Factors influencing the nutritional status of adolescents during the COVID-19 pandemic: A cross-sectional study
https://doi.org/10.52235/lp.v7i2.696
Keywords:
Adolescents, COVID-19, Nutritional StatusAbstract
Background: The COVID-19 pandemic substantially altered adolescents’ daily routines, including eating habits, physical activity, and sleep patterns, all of which may influence nutritional status. Evidence from Indonesia remains limited, particularly regarding the simultaneous contribution of these behavioral factors during periods of prolonged social restriction.
Objective: This study aimed to examine the associations between dietary patterns, physical activity, sleep quality, and nutritional status among adolescents in Pekanbaru, Indonesia, during the COVID-19 pandemic.
Methods: A cross-sectional study was conducted from June to November 2021 among 75 adolescents aged 15–18 years in Pekanbaru, Riau Province, Indonesia. Participants were recruited through convenience sampling using school and alumni WhatsApp groups. Data were collected online using a structured self-administered questionnaire that included a Food Frequency Questionnaire for dietary patterns, the Indonesian version of the Physical Activity Questionnaire for Adolescents (PAQ-A), and the Pediatric Daytime Sleepiness Scale (PDSS) for sleep-related problems. Nutritional status was assessed using self-reported weight and height to calculate body mass index (BMI), which was then classified into underweight, normal, and overweight categories. Descriptive statistics and chi-square tests were used for data analysis, with statistical significance set at p < 0.05.
Results: Of the 75 participants, most were 17 years old (40.0%) and female (70.7%). Overall, 68.0% had normal nutritional status, 18.7% were overweight, and 13.3% were underweight. Chi-square analysis showed significant associations between dietary patterns and nutritional status (p = 0.001), sleep quality and nutritional status (p = 0.001), and physical activity and nutritional status (p = 0.001). These findings indicate that unhealthy dietary patterns, poor sleep-related functioning, and lower physical activity were associated with abnormal BMI categories among adolescents.
Conclusion: Dietary patterns, physical activity, and sleep quality were significantly associated with adolescent nutritional status during the COVID-19 pandemic. These findings highlight the importance of integrated behavioral screening and adolescent health interventions targeting diet, movement, and sleep to support optimal nutritional outcomes.
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References
Akbar, M. A. (2024). The important role of community nurses post pandemic covid-19. Journal of Community Nursing and Primary Care, 1(1), 26-28. https://doi.org/10.63202/jcnpc.v1i1.26
Amalia, F., & Siahaan, J. (2025). Relationship of parenting patterns in children aged 2-5 years with attitudes preventing stunting: A cross-sectional study. Indonesian Journal of Health Services, 2(1), 1-10. https://doi.org/10.63202/ijhs.v2i1.32
Amaliyah, M., Soeyono, R. D., Nurlaela, L., & Kritiastuti, D. (2021). Pola konsumsi makan remaja di masa pandemi Covid-19. Jurnal Tata Boga, 10(1), 129–137.
Amita, D. F., Siti Yuyun Rahayu Fitri, & Wiwi Mardiah. (2024). Intervensi Digital Untuk Meningkatkan Perilaku Makan Buah Dan Sayur Pada Remaja : Systematic Review. Lentera Perawat, 5(1), 156–165. https://doi.org/10.52235/lp.v5i1.294
Anderson, R. M., Heesterbeek, H., Klinkenberg, D., & Hollingsworth, T. D. (2020). How will country-based mitigation measures influence the course of the COVID-19 epidemic? The Lancet, 395(10228), 931–934. https://doi.org/10.1016/S0140-6736(20)30567-5
Ashar, A. M., Yusuf, R. A., & B, N. H. (2025). Hubungan perilaku gizi seimbang aktivitas fisik dan perilaku sedentari dengan status gizi pada remaja. Window of Public Health Journal, 6(2), 342–353.
