Association Beetween Nutrient Intake and Dietary Diversity with Obesity Status in College Students

Authors

  • Reni Novia Universitas Sumatera Utara
  • Fitri Ardiani Universitas Sumatera Utara
  • Fitri Handayani Universitas Sumatera Utara
  • Zulhaida Lubis Universitas Sumatera Utara
  • Etti Sudaryati Universitas Sumatera Utara

DOI:

https://doi.org/10.35451/h95aeh09

Keywords:

nutrient intake, food recall, obesity, central obesity, dietary diversity

Abstract

Background: Obesity is a nutritional problem that has become one of the most pressing global public health challenges of the 21st century. According to the SKI 2023 results, the prevalence of obesity among individuals aged 18 and older in Sumatera Utara was 24.3%. Several factors influencing are broadly related to issues of nutritional intake and dietary diversity. Objective: To analyze relationship between nutrient intake and dietary diversity with incidence obesity among undergraduate students in Public Health program at the Universitas Sumatera Utara 2023/2024. Methods: This study used cross-sectional design with 245 participants. Data collected included food recall, BMI, WHR, and IDDS score calculations. The relationship was analyzed using Chi-Square test. Results and discussion: Most subjects had normal nutritional status, but prevalence of obesity 21.6% and risk of central obesity 14.7% were still found. The adequacy levels of energy, fat, and carbohydrates were predominantly in the severe deficiency category, while protein adequacy tended toward the normal category, and nearly all subjects fiber deficiency. Most students had moderate dietary diversity. The analysis results showed no significant association between adequacy levels of energy, protein, carbohydrates, fiber, and dietary diversity with the prevalence of obesity or risk of central obesity. However, there was significant association between fat intake levels and risk of central obesity. Conclusion: It’s important to control fat intake and improve dietary quality by increasing fiber consumption and dietary diversity, along with controlling other factors not examined in this study (physical activity, sleep quality, stress, genetic factors, and eating habits).

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References

[1] Ahmed SK, Mohammed RA. Obesity: Prevalence, causes, consequences, management, preventive strategies and future research directions. Metab Open. 2025;27(2025):100375.

[2] WHO. WHO. 2025. Obesity and Overweight. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

[3] Kementrian Kesehatan RI. Survei Kesehatan Indonesia (SKI) Tahun 2023. Jakarta. 2024. 1–926 p.

[4] Lizończyk I, Jośko-Ochojska J. Relationship between overweight, obesity and sleep disorders in adolescents from selected cities of upper silesia, Poland. Ann Agric Environ Med. 2021;28(1):193–7.

[5] Aurellia D, Tanjung JR, Pramono LA. Association between Excess Body Mass Index towards Excessive Daytime Sleepiness among Medical Students at the Atma Jaya Catholic University of Indonesia During the Post-COVID-19 Pandemic. J Urban Heal Res. 2023;1(2):38–46.

[6] Mahase E. Global cost of overweight and obesity will hit $4.32tn a year by 2035, report warns. BMJ [Internet]. 2023;380:523. Available from: https://www.bmj.com/content/380/bmj.p523

[7] World obesity. Economic impact of overweight and obesity to surpass $4 trillion by 2035 [Internet]. 2024. Available from: https://www.worldobesity.org/news/economic-impact-of-overweight-and-obesity-to-surpass-4-trillion-by-2035#:~:text=,willhaveobesity

[8] Rahadian FA, Wahyuningsih U, Simanungkalit SF. Factors Associated with the Incidence of Obesity among College Students at Fakultas Ilmu Kesehatan Universitas Pembangunan Nasional “Veteran” Jakarta. Amerta Nutr. 2024;8(3SP):24–34.

[9] Shatwan IM, Almoraie NM. Correlation between dietary intake and obesity risk factors among healthy adults. Clin Nutr Open Sci [Internet]. 2022;45(2022):32–41. Available from: https://doi.org/10.1016/j.nutos.2022.08.007

[10] Khamis AG, Ntwenya JE, Senkoro M, Mfinanga SG, Kreppel K, Mwanri AW, et al. Association between dietary diversity with overweight and obesity: A cross-sectional study conducted among pastoralists in Monduli District in Tanzania. PLoS One [Internet]. 2021;16(1):1–14. Available from: http://dx.doi.org/10.1371/journal.pone.0244813

[11] Kennedy, G., Terri, Ballard and MarrieClaude D. Guidelines for measuring household and individual dietary diversity [Internet]. FAO. 2010. 1–60 p. Available from: www.foodsec.org

[12] Kennedy GL, Pedro MR, Seghieri C, Nantel G, Brouwer I. Dietary diversity score is a useful indicator of micronutrient intake in non-breast-feeding Filipino children. J Nutr [Internet]. 2007;137(2):472–7. Available from: https://doi.org/10.1093/jn/137.2.472

[13] (BkkbN) BK dan KBN. Pedoman Pengelolaan Bina Keluarga Remaja (BKR). Jakarta: Badan Kependudukan dan Keluarga Berencana Nasional; 2012.

