Nutrition Class by Instagram: Interventions to Improve The Diet Quality, Physical Activity and Waist Circumfeence Among Female College Students with Obese

Fillah Fithra Dieny(1*), Deny Yudi Fitranti(2), Firdananda Fikri Jauharany(3), Suryawati Suryawati(4), A. Fahmy Arif Tsani(5), Ayu Rahadiyanti(6)
(1) Departemen Ilmu Gizi FK UNDIP
(2) Universitas Diponegoro
(3) Universitas Diponegoro
(4) Universitas Diponegoro
(5) Universitas Diponegoro
(6) Universitas Diponegoro
(*) Corresponding Author
DOI : 10.30604/jika.v6i1.360

Abstract

Female students are a group of women of childbearing age (WUS) or preconception. Obesity in WUS or the preconception period can interfere with future pregnancies and interfere with metabolism and hormones. Obese women with obesity need to change their behavior so that it needs increased knowledge and motivation as a basis for behavior change. This research objective was to determine the effect of nutrition education and motivation classes on the practice of healthy weight loss in obese women. This quasi-experimental research with pre-posttest control group design on 24 female women who met the inclusion criteria was divided into 2 groups using the simple randomization method. The independent variable is the Instagram Nutrition School program for 1 month, consisting of nutritional counseling with a motivational interviewing strategy and social media-based nutrition education classes on Instagram, while the control group is given education through leaflet media. The dependent variable is knowledge of healthy weight loss, quality of diet and changes in anthropometric profiles, namely body weight, body mass index, waist circumference and percent body fat. Independent T-test and Mann Whitney test were used to assess differences in knowledge scores on healthy weight loss, diet quality, and differences in anthropometric deltas. There was a significant difference in knowledge score (p= 0.002), score of moderation (p= 0.001), total physical activity score (p= 0.002), and moderate physical activity (p less than 0.001), mean waist circumference (p = 0.047), and waist circumference (p= 0.032) after intervention. The Instagram Nutrition School Program has been proven to increase nutritional knowledge, change eating behavior, and increase physical activity.

 

Abstrak: Mahasiswi merupakan kelompok Wanita Usia Subur (WUS) atau prakonsepsi. Obesitas pada WUS atau periode prakonsepsi dapat mengganggu kehamilan di masa depan dan mengganggu metabolisme dan hormonal. WUS obesitas perlu merubah perilaku sehingga dibutuhkan peningkatan pengetahuan dan motivasi sebagai dasar perubahan perilaku. Penelitian ini bertujuan untuk mengetahui pengaruh edukasi gizi dan kelas motivasi terhadap praktik healthy weight loss pada WUS obesitas. Penelitian quasi-experimental with pre-post test control group design pada 24 WUS yang memenuhi kriteria inklusi dibagi menjadi 2 kelompok dengan metode simple randomization. Variabel bebas adalah program Sekolah Gizi Instagram  selama 1 bulan, terdiri dari konseling gizi dengan strategi motivational interviewing dan kelas edukasi gizi berbasis sosial media Instagram, sedangkan kelompok kontrol diberikan edukasi melalui media leaflet. Variabel terikat adalah pengetahuan healthy weight loss, kualitas diet dan perubahan profil antropometri yaitu berat badan, indeks massa tubuh, lingkar pinggang dan persen lemak tubuh. Independent T-test dan Mann Whitney Test digunkaan untuk mengkaji perbedaan skor pengetahuan healthy weight loss, kualitas diet, dan perbedaan delta antropometri. Terdapat perbedaan yang signifikan pada skor pengetahuan (p=0,002), skor moderasi (p=0,001), skor total aktifitas fisik (p=0,002), dan aktifitas fisik sedang (p kurang dari 0,001), rerata lingkar pinggang (p=0,047), dan lingkar pinggang (p=0,032) setelah intervensi. Program Sekolah Gizi Instagram terbukti meningkatkan pengetahuan gizi, merubah perilaku makan, dan meningkatkan aktivitas fisik.

