Fast food as drivers for overweight and obesity among urban school children at Jakarta, Indonesia

Dian Febriani, Trini Sudarti


The study aimed to analyse dominant factors associated with overweight and obesity among students in Perguruan Cikini Elementary School in Central Jakarta. A cross-sectional study was conducted between March-May 2017 with 145 participants from 3rd, 4th, and 5th grades. Data obtained were measurement of body weight and height, physical activity questionnaire for children, food frequency questionnaire and 24-hour food recall. Prevalence of overweight and obesity among students in Perguruan Cikini Elementary School in Central Jakarta was 41.4%. Based on logistic regression, fast food consumption was a dominant factor associated with overweight and obesity among students in Perguruan Cikini Elementary School in Central Jakarta. Students who consumed fast food >3 times/week were 2.42 times more likely to be overweight and obese compared to students who consumed fast food ≤3 times/week.


Ang YN, Wee BS, Poh BK, & Ismail MN. 2013. Multifactorial influences of childhood obesity. Curr Obes Rep 2:10-22.

Arora M, Nazar GP, Gupta VK, Perry CL, Reddy KS, Stigler MH. 2012. Association of breakfast intake with obesity, dietary and physical activity behavior among urban school-aged adolescents in Delhi, India: results of a cross-sectional study. BMC Public Health12(881).

Australian Bureau of Statistics. 2016. National Health Survey: Children Risk Factors.'s%20risk%20factors~31 [Accessed 09 February 2017].

Badawi NE, Barakat AA, El Sherbini SA, Fawzy HM. 2013. Prevalence of overweight and obesity in primary school children in Port Said city. Gaz Egypt Pediatr Assoc 61:31-36.

Borghese MM, Tremblay MS, Leduc G, Boyer C, Belanger P, LeBlanc AG, Francis C, Chaput JP. 2015. Television viewing and food intake during television viewing in normal weight, overweight and obese 9- to 11-year-old Canadian children: a cross-sectional analysis. J Nutr Sci 4(e8).

Braithwaite I, Stewart AW, Hancox RJ, Beasley R, Murphy R, Mitchell EA. 2014. Fast-food consumption and body mass index in children and adolescents: an international cross sectional study. BMJ Open, 4(e005813):1-9.

Cao M, Zhu Y, He B, Yang W, Chen Y, Ma J, Jing J. 2015. Association between sleep duration and obesity is age- and gender dependent in Chinese urban children aged 6–18 years: a cross-sectional study. BMC Public Health 15:1-10.CDC. 2017. Childhood Obesity Facts. [Accessed 08 February 2017].

Chang HH, Nayga RM. 2009. Television viewing, fast-food consumption, and children’s obesity. Contemp Eco Policy 27: 293–307.

Chaput JP, Lambert M, Gray-Donald K, McGrath JJ, Tremblay MS, O'Loughlin J, Tremblay A. 2011. Short sleep duration is independently associated with overweight and obesity in Quebec children. Can J Public Health 02(5):369-74.

Depkes RI. 2007. Riset Kesehatan Dasar 2007. Jakarta: Departemen Kesehatan Republik Indonesia.

Duffey KJ, Gordon-Larsen P, Jacobs DR Jr, Williams OD, Popkin BM. 2007. Differential associations of fast food and restaurant food consumption with 3-y change in body mass index: the Coronary Artery Risk Development in Young Adults Study. Am J Clin Nutr 85(1): 201–208.

Firouzia S, Poh BK, Ismailc MN, Sadeghilar A. 2012. Sleep habits, food intake, and physical activity levels in normal and overweight and obese Malaysian children. Obes Res Clin Prac 8(1):e70-e78.

Freedman DS, Dietz WH, Srinivasan SR, Berenson GS. 2007. Cardiovascular risk factor and excess adiposity among overweight children and adolescents: the Bogalusa Heart Study. J Pediatr 150(1):12-17.

Geel MV, Vedder P, Tanilon J. 2014. Are overweight and obese youths more often bullied by their peers? A meta-analysis on the correlation between weight status and bullying. Int J Obes 38(10):1263-7.

Griffiths LI, Parsons TJ, Hill AJ. 2010. Self esteem and quality of life in obese children and adolescents: A systematic review. Int J Pediatr Obes 5(4):282-304.

Hajian-Tilaki KO, Sajjadi P, Razavi A. 2011. Prevalence of overweight and obesity and associated risk factors in urban primary school children in Babol, Islamic Republic of Iran. East Mediterr Health J 17(2):109-114.

