The Effectiveness of the Real Food Consumption Education Programme on Nutritional Knowledge among the Youth Red Cross Community
DOI:
https://doi.org/10.35451/g6w02b15Keywords:
nutrition education; real food; adolescents; PMR; nutritional knowledgeAbstract
Adolescents in Indonesia face complex nutritional challenges, primarily due to high consumption of ultra-processed foods (UPFs) and excessive intake of sugar, salt, and fat (SSF), which contribute to an increased risk of non-communicable diseases (NCDs). Nutrition education in schools is a strategic approach to fostering healthy eating behaviours. This study aims to measure the effectiveness of nutrition education on the consumption of real food using a lecture and question-and-answer method within the Red Cross Youth (PMR) community. This study employs a quantitative approach, using a quasi-experimental design (one-group pretest-posttest design). A total of 82 PMR student members participated in completing the pre-test and post-test questionnaires. The educational material covered the definition and examples of real food, the health risks associated with ultra-processed foods (UPFs), restrictions on the consumption of sugar, salt, and fat (SSF), and how to read processed food labels. The instrument used to measure knowledge was a validated 15-item multiple-choice questionnaire completed via a Google Form link. Analysis using the Wilcoxon signed-rank test revealed a statistically significant difference in median pretest and posttest scores (p = 0.000). There was an increase in the median knowledge score from 83.33 to 100. A total of 53.66% of students improved their knowledge scores following the education. Nutrition education on real food, delivered through a lecture and question-and-answer method, proved effective in improving the nutritional knowledge of PMR members. PMR members are expected to act as peer educators by sharing knowledge and promoting healthy eating behaviours to their peers within the school community.
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References
[1] UNICEF. Strategi Komunikasi Perubahan Sosial dan Perilaku: Meningkatkan Gizi Remaja di Indonesia. Jakarta: 2021.
[2] UNICEF Indonesia. Indonesia Adolescent Health Profile 2024. 2024.
[3] Latifah S, Khusun H, Kekalih A, Basrowi RW. Obesogenic Environment In Indonesia: A Literature Review Of Environmental Determinants Of Obesity. Journal of Indonesian Specialized Nutrition 2025;3:85–102.
[4] Kemenkes RI. Buku Informasi Cegah Dan Kendalikan Penyakit Tidak Menular (PTM). Jakarta: Direktorat Jenderal Pencegahan dan Pengendalian Penyakit, Kementrian Kesehatan Republik Indonesia; 2021.
[5] Simanjuntak M, Maria Tri Anggraini A. Upaya Perlindungan Konsumen melalui Pencantuman Informasi Gula, Garam, dan Lemak (GGL) pada Label Kemasan Pangan 2023;5:573–7.
[6] Wahidin M, Agustiya RI, Putro G. Burden of Diseases and Program for the Prevention and Control Of Non-Communicable Diseases in Indonesia. Jurnal Epidemiologi Kesehatan Indonesia 2023;6:105–12. https://doi.org/10.7454/epidkes.v6i2.6253.
[7] Hidayah N, Nurhalisa, Nada SAP, Nasution AS. Ultra Processed Foods Dan Implikasinya Terhadap Kesehatan Dan Lingkungan : Literatur Review. Jurnal Gizi Masyarakat Indonesia (The Journal of Indonesian Community Nutrition) 2025;14:2025. https://doi.org/10.30597/JGMI.V14I2.47930.
[8] Diba F. Makanan Ultra-Proses, Inovasi Dalam Industri Makanan Modern. Ibnu Sina: Jurnal Kedokteran Dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara 2025;24:191–201. https://doi.org/10.30743/ibnusina.v24i1.798.
[9] Kementrian Kesehatan RI. Laporan Nasional RISKESDAS 2018. 2018.
[10] Kementrian Kesehatan RI. Laporan Tematik SKI 2023. Jakarta: 2024.
