Objectives: There is currently no data on the prevalence of obesity and li-pid profile as well as nutrition and food intake of elementary schoolchildren in Bandar Lampung city. Therefore, the aim of this study was to investigate obesity prevalence and dyslipidemia in children. Design, setting, and participants: Cross-sectional study on grade 4 school children in Bandar Lampung Indonesia (n = 392). Outcome measures: Characteristics of schoolchildren and their family, nutrition, fruits, and vegetable intakes, and physical activities, body mass index (BMI) and lipid profile were collected from 392 children of grade 4 from five elementary schools in Bandar Lampung. One-way ANOVA and correlation analysis were applied with BMI and lipid profiles as dependent variables. Results: The incidence of undernutrition (7.7%) was lower than the incidence of overnutrition (26.3%). Energy, protein and fat daily intake were higher for children with higher BMI, however, carbohydrate consumption was not affecting the BMI. Obese children had more vegetable and fruit intake than wasting children and spent 30 minutes less in physical activity than normal children. Lipid plasma of schoolchildren was considered as acceptable or borderline high except for the TG of obese children in the high category. Conclusions: Prevalence of obesity was high and being obese was more likely to result in higher TG and lower HDL. The lifestyle of obese schoolchildren was characterized by a high intake of energy, protein, and fat and lower physical activities. Encouraging schoolchildren to modify their lifestyles is recommended.
Cite this paper
Nurdin, S. U. , Ismail, M. , Indriani, Y. and Zuraida, R. (2019). Nutrition, Fruits and Vegetable Intake and Lipid Profile of Obese and Non-Obese Schoolchildren in Bandar Lampung Indonesia: A Cross-Sectional Study. Open Access Library Journal, 6, e5371. doi: http://dx.doi.org/10.4236/oalib.1105371.
Gupta, N., Goel, K., Shah, P. and Misra, A. (2012) Childhood Obesity in Developing Countries: Epidemiology, Determinants, and Prevention. Endocrine Reviews, 33, 48-70. https://doi.org/10.1210/er.2010-0028
Ebbeling, C.B., Pawlak, D.B. and Ludwig, D.S. (2002) Childhood Obesity: Public-Health Crisis, Common Sense Cure. The Lancet, 360, 473-482. https://doi.org/10.1016/s0140-6736(02)09678-2
Ishaque, A., Ahmad, F., Zehra, N. and Amin, H. (2012) Frequency of and Factors Leading to Obesity and Overweight in School Children. Journal of Ayub Medical College Abbottabad-Pakistan, 24, 34-38.
Chou, L. and Chen, M. (2017) Influencing Factors of the Body Mass Index of Elementary Students in Southern Taiwan. International Journal of Environmental Research and Public Health, 14, 220. https://doi.org/10.3390/ijerph14030220
Ambrosini, G.L. (2014) Childhood Dietary Patterns and Later Obesity: A Review of the Evidence. Proceedings of Nutrition Society, 73, 137-146. https://doi.org/10.1017/s0029665113003765
Kalantari, S. (2016) Childhood Cardiovascular Risk Factors, a Predictor of Late Adolescent Overweight. Advanced Biomedical Research, 5, 56. https://doi.org/10.4103/2277-9175.178802
Hanh, N.T.H., Tuyet, L.T., Dao, D.T.A., Tao, Y. and Chu, D.T. (2017) Childhood Obesity Is a High-Risk Factor for Hypertriglyceridemia: A Case-Control Study in Vietnam. Osong Public Health Research Perspectives, 8, 138-146. https://doi.org/10.24171/j.phrp.2017.8.2.06
Bijari, B., Taheri, F., Chahkandi, T., Kazemi, T., Namakin, K. and Zardast, M. (2015) The Relationship between Serum Lipids and Obesity among Elementary School in Birjand: A Case-Control Study. Journal of Research in Health Sciences, 15, 83-87.
