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Promoting Healthy Diet Through Peer Nutrition Counseling Posyandu Remaja in Semarang City, Central Java, Indonesia

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Background: The increasing prevalence of obesity in adolescents contributes to the burden of chronic diseases in both developed and developing countries including Indonesia. Imbalance dietary energy intake and physical activity resulted in obesity. The influence of peer is a major factor in shaping adolescent behaviors, especially in food selection. The close relationships among the adolescents made this study population suitable for peer nutrition counseling. This study aimed to assess the effectiveness of nutrition peer counseling for obese adolescents in Semarang City, Central Java, Indonesia. Method: Non-randomized pre-post test control group study design was conducted on 30 adolescents at Porter’s Posyandu Remaja (Senior High School 1, Semarang) as the control group and Rosella’s Posyandu Remaja (Senior High School 2, Semarang) as the intervention group. Initially, peer counselors were selected and they were trained for 9 hours on nutrition in adolescent, obesity management, measurement of nutrition status, and peer counseling technique. Nutrition peer counseling were scheduled 6 times in 4 week with one-to-one counseling. Dietary intake was measured by 3 day food recall. Data were analyzed by Mann-Whitney and Wilcoxon tests. Results: There was a significant difference between total energy, saturated fat, fiber, and sodium intake after treatment (p < 0.05). There was no difference (p > 0,05) in physical activity after treatment for each group. Conclusion: Nutrition peer counseling resulted in a reduction of total energy, saturated fat, and sodium intake, and an increase in dietary fiber intake, but it did not effectively increase physical activity in obese adolescent.
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Keywords: Adolescent; Healthy Diet; Obesity; Peer Nutrition Counseling; Physical Activity

Document Type: Research Article

Affiliations: Department of Nutritional Science, Medical Faculty, Diponegoro University, 50275, Semarang, Indonesia

Publication date: April 1, 2017

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