[11] Styaningrum SD, Yuliati E, Mu’minah NA, Andrian. Gambaran Konsumsi Minuman Kekinian Pada Remaja Putri di Yogyakarta. Prosiding Seminar Nasional Universitas Respati Yogyakarta, vol. 5, Yogyakarta: Universitas Respati Yogyakarta; 2023, p. 83–8.
[12] Prihaningtyas RA, Widjaja NA, Hanindita MH, Irawan R. Diet dan Sindrom Metabolik pada Remaja Obesitas. Amerta Nutrition 2020;4:191–7. https://doi.org/10.20473/AMNT.V4I3.2020.191-197.
[13] Christy AA, Tjomiadi CEF, Asmadiannor A, Syahlani A. Hubungan Konsumsi Minuman Manis dengan Kejadian Diabetes Melitus pada Remaja Perempuan. RIGGS: Journal of Artificial Intelligence and Digital Business 2025;4:2348–55. https://doi.org/10.31004/RIGGS.V4I4.3803.
[14] Mentemas IS, Alfitri KN, Putriana D. Hubungan Konsumsi Minuman Manis Dengan Kejadian Gizi Lebih Pada Remaja Di Kota Yogyakarta. Jurnal Ilmu Psikologi Dan Kesehatan 2025;01:344–51.
[15] Listiani RY, Ayubi D. Faktor Risiko Konsumsi Minuman Manis Terhadap Kejadian Diabetes Melitus Tipe 2 di Era Gaya Hidup Modern pada Usia Muda Literature Review. Ranah Research : Journal of Multidisciplinary Research and Development 2024;7:563–70. https://doi.org/10.38035/RRJ.V7I1.1246.
[16] Dewi EK, Kisnawaty SW, Rakhma LR. The Relationship Between Knowledge About Balanced Nutrition Guidelines And The Amount Of Pocket Money With Overnutritional Status Of Adolescents. JURNAL KESMAS DAN GIZI (JKG) 2025;8:464–70. https://doi.org/10.35451/zrk9pr49.
[17] Vashtianada A, Setiarini A, Sartika RAD. The Difference of Ultra-Processed Food Consumption Based on Individual Characteristics and other Factors among Non-Health Undergraduate Students in Universitas Indonesia in 2023. Indonesian Journal of Public Health Nutrition (IJPHN) 2023;4:6. https://doi.org/10.7454/ijphn.v4i1.7393.
[18] Mutawakillah H, Sari R, Afiva N, Thahara A, Nurchalizah R, Rosidati C, et al. Hubungan antara Konsumsi Ultra-Processed Food dengan Status Gizi: Studi Potong Lintang pada Mahasiswa Kesehatan Masyarakat UIN Jakarta. Jurnal Ilmu Gizi Dan Dietetik 2025;4:9–14. https://doi.org/10.25182/jigd.2025.4.1.9-14.
[19] Pratiwi AA, Chandra DN, Khusun H. Association of Ultra Processed Food Consumption and Body Mass Index for Age among Elementary Students in Surabaya. Amerta Nutrition 2022;6:140–7. https://doi.org/10.20473/amnt.v6i2.2022.140-147.
[20] Nurhasan M, Ariesta DL, Utami MMH, Fahim M, Aprillyana N, Maulana AM, et al. Dietary transitions in Indonesia: the case of urban, rural, and forested areas. Food Secur 2024;16:1313–31. https://doi.org/10.1007/s12571-024-01488-3.
[21] Lane MM, Gamage E, Du S, Ashtree DN, McGuinness AJ, Gauci S, et al. Ultra-processed food exposure and adverse health outcomes: umbrella review of epidemiological meta-analyses. BMJ 2024;384:1–16. https://doi.org/10.1136/bmj-2023-077310.
[22] Mescoloto SB, Pongiluppi G, Domene SMÁ. Ultra-processed food consumption and children and adolescents’ health. J Pediatr (Rio J) 2024;100:S18–30. https://doi.org/10.1016/j.jped.2023.09.006.
[23] Malik VS, Hu FB. The role of sugar-sweetened beverages in the global epidemics of obesity and chronic diseases. Nature Reviews Endocrinology 2022 2022;18:205–18. https://doi.org/10.1038/s41574-021-00627-6.