Bastian, A. D., Budianto, Y., & Zulkifli, A. F. B. (2024). Implementation of red rice consumption education for diabetes mellitus patients: A case study. Indonesian Journal of Health Services, 1(2), 56-66. https://doi.org/10.63202/ijhs.v1i2.6
Berasategi Santxo, N., Idoiaga Mondragon, N., Ozamiz-Etxebarria, N., & Dosil-Santamaria, M. (2021). Well-Being of adolescents in de-escalation situation: Physical, emotional, social, and academic impact. Frontiers in Psychology, 12(August), 1–10. https://doi.org/10.3389/fpsyg.2021.646027
Brand, S., & Kirov, R. (2011). Sleep and its importance in adolescence and in common adolescent somatic and psychiatric conditions. International Journal of General Medicine, 425. https://doi.org/10.2147/ijgm.s11557
Brazendale, K., Beets, M. W., Weaver, R. G., Pate, R. R., Turner-McGrievy, G. M., Kaczynski, A. T., Chandler, J. L., Bohnert, A., & von Hippel, P. T. (2017). Understanding differences between summer vs. school obesogenic behaviors of children: The structured days hypothesis. International Journal of Behavioral Nutrition and Physical Activity, 14(1). https://doi.org/10.1186/s12966-017-0555-2
Chaabane, S., Doraiswamy, S., Chaabna, K., Mamtani, R., & Cheema, S. (2021). The impact of covid-19 school closure on child and adolescent health: A rapid systematic review. Children, 8(5). https://doi.org/10.3390/children8050415
Chang, T., Chen, Y., Chen, W., Chen, C., Hsu, W., & Chou, Y. (2021). Weight gain associated with COVID-19 lockdown in children and adolescents: A systematic review and meta-analysis. Nutrients, 13(3668), 1–10.
Clarke, J., Kipping, R., Chambers, S., Willis, K., Taylor, H., Brophy, R., Hannam, K., Simpson, S. A., & Langford, R. (2021). Impact of COVID-19 restrictions on preschool children’s eating, activity and sleep behaviours: A qualitative study. BMJ Open, 11(10), e051497. https://doi.org/10.1136/bmjopen-2021-051497
Dasdemir, F., Orbatu, D., Bekta, M., & Özkan, B. (2020). Impact of the coronavirus disease 2019 pandemic on obesity, internet addiction, and sleep quality in adolescents. Journal of Pediatric Nursing, 66(January), 196–201.
Destiana, C., Harokan, A., & Zaman, C. (2025). Analysis of factors associated with the incidence of anemia in adolescent girls at the Muara Enim Health Center: A cross-sectional study. Lentera Perawat, 6(3), 504–512. https://doi.org/10.52235/lp.v6i3.491
Dunton, G. F., Do, B., & Wang, S. D. (2020). Early effects of the COVID-19 pandemic on physical activity and sedentary behavior in children living in the U.S. BMC Public Health, 20(1), 1–13. https://doi.org/10.1186/s12889-020-09429-3
Feiz Arefi, M., Babaei-Pouya, A., & Poursadeqiyan, M. (2020). The health effects of quarantine during the COVID-19 pandemic. Work, 67(3), 523–527. https://doi.org/10.3233/wor-203306
Gunawan, T. D., & Sekartini, R. (2024). Physical activity levels and sleep disturbances in Indonesian primary school students during the COVID-19 pandemic. Paediatrica Indonesiana, 64(2), 106–112. https://doi.org/10.14238/pi64.2.2024.106-12
Jannah, N. M., Taufiqurrahman, Christyaningsih, J., & Shofiya, D. (2025). Overview of adolescent diet and nutritional status during the covid-19 pandemic at SMAN 17 Surabaya. Journal of Nutrition Explorations, 3(4), 263–271. https://doi.org/10.36568/jone.v3i4.166
Laeto, A. Bin, Putri, S. S. F., Zulissetiana, E. F., & Swanny. (2022). Hubungan kualitas tidur remaja selama pandemi COVID-19 dengan aktivitas fisik serta screen time. Jurnal Kesehatan Islam, 11(2), 61–66.
Mecheva, M. D. V., Rieger, M., Sparrow, R., Prafiantini, E., & Agustina, R. (2023). Behavioural and environmental risk factors associated with primary schoolchildren’ s overweight and obesity in urban Indonesia. Public Health Nutrition, 26(8), 1562–1575. https://doi.org/10.1017/S1368980023000897
Meyer, C., Ferrari Junior, G. J., Barbosa, D. G., Andrade, R. D., Pelegrini, A., & Felden, É. P. G. (2017). Análise da sonolência diurna em adolescentes por meio da pediatric daytime sleepiness scale: Revisão sistemática. Revista Paulista de Pediatria, 35(3), 351–360. https://doi.org/10.1590/1984-0462/;2017;35;3;00015
Micklesfield, L. K., Hanson, S. K., Lobelo, F., Cunningham, S. A., Hartman, T. J., Norris, S. A., & Stein, A. D. (2021). Adolescent physical activity, sedentary behavior and sleep in relation to body composition at age 18 years in urban South Africa. BMC Pediatrics, 21(1), 30. https://doi.org/10.1186/s12887-020-02451-9
Mokoginta, F. S., & Manampiring, A. E. (2016). Gambaran pola asupan makanan pada remaja di kabupaten bolaang mongondow utara kandidat skripsi fakultas kedokteran Universitas Sam Ratulangi Manado. Jurnal E-Biomedik, 4(2), 1–10.