Carmona-Montesinos, E., Ruiz-Fragoso, Z., Ponce Hinojosa, G. and Rivas-Arancibia, S. (2015) Changes in C-Reactive Protein and Biochemical Profile in Preschool Children with Obesity. Nutrición Hospitalaria, 32, 1548-1533.
Rizk, N.M. and Yousef, M. (2012) Association of Lipid Profile and Waist Circumference as Cardiovascular Risk Factors for Overweight and Obesity among School Children in Qatar. Diabetes, Metabolic Syndrome Obesity: Targets and Therapy, 5, 425-432. https://doi.org/10.2147/dmso.s39189
Shirasawa, T., Ochiai, H., Ohtsu, T., Nishimura, R., Morimoto, A., Hoshino, H., Tajima, N. and Kokaze, A. (2013) LDL-Cholesterol and Body Mass Index among Japanese Schoolchildren: A Population-Based Cross-Sectional Study. Lipids in Health and Disease, 12, 77. https://doi.org/10.1186/1476-511x-12-77
Indriani, Y., Khomsan, A., Sukandar, D., Riyadi, H. and Zuraida, R. (2013) The Supplementation Effects of Iron and Folic Acid Compared with the Multivitamin and Mineral on Female Workers of Childbearing Age in the Pineapple Agribusiness. Makara Journal of Health Research, 17, 17-25. https://doi.org/10.7454/msk.v17i1.2006
Paramesh, S., Bekal, M., Kumari, S., Radhakrishnan, V. and Pushpalatha, K.C. (2011) A Study on Lipid Profile and Myeloperoxidase Level in Type II Diabetes Mellitus with Respect to Age and Gender. Research Journal of Pharmaceutical, Biological, and Chemical Sciences, 2, 335-341.
(2011) Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents: Summary Report. Pediatrics, 128, S213-S256. https://doi.org/10.1542/peds.2009-2107c
GBD 2015 Obesity Collaborators (2017) Health Effects of Overweight and Obesity in 195 Countries over 25 Years. The New England Journal of Medicine, 377, 13-27. https://doi.org/10.1056/nejmoa1614362
Ahrens, W., Pigeot, I., Pohlabeln, H., De Henauw, S., Lissner, L., Molnár, D., Moreno, L., Tornaritis, M., Veidebaum, T. and Siani, A. (2014) Prevalence of Overweight and Obesity in European Children below the Age of 10. International Journal of Obesity, 38, S99-S107. https://doi.org/10.1038/ijo.2014.140
Beynon, C. and Fone, D. (2017) Risk Factors for Childhood Obesity: A Data Analysis of the Welsh Health Survey. Nursing Children and Young People, 29, 38-44. https://doi.org/10.7748/ncyp.2017.e855
Pengpid, S. and Peltzer, K. (2016) Overweight, Obesity and Associated Factors among 13-15 Years Old Students in the Association of Southeast Asian Nations Member Countries, 2007-2014. Southeast Asian Journal of Tropical Medicine Public Health, 47, 250-262.
