The Association between Fast Food Consumption and Obesity among College Students in Indonesia

Ulfah Mahardika Pramono Putri; Yuhan Zhang; Ying Zhang; Saiying Cao; Lina Yang

doi:10.59890/ijarss.v2i2.1402

Authors

Ulfah Mahardika Pramono Putri Nutrition and Food Hygiene Department, Xiangya School of Public Health, Central South University, Changsha
Yuhan Zhang Nutrition and Food Hygiene Department, Xiangya School of Public Health, Central South University, Changsha
Ying Zhang Nutrition and Food Hygiene Department, Xiangya School of Public Health, Central South University, Changsha
Saiying Cao Nutrition and Food Hygiene Department, Xiangya School of Public Health, Central South University, Changsha
Lina Yang Nutrition and Food Hygiene Department, Xiangya School of Public Health, Central South University, Changsha

DOI:

https://doi.org/10.59890/ijarss.v2i2.1402

Keywords:

Fast Food, Traditional Fast Food, Western Fast Food, Obesity, College Students

Abstract

Background: In Indonesia, the total percentage of obese adults rose from 10.5% in 2007 to 21.8% in 2018. College students are the highest consumers on most food purchasing applications with fast food options. This study investigated the association between fast food consumption and obesity among college students in Indonesia. Methods: A Google Form was used to conduct a cross-sectional study with 1086 participants from March to June 2023. Food consumption was measured with the Semi-Quantitative Food Frequency Questionnaire (SQFFQ). Chi-square and Kruskal-Wallis tests were utilized. Results: The results showed that 25% of the college students were overweight and obese. Most college students (30.9%) eat fast food >4 times per week. Furthermore, 33.5% eat traditional fast food, and 28.1% eat Western fast food >2 times a week. There were significant differences in the frequency of traditional and Western fast food and energy intake of fast food after adjusting the covariates (p<0.01). The total energy consumption of fast food among obese college students in Indonesia (800.01 kcal (343.73, 1324.93)) was significantly higher than underweight (411.21 kcal (316.37, 852.13)), normal weight (417.23 kcal (311.49, 980.18)), and overweight college students (600.80 kcal (336.07, 1152.46)). Conclusions: Consuming fast food is substantially linked with obesity among college students in Indonesia. To avoid and lessen obesity among college students, eating a greater variety of healthful foods and learning to cook are necessary.

References

Abdalla, S., Buffarini, R., Weber, A. M., Cislaghi, B., Costa, J. C., Menezes, A. M. B., Gonçalves, H., Wehrmeister, F. C., Meausoone, V., Victora, C. G., & Darmstadt, G. L. (2020). Parent-Related Normative Perceptions of Adolescents and Later Weight Control Behavior: Longitudinal Analysis of Cohort Data From Brazil. J Adolesc Health, 66(1s), S9-s16. https://doi.org/10.1016/j.jadohealth.2019.09.007

Al-Otaibi, H., & Basuny, A. (2015). Fast Food Consumption Associated with Obesity/Overweight Risk among University Female Student in Saudi Arabia. Pakistan Journal of Nutrition, 14, 511-516. https://doi.org/10.3923/pjn.2015.511.516

Al Muktadir, M. H., Islam, M. A., Amin, M. N., Ghosh, S., Siddiqui, S. A., Debnath, D., Islam, M. M., Ahmed, T., & Sultana, F. (2019). Nutrition transition - Pattern IV: Leads Bangladeshi youth to the increasing prevalence of overweight and obesity. Diabetes Metab Syndr, 13(3), 1943-1947. https://doi.org/10.1016/j.dsx.2019.04.034

Alhashemi, M., Mayo, W., Alshaghel, M. M., Brimo Alsaman, M. Z., & Haj Kassem, L. (2022). Prevalence of obesity and its association with fast-food consumption and physical activity: A cross-sectional study and review of medical students' obesity rate. Ann Med Surg (Lond), 79, 104007. https://doi.org/10.1016/j.amsu.2022.104007

Allen, A. (2013). Native American participation in youth sport: The effects of cultural influences. Texas Woman's University.

Apovian, C. M. (2016). Obesity: definition, comorbidities, causes, and burden. Am J Manag Care, 22(7 Suppl), s176-185.

