Gender Differences in Nutritional Status Among Adolescents in Sangihe Islands, Indonesia: A School-Based Cross-Sectional Study
DOI:
https://doi.org/10.70716/mohr.v4i3.562Keywords:
adolescent obesity, border areas, health determinants, junior high school, malnutritionAbstract
Adolescence is a critical phase of growth that requires higher nutritional intake, with different needs for males and females. Research on the relationship between gender and nutritional status among adolescents in Indonesia’s border island regions remains limited. This study aims to analyze the relationship between gender and nutritional status among adolescents at Manganitu State Junior High School No. 2 (SJHS 2), Sangihe Islands Regency. This cross-sectional study was conducted in October 2024 and included 139 students aged 12–15 years, selected through total sampling. Nutritional status was measured using the Age-Adjusted Body Mass Index (BMI-for-Age) based on the 2006 WHO standards and analyzed using the Chi-Square test (α = 0.05). The results showed that the majority of respondents had good nutritional status (79.1%); however, 5.8% were underweight, 5.0% were overweight, and 10.1% were obese. Statistical analysis revealed no significant association between gender and nutritional status: underweight (p = 1.000), normal weight (p = 0.436), overweight (p = 0.758). Gender is not a primary determinant of nutritional status in this population; behavioral and environmental factors such as dietary patterns and physical activity are thought to play a greater role. Routine anthropometric monitoring and nutrition education remain necessary given the continued presence of dual nutrition problems. Further research is recommended to more comprehensively explore the determinants of adolescents’ nutritional status in the Sangihe Islands region.
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Abubakar, H. A., Mohd, S., & Sumaiyah, M. (2024). Nutritional status and dietary intake among Nigerian adolescent: A systematic review. BMC Public Health, 24(1), 1764. https://doi.org/10.1186/s12889-024-19219-w
Afiatna, P., Indri, M., Untari., Diah, H., & Anisa, P. (2026). Demographic Characteristics as Factors Associated with Adolescents’ Nutritional Status. Jurnal Surya Muda, 8(1), 18–31. https://doi.org/10.38102/jsm.v8i1.509
Ahmed, M., Abdulkarim, A., Shamsedin, H., & Hassen, J. (2025). Nutritional status and associated factors among adolescent girls attending high schools in Jigjiga, Ethiopia. Clinical Nutrition Open Science, 62, 11–25. https://doi.org/10.1016/j.nutos.2025.05.005
Al Khairiyah, H., Hardinsyah, H., Dewi, M., Alamsyah, P. R., & Riawan, A. (2025). Differences in the nutritional and micronutrient malnutrition status among primary school children aged 8–13 years in Bogor, Indonesia. Amerta Nutrition, 9(4), 586–595. https://doi.org/10.20473/amnt.v9i4.2025.586-595
Ashar, A., Rezky, A., & Nurul, H. (2025). The Relationship between Balanced Dietary Behaviour, Physical Activity and Sedentary Behaviour and Nutritional Status in Adolescents. Window of Public Health Journal, 6(2), 342–353. https://doi.org/10.33096/woph.v6i2.2146
Awel, A., Lema, Tefera, L., & Habtemu, J. (2016). Nutritional status and associated factors among primary school adolescents of pastoral and agro-pastoral communities, Mieso Wored, Somali Region, Ethiopia: A comparative crosssectional study. Journal of Public Health and Epidemiology, 8(1), 297–310. https://doi.org/10.5897/JPHE2016.0824
Darling, A., Bruno, S., Abbas, I., Abubakar, M., Chelsey, C., Nega, A., Ali, S., Wafaie, F., Chris, S., & David, G. (2020). Gender differences in nutritional status, diet and physical activity among adolescents in eight countries in sub-Saharan Africa. Tropical Medicine & International Health, 25(1), 33–43. https://doi.org/10.1111/tmi.13330
Dwimawati, E. (2020). An overview of nutritional status based on anthropometric measurements among students at the Faculty of Public Health, Ibn Khaldun University, Bogor. PROMOTOR Jurnal Mahasiswa Kesehatan Masyarakat, 3(1), 50–55 https://doi.org/10.32832/pro.v3i1.3144
