Physical activity, gender, and energy intake among Indonesian adolescents: cross-sectional study of diet and behavior
DOI:
https://doi.org/10.47197/retos.v79.117975Keywords:
physical activity, adolescent, energy intake, gender, Dietary Habit, IndonesiaAbstract
Introduction: Adolescence was a critical period for establishing healthy lifestyle behaviors. Understanding the relationship between physical activity and energy intake was important for improving adolescent health.
Objective: This study aimed to examine the associations between physical activity, gender, and total energy intake among Indonesian adolescents, and to identify dietary pattern clustering.
Methodology: A cross-sectional study was conducted among 447 adolescents aged 13–15 years. Energy intake was estimated using a screened food frequency questionnaire, physical activity was assessed with a standardised questionnaire, and dietary patterns were identified using principal component analysis. Statistical analyses included variance testing, correlation, regression, and interaction analysis, with assumptions of normality and homogeneity evaluated.
Results: Energy intake varied significantly by physical activity level and gender, but not by area. Three dietary patterns were identified: plant-based traditional, mixed, and processed food patterns. A significant interaction between activity and gender indicated a stronger association among males. Regression analysis showed a modest positive relationship between activity and energy intake.
Discussion: These findings were consistent with previous studies showing gender differences and modest associations between activity and intake. The coexistence of traditional and modern dietary patterns reflected an ongoing nutrition transition.
Conclusions: Physical activity and gender were associated with energy intake, though the effect size was modest. These findings support the need for gender-sensitive interventions to improve adolescent nutrition.
References
Askari, M., Heshmati, J., Shahinfar, H., Tripathi, N., & Daneshzad, E. (2020). Ultra-processed food and the risk of overweight and obesity: A systematic review and meta-analysis. International Journal of Obesity, 44(10), 2080–2091. https://doi.org/10.1038/s41366-020-00650-z
Anyanwu, O. A., Naumova, E. N., Chomitz, V. R., Zhang, F.-F., Chui, K., Kartasurya, M. I., & Folta, S. C. (2023). The socio-ecological context of the nutrition transition in Indonesia: A qualitative investigation of perspectives from multi-disciplinary stakeholders. Nutrients, 15(1), 25. https://doi.org/10.3390/nu15010025
Briawan, D., Khomsan, A., Alfiah, E., Nasution, Z., & Putri, P. A. (2023). Preference for and consumption of traditional and fast foods among adolescents in Indonesia. Food Research, 7(4), 211–226. https://doi.org/10.26656/fr.2017.7(4).156
Cade, J. E., Thompson, R. L., Burley, V. J., & Warm, D. L. (2002). Food frequency questionnaires: A review of their design, validation and utilisation. Public Health Nutrition, 5(4), 567–587. https://doi.org/10.1079/PHN2001318
Carrasco-Venturelli, H., Cachón-Zagalaz, J., Ubago-Jiménez, J. L., & Lara-Sánchez, A. (2024). Relación entre el estado nutricional y la actividad física en adolescentes chilenos. Retos: Nuevas Tendencias en Educación Física, Deporte y Recreación, 56, 672–680. https://doi.org/10.47197/retos.v56.104833
Cuenca-García, M., Moreno, L. A., Ruiz, J. R., & HELENA Study Group. (2014). More physically active and leaner adolescents have higher energy intake: The HELENA study. The Journal of Pediatrics, 164(1), 87–93. https://doi.org/10.1016/j.jpeds.2013.08.034
Fismen, A. S., Smith, O. R. F., Torsheim, T., Rasmussen, M., Pedersen, T. P., Augustine, L., Samdal, O. (2020). Trends in food habits and physical activity among adolescents in Nordic countries, 2001–2014. Food & Nutrition Research, 64, 3676. https://doi.org/10.1371/journal.pone.0148541
Fulton, J. E., Dai, S., Steffen, L. M., Grunbaum, J. A., Shah, S. M., & Labarthe, D. R. (2009). Physical activity, energy intake, sedentary behavior, and adiposity in youth. American Journal of Preventive Medicine, 37(1 Suppl), S40–S49. https://doi.org/10.1016/j.amepre.2009.04.010
Gie, S. M., Vo, T. H., Nguyen, M. A., Le, N. H., & Tran, P. T. (2023). Locally relevant food-based recommendations could increase iron and calcium intake for adolescent girls in Vietnam. Annals of the New York Academy of Sciences, 1515(1), 10–19. https://doi.org/10.1111/nyas.15036
González-Carrera, R., Montenegro-Espinosa, J. A., Gutiérrez-Espinoza, H., Yáñez-Sepúlveda, R., Olivares-Arancibia, J., Cortés-Roco, G., Pérez-Soto, J. J., & López-Gil, J. F. (2025). Intervenciones centradas en actividad física y nutrición para combatir la obesidad en niños y adolescentes: Una revisión de alcance. Retos: Nuevas Tendencias en Educación Física, Deporte y Recreación, 68, 400–409. https://doi.org/10.47197/retos.v68.114378
Hahn, H., Friedel, M., Niessner, C., Zipfel, S., & Mack, I. (2024). Impact of physical activity on caloric and macronutrient intake in children and adolescents: A systematic review and meta-analysis of randomized controlled trials. International Journal of Behavioral Nutrition and Physical Activity, 21, 76. https://doi.org/10.1186/s12966-024-01620-8
Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2010). Multivariate data analysis (7th ed.). Pearson.