[24] Santos LP, Gigante DP, Delpino FM, Maciel AP, Bielemann RM. Sugar sweetened beverages intake and risk of obesity and cardiometabolic diseases in longitudinal studies: A systematic review and meta-analysis with 1.5 million individuals. Clin Nutr ESPEN 2022;51:128–42. https://doi.org/10.1016/j.clnesp.2022.08.021.
[25] Mboi N, Syailendrawati R, Ostroff SM, Elyazar IRF, Glenn SD, Rachmawati T, et al. The state of health in Indonesia’s provinces, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Glob Health 2022;10:e1632–45. https://doi.org/10.1016/S2214-109X(22)00371-0.
[26] Kementrian Kesehatan RI. Peraturan - SKB Menteri Tentang Penyelenggaraan Peningkatan Status Kesehatan Peserta Didik 2022.
[27] Octaria YC. Program Gizi Berbasis Sekolah di Asia Tenggara: Profil Negara Indonesia. 1st ed. Jakarta: Southeast Asian Ministers of Education OrganizationRegional Centre for Food and Nutrition (SEAMEO RECFON); 2024.
[28] Suaib F, Rauf S, Mas’ud H, Ramadhani N. Nutrition Education Through Tiktok and Counseling on Body Image and Macronutrient Intake Among Overnourished Adolescents. Media Gizi Pangan 2025;32:107–17. https://doi.org/10.32382/mgp.v32i1.1482.
[29] Nurkhoiriyah A, Suparman S, Agung F, Lucas J. Pengaruh Edukasi Gizi Seimbang Menggunakan Media Video Animasi Terhadap Pengetahuan, Asupan Zat Gizi Makro, Aktivitas Fisik Dan Status Gizi Pada Remaja Kegemukan Di SMPN 7 Cimahi. Jurnal Gizi Dan Dietetik 2024;3:44–52. https://doi.org/10.34011/jgd.v3i1.2184.
[30] Samad N, Bearne L, Noor FM, Akter F, Parmar D. School-based healthy eating interventions for adolescents aged 10–19 years: an umbrella review. International Journal of Behavioral Nutrition and Physical Activity 2024 21:1 2024;21:117-. https://doi.org/10.1186/s12966-024-01668-6.
[31] Rahman F, Navijay A, Nuralpisah N, Sepdavayatie C, Azzahra F, Fitriyani F, et al. Menu Sehat untuk Masa Depan: Edukasi Gizi Seimbang untuk Cegah Obesitas Remaja di Era Modern. Jurnal Pengabdian Dan Pengembangan Masyarakat Indonesia 2025;4:38–46. https://doi.org/10.56303/jppmi.v4i1.343.
[32] Indriani TD, Aliansy D, Nurjanah SS, Nurlita NT, Agustina SKA, Hawa A, et al. Peningkatan Pengetahuan dan Literasi Label Gizi melalui Edukasi Gizi Seimbang pada Remaja di SMA Plus Babussalam Bandung. Jurnal Medika: Medika 2026;5:791–6. https://doi.org/10.31004/08WKM833.
[33] Vázquez ASF-, Rocha NPR, Echauri DDH, Ojeda GM. A systematic review of educational nutrition interventions based on behavioral theories in school adolescents. Appetite 2024;192:107087. https://doi.org/10.1016/j.appet.2023.107087.
[34] Medeiros GCBS de, Azevedo KPM de, Garcia D, Oliveira Segundo VH, Mata ÁN de S, Fernandes AKP, et al. Effect of School-Based Food and Nutrition Education Interventions on the Food Consumption of Adolescents: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health 2022, Vol 19, 2022;19. https://doi.org/10.3390/ijerph191710522.
[35] Sadler CR, Grassby T, Hart K, Raats M, Sokolović M, Timotijevic L. Processed food classification: Conceptualisation and challenges. Trends Food Sci Technol 2021;112:149–62. https://doi.org/10.1016/J.TIFS.2021.02.059.
