Hubungan Screentime Dengan Status Obesitas Pada Remaja
HUBUNGAN SCREENTIME DENGAN STATUS OBESITAS PADA
REMAJA DI KOTAMADYA MEDAN
Rose Grand Chen, Sri Sofyani, Hakimi
Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran Universitas
Sumatera Utara, Rumah Sakit Umum Haji Adam Malik, Medan, Indonesia
Abstrak
Latar belakang. Tingginya prevalensi obesitas pada remaja mendasari
pentingnya pemantauan terhadap tren screentime, yang meliputi lama
menonton televise/ video, bermain game di komputer, dan telepon genggam.
Tujuan. Menentukan hubungan antara screentime dan status obesitas pada
remaja sekolah di kotamadya Medan.
MetodePenelitian cross sectional dilakukan pada Maret sampai Juni 2014 di
sekolah swasta Mulia, Pencawan, dan Immanuel di kotamadya Medan,
Sumatera Utara. 255 remaja berusia 12 sampai 17 tahun dikumpulkan secara
simple random sampling dan dikategorikan sebagai obesitas dan nonobesitas menurut Indeks Massa Tubuh (IMT) sesuai usia. Data paparan
media seperti televisi/ video, game komputer, telepon genggam, dan total
screentime dikumpulkan dengan kuesioner. Tingkatan aktivitas fisik dinilai
dengan 5 pertanyaan dengan 4 kemungkinan tingkatan jawaban. Asupan
makanan diidentifikasi menggunakan food recall dan total kalori dihitung
dengan perangkat lunak Nutrisurvey 2007. Data di analisis dengan uji Chi
Square, Mann Whitney, Fisher’s Exact,Spearman’s correlation, dan analisis
multivariat logistik regresi.
Hasil. Subjek dalam penelitian ini adalah 212 (83%) non obesitas dan 43
(17%) obesitas. Semakin tingi pendapatan keluarga maka IMT akan lebih
besar. Total screentime, serta paparan televise/ video, game di komputer,
dan telepon genggam ≥ 2 jam / hari, berhubungan dengan obesitas (p =
0,0001). Kurangnya aktivitas fisik juga berhubungan dengan obesitas (p =
0,0001). Namun screentime tidak berhubungan dengan tingkatan aktivitas
fisik. Terdapat korelasi kuat antara total screentime pada akhir minggu
dengan IMT (r = 0,609 ; p = 0,0001), tapi korelasi sangat lemah antara total
asupan makanan dan IMT (r = 0,127 ; p = 0,042). Remaja dengan aktivitas
fisik yang minimal, 3 kali cenderung menjadi obes dibandingkan remaja yang
aktif ( OR = 3,003 ; 95 % CI = 1,382-6,525).
Kesimpulan. Screentime berhubungan dengan status obesitas pada remaja,
begitu juga tingkatan aktivitas fisik dan total asupan makan. Variabel yang
paling dominan mempengaruhi obesitas adalah aktivitas fisik
Kata kunci :screentime, obesitas, remaja.
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THE ASSOCIATION BETWEEN SCREEN TIME AND OBESITY STATUS IN
ADOLESCENTS STUDENTS IN MEDAN
Rose Grand Chen, Sri Sofyani, Hakimi
Department of Child Health, Medical School, University of Sumatera Utara,
Haji Adam Malik General Hospital, Medan, Indonesia
Abstract
Background. The high prevalence of obesity in adolescents underscores the
importance of monitoring trends in screen time defined as time exposure to
television/ video, computer games, and cell-phone.
Objective. To determine the association between screen time and obesity
status in adolescent students in Medan.
Method. We conducteda cross-sectional study from March to June 2014 in
Mulia, Pencawan, and Immanuel private schools, North Sumatera. There
were 255 participants aged between 12 to 17 years old who were collected by
simple random sampling and categorized as obese and non-obese according
to age-adapted Body Mass Index (BMI). Data on screen exposure to
television/ video, computer games, and cell-phone usage, as well as total
screen time was collected by questionnaire. Physical activity (PA) level was
scored with a series of 5 questions with four possible weighted-answers.
Dietary intake was identified using food recall and calories was calculated
with Nutrisurvey 2007. Data was analysed with Chi Square, Mann Whitney,
Fisher’s Exact,Spearman’s correlation, and multivariate logistic regression.
Results. Subjects included in this study were 212 (83%) non obese and 43
(17%) obese. Higher family income was associated with higher BMI. Total
screen time, as well as exposure to television/ video, computer games, and
cell-phone usage of ≥ 2 hours/day, were associated with obesity (p=0.0001).
PA level was also associated with obesity (p= 0.011). However, no
association between screen time and PA was found. There was a strong
correlation (r= 0.609; p=0.0001) between total screen time on weekends and
BMI, but very weak correlation (r=0.127; p=0.042) between dietary intake and
BMI. Participants with minimal PA, were 3 times more likely to be obese than
moderately to vigorously active youth (OR=3.003; 95%CI=1.382-6.525).
Conclusion. Screentime is associate with obesity in adolescents, so do PA
and calories intake. Amongs all, PA has the strongest correlation with obesity
in adolescents.