Mutia, A., Jumiyati, & Kusdalinah. (2022). Pola makan dan aktivitas fisik terhadap kejadian obesitas remaja pada masa pandemi COVID-19. Journal of Nutrition College, 11(1), 26–34.
Nagata, J. M., Cortez, C. A., Cattle, C. J., Ganson, K. T., Iyer, P., Bibbins-Domingo, K., & Baker, F. C. (2021). Screen time use among US adolescents during the COVID-19 pandemic. JAMA Pediatrics, May 2020, 2020–2022. https://doi.org/10.1001/jamapediatrics.2021.4334
Nugroho, A. (2025). Low economic level and the risk of overweight among Indonesian junior and senior high school students. Jurnal Kesehatan Masyarakat Nasional, 20(3), 222–229. https://doi.org/10.7454/kesmas.v20i3.2391
Owens, J. A., Babcock, D., & Weiss, M. (2020). Evaluation and treatment of children and adolescents with excessive daytime sleepiness. Clinical Pediatrics, 59(4–5), 340–351. https://doi.org/10.1177/0009922820903434
Parekh, Z., & Suryawanshi, Y. (2025). Innovations in Indian healthcare: Unlocking the benefits of telehealth and telemedicine. Journal of Community Nursing and Primary Care, 2(1), 9-16. https://doi.org/10.63202/jcnpc.v2i1.61
Puspitasari, E., Zaman, C., Harokan, A., & Suryani, D. (2025). Analysis of factors affecting the incidence of anemia in adolescent girls at Nawangsasi Health Center: A cross-sectional study. Lentera Perawat, 6(3), 411–418. https://doi.org/10.52235/lp.v6i3.485
Rahayu, D., Idayanti, I., Paramita, I. S. (2025). Adolescent education for weight monitoring, nutritional status, and physical activity. Jurnal Abmas Negeri, 6(2), 259-269.
Riskesdas. (2018). Laporan nasional riset kesehatan dasar taun 2018. Badan Penelitian dan Pengembangan Kementerian Kesehatan RI.
Sarintohe, E., Burk, J., Vink, J. M., & Larsen, K. (2025). Changes in body mass index during the COVID-19 pandemic among Indonesian adolescents: The role of sex, urban area, baseline BMI, and appetitive traits. Obesity Facts, 18, 169–177. https://doi.org/10.1159/000543078
Skolmowska, D.; Głabska, D.; Guzek, D. (2021). Differences in adolescents’ Food Habits Checklist (AFHC) Scores before and during pandemic in a population-based sample: Polish adolescents’ COVID-19 experience (PLACE-19) study. Nutrients, 13(1663). https://doi.org/https://doi.org/10.3390/nu13051663
Storz, M. A. (2020). The COVID-19 pandemic: An unprecedented tragedy in the battle against childhood obesity. Korean Journal of Pediatrics, 63(12), 477–482. https://doi.org/10.3345/cep.2020.01081
Suja’I, M. N. M., Noviasty, R., Kurniawati, E. R., & Ratih, W. (2022). The association between sleep duration, breakfast routine and nutritional status in Indonesian adolescents during COVID-19 pandemic. Jurnal Gizi Indonesia, 10(2), 168–180.
Tee, E. S., & Voon, S. H. (2024). Combating obesity in Southeast Asia countries: Current status and the way forward. Global Health Journal, 8(3), 147–151. https://doi.org/10.1016/j.glohj.2024.08.006
Woolford, S. J., Sidell, M., Li, X., Else, V., Young, D. R., Resnicow, K., & Koebnick, C. (2021). Changes in body mass index among children and adolescents during the COVID-19 pandemic. JAMA - Journal of the American Medical Association, 326(14), 1434–1436. https://doi.org/10.1001/jama.2021.15036
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