Dwinovary, R., & Dheni, K. (2025). The Relationship between Physical Activity and Nutritional Status Based on BMI/U among Year 11 Secondary School Students in Palembang. Protein: Jurnal Ilmu Keperawatan dan Kebidanan, 3(1), 92–102. https://doi.org/10.61132/protein.v3i1.940
Frayon, S., Swami, V., Wattelez, G., Todd, J., & Galy, O. (2021). Associations between weight status, body satisfaction, ethnic identity and self-esteem in Oceanian adolescents. Pediatric Obesity, 16(12), e12824. https://doi.org/10.1111/ijpo.12824
Gansalangi, F., Kasaluhe, M. D., Mahihody, A., Sambeka, Y., Patras, M. D., & Wuaten, G. A. (2025). Determinants of adolescents’ nutritional status in the coastal area of Tabukan Tengah Sub-district, Sangihe Islands Regency. JUKEJ: Jurnal Kesehatan Jompa, 4(4), 1365-1371. https://doi.org/10.57218/jkj.Vol4.Iss4.2155
Gardašević, N., Marko, J., Milica, M., Aleksandar, G., Bojan, B., & Nikola, A. (2021). Nutritional status and gender differences of adolescent students. Journal of Physical Education and Sport, 21(3), 1354–1360. https://doi.org/10.7752/jpes.2021.03172
Gaylis, J., Susan, L., Shiloah, K., Rebecca, D., & Mee, Y. (2017). Relationships between physical activity, food choices, gender and BMI in Southern Californian Teenagers. International journal of adolescent medicine and health, 31(5), 1–9. https://doi.org/10.1515/ijamh-2017-0067
Golzar, J., Noor, S., & Tajik, O. (2022). Convenience sampling. International Journal of Education & Language Studies, 1(2), 72–77. https://doi.org/10.22034/ijels.2022.162981
Hadush, G., Seid, O., & Wuneh, A. G. (2021). Assessment of nutritional status and associated factors among adolescent girls in Afar, Northeastern Ethiopia: a cross-sectional study. Journal of health, population, and nutrition, 40(1), 2. https://doi.org/10.1186/s41043-021-00227-0
Hughes, R. G., & Mark, A. L. (2005). Globalization, food and health in Pacific Island countries. Asia Pacific journal of clinical nutrition, 14(4), 298–306. https://pubmed.ncbi.nlm.nih.gov/16326635/. Accessed on 10 July 2026
Indonesian Ministry of Health. (2021). Indonesia Health Profile 2021. https://www.kemkes.go.id/app_asset/file_content_download/Profil-Kesehatan-Indonesia-2021.pdf. Accessed on 15 July 2026
Indonesian Ministry of Health. (2024). 2023 Indonesian National Health Survey Report. Health Development Policy Agency. https://kemkes.go.id/app_asset/file_content_download/17169067256655eae5553985.98376730.pdf. Accessed on 15 July 2026
Jose, A., Walusimbi, M., Vanitha, C., Gurramkonda, B., Gonmei, M., & Aswathi, P. K. (2025). Self-concept of adolescents in small-scale fishing communities. International Journal of Adolescence and Youth, 30(1), 2471539. https://doi.org/10.1080/02673843.2025.2471539
Juliani, K., Isniati, D., Maya, S., & Muthia, D. (2025). The relationship between ultra-processed food consumption and the nutritional status of adolescents in Asia: A narrative review. Jurnal kesehatan tambusai, 6(2), 4972–4980. https://doi.org/10.31004/jkt.v6i2.42514
Komalasari, R., Yusnita, Isnaeny Evry, N., Widianti, D., Maulidya, S., Farida Yasmin, I. ., Batubara, L., Pribadi, Z., Zakiyah, M., & Rahayu, S. (2025). Nutritional Status And Anemia In Adolescents: Preparation Of A Nutritional Lunch Program At SMPN 01 Kepulauan Seribu. CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal, 6(2), 137–142. https://doi.org/10.37148/comphijournal.v6i2.313
Larouche, R., Emily, M., Kevin, B., Tiago, B., Jean, C., Mikael, F., Gang, H., Estelle, L., Carol, M., Jose, M., Tim, O., Vincent, O., Olga, S., Martyn, S., Catrine, L., Peter, K., & Mark, T. (2019). Relationships between outdoor time, physical activity, sedentary time, and body mass index in children: A 12-country study. Pediatric Exercise Science, 31(1), 118–129. https://doi.org/10.1123/pes.2018-0055
Maehara, M., Rah, J. H., Roshita, A., Suryantan, J., Rachmadewi, A., & Izwardy, D. (2019). Patterns and risk factors of double burden of malnutrition among adolescent girls and boys in Indonesia. PloS one, 14(8), e0221273. https://doi.org/10.1371/journal.pone.0221273
Mangalik, G., Dary., & Puspa, N. (2025). Status Gizi pada Remaja Usia 13-15 tahun di Pati. Jurnal Ilmu Kesehatan Immanuel, 19(2), 93–100. https://doi.org/10.36051/jiki.v19i2.415