Keywords. Screen time, obesity, adolescent.
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REMAJA DI KOTAMADYA MEDAN
Rose Grand Chen, Sri Sofyani, Hakimi
Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran Universitas
Sumatera Utara, Rumah Sakit Umum Haji Adam Malik, Medan, Indonesia
Abstrak
Latar belakang. Tingginya prevalensi obesitas pada remaja mendasari
pentingnya pemantauan terhadap tren screentime, yang meliputi lama
menonton televise/ video, bermain game di komputer, dan telepon genggam.
Tujuan. Menentukan hubungan antara screentime dan status obesitas pada
remaja sekolah di kotamadya Medan.
MetodePenelitian cross sectional dilakukan pada Maret sampai Juni 2014 di
sekolah swasta Mulia, Pencawan, dan Immanuel di kotamadya Medan,
Sumatera Utara. 255 remaja berusia 12 sampai 17 tahun dikumpulkan secara
simple random sampling dan dikategorikan sebagai obesitas dan nonobesitas menurut Indeks Massa Tubuh (IMT) sesuai usia. Data paparan
media seperti televisi/ video, game komputer, telepon genggam, dan total
screentime dikumpulkan dengan kuesioner. Tingkatan aktivitas fisik dinilai
dengan 5 pertanyaan dengan 4 kemungkinan tingkatan jawaban. Asupan
makanan diidentifikasi menggunakan food recall dan total kalori dihitung
dengan perangkat lunak Nutrisurvey 2007. Data di analisis dengan uji Chi
Square, Mann Whitney, Fisher’s Exact,Spearman’s correlation, dan analisis
multivariat logistik regresi.
Hasil. Subjek dalam penelitian ini adalah 212 (83%) non obesitas dan 43
(17%) obesitas. Semakin tingi pendapatan keluarga maka IMT akan lebih
besar. Total screentime, serta paparan televise/ video, game di komputer,
dan telepon genggam ≥ 2 jam / hari, berhubungan dengan obesitas (p =
0,0001). Kurangnya aktivitas fisik juga berhubungan dengan obesitas (p =
0,0001). Namun screentime tidak berhubungan dengan tingkatan aktivitas
fisik. Terdapat korelasi kuat antara total screentime pada akhir minggu
dengan IMT (r = 0,609 ; p = 0,0001), tapi korelasi sangat lemah antara total
asupan makanan dan IMT (r = 0,127 ; p = 0,042). Remaja dengan aktivitas
fisik yang minimal, 3 kali cenderung menjadi obes dibandingkan remaja yang
aktif ( OR = 3,003 ; 95 % CI = 1,382-6,525).
Kesimpulan. Screentime berhubungan dengan status obesitas pada remaja,
begitu juga tingkatan aktivitas fisik dan total asupan makan. Variabel yang
paling dominan mempengaruhi obesitas adalah aktivitas fisik
Kata kunci :screentime, obesitas, remaja.
17
THE ASSOCIATION BETWEEN SCREEN TIME AND OBESITY STATUS IN
ADOLESCENTS STUDENTS IN MEDAN
Rose Grand Chen, Sri Sofyani, Hakimi
Department of Child Health, Medical School, University of Sumatera Utara,
Haji Adam Malik General Hospital, Medan, Indonesia
Abstract
Background. The high prevalence of obesity in adolescents underscores the
importance of monitoring trends in screen time defined as time exposure to
television/ video, computer games, and cell-phone.
Objective. To determine the association between screen time and obesity
status in adolescent students in Medan.
Method. We conducteda cross-sectional study from March to June 2014 in
Mulia, Pencawan, and Immanuel private schools, North Sumatera. There
were 255 participants aged between 12 to 17 years old who were collected by
simple random sampling and categorized as obese and non-obese according
to age-adapted Body Mass Index (BMI). Data on screen exposure to
television/ video, computer games, and cell-phone usage, as well as total
screen time was collected by questionnaire. Physical activity (PA) level was
scored with a series of 5 questions with four possible weighted-answers.
Dietary intake was identified using food recall and calories was calculated
with Nutrisurvey 2007. Data was analysed with Chi Square, Mann Whitney,
Fisher’s Exact,Spearman’s correlation, and multivariate logistic regression.
Results. Subjects included in this study were 212 (83%) non obese and 43
(17%) obese. Higher family income was associated with higher BMI. Total
screen time, as well as exposure to television/ video, computer games, and
cell-phone usage of ≥ 2 hours/day, were associated with obesity (p=0.0001).
PA level was also associated with obesity (p= 0.011). However, no
association between screen time and PA was found. There was a strong
correlation (r= 0.609; p=0.0001) between total screen time on weekends and
BMI, but very weak correlation (r=0.127; p=0.042) between dietary intake and
BMI. Participants with minimal PA, were 3 times more likely to be obese than
moderately to vigorously active youth (OR=3.003; 95%CI=1.382-6.525).
Conclusion. Screentime is associate with obesity in adolescents, so do PA
and calories intake. Amongs all, PA has the strongest correlation with obesity
in adolescents.
Keywords. Screen time, obesity, adolescent.
18