[36] Gibney MJ. Ultra-processed foods: Definitions and policy issues. Curr Dev Nutr 2019;3:1–7. https://doi.org/10.1093/cdn/nzy077.
[37] Forde CG, Mars M, De Graaf K. Ultra-Processing or Oral Processing? A Role for Energy Density and Eating Rate in Moderating Energy Intake from Processed Foods. Curr Dev Nutr 2020;4:1–7. https://doi.org/10.1093/cdn/nzaa019.
[38] Hayu RE, Mayasari E, Mianna R, Wulansari S, Program ), Masyarakat SK, et al. Real Food Education as a Strategy For Preventing Non-Communicable Diseases in Elementary School Students. Jurnal Medika: Medika 2025;4:1222–9. https://doi.org/10.31004/Q47SSN43.
[39] Tan J, Zhang S, Jiang Y, Li J, Yang C. Plant-based diet and risk of all-cause mortality: a systematic review and meta-analysis. Front Nutr 2024;11:1481363. https://doi.org/10.3389/fnut.2024.1481363.
[40] Wang Y, Liu B, Han H, Hu Y, Zhu L, Rimm EB, et al. Associations between plant-based dietary patterns and risks of type 2 diabetes, cardiovascular disease, cancer, and mortality - a systematic review and meta-analysis. Nutr J 2023;22. https://doi.org/10.1186/s12937-023-00877-2.
[41] Helen M, Az-Zahra S, Aditya M, Octavariny R. The Effect of “Fill My Plate” Education Using Leaflets on Balanced Nutrition Knowledge Levels in Eighth Grade Adolescents at SMP Negeri 31 Medan Tuntungan. JURNAL KESMAS DAN GIZI (JKG) 2025;8:538–42. https://doi.org/10.35451/3sze3045.
[42] Chatterjee P, Nirgude A. A Systematic Review of School-Based Nutrition Interventions for Promoting Healthy Dietary Practices and Lifestyle Among School Children and Adolescents. Cureus 2024;16:e53127. https://doi.org/10.7759/cureus.53127.
[43] Femyliati R, Fikri AM, Andriani E. The Effect of Nutrition Education Through Social Media on Nutritional Knowledge and Menu Selection in Food Delivery Application. Amerta Nutrition 2023;7:248–54. https://doi.org/10.20473/amnt.v7i2.2023.248-254.
[44] Syamsurijal S, Sabillah BM, Hakim U, Irsan I. Relevansi Penggunaan Metode Ceramah pada Pembelajaran Di Sekolah Dasar Di Era Digital. EDUKATIF : JURNAL ILMU PENDIDIKAN 2023;5:1758–67. https://doi.org/10.31004/edukatif.v5i4.5495.
[45] PMI. PMR - Relawan PMI 2022.
[46] Dodd S, Widnall E, Russell AE, Curtin EL, Simmonds R, Limmer M, et al. School-based peer education interventions to improve health: a global systematic review of effectiveness. BMC Public Health 2022;22:2247. https://doi.org/10.1186/s12889-022-14688-3.
[47] Widnall E, Dodd S, Russell AE, Curtin E, Simmonds R, Limmer M, et al. Mechanisms of school-based peer education interventions to improve young people’s health literacy or health behaviours: A realist-informed systematic review. PLoS One 2024;19:e0302431. https://doi.org/10.1371/journal.pone.0302431.
[48] Brinsley J, Schmidt M, Curtis R, Simpson CEM, Edwards J, Eglitis EE, et al. Effectiveness of peer-led health behaviour interventions on adolescent’s mental health and wellbeing: a systematic review and meta-analysis. Sci Rep 2025;15:16480. https://doi.org/10.1038/s41598-025-01053-8.
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Copyright (c) 2026 Silvia Dewi Styaningrum, S.ST., M.Kes, Endri Yuliati, S.Gz., MPH, Siska Puspita Sari, S.Gz., MPH, Fera Noviartika, S.Gz., MPH, Kuntari Astriana, S.Gz., M.Gizi

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