Mekonen, S., & Zeweter, A. (2025). Gender-based analysis of adolescent nutrition: Diet, lifestyle factors, and socioeconomic influences. BMC public health, 25(1), 3349. https://doi.org/10.1186/s12889-025-24792-9
Minister of Health of the Republic of Indonesia. (2022). Decision of the Minister of Health of the Republic of Indonesia No. HK.01.07/MENKES/51/2022 on Standards for Anthropometric Instruments and Child Development Assessment Tools. https://keslan.kemkes.go.id/unduhan/fileunduhan_1660894423_735923.pdf. Accessed on 15 July 2026
Minister of Health of the Republic of Indonesia. (2020). Regulation of the Minister of Health of the Republic of Indonesia No. 2 of 2020 on Anthropometric Standards for Children. https://peraturan.bpk.go.id/Download/144762/Permenkes%20Nomor%202%20Tahun%202020.pdf. Accessed on 15 July 2026
Mukti, B. H. (2025). Methods in health research: Probability and non-probability sampling. Health Sciences International Journal, 3(2), 220–234. https://doi.org/10.71357/hsij.v3i2.64
Nauli, S., Saptawati, B., & Luh, W. (2021). Nutritional status indicator and its correlation with mental health score among adolescents in Islamic Boarding Schools. World Nutrition Journal, 5(1), 95–105. https://doi.org/10.25220/WNJ.V05.i1.0013
Nilsen, S. A., Stormark, K. M., Heradstveit, O., & Breivik, K. (2023). Trends in physical health complaints among adolescents from 2014 - 2019: Considering screen time, social media use, and physical activity. SSM - population health, 22, 101394. https://doi.org/10.1016/j.ssmph.2023.101394
Parajuli, J., & Pattaneeya, P. (2025). Adolescent Nutrition and Health: a Critical Period for Nutritional Intervention to Prevent Long Term Health Consequences. Current nutrition reports, 14(1), 116. https://doi.org/10.1007/s13668-025-00706-4
Pauwelussen, A. (2022). Leaky bodies: masculinity and risk in the practice of cyanide fishing in Indonesia. Gender, Place & Culture, 29(12), 1712–1732. https://doi.org/10.1080/0966369X.2021.1950642
Prasetya, G., Arindah, N., Afrinia, S., Tri, F., Noerfitri., & Putri, A. (2023). Education on Balanced Nutrition and Assessment of Nutritional Status among Secondary School and Vocational School Students in Bekasi City and Regency. Jurnal Mitra Masyarakat, 4(1), 7–14. https://doi.org/10.47522/jmm.v4i1.159
Pratiwi, F., Yuliana, U., Erma H., & Purwanti, S. (2021). Instant noodle consumption and the nutritional status of adolescents in Kalongan Village, East Ungaran, Semarang Regency. Proceedings of the National Seminar, Muhammadiyah University of Semarang, 4, 1400–1407. https://prosiding.unimus.ac.id/index.php/semnas/article/view/912. Accessed on 15 July 2026
Ramdayani, Z., Defa, R., & Nur, A. (2024). The relationship between the habit of bringing lunch and energy intake with nutritional status in adolescent girls at SMAN 1 Cikarang Selatan. Jurnal Mitra Kesehatan (JMK), 7(1), 96–105. https://doi.org/10.4752 2/jmk.v7i1.36
Rodgers, R. F., Wertheim, E. H., Paxton, S. J., Tylka, T. L., & Harriger, J. A. (2022). Enhancing body image through body positive social media- evidence to date and research directions. Body image, 41, 367–374. https://doi.org/10.1016/j.bodyim.2022.03.008
Sakinah, I., & Izna, M. (2022). Consumption of packaged food and drinks and physical activity in relation to the prevalence of overweight among adolescents in Jakarta. Nutrire Diaita, 4(1), 8–14. https://doi.org/10.47007/nut.v14i01.4430
Sari, R., & Ratu, S. (2019). Factors Associated with Nutritional Status of Adolescents Age 12-15 Years in Indonesia (Secondary Data Analysis of RISKESDAS 2007). The 2nd International Meeting of Public Health 2016 Public Health Perspective of Sustainable Development Goals: Challenges and Opportunities in Asia Pacific Region Volume 2019. https://doi.org/10.18502/kls.v4i10.3806
Satriani, & Khairunnas. (2025). Hubungan Jenis Kelamin, Pengetahuan, dan Pola Makan dengan Status Gizi Remaja di SMPN 6 Meureubo, Kabupaten Aceh Barat tahun 2025. Biogenerasi: Jurnal Pendidikan Biologi, 10(3), 1842–1850. https://doi.org/10.30605/biogenerasi.v10i3.6615