Chi, D.L., Luu, M. and Chu, F. (2017) A Scoping Review of Epidemiologic Risk Factors for Pediatric Obesity: Implications for Future Childhood Obesity and Dental Caries Prevention Research. Journal of Public Health Dentistry, 77, S8-S31. https://doi.org/10.1111/jphd.12221
Munthali, R.J., Kagura, J., Lombard, Z. and Norris, S.A. (2017) Early Life Growth Predictors of Childhood Adiposity Trajectories and Future Risk for Obesity: Birth to Twenty Cohort. Childhood Obesity, 13, 384-391. https://doi.org/10.1089/chi.2016.0310
Casey, A.A., Elliott, M., Glanz, K., Haire-Joshu, D., Lovegreen, S.L., Saelens, B.E., Sallis, J.F. and Brownson, R.C. (2008) Impact of the Food Environment and Physical Activity Environment on Behaviors and Weight Status in Rural US Communities. Preventive Medicine, 47, 600-604. https://doi.org/10.1016/j.ypmed.2008.10.001
Desalew, A., Mandesh, A. and Semahegn, A. (2017) Childhood Overweight, Obesity and Associated Factors among Primary School Children in Dire Dawa, Eastern Ethiopia, a Cross-Sectional Study. BMC Obesity, 4, 20. https://doi.org/10.1186/s40608-017-0156-2
Beyerlein, A., Uusitalo, U.M., Virtanen, S.M., Vehik, K., Yang, J., Winkler, C., Kersting, M., Koletzko, S., Schatz, D., Aronsson, C.A., et al. (2017) Intake of Energy and Protein Is Associated with Overweight Risk at Age 5.5 Years: Results from the Prospective TEDDY Study. Obesity, 25, 1435-1441. https://doi.org/10.1002/oby.21897
Garipagaoglu, M., Sahip, Y., Budak, N., Akdikmen, O., Altan, T. and Baban, M. (2008) Food Types in the Diet and the Nutrient Intake of Obese and Non-Obese Children. Jouranl of Clinical Research in Pediatric Endocrinology, 1, 21-29. https://doi.org/10.4008/jcrpe.v1i1.5
McGloin, A., Livingstone, M., Greene, L., Webb, S., Gibson, J., Jebb, S., Cole, T., Coward, W., Wright, A. and Prentice, A. (2002) Energy and Fat Intake in Obese and Lean Children at Varying Risk of Obesity. International of Journal Obesity, 26, 200-207. https://doi.org/10.1038/sj.ijo.0801883
Pimpin, L., Jebb, S., Johnson, L., Wardle, J. and Ambrosini, G.L. (2016) Dietary Protein Intake Is Associated with Body Mass Index and Weight up to 5 Y of Age in a Prospective Cohort of Twins’. Amercian Journal of Clinical Nutrition, 103, 389-397. https://doi.org/10.3945/ajcn.115.118612
Heianza, Y. and Qi, L. (2017) Gene-Diet Interaction and Precision Nutrition in Obesity. International Journal of Mo-lecular Sciences, 18, 787. https://doi.org/10.3390/ijms18040787
Kesehatan, K. (2014) Pedoman, Gizi Seimbang. Direktur Jenderal Bina Gizi dan KIA, Jakarta. http://gizi.depkes.go.id/download/Pedoman% 20Gizi/PGS%20Ok.pdf
Hong, S.A. and Piaseu, N. (2017) Prevalence and Determinants of Sufficient Fruit and Vegetable Consumption among Primary School Children in Nakhon Pathom, Thailand. Nutrition Research and Practice, 11, 130-138. https://doi.org/10.4162/nrp.2017.11.2.130
Kristjansdottir, A.G., Thorsdottir, I., De Bourdeaudhuij, I., Due, P., Wind, M. and Klepp, K. (2006) Determinants of Fruit and Vegetable Intake among 11-Year-Old Schoolchildren in a Country of Traditionally Low Fruit and Vegetable Consumption. International Journal of Behavioral Nutrition and Physical Activity, 3, 41. https://doi.org/10.1186/1479-5868-3-41
Alsubaie, A.S.R. (2018) Intake of Fruit, Vegetables and Milk Products and Correlates among School Boys in Saudi Arabia. International Journal of Adolescent Medicine and Health. https://doi.org/10.1515/ijamh-2018-0051
Upton, D., Upton, P. and Taylor, C. (2012) Fruit and Vegetable Intake of Primary School Children: A Study of School Meals. Journal of Human Nutrition and Dietetics, 25, 557-562. https://doi.org/10.1111/j.1365-277x.2012.01270.x