[14] Aychiluhm SB, Ross AG, Isaac V, Thapa S, Ahmed KY. Central obesity and its association with youth physical and mental health: evidence from the Australian National Health Survey. BMC Med. 2025;23(1):709–22.

[15] GDB 2021 US Obesity Forecasting Collaborators. National-level and state-level prevalence of overweight and obesity among children, adolescents, and adults in the USA, 1990–2021, and forecasts up to 2050. Lancet. 2024;404(10469):2278–98.

[16] Xue Y, Yang X, Liu G. Association of combined body mass index and central obesity with cardiovascular disease in middle-aged and older adults : a population-based prospective cohort study. BMC Cardiovasc Disord. 2024;24(1):443–53.

[17] Zhang X, Wang Y, Li Y, Gui J, Mei Y, Yang X, et al. Four ‑ years change of BMI and waist circumference are associated with metabolic syndrome in middle ‑ aged and elderly Chinese. Sci Rep [Internet]. 2024;14(10220):1–11. Available from: https://doi.org/10.1038/s41598-024-60172-w

[18] Lin R, Tao Y, Li C, Li F, Li Z, Hong X, et al. Central obesity may affect bone development in adolescents : association between abdominal obesity index ABSI and adolescent bone mineral density. BMC Endocr Disord [Internet]. 2024;24(81):1–10. Available from: https://doi.org/10.1186/s12902-024-01600-w

[19] Liu C an, Liu T, Ruan G tian, Ge YZ, Song M meng, Xie HL, et al. The relationship between fat distribution in central region and comorbidities in obese people : Based on NHANES 2011 – 2018. Front Endocrinol. 2023;14(February):1–11.

[20] San-Cristobal R, Navas-Carretero S, Martínez-González MÁ, Ordovas JM, Martínez JA. Contribution of macronutrients to obesity: implications for precision nutrition. Nat Rev Endocrinol. 2020;16(6):305–20.

[21] Lee MJ, Kim J. The pathophysiology of visceral adipose tissues in cardiometabolic diseases. Biochem Pharmacol. 2024;222(116116):1–20.

[22] Nuryani N, Muhdar IN, Ramadhani F, Paramata Y, Adi DI, Bohari B. Association of Physical Activity and Dietary Patterns with Adults Abdominal Obesity in Gorontalo Regency , Indonesia : A Cross-Sectional Study. Curr Res Nutr Food Sci. 2021;09(1):280–92.

[23] Luthfiya L, Pibriyanti K, Nabawiyah H, Fathimah F, Ummah SK. Factors Affecting Abdominal Circumference in Adolescent Girls. Amerta Nutr. 2024;8(1):74–81.

[24] Ayogu RNB, Oshomegie H, Udenta EA. Energy intake , expenditure and balance , and factors associated with energy balance of young adults ( 20 – 39 years ): a retrospective cross ‑ sectional community ‑ based cohort study. BMC Nutr [Internet]. 2022;8(142):1–13. Available from: https://doi.org/10.1186/s40795-022-00628-2

[25] Čermáková E, Forejt M, Čermák M. The Influence of the Energy Intake Variability During the Week on the Body Composition in an Adult Population. Int J Med Sci. 2024;21(9):1622–8.

[26] Hu H, Zuo L, Song X, Su C, Wang H, Zhang B, et al. Longitudinal Association of Dietary Energy Density with Abdominal Obesity among Chinese Adults from CHNS. Nutrients. 2022;14(2151):1–10.

[27] Ibnu IN, Sitanggang HD, Enis RN. The Relationship Between Nutritional Intake and Behavioral Factors on the Incidence of Anemia in Female Adolescents in Senior High Schools in Jambi City. J Kesmas Jambi. 2025;9(2):195–204.

[28] Rachmadianti D, Puspita ID. Korelasi Antara Asupan Protein, Serat dan Durasi Tidur dengan Status Gizi Remaja. J Ris Gizi. 2020;8(2):85–9.

[29] Moon K, Krems C, Heuer T, Hoffmann I. Association between body mass index and macronutrients differs along the body mass index range of German adults: Results from the German National Nutrition Survey II. J Nutr Sci. 2020;10(8):1–8.

