Nutrition Education Using Video Improves Iron Intake and Dietary Diversity among Adolescents: A Quasi-Experimental Study
DOI:
https://doi.org/10.12873/452kamilKeywords:
Adolescent, iron, intake, nutrition, educationalAbstract
Background: Nutrition education is crucial for improving school children's nutritional knowledge, fostering positive attitudes towards food, and developing healthy eating habits to address the triple burden of malnutrition currently affecting adolescents. This study aims to determine the impact of nutrition education videos on iron intake and dietary diversity among adolescents living in Makassar, South Sulawesi, Indonesia. Methods: This study employed a quasi-experimental design with a non-randomized pre-post test and a control group. The intervention study involved 69 adolescents, comprising 34 participants in the intervention group and 35 in the control group. The intervention group received seven video education sessions, while the control group received only one. Iron intake was measured using SQ-FFQ, and dietary diversity was assessed through a 24-hour recall before and after the intervention. Data analysis was conducted using the Wilcoxon test to compare pre-test and post-test scores and the Mann-Whitney test to compare both groups. Results: The female adolescents in this study were aged 15-16 years, with most parents having a high school education and fathers working as entrepreneurs in both groups. Iron intake in the intervention group increased from 5.33 g/day (pre-test) to 9.70 g/day (post-test), while the control group experienced a decrease from 6.90 g/day to 5.42 g/day. The difference in iron intake between the two groups was significant (P-value 0.000, p<0.05). Dietary diversity in the intervention group increased from 2.71 (pre-test) to 4.06 (post-test), whereas the control group slightly increased from 3.09 to 3.17. The group differences were also significant (P-value 0.000, p<0.05). Conclusion: Nutrition education effectively increased iron intake and dietary diversity in the intervention group compared to the control group.
References
Rah JH, Melse-Boonstra A, Agustina R, van Zutphen KG, Kraemer K. The Triple Burden of Malnutrition Among Adolescents in Indonesia. Food Nutr Bull [Internet]. 2021;42(1_suppl):S4–8. Available from: https://journals.sagepub.com/doi/10.1177/03795721211007114?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub 0pubmed
Kemenkes RI. Survei Kesehatan Indonesia 2023 [Internet]. Kemenkes RI. 2024. Available from: https://www.badankebijakan.kemkes.go.id/hasil-ski-2023/
Chitekwe S, Torlesse H, Aguayo VM. Nutrition in Nepal: Three decades of commitment to children and women. Matern Child Nutr [Internet]. 2022;18(S1):1–8. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8770654/pdf/MCN-18-e13229.pdf
Utama F, Rahmiwati A, Arinda DF. Prevalence of Anaemia and its Risk Factors Among Adolescent Girls. 2020;25(Sicph 2019):461–3. Available from: https://www.atlantis-press.com/proceedings/sicph-19/125941295
Agustina R, Nadiya K, El Andini A, Setianingsih AA, Sadariskar AA, Prafiantini E, et al. Associations of meal patterning, dietary quality and diversity with anemia and overweight-obesity among Indonesian schoolgoing adolescent girls in West Java. PLoS One [Internet]. 2020;15(4):1–19. Available from: http://dx.doi.org/10.1371/journal.pone.0231519
Habtegiorgis SD, Petrucka P, Telayneh AT, Shitu Getahun D, Getacher L, Alemu S, et al. Prevalence and associated factors of anemia among adolescent girls in Ethiopia: A systematic review and meta-analysis. PLoS One [Internet]. 2022;17(3 March):1–11. Available from: http://dx.doi.org/10.1371/journal.pone.0264063
UNICEF. Program Gizi Remaja Aksi Bergizi: Dari Kabupaten Percontohan Menuju Perluasan Nasional. Unicef [Internet]. 2021;1–12. Available from: https://www.unicef.org/indonesia/media/9246/file/Program Gizi Remaja Aksi Bergizi dari Kabupaten Percontohan menuju Perluasan Program.pdf
Rachmi CN, Wulandari E, Kurniawan H, Wiradnyani LAA, Ridwan R, Akib TC. Aksi Bergizi Hidup Sehat Sejak Sekarang untuk Remaja Kekinian Penanggung. Unicef [Internet]. 2019;1–188. Available from: https://www.unicef.org/indonesia/media/2806/file/aksi-bergizi-siswa-2019.pdf
Indriasari R, Mansur MA, Srifitayani NR, Tasya A. Pengetahuan, Sikap, dan Tindakan Terkait Pencegahan Anemia Pada Remaja Berlatarbelakang Sosial-ekonomi Menengah ke Bawah di Makassar. Amerta Nutr [Internet]. 2022;6(3):256–61. Available from: https://doi.org/10.20473/amnt.v6i3.2022.256-261
Farhan K, Maulida NR, Lestari WA. PENGARUH EDUKASI ANEMIA MELALUI MEDIA VIDEO TERHADAP PENGETAHUAN , SIKAP , SERTA KEBERAGAMAN KONSUMSI MAKANAN REMAJA PUTRI DI SMP N EGERI 86 JAKARTA. 2024;13(September 2023):127–38. Available from: https://ejournal3.undip.ac.id/index.php/jnc/article/view/41172/31091
Septi P, Nadila Y, Rustam M. Pengaruh Edukasi Media Tiktok Terhadap Kepatuhan Konsumsi Tablet Tambah Darah Pada Remaja Putri. 2024;6(3):222–33. Available from: https://journalpedia.com/1/index.php/jrkm/article/view/2347/2365
Ningsih AL, Srimiati M. Pengaruh Frekuensi Pendidikan Gizi Dengan Media Video Motion Graphic Tentang Anemia Terhadap Pengetahuan Dan Pola Konsumsi Siswi SMAN 72 Jakarta Utara. J Andaliman J Gizi Pangan, Klin dan Masy [Internet]. 2021;1(1):31–8. Available from: https://jurnal.unimed.ac.id/2012/index.php/jgpkm/article/view/24926/16146
Singh SK, Garg G, Davey S, Kumar Raghav S, Muzammil K, Vir Singh J, et al. Impact of Educational Status of Parents on Nutritional Statusof Adolescent Girls-a Cross Sectional Study. Natl J Community Med [Internet]. 2014;0976(3):3. Available from: www.njcmindia.org
Alavi M, Eftekhari MB, Noot R, Rafinejad J, Chinekesh A. Dietary habits among adolescent girls and their association with parental educational levels. Glob J Health Sci. 2013 Jul;5(5):202–6.