Silwanah, A. S., Nurleli, Jinny, G., & Andi, S. (2026). Determinan Status Gizi Remaja SMP: Studi Kasus Jenis Kelamin, Usia, dan Indikator Sosial Ekonomi Keluarga. Jurnal Mitrasehat, 16(2), 206–212. https://doi.org/10.51171/jms.v16i2.727
Sy, M., Adama, D., Abdou, B., Maty, C., Abdoulaye, D., & Nicole, D. (2024). Nutritional status and associated factors among adolescents in Senegal: A nationwide cross-sectional study. BMJ Open, 15(10), e095574. https://doi.org/10.1136/bmjopen-2024-095574
Syahfitri, Y., Yanti, E., & Tuti, R. (2017). An Overview of the Nutritional Status of Pupils at State Junior Secondary School No. 13, Pekanbaru, in 2016. Jurnal Online Mahasiswa Fakultas Kedokteran Universitas Riau, 4(1), 1–12. https://media.neliti.com/media/publications/184062-ID-gambaran-status-gizi-siswa-siswi-smp-neg.pdf?exp=1784132107&kid=1&sig=OezxyfDWeoVPToG2nvMz33zYc1g88G0-E9Vy082ghBE. Accessed on 15 July 2026
Taufiqa, Z., Benny, M., Zelly, Z., Fathiya. R., Najla. A., & Farah, A. (2025). Gender, education, eating patterns, and nutritional status among high school students in the tourist area of Bukittinggi, Indonesia. Indonesia World Nutrition Journal, 8(2), 97–108. https://doi.org/10.25220/WNJ.V08.i2.0012
Tripicchio, G., Alexandria, K., Adam. D., Regan, B., Lauren, D., & Jennifer, F. (2019). Associations between snacking and weight status among adolescents 12-19 years in the United States. Nutrients, 11(7), 1486. https://doi.org/10.3390/nu11071486
UNICEF (United Nations Children's Fund). (2024). Climate Change and Nutrition in Indonesia: A Review of the Evidence to Strengthen Policies and Programmes. United Nations Children’s Fund. https://www.unicef.org/indonesia/id/media/22731/file/perubahan-iklim-gizi-Indonesia.pdf. Accessed on 15 July 2026
Van Sluijs, E., Ulf, E., Inacio, C., Regina, G., Amy, H., David, L., Adewale, O., Ding, D., & Peter, K. (2021). Physical activity behaviours in adolescence: Current evidence and opportunities for intervention. Lancet (London, England), 398(10298), 429–442. https://doi.org/10.1016/S0140-6736(21)01259-9
Vrevic, E., Malovic, P., Bacovic, D., Bojanic, D., & Nokic, A. (2024). Differences in nutritional status and level of physical activity among adolescents living in urban and rural areas of Montenegro - national study. BMC public health, 24(1), 896. https://doi.org/10.1186/s12889-024-18402-3
Wanjohi, M. N., Asiki, G., Wilunda, C., Holdsworth, M., Pradeilles, R., Paulo, L. S., Langat, N., Amugsi, D. A., Kimenju, S., Kimani-Murage, E. W., & Klipstein-Grobusch, K. (2025). Ultra-Processed Food Consumption Is Associated With Poor Diet Quality and Nutrient Intake Among Adolescents in Urban Slums, Kenya. International journal of public health, 69, 1607891. https://doi.org/10.3389/ijph.2024.1607891
WHO (World Health Organization). (2006). WHO Child Growth Standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. World Health Organization. https://iris.who.int/server/api/core/bitstreams/b9a488f7-c337-4c75-a254-8a7d11846f8c/content. Accessed on 15 July 2026
WHO (World Health Organization). (2024). Malnutrition. https://www.who.int/news-room/fact-sheets/detail/malnutrition. Accessed on 15 July 2026
Yuliantini, E., Sukiyono, K., Yuliarso, M. Z., & Sulistyo, B. (2022). Food Security and Stunting Incidences in the Coastal Areas of Indonesia. Open Access Macedonian Journal of Medical Sciences, 10(F), 454–461. https://doi.org/10.3889/oamjms.2022.9335
Zeng, N., Jiang, S., Ringer, A., Pacheco, C., Zheng, C., & Ye, S. (2024). Associations between combinations of 24-hour movement behaviors and dietary outcomes in children and adolescents: A systematic review. Nutrients, 16(21), 3678. https://doi.org/10.3390/nu16213678
Zhao, S., Shinde, S., Millogo, O., Patil, R., Bukenya, J., Chukwu, A., Assefa, N., Manu, A., Mwanyika-Sando, M., Gao, Y., Zhang, H., Nurhussien, L., Tinkasimile, A., Bärnighausen, T., Fawzi, W. W., & Tang, K. (2026). Prevalence and determinants of the double burden of malnutrition among adolescents in nine low- and middle-income countries. The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 78(3), 521–531. https://doi.org/10.1016/j.jadohealth.2025.11.009
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