Arch, J. J., Brown, K. W., Goodman, R. J., Della Porta, M. D., Kiken, L. G., & Tillman, S. (2016). Enjoying food without caloric cost: The impact of brief mindfulness on laboratory eating outcomes. Behav Res Ther, 79, 23-34. https://doi.org/10.1016/j.brat.2016.02.002

Athens, J. K., Duncan, D. T., & Elbel, B. (2016). Proximity to Fast-Food Outlets and Supermarkets as Predictors of Fast-Food Dining Frequency. J Acad Nutr Diet, 116(8), 1266-1275. https://doi.org/10.1016/j.jand.2015.12.022

Bahadoran, Z., Mirmiran, P., Golzarand, M., Hosseini-Esfahani, F., & Azizi, F. (2012). Fast food consumption in Iranian adults; dietary intake and cardiovascular risk factors: Tehran Lipid and Glucose Study. Arch Iran Med, 15(6), 346-351.

Bipasha, M., & Goon, S. (2014). Fast food preferences and food habits among students of private universities in Bangladesh. South East Asia Journal of Public Health, 3. https://doi.org/10.3329/seajph.v3i1.17713

Block, J. P., Condon, S. K., Kleinman, K., Mullen, J., Linakis, S., Rifas-Shiman, S., & Gillman, M. W. (2013). Consumers' estimation of calorie content at fast food restaurants: cross sectional observational study. Bmj, 346, f2907. https://doi.org/10.1136/bmj.f2907

Bonita, I. A. F., Deny Yudi. (2017). Fast food consumption and physical activity as risk factors for overweight in stunted junior high school adolescents [Fast food consumption, physical activity, overweight, stunting adocelents]. Journal of Nutrition College, 6(1), 9. https://doi.org/10.14710/jnc.v6i1.16893

Braithwaite, I., Stewart, A. W., Hancox, R. J., Beasley, R., Murphy, R., & Mitchell, E. A. (2014). Fast-food consumption and body mass index in children and adolescents: an international cross-sectional study. BMJ Open, 4(12), e005813. https://doi.org/10.1136/bmjopen-2014-005813

Chao, A., Grilo, C. M., White, M. A., & Sinha, R. (2014). Food cravings, food intake, and weight status in a community-based sample. Eat Behav, 15(3), 478-482. https://doi.org/10.1016/j.eatbeh.2014.06.003

Charlot, A., Hutt, F., Sabatier, E., & Zoll, J. (2021). Beneficial effects of early time-restricted feeding on metabolic diseases: importance of aligning food habits with the circadian clock. Nutrients, 13(5), 1405.

Clinton, S. K., Giovannucci, E. L., & Hursting, S. D. (2020). The World Cancer Research Fund/American Institute for Cancer Research Third Expert Report on Diet, Nutrition, Physical Activity, and Cancer: Impact and Future Directions. J Nutr, 150(4), 663-671. https://doi.org/10.1093/jn/nxz268

Donald's, M. (2015). McDonalds USA Nutrition Facts for Popular Menu Items. USA. https://fcs.osu.edu/sites/fcs/files/imce/PDFs/mcdonalds-nutrition-facts.pdf

Dunn, C. G., Gao, K. J., Soto, M. J., & Bleich, S. N. (2021). Disparities in Adult Fast-Food Consumption in the U.S. by Race and Ethnicity, National Health and Nutrition Examination Survey 2017-2018. Am J Prev Med, 61(4), e197-e201. https://doi.org/10.1016/j.amepre.2021.01.043

Dunn, R. A., Sharkey, J. R., & Horel, S. (2012). The effect of fast-food availability on fast-food consumption and obesity among rural residents: an analysis by race/ethnicity. Econ Hum Biol, 10(1), 1-13. https://doi.org/10.1016/j.ehb.2011.09.005

Gearhardt, A. N., Rizk, M. T., & Treat, T. A. (2014). The association of food characteristics and individual differences with ratings of craving and liking. Appetite, 79, 166-173. https://doi.org/10.1016/j.appet.2014.04.013

Guo, L., Xu, Y., Deng, J., He, Y., Gao, X., Li, P., Wu, H., Zhou, J., & Lu, C. (2015). Non-medical use of prescription pain relievers among high school students in China: a multilevel analysis. BMJ Open, 5(7), e007569. https://doi.org/10.1136/bmjopen-2014-007569

Hartriyanti, Y. (2020). Occupational Nutrition. Gajah Mada University Press.

