https://doi.org/10.4081/hls.2025.13278
Impact of nutrition counseling and physical activity on dietary intake, knowledge, and weight reduction among students with overweight and obese
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Published: 26 June 2025
Overweight and obesity contribute to chronic diseases with an increasing prevalence in Jakarta. This study assessed the impact of combined nutritional counseling and physical activity interventions on body weight, energy, and nutrient intake among over- weight and obese health students. A quasi-experimental study was conducted with 42 participants divided into three groups, each receiving different intervention combinations over one month. Body weight was measured using scales, food intake was assessed through 24-hour food recalls, and nutritional knowledge was eval- uated using questionnaires. Statistical analysis was performed using paired t-tests, Wilcoxon test, or ANOVA tests in SPSS. Most participants were female (83.3%) and 19–29 years old (78.6%). After the intervention, significant reductions in body weight (p<0.001) were observed, along with improvements in nutritional knowledge (p<0.01) and physical activity levels (p<0.05) across all groups. Energy and macronutrient intake significantly decreased in Group I, whereas fiber intake increased in all groups (p<0.05). Combining nutritional counseling and weekly physical activity interventions effectively reduced body weight and improved dietary habits, nutritional knowledge, and physical activity. Implementing the “My Plate” guidelines along with increased physical activity is recommended as a practical strategy for obesity management among students. Universities should integrate these guidelines to promote healthy eating and maintain students’ nutritional status.
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1. Keya RT, Widjaja NA, Noviyanti TR, et al. Physical behaviours in adolescents that contribute to overweight/obesity. Natl Nutr Journal/Media Gizi Indones. 2025;20:12-20. DOI: https://doi.org/10.20473/mgi.v20i1.12-20
2. Piyakong D, Apiratanawong S, Suasing C, Ners J. Insights from leaders on effectively addressing overweight and obesity in the Thai community. J Ners 2023;18:117–23. DOI: https://doi.org/10.20473/jn.v18i2.44167
3. Anggraeni AS, Sukartini T, Kristiawati K. Consumption of fruit and vegetable with risk of obesity in school-age children. J Ners 2017;12:27–32. DOI: https://doi.org/10.20473/jn.v12i1.3448
4. World Health Organization (WHO). Obesitas dan kelebihan berat badan. World Health Organization. 2024.
5. Jaison K I, Asharaf H, Thimothy G, et al. Psychological impact of obesity: A comprehensive analysis of health-related quality of life and weight-related symptoms. Obes Med 2024;45:100530. DOI: https://doi.org/10.1016/j.obmed.2023.100530
6. Djalalinia S, Qorbani M, Peykari N, Kelishadi R. Health impacts of obesity. Pakistan J Med Sci 2015;31:239-42. DOI: https://doi.org/10.12669/pjms.311.7033
7. Wulansari A, Martianto D, Farida Baliwati Y. Estimasi kerugian ekonomi akibat obesitas pada orang dewasa di Indonesia (Estimation of economic lost due to obesity in Indonesian adults). J Gizi dan Pangan 2016;11:159–68.
8. Rachmah Q, Mondal P, Phung H, Ahmed F. Association between overweight/obesity and iron deficiency anaemia among women of reproductive age: a systematic review. Public Health Nutr 2024;27:e176. DOI: https://doi.org/10.1017/S1368980024001794
9. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia. Riset Kesehatan Dasar (RISKESDAS) 2018. Jakarta; 2019.
10. Jin X, Qiu T, Li L, et al. Pathophysiology of obesity and its associated diseases. Acta Pharmaceutica Sinica B 2023;13:2403-24. DOI: https://doi.org/10.1016/j.apsb.2023.01.012
11. Lung T, Jan S, Tan EJ, et al. Impact of overweight, obesity and severe obesity on life expectancy of Australian adults. Int J Obes 2019;43:782-9. DOI: https://doi.org/10.1038/s41366-018-0210-2
12. Diani YH, Novelyn S, Cing JM, et al. Prevalence of overweight and obesity among medical students across indonesia: a literature review. Asian J Biol 2023;18:34–45. DOI: https://doi.org/10.9734/ajob/2023/v18i2341
13. Masood B, Moorthy M. Causes of obesity: a review. Clin Med J R Coll Physicians London. 2023;23:284-91. DOI: https://doi.org/10.7861/clinmed.2023-0168
14. Amalia RG, Juhairina, Istiana, Budiarto A, Skripsiana NS. Dengan Kejadian Obesitas Pada Mahasiswa Pskps Fk Ulm Tahun 2022. Homeostasis 2022;6:59–68. DOI: https://doi.org/10.20527/ht.v6i1.8789
