Relationship between ultra-processed food consumption with body fat percentage and blood pressure in adolescence

Farah Kurnia Mariestu, Budiyanti Wiboworini, Veronika Ika Budiastuti

Abstract


ABSTRAK

Latar Belakang: Makanan ultra proses mengandung kadar gula, lemak, dan garam yang tinggi sehingga mengkonsumsinya secara sering dapat meningkatkan lemak tubuh dan berat badan serta dapat menyebabkan hipertensi. Jenis makanan  ini banyak dikonsumsi remaja. 

Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara konsumsi makanan ultra proses dengan persen lemak tubuh dan tekanan darah pada remaja di Surakarta

Metode: Penelitian ini merupakan penelitian observasional analitik dengan pendekatan cross-sectional. Penelitian dilakukan di lima Sekolah Menengan Atas (SMA) di Surakarta, Indonesia, di lima kecamatan berbeda. Sebanyak 114 siswa diseleksi melalui proportionate random sampling. Data yang diambil pada penelitian ini adalah konsumsi makanan ultra proses, persen lemak tubuh, dan tekanan darah. Konsumsi makanan ultra proses diukur menggunakan Food Frequency Questionnaire (FFQ). Persen lemak tubuh diukur menggunakan Bio Impedance Analysis (BIA) Omron BF-375. Tekanan darah diukur menggunakan sphygmomanometer digital. Hubungan konsumsi makanan ultra proses dengan persen lemak tubuh dan hubungan konsumsi makanan ultra proses dengan tekanan darah dianalisis menggunakan Kendall's τb.

Hasil: Makanan ultra proses yang paling sering dikonsumsi oleh responden adalah kerupuk. Hasil penelitian menunjukkan bahwa sebagian besar responden mengkonsumsi makanan ultra proses pada kuartil ke-3 (50%). Secara statistik terdapat hubungan yang signifikan antara konsumsi makanan ultra proses dengan persen lemak tubuh (p-value 0,008). Nilai koefisien korelasi antar variabel dalam analisis tersebut diperoleh 0,216, artinya tingkat keeratan hubungan antar variabel sangat lemah dan memiliki arah hubungan yang positif. Sedangkan hasil analisis antara konsumsi makanan ultra proses dengan tekanan darah pada remaja tidak ditemukan adanya hubungan (p-value 0,135).

Kesimpulan: Terdapat hubungan antara konsumsi makanan ultra proses dengan persen lemak tubuh dan tidak terdapat hubungan antara konsumsi makanan ultra proses dengan tekanan darah pada remaja.

KATA KUNCI: Lemak tubuh, Makanan ultra proses, Remaja, Tekanan darah

 

 

ABSTRACT

Background: Ultra-processed foods (UPFs) are high in sugar, fat, and salt, so consuming them frequently can increase body fat and weight and may also lead to hypertension. This type of food is widely consumed by adolescents.

Objectives: The objective of this study was to examine the relationship between the consumption of UPFs, body fat percentage, and blood pressure among adolescents in Surakarta.

Methods: This study employed an analytical observational research design utilizing a cross-sectional approach. The research was conducted in five senior high schools located in five distinct subdistricts of Surakarta City, Indonesia. A total of 114 students were selected using proportionate random sampling. The data collected in this study included UPFs consumption, body fat percentage, and blood pressure. Data on the consumption of UPFs were gathered using the Food Frequency Questionnaire (FFQ). Bioelectrical Impedance Analysis (BIA) using the Omron HBF-375 device was employed to assess body fat percentage, while a digital sphygmomanometer was used to measure blood pressure. The relationships between the frequency of UPFs food consumption and blood pressure were analyzed using Kendall’s τb.

Results: The UPF's food that respondents most often consume is crackers. The result showed that most respondents consumed UPFs in the third quartile (50%). Statistically, there was a significant relationship between consumption of UPFs and percent body fat (p-value 0.008). The correlation coefficient value between variables in this analysis was obtained at 0.216, which means that the level of correlation closeness between variables is very weak and has a positive correlation direction. Meanwhile, the results of the analysis between consumption of UPFs and blood pressure in adolescents found no correlation (p-value 0.135).

Conclusion: An association was found between the consumption of UPFs and body fat percentage in adolescents. However, no correlation was observed between the consumption of UPFs and blood pressure in this group.

 

KEYWORD: adolescence; blood pressure; body fat; ultra-processed food (UPF)


Keywords


lemak tubuh, makanan ultra proses, remaja, tekanan darah; adolescence; blood pressure; body fat; ultra-processed food (UPF)

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References


Baker P, Machado P, Santos T, Sievert K, Backholer K, Hadjikakou M, et al. Ultra-processed foods and the nutrition transition: Global, regional and national trends, food systems transformations and political economy drivers. Obes Rev. 2020;21(12).