Hassanzadeh, J., Mohammadbeigi, A., Eshrati, B., & Moemenbellah-Fard, M. D. (2012). Estimation of the regional burden of non-communicable diseases due to obesity and overweight in Markazi province, Iran, 2006-2007. J Cardiovasc Dis Res, 3(1), 26-31. https://doi.org/10.4103/0975-3583.91600

Jeffery, R. W., Baxter, J., McGuire, M., & Linde, J. (2006). Are fast food restaurants an environmental risk factor for obesity? Int J Behav Nutr Phys Act, 3, 2. https://doi.org/10.1186/1479-5868-3-2

Karmakar, P., Jahan, N., Banik, S., Das, A., Rahman, K., Kundu, S., & Sattar, M. (2016). Food Habits, Obesity and Nutritional Knowledge among the University Students in Noakhali Region of Bangladesh: A Cross Sectional Study. Journal of Food & Nutritional Disorder, 5. https://doi.org/10.4172/2324-9323.1000201 .

Kemenkes. (2017). Indonesia Food Composition Table. Ministry of Health of Republic Indonesia. https://www.panganku.org/id-ID/view

Kemenkes. (2018). Health Research and Development Agency. Ministry of Health of Republic Indonesia. https://p2ptm.kemkes.go.id/uploads/N2VaaXIxZGZwWFpEL1VlRFdQQ3ZRZz09/2018/02/FactSheet_Obesitas_Kit_Informasi_Obesitas.pdf.

Kolawole, A., Kevin, N., Ilori, O., & Sulayman, A. (2017). The Association of Socio-Demographic Factors with Overweight/Obesity among Students (Ages 18-35 Years) in Cavendish University, Uganda. Epidemiology: Open Access ISSN: 2161-1165, Volume 7, 1000328. https://doi.org/10.4172/2161-1165.1000328

Kurdanti, W., Suryani, I., Syamsiatun, N., Siwi, L., Adityanti, M., Mustikaningsih, D., & Sholihah, K. (2015). Factors influencing the incidence of obesity in adolescents. Indonesia Journal of Clinical Nutrition, 11, 179. https://doi.org/10.22146/ijcn.22900

Larson, N., Neumark-Sztainer, D., Laska, M. N., & Story, M. (2011). Young adults and eating away from home: associations with dietary intake patterns and weight status differ by choice of restaurant. J Am Diet Assoc, 111(11), 1696-1703. https://doi.org/10.1016/j.jada.2011.08.007

Mamurov, B., Mamanazarov, A., Abdullaev, K., Davronov, I., Davronov, N., & Kobiljonov, K. (2020). Acmeological Approach to the Formation of Healthy Lifestyle Among University Students. https://doi.org/10.2991/aebmr.k.200318.043

Mandoura, N., Al-Raddadi, R., Abdulrashid, O., Shah, H. B. U., Kassar, S. M., Adel Hawari, A. R., & Jahhaf, J. M. (2017). Factors Associated with Consuming Junk Food among Saudi Adults in Jeddah City. Cureus, 9(12), e2008. https://doi.org/10.7759/cureus.2008

Mohammadbeigi, A., Asgarian, A., Moshir, E., Heidari, H., Afrashteh, S., Khazaei, S., & Ansari, H. (2018). Fast food consumption and overweight/obesity prevalence in students and its association with general and abdominal obesity. J Prev Med Hyg, 59(3), E236-e240. https://doi.org/10.15167/2421-4248/jpmh2018.59.3.830

Opoku-Acheampong, A. A., Kidd, T., Adhikari, K., Muturi, N., & Kattelmann, K. (2018). Assessing Physical Activity, Fruit, Vegetable, and Sugar-Sweetened Beverage Intake Patterns of College Students in Kansas. J Nutr Educ Behav, 50(10), 977-983. https://doi.org/10.1016/j.jneb.2018.02.001

Park, S., Choi, B. Y., Wang, Y., Colantuoni, E., & Gittelsohn, J. (2013). School and neighborhood nutrition environment and their association with students' nutrition behaviors and weight status in Seoul, South Korea. J Adolesc Health, 53(5), 655-662.e612. https://doi.org/10.1016/j.jadohealth.2013.06.002

Perelman, J., Alves, J., Pförtner, T.-K., Moor, I., Federico, B., Kuipers, M., Richte, M., Rimpela, A., Kunst, A., & Lorant, V. (2015). Pocket money and smoking behaviors among adolescents: evidence from a study on 6 European cities: Julian Perelman (Vol. 25). https://doi.org/10.1093/eurpub/ckv173.071

