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Path Analysis on the Fad Diets and other Factors Affecting the Risk of Chronic Energy Deficiency among Adolescent Females at the Boarding School

Fitria Widhiyanti, Yulia Lanti Retno Dewi, Isna Qadrijati

Abstract

Background: Chronic Energy Deficiency (CED) is a state of lack of energy and protein in­take that las­ts for a long time continuously and causes health problems. The purpose of this study was to ana­­­lyze the factors underlying the CED events in fe­­male students in boarding schools in Yogya­karta students.

Subjects and Method: This was an analytic ob­ser­­­vational study with a cross-sectional design. The study was conducted at the Yogyakarta Stu­dent Islamic Boar­­ding School. A sample of 200 female adolescents aged 19-24 years was selected by simple ran­dom sampling. The dependent vari­able was CED. The independent variables were body image per­cep­­­tion, energy intake, protein intake, fad diets, body mass index (BMI), stress, and nutritional know­ledge. The data were mea­­­­sured by digital weight scale, microtoise, mid­­­line, and questionnaire. The data were analyzed by path analysis run on STATA 13.  

Results: CED in female ado­lescent was directly increased with negative body image perception (b= 0.83; 95% CI= 0.02 to 1.65; p= 0.044), fad diet (b= 1.37; 95% CI= 0.54 to 2.21;­ p<0.001), and severe stress (b= 1.94; 95% CI= 1.08 to 2.82; p< 0.001). CED was directly decreased with high energy intake (b= -1.18; 95% CI= -1.99 to -0.37; p= 0.005), high pro­tein intake (b= -1.20; 95% CI= -2.22 to -0.19; p= 0.020), high nutritional knowledge (b= -0.83; 95% CI= -1.62 to -0.05; p= 0.038), and high BMI (b= -3.03; 95% CI= -5.15 to -0.90; p= 0.005). CED was indirectly associated with fad diets and stress through BMI.

Conclusion: in female ado­lescent is directly increased with negative body image perception, fad diet, and stress. CED is directly decreased with high energy intake, high pro­tein intake, high nutritional knowledge, and high BMI. CED is indirectly associated with fad diets and stress through BMI.

Keywords: chronic energy deficiency, fad diet, path analysis

Journal of Maternal and Child Health (2020), 5(3): 251-264
https://doi.org/10.26911/thejmch.2020.05.03.04

 

 

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