Belew AK, Sisay M, Baffa LD, Gasahw M, Mengistu B, Kassie BA, et al. Dietary diversity and its associated factors among adolescent girls in Ethiopia: a systematic review and meta-analysis. BMC Public Health. 2024;24(1).
Nyma Z, Rahman M, Das S, Alam MA, Haque E, Ahmed T. Dietary diversity modification through school-based nutrition education among Bangladeshi adolescent girls: A cluster randomized controlled trial. PLoS One. 2023;18(3):e0282407.
Nahar MZ, Zahangir MS. The role of parental education and occupation on undernutrition among children under five in Bangladesh: A rural-urban comparison. PLoS One. 2024;19(8):e0307257.
Vaida DN. Impact of Maternal Occupation on Health and Nutritional Status of Preschoolers. (In Srinagar City). IOSR J Humanit Soc Sci. 2013;7(1):9–12.
Roche ML, Bury L, Yusadiredjai IN, Asri EK, Purwanti TS, Kusyuniati S, et al. Adolescent girls’ nutrition and prevention of anaemia: A school based multisectoral collaboration in Indonesia. BMJ. 2018;363:1–6.
Medeiros GCBS de, Azevedo KPM de, Garcia D, Oliveira Segundo VH, Mata ÁN de S, Fernandes AKP, et al. Effect of school-based food and nutrition education interventions on the food consumption of adolescents: a systematic review and meta-analysis. Int J Environ Res Public Health. 2022;19(17):10522.
Contento IR. Nutrition Education ; Linking Research, Theory and Practice [Internet]. 2nd ed. Vol. 11, Analytical Biochemistry. Canada: Jones and Bartlett Publishers, LLC; 2011. Available from: http://link.springer.com/10.1007/978-3-319-59379-1%0Ahttp://dx.doi.org/10.1016/B978-0-12-420070-8.00002-7%0Ahttp://dx.doi.org/10.1016/j.ab.2015.03.024%0Ahttps://doi.org/10.1080/07352689.2018.1441103%0Ahttp://www.chile.bmw-motorrad.cl/sync/showroom/lam/es/
Ronto R, Ball L, Pendergast D, Harris N. Adolescents’ perspectives on food literacy and its impact on their dietary behaviours. Appetite. 2016;107:549–57.
Yahia N, Brown CA, Rapley M, Chung M. Level of nutrition knowledge and its association with fat consumption among college students. BMC Public Health. 2016;16:1–10.
Dewi NKT, Kayanaya AAGR, Kencana IK. Pengaruh Penyuluhan Dengan Media Video Terhadap Pengetahuan Anemia Dan Asupan Konsumsi Zat Besi. J Ilmu Gizi J Nutr Sci. 2023;10(4):229–36.
Michie S, Van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci. 2011;6:1–12.
Sandela D, Besmaya BM, Veronica SY, Anggriani Y. The Effect Of Video-Based Education On Adolescents ’ Knowledge About Anemia At SMP Negeri Satap 11 Mesuji In 2024. 2024;15(04):1303–11.
Rodliah S, Wulandatika D, Fatimah S. Effectiveness of video versus leaflet education on anemia prevention knowledge among young women : A comparative study. 2024;7(1):50–5.
Madestria N, Moedjiono A, Suriah, Tahir M, Masni, Suarayasa K, et al. Effect of education through video and packaging modifications of iron tablets on female adolescent behavior in the iron supplementation intake in SMPN 2 and SMPN 1 Parigi. Gac Sanit. 2021 Dec 17;35:S127–30.
Kuchenbecker J, Jordan I, Reinbott A, Herrmann J, Jeremias T, Kennedy G, et al. Exclusive breastfeeding and its effect on growth of Malawian infants: results from a cross-sectional study. Paediatr Int Child Health. 2015;35(1):14–23.
Yazew T, Kuyu CG, Beressa G, Seyoum G. Effect of nutrition education on dietary diversity and academic achievement among adolescent school girls in North Shoa Zone, Oromia, Ethiopia. Nutrition. 2024 Jul;123:112416.
Downloads
Published
Issue
Section
Categories
License
Copyright (c) 2025 Nutrición Clínica y Dietética Hospitalaria
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Los lectores pueden utilizar los textos publicados de acuerdo con la definición BOAI (Budapest Open Access Initiative)