Hammons A J, Fiese BH. 2011. Is frequency of shared family meals related to the nutritional health of children and adolescents?. Pediatrics 127(6):e1565-1574.

Heryati L, Setiawan B. 2014. Kegemukan, Anemia, dan Prestasi Belajar Siswa Sekolah Dasar Di Kota Bogor. J. Gizi Pangan 9(3):159-166.

Hope S, Pearce A, Whitehead M, Law C. 2015. Parental employment during early childhood and overweight at 7-years: findings from the UK Millennium Cohort Study. BMC Obesity 2(33):1-9.

Katzmarzyk PT, Barreira TV, Broyles ST, Champagne CM, Chaput JP, Fogelholm M, Hu G, Johnson WD, Kuriyan R, Kurpad A, et al. 2015. Relationship between lifestyle behaviors and obesity in children ages 9-11- Results from a 12-country study. Obesity 23(8):1696-1702.

Keller A, Torre SBD. 2015. Sugar-Sweetened Beverages and Obesity among Children and Adolescents: A Review of Systematic Literature Reviews. Child Obes 11(4):338-346.

[Kemenkes RI] Kementerian Kesehatan Republik Indonesia. 2013. Riset Kesehatan Dasar 2013. Jakarta: Kemenkes RI 2013.

[Kemenkes RI] Kementerian Kesehatan Republik Indonesia. 2013. RISKESDAS dalam Angka Provinsi DKI Jakarta Tahun 2013. Jakarta: Kemenkes RI 2013.

Lemeshow S, Hosmer Jr DW, Klar J, Lwanga SK. 1990. Adequacy of Sample Size in Health Studies. Chichester: John Wiley & Sons.

Lee HJ, Lee SY, Park EC. 2015. Do family meals affect childhood overweight or obesity?: nationwide survey 2008-2012. Pediatr Obes 11:161-165.
Li L, Shen T, Wen LM, Wu M, He P, Wang Y, Qu W, Tan H, He G. 2015. Lifestyle factors associated with childhood obesity: a cross-sectional study in Shanghai, China. BMC Research Notes 8(6):1-8.

Liang T, Kuhle S, Veugelers PJ. 2009. Nutrition and body weights of Canadian children watching television and eating while watching television. Public Health Nutr 12(12):2457-2463.

Malik V, Pan A, Willett W, Hu F. 2013. Sugar-sweetened beverages and weight gain in children and adults: a systematic review and meta-analysis. Am J Clin Nutr 98(4):1084-1102.

Martin-Calvo N, Martínez-González M, Bes-Rastrollo M, Gea A, Ochoa MC, Marti A. 2014. Sugar-sweetened carbonated beverage consumption and childhood/adolescent obesity: a case-control study. Public Health Nutr 17(10):2185-2193.

Matthews VL, Wien M, Sabaté J. 2011. The risk of child and adolescent overweight is related to types of food consumed. Nutr J 10(71):1-7.

McMullen S. 2014. Childhood obesity: the impact on long-term risk of metabolic and CVD is not necessarily inevitable. Proc Nutr Soc 73(3):389-96.

Morrissey B, Malakellis M, Whelan J, Millar L, Swinburn B, Allender S, Strugnell C. 2016. Sleep duration and risk of obesity among a sample of Victorian school children. BMC Public Health 16(245):1-8.

Mourao DM, Bressan J, Campbell WW, Mattes RD. 2007. Effects of food form on appetite and energy intake in lean and obese young adults. Int J Obes 31 (11):1688-1695.

Mushtaq MU, Gull S, Abdullah HM, Shahid U. 2011. Prevalence and socioeconomic correlates of overweight and obesity among Pakistani primary school children. BMC Public Health 25(11):724.

Mushtaq MU, Gull S, Mushtaq K, Shahid U, Shad MA, Akram J. 2011. Dietary behaviors, physical activity and sedentary lifestyle associated with overweight and obesity, and their socio-demographic correlates, among Pakistani primary school children. Int J Behav Nutr Phys Act 8:130.

Mushtaq, MU, Gull S, Shahid U, Shafique MM, Abdullah HM, Shad MA, Siddiqui AM. 2011. Family-based factors associated with overweight and obesity among Pakistani primary school children. BMC Pediatr 11(114).

Must A, Hollander SA, Economos CD. 2006. Childhood obesity: a growing public health concern. Expert Rev Endocrinol Metab 1(2):233-254.

