 0.118; 95% CI: -0.015 to 0.087; p = 0.164). The model explained 22.0% of the variation in BMI-for-age z-scores (R² = 0.220). These findings indicate that sedentary behavior and diet quality are stronger predictors of adolescent obesity risk than FAFH frequency. Therefore, obesity prevention should focus on reducing sedentary behavior and improving diet quality. | |