Monteiro CA, Cannon G, Levy R, Moubarac JC, Jaime P, Martins AP, et al. NOVA. The Star Shines Bright (Food Classification. Public Health). World Nutr [Internet]. 2016;7(1–3):28–38. Available from: https://worldnutritionjournal.org/index.php/wn/article/view/5

Dr. Arun Gupta. The Unseen Dangers of Ultra-processed food. 2020;1–9. Available from: https://www.bpni.org/wp-content/uploads/2020/07/unseen2020.pdf

Enes CC, de Camargo CM, Justino MIC. Ultra-processed food consumption and obesity in adolescents. Rev Nutr. 2019;32(November).

Pan American Health Organization. Ultra-processed food and drink products in Latin America: Sales, Sources, Nutrient Profiles and Policy Implications. 2019. 1–42 p.

Lustig RH. Ultraprocessed Food: Addictive, Toxic, and Ready for Regulation. Nutrients [Internet]. 2020;12. Available from: http://dx.doi.org/10.1038/s41387-020-00141-0

Gearhardt AN, DiFeliceantonio AG. Highly processed foods can be considered addictive substances based on established scientific criteria. Addiction. 2023;118(4):589–98.

Carter A, Hendrikse J, Lee N, Yucel M, Gracia AV, Andrew, et al. The Neurobiology of ‘food addiction’ and its Implications for Obesity Treatment and Policy Adrian. Annu Rev Nutr. 2016;36.

Neri, Daniela, Eurídice Martínez Steele, Neha Khandpur, Gustavo Cediel, Maria Elisa Zapata, Fernanda Rauber, Joaquín A. Marrón-Ponce. 2022. Ultraprocessed Food Consumption and Dietary Nutrient Profiles Associated with Obesity: A Multicountry Study of Children and Adolescents. Obesity Reviews 23 (S1): 1–13. https://doi.org/10.1111/obr.13387.

Kostecka, Małgorzata, Monika Bojanowska, Julianna Kostecka, and Anna Ciołek. Analysis of Dietary Patterns and Body Composition Parameters in the Polish Population. Roczniki Panstwowego Zakladu Higieny / Annals of the National Institute of Hygiene. 2021;72 (1): 55–66.https://doi.org/10.32394/rpzh.2021.0152

Costa CS, Del-Ponte B, Assunção MCF, Santos IS. Consumption of ultra-processed foods and body fat during childhood and adolescence: a systematic review. Public Health Nutrition. 2018;21(1):148–59.doi:10.1017/S1368980017001331

Ali A, Khasbullah NA, Ahmad FT, Yusof HM. Ultra-processed Food Consumption in Relation to BMI and Body Fat Percentage of Adults in Terengganu. Malaysian J Med Heal Sci. 2020;16(1):37–43.

Li M, Shi Z. Ultra-Processed Food Consumption Associated with Incident Hypertension among Chinese Adults—Results from China Health and Nutrition Survey 1997–2015. Nutrients. 2022;14(22):1–11.

Pagliai G, Dinu M, Madarena MP, Bonaccio M, Iacoviello L, Sofi F. Consumption of ultra-processed foods and health status: A systematic review and meta-Analysis. Br J Nutr. 2021;125(3):308–18.

Elizabeth L, Machado P, Zinöcker M, Baker P, Lawrence M. Ultra-processed foods and health outcomes: a narrative review. Nutrients.2020;12(7):1955. https://doi.org/10.3390/nu12071955

Kurnia P, Triesnaputri D, Wardhani K, Hariyani R. Consumer Attitudes, Nutrition Knowledge, and Use of Nutrition Information on The Labels of Packaged Drinks Among Adolescents in Surakarta, Indonesia. International Conf Heal Well-Being . 2016;(January):253–64.

Salsabila FZ. Hubungan Konsumsi Fast Food dengan Status Gizi pada Remaja di SMA Negeri 1 Kota Surakarta. 2022;

Cahyaningtyas MD. Hubungan Frekuensi Konsumsi Minuman Berkalori dengan Status Gizi pada Siswa Di SMA Negeri 5 Surakarta. Skripsi. 2018

Statistic of Surakarta Municipality. Surakarta municipality in figure. Surakarta: Surakarta of Surakarta Municipality; 2018.

Kementerian Kesehatan RI. Laporan Provinsi Jawa Tengah Riset Kesehatan Dasar 2018. Jakarta: Balitbangkes; 2019.

Pratiwi AA, Chandra DN, Khusun H. Association of Ultra Processed Food Consumption and Body Mass Index for Age among Elementary Students in Surabaya. Amerta Nutr. 2022;6(2):140–7.