Nasreddine L, Naja F, Akl C, Chamieh MC, Karam S, Sibai A, Hwalla N. 2014. Dietary, lifestyle and socio-economic correlates of overweight, obesity and central adiposity in Lebanese children and adolescents. Nutrients 6:1038-1062.

Ng M, Flemming TBS, Robinson MBA, Thomson BBA, Graetz NBS, Margono CBS, Mullany EBA, Biryukov SBS Abbafati C, Abera SFMA, et al. 2014. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: A systematic analysis for the Global burden of disease study 2013. Lancet 384:766781.

Ogden CL, Carroll MD, Fryar CD, Flegal KM. 2015. Prevalence of obesity among adults and youth: US 2011-2014. Hyattsville: CDC.

Ogden CL, Carroll MD, Kit BK, Flegal KM. 2012. Prevalence of obesity and trends in body mass index among US children and adolescents. J Am Med Assoc 307(5):483-490.

Pan A, Hu FB. 2011. Effects of carbohydrates on satiety: differences between liquid and solid food. Curr Opin Clin Nutr Metab Care 14:385-390.

Pulgarón ER. 2013. Childhood Obesity: A review of increased risk for physical and psychological comorbidities. Clin Ther 35(1):A18-A32.

Papandreou D, Malindretos P, Rousso I. 2010. Risk factors for childhood obesity in a Greek paediatric population. Public Health Nutr 13(10):1535-1539.

Papandreou D, Malindretos P, Rousso I. 2008. Investigation of dietary intake and obesity status in a pediatric population from Northern Greece. Nutr Food Sci 38(6): 526-533.

Reilly JJ, Kelly J. 2011. Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic review. Int J Obes 35(7):891-8.

Rosenheck R. 2008. Fast food consumption and increased caloric intake: a systematic review of a trajectory towards weight gain and obesity risk. Obes Rev 9(6):535-547.

Sahoo K, Sahoo B, Choudhury AK, Sofi NY, Kumar R, Bhadoria AS. 2015. Childhood obesity: causes and consequences. J Family Med Prim Care 4(2):187-192.

Santiago S, Zazpe I, Marti A, Cuervo M, Martinez JA. 2013. Gender differences in lifestyle determinants of overweight prevalence in a sample of Southern European children. Obes Res Clin Pract 7(5):e391-e400.

Sartika RAD. 2011. Faktor risiko obesitas pada anak 5-15 tahun di indonesia. Makara Kesehatan, 15(1):37-43.

Shan XY, Xi B, Cheng H, Hou DQ, Wang Y, Mi J. 2010. Prevalence and behavioral risk factors of overweight and obesity among children aged 2–18 in Beijing, China. Int J Pediatr Obes 5:383-389.
Shi Z, Taylor AW, Gill TK, Tuckerman J, Adams R, Martin J. 2010. Short sleep duration and obesity among Australian children. BMC Public Health 10:609.

Song Y, Wang HJ, Ma J, Wang Z. 2013. Secular Trends of Obesity Prevalence in Urban Chinese Children from 1985 to 2010: Gender Disparity. PLoS One 8(1): e53069.

Thasanasuwan W, Srichan W, Kijboonchoo K, Yamborisut U, Wimonpeerapattana W, Rojroongwasinkul N, Khow IT, Deurenberg P. 2016. Low sleeping time, high tv viewing time, and physical inactivity in school are risk factors for obesity in pre-adolescent Thai children. J Med Assoc Thai 99(3):314-21.

Vik FN, Bjørnarå HB, Øverby NC, Lien N, Androutsos O, Maes L, Jan N, Kovacs E, Moreno LA, Dössegger A, et al. 2013. Associations between eating meals, watching TV while eating meals and weight status among children, ages 10–12 years in eight European countries: the ENERGY cross-sectional study. Int J Behav Nutr Phys Act 10(58):1-10.

WHO. 2007. Growth reference 5-19 years. [Accessed 1 March 2017].

WHO. 2017. Why does childhood overweight and obesity matter?. [Accessed 08 February 2017].

Zhang T, Cai L, Ma L, Jing J, Chen Y, Ma J. 2016. The prevalence of obesity and influence of early life and behavioral factors on obesity in Chinese children in Guangzhou. BMC Public Health 16(954).


Dian Febriani
Trini Sudarti (Primary Contact)
FebrianiD., & SudartiT. (2019). Fast food as drivers for overweight and obesity among urban school children at Jakarta, Indonesia. Jurnal Gizi Dan Pangan, 14(2), 99-106.

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