Hu, F. B. (2002). Dietary pattern analysis: A new direction in nutritional epidemiology. Current Opinion in Lipidology, 13(1), 3–9. https://doi.org/10.1097/00041433-200202000-00002
Jodhun, B. M., Bahadoorsingh, S., Ramasawmy, D., & Seeruttun, S. R. (2016). A systematic review of factors affecting energy intake in adolescents. Public Health Nutrition, 19(8), 1343–1354. https://doi.org/10.4314/ahs.v16i4.5
Kaiser, H. F. (1958). The varimax criterion for analytic rotation in factor analysis. Psychometrika, 23(3), 187–200. https://doi.org/10.1007/BF02289233
Livingstone, M. B. E., & Robson, P. J. (2000). Measurement of dietary intake in children. Proceedings of the Nutrition Society, 59(2), 279–293. https://doi.org/10.1017/S0029665100000318
Mai, T. M. T., Tran, Q. C., Nambiar, S., Gallegos, D., & Van der Pols, J. C. (2024). Dietary patterns and child, parental, and societal factors associated with being overweight and obesity in Vietnamese children living in Ho Chi Minh City. Maternal & Child Nutrition, 20(Suppl 2), e13514. https://doi.org/10.1111/mcn.13514
Martínez-Gómez, D., Martínez-de-Haro, V., Pozo, T., Welk, G. J., Villagra, A., Calle, M. E., Marcos, A., & Veiga, O. L. (2009). Fiabilidad y validez del cuestionario de actividad física PAQ-A en adolescentes españoles. Revista Española de Salud Pública, 83(3), 427–439.
Monteiro, C. A., Cannon, G., Levy, R. B., Moubarac, J. C., Louzada, M. L. C., Rauber, F., et al. (2019). Ultra-processed foods: What they are and how to identify them. Public Health Nutrition, 22(5), 936–941. https://doi.org/10.1017/S1368980018003762
Neri, D., Martinez-Steele, E., Monteiro, C. A., Levy, R. B., & Khandpur, N. (2022). Consumption of ultra-processed foods and dietary nutrient profiles in 85 countries. Public Health Nutrition, 25(6), 1558–1572. https://doi.org/10.1111/obr.13387
Newby, P. K., & Tucker, K. L. (2004). Empirically derived eating patterns using factor or cluster analysis: A review. Nutrition Reviews, 62(5), 177–203. https://doi.org/10.1111/j.1753-4887.2004.tb00040.x
Nurhasan, M., Ariesta, D. L., Utami, M. M. H., Fahim, M., Aprillyana, N., & Maulana, A. M. (2024). Dietary transitions in Indonesia: The case of urban, rural, and forested areas. Food Security. https://doi.org/10.1007/s12571-024-01488-3
Pearson, N., Griffiths, P., Biddle, S. J., Johnston, J. P., & Haycraft, E. (2017). Clustering and correlates of screen-time and eating behaviours among young adolescents. BMC Public Health, 17(1), 533. https://doi.org/10.1186/s12889-018-5698-9
Popkin, B. M. (2002). The shift in stages of the nutrition transition: The global pattern of change. Public Health Nutrition, 5(1A), 93–103. https://doi.org/10.1079/PHN2001355
Popkin, B. M. (2004). The nutrition transition: An overview of world patterns of change. Nutrition Reviews, 62(7 Pt 2), S140–S143. https://doi.org/10.1079/phn2001295
Popkin, B. M. (2017). Relationship between shifts in food system dynamics and acceleration of the global nutrition transition. Nutrition Reviews, 75(2), 73–82. https://doi.org/10.1093/nutrit/nuw064
Rachmah, Q., Kriengsinyos, W., Rojroongwasinkul, N., & Pongcharoen, T. (2021). Development and validity of a semi-quantitative food frequency questionnaire as a new research tool for sugar intake assessment among Indonesian adolescents. Heliyon, 7(6), e07288. https://doi.org/10.1016/j.heliyon.2021.e07288
Rathi, N., Riddell, L., & Worsley, A. (2018). What influences urban Indian secondary school students’ food consumption? Public Health Nutrition, 21(4), 689–700. https://doi.org/10.1016/j.appet.2016.07.018
Reuters. (2025, August 27). Indonesia will give food companies two years to meet new labelling rules. Reuters. https://www.reuters.com/business/healthcare-pharmaceuticals/indonesia-will-give-food-companies-two-years-meet-new-labelling-rules-2025-08-27
Stea, T. H., & Torstveit, M. K. (2014). Association of lifestyle habits and academic achievement in Norwegian adolescents. Nutrients, 6(8), 3653–3670. https://doi.org/10.1186/1471-2458-14-829
Vereecken, C., Todd, J., Roberts, C., Mulvihill, C., & Maes, L. (2005). Television viewing behaviour and associations with food habits in different countries. Public Health Nutrition, 9(2), 244–250. https://doi.org/10.1079/PHN2005847
Vilhar, E. Č., Golja, P., & Starc, G. (2023). Adequacy of energy and macronutrient intake in differently active Slovenian adolescents. BMC Nutrition, 9, 58. https://doi.org/10.1186/s40795-023-00708-x
Willett, W. (2013). Nutritional epidemiology (3rd ed.). Oxford University Press.
Wong, J. E., Parnell, W. R., Howe, A. S., Black, K. E., & Skidmore, P. M. (2021). Diet quality is associated with greater physical activity and lower sedentary time in New Zealand adolescents. Public Health Nutrition, 24(4), 707–716. https://doi.org/10.1017/S1368980014001645
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