Omron Healthcare Inc. 2023. Instruction Manual Body Composition Monitor Model HBF-375. Global Data Product Pipeline Summaries.https://www.proquest.com/reports/omronhealthcareinc/docview/2702984689/saccountid=187856%0Ahttps://media.proquest.com/media/hms/PFT/1/EHkKW?_a=ChgyMDI0MDEyMjA0MDk1MzQ1NDo2NjIwMTESBzEyOTYwMTkaCk9ORV9TRUFSQ0giDzEwMy4yNTEuMTgyLjEyNioHNDMzMTc3NjIKMjcwMj

Keputusan Menteri Kesehatan Republik Indonesia Nomor Hk.01.07/Menkes/4613/2021 tentangPedoman Nasional Pelayanan Kedokteran TataLaksana Hipertensi Pada Anak

Peraturan Menteri Kesehatan Republik Indonesia Nomor 2 Tahun 2020 tentang Standar Antropometri Anak

Erwinanto, D. (2017). Hubungan antara tingkat aktivitas fisik dengan kebugaran jasmani siswa kelas x tahun ajaran 2016/2017 di SMK Muhammadiyah 1 Wates Kabupaten Kulon Progo DIY. Universitas Negeri Yogyakarta

Neri D, Steele EM, Khandpur N, Cediel G, Zapata ME, Rauber F, et al. Ultraprocessed food consumption and dietary nutrient profiles associated with obesity: A multicountry study of children and adolescents. Obes Rev. 2022;23(S1):1–13.

Taslim NA, Handayani ND, Arruan W, Aminuddin, Bukhari A, Faradillah A, et al. Dietary Patterns and Ultra-Processed Foods Consumption in Modern and Traditional Populations in South Sulawesi: An Analysis of Nutritional Status and Body Composition. Nutr Clin y Diet Hosp. 2023;43(1):90–8.

Costa CS, Del-Ponte B, Assunção MCF, Santos IS. Consumption of ultra-processed foods and body fat during childhood and adolescence: A systematic review. Public Health Nutr. 2018;21(1):148–59.

Rudakoff LCS, Magalhães EI da S, Viola PC de AF, de Oliveira BR, da Silva Coelho CCN, Bragança MLBM, et al. Ultra-processed food consumption is associated with increase in fat mass and decrease in lean mass in Brazilian women: A cohort study. Front Nutr. 2022;9.

Jin X, Qiu T, Li L, Yu R, Chen X, Li C, et al. Pathophysiology of obesity and its associated diseases. Acta Pharm Sin B. 2023;13(6).

Bera TK, Kar SK, Yadav PK, Mukherjee P, Yadav S. Effects of monosodium glutamate on human health : A systematic review Figure 1 : Chemical structure of Monosodium Glutamate. World J Pharm Sci [Internet]. 2017;5(May):139–44. Available from:http://wjpsonline.com/index.php/wjps/article/view/436%0Ahttps://wjpsonline.com/index.php/wjps/article/download/effects-monosodium-glutamate-human-health-review/440.

Qinpei Z, Chang S, Wenwen D, Yifei O, Huijun W, Zhihong W, Gangqiang D, Bing Z. The association between physical activityand body fat percentage with adjustmentfor body mass index among middle-agedadults: China health and nutrition survey in2015. BMC Public Health. 2020;20:732, https://doi.org/10.1186/s12889-020-08832-0

Oliveira T, Ribeiro I, Jurema-Santos G, Nobre I, Santos R, Rodrigues C, et al. Can the Consumption of Ultra-Processed Food Be Associated with Anthropometric Indicators of Obesity and Blood Pressure in Children 7 to 10 Years Old? Foods. 2020;9(11):1–16.

Cortes C, Brandão JM, Cunha DB, Paravidino VB, Sichieri R. Blood pressure variation and ultra-processed food consumption in children with obesity. Eur J Pediatr [Internet]. 2023;182(9):4077–85. Available from: https://doi.org/10.1007/s00431-023-05076-z

Song Y, Li Y, Guo C, Wang Y, Huang L, Tan M, et al. Cross-sectional comparisons of sodium content in processed meat and fish products among five countries: potential for feasible targets and reformulation. BMJ Open. 2021;11:e046412. doi: 10.1136/bmjopen-2020-046412

A, Tânia S, Pedro M, Patricia P, Olivia P, Carla G. Consumption of ultra-processed foods and relationship with sodium and potassium excretion: a cross-sectional study. Revista Española de Nutrición Humana y Dietética. 2024; 10.14306/renhyd.28.2.2140.




DOI: http://dx.doi.org/10.21927/ijnd.2025.13(4).268-275

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