15. Rachmah Q, Martiana T, Mulyono, et al. The effectiveness of nutrition and health intervention in workplace setting: A systematic review. J Public Health Res 2022;11:2312. DOI: https://doi.org/10.4081/jphr.2021.2312
16. Lasi D, Mahmood D, Samejo D, et al. The relationship between physical activity, obesity and overweight among university going students of Jamshoro, Sindh. J Riphah Coll Rehabil Sci 2020;8:25-32. DOI: https://doi.org/10.5455/JRCRS.2020080106
17. Rahmani A, Nadhiroh SR. Efforts Undertaken by several ASEAN countries to address childhood and adolescent obesity in school-based programs: a systematic review. Amerta Nutrition 2024;8:151-60. DOI: https://doi.org/10.20473/amnt.v8i1.2024.151-160
18. Astuti T, Marbun R, Surmita S, R Bustos A. Effectiveness of nutrition and exercise counseling combination on desirable dietary pattern and weight loss. J Food Nutr Res 2022;10:235-41. DOI: https://doi.org/10.12691/jfnr-10-3-9
19. Mulyani I, Dieny FF, Rahadiyanti A, et al. Efek motivational interviewing dan kelas edukasi gizi berbasis instagram terhadap perubahan pengetahuan healthy weight loss dan kualitas diet mahasiswi obesitas. J Gizi Klin Indones 2020;17:53042. DOI: https://doi.org/10.22146/ijcn.53042
20. Palupi KC, Anggraini A, Sa’pang M, Kuswari M. Pengaruh edukasi gizi “empire” terhadap kualitas diet dan aktivitas fisik pada wanita dengan gizi lebih. J Nutr Coll 2022;11:62-73. DOI: https://doi.org/10.14710/jnc.v11i1.31924
21. Karmore UP, Ukey UU, Sharma SK. Effect of dietary modification and physical activity on obese young adults going to gym for weight loss in central India: a before and after study. Cureus 2023;15:e40832. DOI: https://doi.org/10.7759/cureus.40832
22. Kementrian Kesehatan RI. Pedoman Gizi Seimbang. 2014;1–203.
23. Kementerian Kesehatan RI. Survei Kesehatan Indonesia (SKI) dalam Angka. Jakarta; 2023.
24. Indonesia PAGI& AD. Penuntun Diet dan Terapi Gizi. 4th ed. EGC; 2019. 412 p.
25. Harjatmo TP, Par’i HM, Wiyono S. Penilaian Status Gizi. 2017. 315 p.
26. WHO. Global Physical Activity Questionnaire (GPAQ) Analysis Guide. Geneva World Heal Organ. 2012;1–22.
27. Barkley JE, Farnell G, Boyko B, et al. Impact of activity monitoring on physical activity, sedentary behavior, and body weight during the COVID-19 pandemic. Int J Environ Res Public Health 2021;18:7518. DOI: https://doi.org/10.3390/ijerph18147518
28. Dieny FF, Fitranti DY, Jauharany FF, et al. Nutrition class by instagram: interventions to improve the diet quality, physical activity and waist circumfeence among female college students with obese. J Aisyah J Ilmu Kesehat 2021;6:1–8. DOI: https://doi.org/10.30604/jika.v6i1.360
29. Całyniuk B, Grochowska-Niedworok E, Muc-Wierzgoń M, et al. The effectiveness of the low energy diet in overweight and obese adults. Rocz Państwowego Zakładu Hig 2016;67:137–46.
30. Mahmudiono T, Nindya TS, Andrias DR, et al. The effectiveness of nutrition education for overweight/obese mothers with stunted children (NEO-MOM) in reducing the double burden of malnutrition in Indonesia: Study protocol for a randomized controlled trial. BMC Public Health 2016;16:1910. DOI: https://doi.org/10.1186/s12889-016-3155-1
31. Iqbal M, Riyanto S, Ike Mardiati A, et al. The development of DIETDUCATE: An android based diet management application to educate ideal diet recommendation. Syst Rev Pharm. 2020;11(8).
32. Ng AK, Hairi NN, Dahlui M, et al. The longitudinal relationship between dietary intake, physical activity and muscle strength among adolescents. Br J Nutr 2020;124:1207-18. DOI: https://doi.org/10.1017/S0007114520002202
33. Tucker LA, Thomas KS. Increasing total fiber intake reduces risk of weight and fat gains in women. J Nutrition 2009;139:576–81. DOI: https://doi.org/10.3945/jn.108.096685
34. Ueda Y, Sawamoto M, Kobayashi T, et al. Nutrition education programme changes food intake and baseball performance in high-school students. Health Educ J 2021;80:387–400. DOI: https://doi.org/10.1177/0017896920974061
35. Braakhuis A, Campion P, Bishop K. The effects of dietary nutrition education on weight and health biomarkers in breast cancer survivors. Med Sci (Basel, Switzerland) 2017;5:1–8. DOI: https://doi.org/10.3390/medsci5020012
36. Finkler E, Heymsfield SB, St-Onge MP. Rate of weight loss can be predicted by patient characteristics and intervention strategies. J Acad Nutr Diet 2012;112:75–80. DOI: https://doi.org/10.1016/j.jada.2011.08.034
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