[30] Mardiana, Yusuf M, Sriwiyanti. Hubungan Beberapa Faktor Dengan Kejadian Obesitas Remaja Di Palembang. J Kesehat Poltekkes Palembang. 2022;17(1):2654–3427.

[31] Novitasari P, Rimbawan R, Hardinsyah H, Riyadi H. Nutritional Status, Eating Patterns, Physical Activity, Health and Phenotype History of Obese Young Women in Bandung City. Amerta Nutr. 2025;9(1):109–18.

[32] Agita VV, Widyaastuti N, Nissa C. Asupan Energi Cemilan, Durasi dan Kualitas Tidur pada Remaja Obesitas dan Non Obesitas. J Nutr Coll. 2018;7(3):147–54.

[33] Azairin LP, Suzan R, Kusdiyah E, Amalia F. Hubungan Asupan Lemak dengan Persentase Lemak Tubuh Mahasiswa Program Studi Kedokteran Universitas Jambi. J Ilmu Kedokt dan Kesehat [Internet]. 2025;12(9):2074–80. Available from: http://ejurnalmalahayati.ac.id/index.php/kesehatan POLA

[34] Rahman MM, Salikunna NA, Sumarni, Wahyuni RD, Badaruddin R, Ramadhan MZ, et al. Hubungan Asupan Lemak terhadap Persentase Lemak Tubuh Mahasiswa Fakultas Kedokteran Universitas Tadulako Angkatan 2019. Heal Tadulako J. 2021;7(9):21–9.

[35] Rahayuningsih AND, Muniroh L. Hubungan Aktivitas Fisik, Asupan Kalsium dan Lemak dengan Obesitas Sentral pada Tenaga Kerja Perkantoran. Media Gizi Kesmas. 2022;11(2):351–7.

[36] Sholikhah I, Adelina R. Studi Literatur Hubungan Asupan Zat Gizi Makro Terhadap Kejadian Obesitas Pada Remaja di Indonesia. J Pangan Kesehat dan Gizi Univ Binawan. 2024;5(1):1–11.

[37] Anggrainy O, Ridhanti D, Nugroho FA. Tidak ada korelasi antara asupan karbohidrat sederhana, lemak jenuh, dan tingkat aktivitas fisik dengan status gizi pada remaja dengan kegemukan dan obesitas. AcTion Aceh Nutr J. 2018;3(1):1.

[38] Sikalak W, Widajanti L, Aruben R. Faktor-faktor yang Berhubungan dengan Kejadian Obesitas pada Karyawati Perusahaan di Bidang Telekomunikasi Jakarta Tahun 2017. J Kesehat Masy. 2017;5(3):193–201.

[39] Andita N, Asna AF, Noerfitri. The Relationship between Stress Levels and Macro Nutrient Intake with Obesity in Vocational High School Adolescents in Bekasi City. JAKAGIJurnal Pangan Kesehat dan Gizi. 2020;1(1):26–37.

[40] Jeser TA, Santoso AH. Hubungan asupan serat dalam buah dan sayur dengan obesitas pada usia 20-45 tahun di Puskesmas Kecamatan Grogol Petamburan Jakarta Barat. Tarumanagara Med J. 2021;3(2):383–90.

[41] Sari W, Rizqiya F. Hubungan Asupan Zat Gizi dan Aktivitas Fisik Dengan Kejadian Gizi Lebih Pada Usia Dewasa Di Kelurahan Kebon Kosong Jakarta. Tirtayasa Med J. 2023;3(1):9.

[42] Syarifuddin NH, Briawan D, Sinaga T. Hubungan Kualitas Tidur, Tingkat Stres, Aktivitas Fisik dan Konsumsi Pangan dengan Status Gizi Mahasiswa Pascasarjana IPB [Internet]. Repository.Ipb.Ac.Id. 2022. Available from: http://repository.ipb.ac.id/handle/123456789/113449

[43] Novia R, Arisman Y, Dame Yanti Zega A, Irwanto R. The Correlation Between Adherence To A Low-Carbohydrate Diet And Decreased Blood Sugar Levels In Patien. J Kesehat Masy [Internet]. 2022;5(2):2655–0849. Available from: https://ejournal.medistra.ac.id/index.php/JKG

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Published

2026-04-30

How to Cite

Association Beetween Nutrient Intake and Dietary Diversity with Obesity Status in College Students. (2026). JURNAL KESMAS DAN GIZI (JKG), 8(2), 1191-1200. https://doi.org/10.35451/h95aeh09