Keywords


Instagram; Nutrition education; Motivational interviewing; Obesity; Women of childbearing age; Instagram; Edukasi gizi; Obesitas; Wanita usia subur

References


Ajie, W. N., & Chapman-Novakofski, K. M. (2014). Impact of Computer-Mediated, Obesity-Related Nutrition Education Interventions for Adolescents: A Systematic Review. Journal of Adolescent Health, 54(6), 631–645. https://doi.org/10.1016/j.jadohealth.2013.12.019

Barnes, R. D., Ivezaj, V., Martino, S., Pittman, B. P., Paris, M., & Grilo, C. M. (2018). Examining motivational interviewing plus nutrition psychoeducation for weight loss in primary care. Journal of Psychosomatic Research, 104, 101–107. https://doi.org/10.1016/j.jpsychores.2017.11.013

Camhi, S. M., Whitney Evans, E., Hayman, L. L., Lichtenstein, A. H., & Must, A. (2015). Healthy eating index and metabolically healthy obesity in U.S. adolescents and adults. Preventive Medicine, 77, 23–27. https://doi.org/10.1016/j.ypmed.2015.04.023

Christie, D., & Channon, S. (2014). The potential for motivational interviewing to improve outcomes in the management of diabetes and obesity in paediatric and adult populations: A clinical review. Diabetes, Obesity & Metabolism, 16(5), 381–387. https://doi.org/10.1111/dom.12195

Dieny, F. F., Widyastuti, N., & Fitranti, D. Y. (2015). Sindrom metabolik pada remaja obes: Prevalensi dan hubungannya dengan kualitas diet. Jurnal Gizi Klinik Indonesia, 12(1), 1–11. https://doi.org/10.22146/ijcn.22830

Dieny, F., Rahadiyanti, A., & Kurniawati, D. M. (2019). Gizi prakonsepsi. Bumi Medika.

Durrer Schutz, D., Busetto, L., Dicker, D., Farpour-Lambert, N., Pryke, R., Toplak, H., Widmer, D., Yumuk, V., & Schutz, Y. (2019). European Practical and Patient-Centred Guidelines for Adult Obesity Management in Primary Care. Obesity Facts, 12(1), 40–66. https://doi.org/10.1159/000496183

Hamasaki, H. (2017). Physical Activity and Obesity in Adults. Adiposity - Epidemiology and Treatment Modalities. https://doi.org/10.5772/64672

Hruby, A., & Hu, F. B. (2015). The Epidemiology of Obesity: A Big Picture. PharmacoEconomics, 33(7), 673–689. https://doi.org/10.1007/s40273-014-0243-x

Jonikas, J. A., Cook, J. A., Razzano, L. A., Steigman, P. J., Hamilton, M. M., Swarbrick, M. A., & Santos, A. (2016). Associations Between Gender and Obesity Among Adults with Mental Illnesses in a Community Health Screening Study. Community Mental Health Journal, 52(4), 406–415. https://doi.org/10.1007/s10597-015-9965-2

Ka?ucka, S., Kaleta, D., & Makowiec-Dabrowska, T. (2019). Prevalence of Dietary Behavior and Determinants of Quality of Diet among Beneficiaries of Government Welfare Assistance in Poland. International Journal of Environmental Research and Public Health, 16(3). https://doi.org/10.3390/ijerph16030501

Kementerian Kesehatan RI. (2018). Riset Kesehatan Dasar 2018 (RISKESDAS 2018). Kementerian Kesehatan Republik Indonesia.

Kim, D. (2019). Factors Affecting Obesity and Waist Circumference Among US Adults. Preventing Chronic Disease, 16. https://doi.org/10.5888/pcd16.180220

Martins, R. K., & McNeil, D. W. (2009). Review of Motivational Interviewing in promoting health behaviors. Clinical Psychology Review, 29(4), 283–293. https://doi.org/10.1016/j.cpr.2009.02.001

Mirkarimi, K., Mostafavi, F., Eshghinia, S., Vakili, M. A., Ozouni-Davaji, R. B., & Aryaie, M. (2015). Effect of Motivational Interviewing on a Weight Loss Program Based on the Protection Motivation Theory. Iranian Red Crescent Medical Journal, 17(6), e23492. https://doi.org/10.5812/ircmj.23492v2