Tetens, I. and Alinia, S. (2009) The Role of Fruit Consumption in the Prevention of Obesity. The Journal of Horticultural Science and Biotechnology, 84, 47-51. https://doi.org/10.1080/14620316.2009.11512594
Papanikolaou, Y. and Fulgoni III, V.L. (2008) Bean Consumption Is Associated with Greater Nutrient Intake, Reduced Systolic Blood Pressure, Lower Body Weight, and a Smaller Waist Circumference in Adults: Results from the National Health and Nutrition Examination Survey 1999-2002. Journal of American College of Nutrition, 27, 569-576. https://doi.org/10.1080/07315724.2008.10719740
Williams, P.G. (2014) The Benefits of Breakfast Cereal Consumption: A Systematic Review of the Evidence Base. Advances in Nutrition, 5, S636-S673. https://doi.org/10.3945/an.114.006247
Del Mar Bibiloni, M., Tur, J.A., Morandi, A., Tommasi, M., Tomasselli, F. and Maffeis, C. (2015) Protein Intake as a Risk Factor of Overweight/Obesity in 8- to 12-Year-Old Children. Medicine (Baltimore), 94, e2408. https://doi.org/10.1097/md.0000000000002408
Maffeis, C. (2008) Physical Activity in the Prevention and Treatment of Childhood Obesity: Phys-io-Pathologic Evidence and Promising Experiences. International Journal of Pediatric Obesity, 3, 29-32. https://doi.org/10.1080/17477160802404699
Trost, S.G., Kerr, L., Ward, D.S. and Pate, R.R. (2001) Physical Activity and Determinants of Physical Activity in Obese and Non-Obese Children. International of Journal Obesity, 25, 822-829. https://doi.org/10.1038/sj.ijo.0801621
Krishnan, M., Shelling, A.N., Wall, C.R., Mitchell, E.A., Murphy, R., McCowan, L.M. and Thompson, J.M. (2018) Gene-By-Activity Interactions on Obesity Traits of 6-Year-Old New Zealand European Children: A Children of SCOPE Study. Pediatric Exercise Science, 30, 69-80. https://doi.org/10.1123/pes.2017-0077
Hills, A.P., Andersen, L.B. and Byrne, N.M. (2011) Physical Activity and Obesity in Children. British Journal of Sports Medi-cine, 45, 866-870. https://doi.org/10.1136/bjsports-2011-090199
Zhu, Y., Shao, Z., Jing, J., Ma, J., Chen, Y., Li, X., Yang, W., Guo, L. and Jin, Y. (2016) Body Mass Index Is Better than Other Anthropometric Indices for Identifying Dyslipidemia in Chinese Children with Obesity. PLoS ONE, 11, e0149392. https://doi.org/10.1371/journal.pone.0149392
Papandreou, D., Make-dou, K., Zormpa, A., Karampola, M., Ioannou, A. and Hitoglou-Makedou, A. (2016) Are Dietary Intakes Related to Obesity in Children? Open Access Macedonian Journal of Medical Sciences, 4, 194-199. https://doi.org/10.3889/oamjms.2016.045
Reuter, C.P., da Silva, P.T., Renner, J.D., de Mello, E.D., Valim, A.R., Pasa, L., da Silva, R. and Burgos, M.S. (2016) Dyslipidemia Is Associated with Unfit and Overweight-Obese Children and Adolescents. Arquivos Brasileiros de Cardiologia, 106, 188-193. https://doi.org/10.5935/abc.20160025
Al-Daghri, N.M., Aljohani, N.J., Al-Attas, O.S., Al-Saleh, Y., Alnaami, A.M., Sabico, S., Amer, O.E., Alharbi, M., Kumar, S. and Alokail, M.S. (2016) Comparisons in Childhood Obesity and Cardiometabolic Risk Factors among Urban Saudi Arab Adolescents in 2008 and 2013. Child: Care, Health and Development, 42, 652-657. https://doi.org/10.1111/cch.12361
Rajjo, T., Almasri, J., Al Nofal, A., Farah, W., Alsawas, M., Ahmed, A.T., Mohammed, K., Kanwar, A., Asi, N., Wang, Z., et al. (2016) The Association of Weight Loss and Cardiometabolic Outcomes in Obese Children: Systematic Review and Meta-Regression. The Journal of Clinical Endocrinology & Metabolism, 102, 758-762. https://doi.org/10.1210/jc.2016-2575