Prentice, A. M., & Jebb, S. A. (2003). Fast foods, energy density and obesity: a possible mechanistic link. Obes Rev, 4(4), 187-194. https://doi.org/10.1046/j.1467-789x.2003.00117.x

Racine, E. F., Schorno, R., Gholizadeh, S., Bably, M. B., Hatami, F., Stephens, C., Zadrozny, W., Schulkind, L., & Paul, R. (2022). A College Fast-Food Environment and Student Food and Beverage Choices: Developing an Integrated Database to Examine Food and Beverage Purchasing Choices among College Students. Nutrients, 14(4). https://doi.org/10.3390/nu14040900

Rolls, B. J. (2010). Plenary Lecture 1: Dietary strategies for the prevention and treatment of obesity. Proc Nutr Soc, 69(1), 70-79. https://doi.org/10.1017/s0029665109991674

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. https://doi.org/10.1111/j.1467-789X.2008.00477.x

Schröder, H., Fïto, M., & Covas, M. I. (2007). Association of fast food consumption with energy intake, diet quality, body mass index and the risk of obesity in a representative Mediterranean population. Br J Nutr, 98(6), 1274-1280. https://doi.org/10.1017/s0007114507781436

Shah, T., Purohit, G., Nair, S. P., Patel, B., Rawal, Y., & Shah, R. (2014). Assessment of obesity, overweight and its association with the fast food consumption in medical students. Journal of clinical and diagnostic research: JCDR, 8(5), CC05.

Sun, C., Wang, Q., Xu, C., Wang, W., Ma, J., Gu, L., Liu, Z., Hou, J., & Jiang, Z. (2022). Reproducibility and Validity of a Semi-Quantitative Food Frequency Questionnaire for Assessing Dietary Intake of Vegetarians and Omnivores in Harbin, China. Nutrients, 14(19). https://doi.org/10.3390/nu14193975

susanti, T. (2016). The Relationship Between Fast Food Consumption Patterns and the Incidence of Obesity in Adolescents at SMA Muhammadiyah 3 Yogyakarta Alma Ata University]. http://elibrary.almaata.ac.id.

Tapera, R., Merapelo, M. T., Tumoyagae, T., Maswabi, T. M., Erick, P., Letsholo, B., & Mbongwe, B. (2017). The prevalence and factors associated with overweight and obesity among University of Botswana students. Cogent Medicine, 4(1), 1357249. https://doi.org/10.1080/2331205X.2017.1357249

Vaida, D. N. (2013). Prevalence of Fast Food Intake among Urban Adolescent Students.

Wang, G. J., Volkow, N. D., Thanos, P. K., & Fowler, J. S. (2004). Similarity between obesity and drug addiction as assessed by neurofunctional imaging: a concept review. J Addict Dis, 23(3), 39-53. https://doi.org/10.1300/J069v23n03_04

Williams, J., Scarborough, P., Matthews, A., Cowburn, G., Foster, C., Roberts, N., & Rayner, M. (2014). A systematic review of the influence of the retail food environment around schools on obesity-related outcomes. Obes Rev, 15(5), 359-374. https://doi.org/10.1111/obr.12142

Wójcik, M., & Kozioł-Kozakowska, A. (2021). Obesity, sodium homeostasis, and arterial hypertension in children and adolescents. Nutrients, 13(11), 4032.

Xu, H., Short, S. E., & Liu, T. (2013). Dynamic relations between fast-food restaurant and body weight status: a longitudinal and multilevel analysis of Chinese adults. J Epidemiol Community Health, 67(3), 271-279. https://doi.org/10.1136/jech-2012-201157

Yardimci, H., Ozdoğan, Y., Özçelik, A., & Surucuoglu, M. (2012). Fast-Food Consumption Habits of University Students: The Sample of Ankara. Pakistan Journal of Nutrition, 11. https://doi.org/10.3923/pjn.2012.265.269

Zeng, Q., Dong, S. Y., Sun, X. N., Xie, J., & Cui, Y. (2012). Percent body fat is a better predictor of cardiovascular risk factors than body mass index. Braz J Med Biol Res, 45(7), 591-600. https://doi.org/10.1590/s0100-879x2012007500059

WHO, (2021). Obesity and Overweight. WHO. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight