Influence of dietary patterns and stress on gastritis among adolescents in Sukabumi
Abstract
Background: : Gastritis, characterized by inflammation of the stomach lining, poses a significant health challenge among adolescents, often exacerbated by modifiable risk factors including unhealthy dietary patterns, chronic stress, limited health literacy, and insufficient family support. In urban settings like Sukabumi City, Indonesia, adolescents face heightened vulnerability due to lifestyle shifts, academic pressures, and irregular eating habits, leading to prevalent symptoms such as epigastric pain, nausea, and dyspepsia. Despite its commonality, few studies have systematically analyzed the interplay of these factors in this demographic, underscoring the need for targeted correlational research to inform preventive strategies in nursing education and public health.
Objectives: This study aimed to analyze the factors influencing gastritis incidence among adolescents in Sukabumi City, with a focus on diet, stress, health knowledge, and family support.
Methods: Employing a correlational design with a cross-sectional approach, the research involved 105 adolescents aged 12-18 years, selected via proportionate random sampling from local schools. Data were gathered using a validated questionnaire assessing dietary habits (e.g., meal frequency and food choices), stress levels (via perceived stress scales), knowledge of gastritis prevention, and family support metrics. Statistical analysis included chi-square tests and logistic regression to determine associations (p<0.05 significance).
Results: Approximately 65% of respondents exhibited gastritis symptoms, with psychosocial factors—particularly high stress (OR=2.8, p=0.002) and irregular eating (OR=3.1, p<0.001)—emerging as significant predictors. Family support and health knowledge showed no statistically significant impact (p>0.05).
Conclusions: Stress and poor dietary habits are primary drivers of gastritis in adolescents. Nursing-led interventions, including school-based education on stress management and nutrition, are crucial for mitigation
References
2. Seo SY, Lee ST, Kim SK, Chun HJ, Song GA, Lee DH, et al. Efficacy and Safety of CKD-495 in Acute and Chronic Gastritis: A Phase III Superiority Clinical Trial. Medicine (Baltimore). 2023;102(49):e35926.
3. Robinson K, Atherton JC. The Spectrum OfHelicobacter-Mediated Diseases. Annu Rev Pathol Mech Dis. 2021;16(1):123–44.
4. Guo Y, Chen B, Huang Y, Ke S, Xie F, Li D, et al. Increased Infiltration of CD4+ILâ€17A+FOXP3+ T Cells in Helicobacter pyloriâ€induced Gastritis. Eur J Immunol. 2024;54(3).
5. Merritt R, Groot J d., Al-Majali L, Patel N. Using Community-Based Prevention Marketing to Generate Demand for Healthy Diets in Jordan. Nutrients. 2021;13(9):3068.
6. Choi J. Impact of Stress Levels on Eating Behaviors Among College Students. Nutrients. 2020;12(5):1241.
7. Johansen C, Reynolds KD, Xie B, Palmer PH. An Examination of Family Variables as Mediators of the Association of Acculturation With Sugar-Sweetened Beverage Consumption Among Latinx Adolescents. Fam Community Health. 2020;43(4):287–95.
8. Shin H, Jeon S, Cho I. Factors Influencing Health-Related Quality of Life in Adolescent Girls: A Path Analysis Using a Multi-Mediation Model. Health Qual Life Outcomes. 2022;20(1).
9. Irianty H, Hayati R, Suryanto D. Kejadian Gastritis Berdasarkan Aspek Promosi Kesehatan Dan Pola Makan. Wind Heal J Kesehat. 2020;251–8.
10. Wahab A, Lubis ES, Siregar SD, Siagian M, Simbolon JA. Pola Makan Dan Kaitannya Dengan Kejadian Gastritis Pada Mahasiswa. J Ilmu Kesehat Masy. 2022;11(04):337–41.
11. Jusuf H, Adityaningrum A, Yunus R. Determinan Kejadian Gastritis Pada Mahasiswa. Jambura Heal Sport J. 2022;4(2):108–18.
12. Fitriani A, Nurislami AS, Lismayanti L, Hidayat N. The Correlation of Dietary Habit With Incidence of Gastritis. Genius J. 2022;3(1):125–30.
13. Rahman IA, Nurapandi A, Waluyo EMJ, Kurniawan R, Risgia G. The Relationship Between Diet and Gastritis in Adolescents. J Vnus (Vocational Nurs Sci. 2022;4(2):50–9.
14. Lusida N, Ashofa N, Andriyani A, Fadlilah DR, Herdiansyah D. Relationship Between Diet and Stress With a History of Gastritis in Adolescents at Madrasah Aliyah Negeri 2 Cipondoh Tangerang City in 2023. Muhammadiyah Int Public Heal Med Proceeding. 2023;3(1):482–7.
15. Vellyasari D. WhatsApp Group Dapat Mempengaruhi Pola Makan Remaja Perempuan Yang Mengalami Gastritis. Open Access Jakarta J Heal Sci. 2022;1(7):236–41.
16. Turnip ED, Indriarini MY, Wijaya YM. Unhealthy Lifestyle Among Sufferers of Gastritis on Young Adult Age. J Ber Ilmu Keperawatan. 2023;16(2):232–9.
17. Petrovna LZ, Liyanage LRSD, Patel GR, Maryam MR. A Cross-Sectional Study on Lifestyle Factors Influencing Gastritis and Dyspepsia Among International Students’ Faculty of Medical University. Int J Res Med Sci. 2024;12(3):687–92.
18. Silwal S, Acharya A, Baral B, Devkota A, Subedee A, Paudel U. Knowledge Regarding Gastritis Among Late Adolescence in Central Nepal. Marsyangdi J. 2021;81–93.
19. Adila AM, Fauziah M, Febrianti T, Surury I. Rapid Survey of Gastrical Symptoms in the Students of the Faculty of Public Health, Universitas Muhammadiyah Jakarta in 2022. Muhammadiyah Int Public Heal Med Proceeding. 2022;2(1):382–90.
20. Li Y, Su Z, Li P, Li Y, Johnson N, Zhang Q, et al. Association of Symptoms With Eating Habits and Food Preferences in Chronic Gastritis Patients: A Crossâ€Sectional Study. Evidence-Based Complement Altern Med. 2020;2020(1).
21. PhÆ°Æ¡ng NTT, Thanh NT, Phuong DTM. An Association of Psychosocial Characteristics and Severity of Ulcers in Adolescents With Chronic Peptic Ulcer Disease. Tạp Chà Nghiên Cứu Y Há»c. 2023;166(5E12):36–43.
22. Sharif S, Maqbool R, Naz S, Farasat T. Prevalence and Risk Factors of Gastritis in Shahdara and Associated Areas. Lahore Garrison Univ J Life Sci. 2021;5(01):19–28.
23. Zahrah NI, Fanani M, Ardyanto TD. The Relationship Between Emotional Eating, Meal Skipping and Unhealthy Food Consumption Pattern in Adolescent Girls. Indones J Public Heal. 2023;18(1):47–58.
24. Onyeke NG, Nwobi C, EZE KK, NNAMONU GC. An Assessment of the Dietary Patterns of Adolescent Males in Udenu Local Government Area, Enugu State. Njhe. 2024;12(10):188–96.
25. Munalisa R, Lien TS, Tsai PY, Sun D, Cheng C, Wu W, et al. Restraint Stress-Induced Neutrophil Inflammation Contributes to Concurrent Gastrointestinal Injury in Mice. Int J Mol Sci. 2024;25(10):5261.
26. Zhu H, Liang Y, Hao W, Ma Q, Xiao-juan LI, Li Y, et al. Xiaoyaosan Exerts Therapeutic Effects on the Colon of Chronic Restraint Stress Model Rats via the Regulation of Immunoinflammatory Activation Induced by the TLR4/NLRP3 Inflammasome Signaling Pathway. Evidence-Based Complement Altern Med. 2021;2021:1–18.
27. Mikkelsen HT, Haraldstad K, Helseth S, Skarstein S, Småstuen MC, Rohde G. Health-Related Quality of Life Is Strongly Associated With Self-Efficacy, Self-Esteem, Loneliness, and Stress in 14–15-Year-Old Adolescents: A Cross-Sectional Study. Health Qual Life Outcomes. 2020;18(1).
28. Chan S, Melnyk BM, Chen AC. Predicting Factors Among Healthy Lifestyle Beliefs, Behaviors and Mental Health Indicators in Taiwanese Adolescents. Asian J Pediatr Res. 2021;20–30.
29. Gratão LHA, Pessoa MC, Rocha LL, Silva TPR da, Freitas E d. S, Oliveira TRPR de, et al. Living With Parents, Lifestyle Pattern and Common Mental Disorders in Adolescents: A School-Based Study in Brazil. BMC Public Health. 2022;22(1).
30. Alonso-Stuyck P. Parenting and Healthy Teenage Lifestyles. Int J Environ Res Public Health. 2020;17(15):5428.
31. Leite RO, Pavia V, Kobayashi MA, Lee TK, Prado G, Messiah S, et al. The Effects of Parent–adolescent Acculturation Gaps on Adolescent Lifestyle Behaviors: Moderating Role of Family Communication. J Latinx Psychol. 2023;11(1):21–39.
32. Brown R, Seabrook JA, Stranges S, Clark A, Haines J, O’Connor C, et al. Examining the Correlates of Adolescent Food and Nutrition Knowledge. Nutrients. 2021;13(6):2044.
33. Kennedy BM, Davison G, Fowler LA, Rodriguez-Guzman E, Collins ML, Baker A, et al. Perceptions of a Pragmatic Family-Centered Approach to Childhood Obesity Treatment. Ochsner J. 2021;21(1):30–40.