Nugraheni, Y. N., & Yuni, A. (2017). Social Media Habit Remaja Surabaya. KOMUNIKATIF, 6(1), 13–30. https://doi.org/10.33508/jk.v6i1.1585

Panuju, R. (2017). Perilaku Mengakses Internet di Warung Kopi. Jurnal Sosioteknologi, 16(3), 259–273. https://doi.org/10.5614/sostek.itbj.2017.16.3.3

Putu, F. Y., I Ketut, A., & I Nyoman Gede, S. (2014). Efektifitas Penggunaan Media Cetak dan Media Elektronika Dalam Promosi Kesehatan Terhadap Peningkatan pengetahuan dan Perubahan Sikap Siswa SD. JKL (Jurnal Kesehatan Lingkungan), 4(1), 29–39.

Ravi, S., & Sangeeta, G. (2014). Response of Paschimottanasana and Kapalabhati on Anthropometric in Obese Individuals as Per Prakriti. International Journal of Research in Ayurveda and Pharmacy, 5(3), 256–260.

Retnaningrum, G., & Dieny, F. F. (2015). Kualitas Diet dan Aktivitas Fisik pada Remaja Obesitas dan Non Obesitas. Journal of Nutrition College, 4(4), 469–479. https://doi.org/10.14710/jnc.v4i4.10150

Riesmeyer, C., Hauswald, J., & Mergen, M. (2019). (Un)Healthy Behavior? The Relationship between Media Literacy, Nutritional Behavior, and Self-Representation on Instagram. Media and Communication, 7(2), 160–168. https://doi.org/10.17645/mac.v7i2.1871

Rodriguez-Cristobal, J. J., Alonso-Villaverde, C., Panisello, J. M., Travé-Mercade, P., Rodriguez-Cortés, F., Marsal, J. R., & Peña, E. (2017). Effectiveness of a motivational intervention on overweight/obese patients in the primary healthcare: A cluster randomized trial. BMC Family Practice, 18(1), 74. https://doi.org/10.1186/s12875-017-0644-y

Santoso, A. P., Baihaqi, I., & Persada, S. F. (2017). Pengaruh Konten Post Instagram terhadap Online Engagement: Studi Kasus pada Lima Merek Pakaian Wanita. Jurnal Teknik ITS, 6(1). https://doi.org/10.12962/j23373539.v6i1.21822

Sari, M. P., & Lubis, E. E. (2017). Fenomena Penggunaan Media Sosial Instagram sebagai Komunikasi Pembelajaran Agama Islam oleh Mahasiswa FISIP Universitas Riau. Jurnal Online Mahasiswa (JOM) Bidang Ilmu Sosial Dan Ilmu Politik, 4(2), 1–13.

Shofia, N., & Sulchan, M. (2015). Pengaruh Konseling Modifikasi Gaya Hidup terhadap Asupan Serat, Kadar Glukosa Darah Puasa, dan Kadar Interleukin 18 (IL-18) pada Remaja Obesitas dengan Sindrom Metabolik. Journal of Nutrition College, 4(3), 243–251. https://doi.org/10.14710/jnc.v4i3.10089

Sinaga, M., Worku, M., Yemane, T., Tegene, E., Wakayo, T., Girma, T., Lindstrom, D., & Belachew, T. (2018). Optimal cut-off for obesity and markers of metabolic syndrome for Ethiopian adults. Nutrition Journal, 17(1), 109. https://doi.org/10.1186/s12937-018-0416-0

Townshend, T., & Lake, A. (2017). Obesogenic environments: Current evidence of the built and food environments. Perspectives in Public Health, 137(1), 38–44. https://doi.org/10.1177/1757913916679860

Youngwanichsetha, S. (2018). Overweight, Obesity and Women Health. Journal of Nutrition & Food Sciences, 08(04). https://doi.org/10.4172/2155-9600.1000e146

Zeidi, I. M., & Hajiagha, A. P. (2013). Effect of Motivational Interviewing on Eating Habits and Weight Losing among Obese and Overweight Women. Journal of Obesity & Weight Loss Therapy, 3(3), 1–4. https://doi.org/10.4172/2165-7904.1000172


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